Mitomycin 10 mg is a chemotherapy medication used to treat various types of cancer, including:
- Stomach cancer (gastric cancer)
- Breast cancer
- Pancreatic cancer
- Lung cancer
- Bladder cancer
Composition:
Each 10mg vial of Mitomycin contains Mitomycin-C, a folate analogue that inhibits the growth of cancer cells.
Mechanism of Action:
Mitomycin works by:
- Inhibiting the synthesis of DNA, RNA, and protein, thereby preventing the growth and proliferation of cancer cells.
- Inducing apoptosis (cell death) in cancer cells.
Indications:
Mitomycin is indicated for the treatment of:
- Adenocarcinoma of the stomach (gastric cancer)
- Adenocarcinoma of the breast
- Adenocarcinoma of the pancreas
- Adenocarcinoma of the lung
- Transitional cell carcinoma of the bladder
Dosage:
The recommended dosage of Mitomycin is 10mg/m2 (one vial) administered intravenously over 30 minutes every 6 weeks. The dose may be adjusted based on patient response and toxicity.
Side Effects:
Common side effects of Mitomycin include:
- Nausea and vomiting
- Diarrhea
- Fatigue
- Hair loss
- Anemia
- Thrombocytopenia
- Neutropenia
Serious side effects can include:
- Hemolytic uremic syndrome (HUS)
- Cardiac events (e.g., cardiac arrhythmias, cardiac failure)
- Respiratory events (e.g., respiratory failure, pneumonitis)
- Neurological events (e.g., seizures, neuropathy)
- Hepatotoxicity (e.g., liver failure, liver damage)
Recommendation:
Mitomycin should be administered under the guidance of a healthcare professional, and patients should be closely monitored for signs of side effects and treatment response.
Important Note:
- Patients with a history of cardiac disease or cardiac arrhythmias should be closely monitored while receiving Mitomycin.
- Patients with a history of kidney disease or liver dysfunction should receive dose reduction or close monitoring while receiving Mitomycin.
- Patients with a history of blood disorders should be closely monitored for signs of blood dyscrasias.
- Pregnant or breastfeeding women should not receive Mitomycin.
- Women of childbearing potential should use effective contraception while receiving Mitomycin.
Patient Counseling:
- Patients should be counseled on the importance of taking their medication as directed and not missing doses.
- Patients should be instructed to report any signs of infection, such as fever, chills, or sore throat.
- Patients should be advised to report any changes in their appetite, nausea, or vomiting.
- Patients should be informed that they may experience hair loss, skin changes, or changes in their nails during treatment.
Storage and Handling:
- Store vials in the refrigerator between 2°C and 8°C (36°F and 46°F).
- Do not freeze or expose to direct sunlight.
- Use within 28 days of opening.
- Follow proper technique for reconstitution and administration to prevent contamination and ensure accurate dosing.
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