WARNING

While Nelarabine Injection can be effective in treating T-cell acute lymphoblastic leukemia (T-ALL) and T-cell lymphoblastic lymphoma (T-LBL), it also carries certain risks and potential side effects. It’s important to note that the following information provides a general overview, and individual experiences may vary. It is crucial to consult with a healthcare professional for personalized information and guidance.

• Bone marrow suppression: Nelarabine can suppress the production of blood cells in the bone marrow, leading to a decreased number of white blood cells, red blood cells, and platelets. This can increase the risk of infections, anemia, and bleeding. Regular blood tests are typically done to monitor blood cell counts during treatment.
• Neurological effects: Nelarabine can cause neurological side effects, such as seizures, peripheral neuropathy (numbness or tingling in the extremities), and changes in mental status. These effects are usually temporary and resolve after treatment discontinuation.
• Liver and kidney toxicity: Nelarabine may affect liver and kidney function, leading to elevated liver enzymes or kidney problems. Regular monitoring of liver and kidney function is usually done during treatment.
• Hypersensitivity reactions: Some individuals may experience allergic or hypersensitivity reactions to Nelarabine, which can manifest as rash, itching, swelling, or difficulty breathing. If any allergic reactions occur, immediate medical attention should be sought.
• Increased risk of infections: Due to the suppression of the immune system, individuals receiving Nelarabine may be at a higher risk of developing infections. It is important to take precautions to minimize the risk of exposure to infectious agents and promptly report any signs of infection to the healthcare provider.
• Other side effects: Common side effects of Nelarabine include fatigue, nausea, vomiting, diarrhea, constipation, loss of appetite, and fever. Hair loss may also occur, but it is usually temporary.

It is essential to discuss the potential risks and benefits of Nelarabine Injection with a healthcare professional. They can provide detailed information, monitor for adverse effects, and provide guidance on managing any side effects that may occur during treatment.

Why is this medication prescribed?

Nelarabine injection is prescribed for the treatment of a type of cancer called T-cell acute lymphoblastic leukemia (T-ALL) and T-cell lymphoblastic lymphoma (T-LBL). It is used when other chemotherapy treatments have not been effective or the disease has relapsed. Nelarabine is an antineoplastic agent that belongs to a class of drugs called purine nucleoside analogues. It works by interfering with the DNA synthesis and repair in cancer cells, thereby inhibiting their growth and causing cell death.

How should this medicine be used?

Nelarabine injection is administered in a healthcare setting under the supervision of a qualified healthcare professional. The dosage and frequency of administration will be determined by the prescribing doctor based on the individual’s specific condition and response to treatment.

The injection is usually given into a vein (intravenous infusion) over a period of two hours. The treatment is typically given daily for five consecutive days, and this cycle may be repeated every two to four weeks, depending on the response and tolerance of the patient.

It’s important to follow the instructions provided by the healthcare team and not change the dosage or schedule without consulting them. They will monitor the patient’s progress and adjust the treatment as necessary to optimize its effectiveness and minimize potential side effects.

Other uses for this medicine

Nelarabine injection is primarily used for the treatment of T-cell acute lymphoblastic leukemia (T-ALL) and T-cell lymphoblastic lymphoma (T-LBL). However, there are no other approved uses for nelarabine injection.

What special precautions should I follow?

Regarding special precautions, it’s important to consider the following:

• Allergies: Inform your healthcare provider if you have any known allergies to nelarabine or any other medications.
• Prior medical conditions: Discuss your medical history with your doctor, especially if you have a history of nerve problems, seizures, liver disease, or kidney disease.
• Pregnancy and breastfeeding: Nelarabine can potentially harm an unborn baby, so it’s important to inform your doctor if you are pregnant or planning to become pregnant. It is also not recommended to breastfeed while receiving nelarabine treatment.
• Vaccinations: Avoid live vaccines while undergoing nelarabine treatment, as the drug may weaken the immune system’s response to the vaccine.
• Blood counts: Nelarabine can cause a decrease in blood cell counts, including red blood cells, white blood cells, and platelets. Regular blood tests will be conducted to monitor these levels during treatment.
• Neurological effects: Nelarabine can cause serious neurological side effects, such as seizures, peripheral neuropathy (numbness or tingling in the hands or feet), and mood or behavioral changes. Report any unusual symptoms to your healthcare provider.
• Infections: Nelarabine may increase the risk of infections. Inform your doctor if you experience signs of infection, such as fever, chills, or sore throat.

It is essential to follow your healthcare provider’s instructions and communicate any concerns or side effects experienced during treatment with nelarabine injection. They will be able to provide you with specific guidance and support based on your individual circumstances.

What special dietary instructions should I follow?

There are no specific dietary instructions associated with nelarabine injection. However, it’s generally important to maintain a balanced and nutritious diet during cancer treatment to support overall health and well-being. It is advisable to consult with a healthcare professional or a registered dietitian for personalized dietary recommendations based on your specific needs and any potential side effects you may be experiencing.

What should I do if I forget a dose?

If you happen to forget a dose of nelarabine injection, it is crucial to contact your healthcare provider as soon as possible to seek guidance. They will advise you on the best course of action, which may involve rescheduling the missed dose or adjusting the treatment plan accordingly. It is not recommended to double the dose or make any changes without consulting your healthcare provider, as it could affect the effectiveness and safety of the treatment.

What side effects can this medication cause?

Nelarabine injection, like any medication, can cause side effects. It’s important to note that not everyone will experience these side effects, and their severity can vary from person to person.

Common side effects of nelarabine injection may include:

• Nausea and vomiting
• Diarrhea or constipation
• Fatigue or weakness
• Fever or chills
• Loss of appetite
• Headache
• Insomnia or sleep disturbances
• Dizziness or lightheadedness
• Skin rash or itching
• Increased susceptibility to infections
• Muscle or joint pain
• Changes in blood cell counts, including anemia, low white blood cell count, or low platelet count

Additionally, nelarabine injection may cause more serious side effects that require immediate medical attention. These can include:

• Neurological effects: Seizures, confusion, difficulty speaking or understanding speech, balance problems, numbness or tingling in the hands or feet, or changes in mood or behavior.
• Allergic reactions: Symptoms may include difficulty breathing, swelling of the face, lips, tongue, or throat, hives, or rash. Seek immediate medical attention if you experience any signs of an allergic reaction.
• Liver or kidney problems: Yellowing of the skin or eyes, dark urine, abdominal pain, or changes in urination patterns should be reported to your healthcare provider.
• Infections: Nelarabine can lower the body’s ability to fight infections. Contact your healthcare provider if you develop signs of an infection, such as fever, chills, or sore throat.

It’s important to promptly report any side effects you experience to your healthcare provider. They can provide guidance on managing these side effects and may adjust the treatment plan if necessary to minimize discomfort and optimize the benefits of the medication.

What should I know about storage and disposal of this medication?

• Storage: Nelarabine injection should be stored in the refrigerator between 2°C and 8°C (36°F and 46°F). Protect the vials from light by keeping them in the original carton until ready for use. Do not freeze or shake the medication.
• Disposal: It is important to properly dispose of any unused or expired medication. Follow your local regulations or consult with a healthcare professional or pharmacist for guidance on how to safely dispose of Nelarabine Injection. Do not dispose of it in household trash or flush it down the toilet unless instructed to do so.

In case of emergency/overdose

If you suspect an overdose or experience severe or life-threatening symptoms after receiving nelarabine injection, immediately seek emergency medical assistance by calling your local emergency services or going to the nearest emergency room. It is important to have the medication packaging or information available to provide to healthcare professionals to assist with appropriate treatment.

What other information should I know?

• Drug interactions: Inform your healthcare provider about all the medications, supplements, and herbal products you are taking, as they may interact with nelarabine. This includes both prescription and over-the-counter medications.
• Regular check-ups: Your doctor will schedule regular check-ups to monitor your progress, evaluate the effectiveness of the treatment, and assess for any potential side effects or complications.
• Laboratory tests: Blood tests and other laboratory monitoring may be performed during treatment to check your blood cell counts and assess the overall health of your body.
• Avoid pregnancy during treatment: Nelarabine may harm an unborn baby. It is important to use effective contraception during treatment and for some time after discontinuing treatment. Discuss family planning options with your doctor.
• Follow medical advice: Adhere to your healthcare provider’s instructions regarding dosage, administration, and any additional precautions or recommendations specific to your condition. Do not make any changes to your treatment without consulting your doctor.

Always consult your healthcare provider or pharmacist for comprehensive and personalized information regarding the storage, disposal, emergency procedures, and other important details associated with Nelarabine Injection.