Wednesday, September 21, 2016

Thiamine



Pronunciation: THIGH-uh-min
Generic Name: Thiamine
Brand Name: Generic only. No brands available.


Thiamine is used for:

Treating or preventing low levels of thiamine (vitamin B1).


Thiamine is a vitamin. Thiamine (vitamin B1) is important in carbohydrate (sugar and starch) metabolism, maintenance of normal growth, and transmission of nerve impulses.


Do NOT use Thiamine if:


  • you are allergic to any ingredient in Thiamine

Contact your doctor or health care provider right away if any of these apply to you.



Before using Thiamine:


Some medical conditions may interact with Thiamine. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:


  • if you are pregnant, planning to become pregnant, or are breast-feeding

  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement

  • if you have allergies to medicines, foods, or other substances

  • if you have Wernicke-Korsakoff syndrome

Some MEDICINES MAY INTERACT with Thiamine. However, no specific interactions with Thiamine are known at this time.


This may not be a complete list of all interactions that may occur. Ask your health care provider if Thiamine may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.


How to use Thiamine:


Use Thiamine as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Thiamine may be taken with or without food.

  • If you miss a dose of Thiamine for 1 or more days, there is no cause for concern. If your doctor recommended that you take it, try to remember your dose every day.

Ask your health care provider any questions you may have about how to use Thiamine.



Important safety information:


  • Do not take large doses of vitamins (megadoses or megavitamin therapy) unless directed by your doctor.

  • PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Thiamine, discuss with your doctor the benefits and risks of using Thiamine during pregnancy. It is unknown if Thiamine is excreted in breast milk. If you are or will be breast-feeding while you are using Thiamine, check with your doctor or pharmacist to discuss the risks to your baby.


Possible side effects of Thiamine:


All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:



Feeling of warmth; fluid retention; flushing; hives; itching; nausea; restlessness; sweating; tingling; weakness.



Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bluish skin or discoloration.



This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.


See also: Thiamine side effects (in more detail)


If OVERDOSE is suspected:


Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include hypersensitivity or allergic reaction (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue).


Proper storage of Thiamine:

Store Thiamine at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Keep Thiamine out of the reach of children and away from pets.


General information:


  • If you have any questions about Thiamine, please talk with your doctor, pharmacist, or other health care provider.

  • Thiamine is to be used only by the patient for whom it is prescribed. Do not share it with other people.

  • If your symptoms do not improve or if they become worse, check with your doctor.

  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Thiamine. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.



Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Thiamine resources


  • Thiamine Side Effects (in more detail)
  • Thiamine Use in Pregnancy & Breastfeeding
  • Thiamine Support Group
  • 0 Reviews for Thiamine - Add your own review/rating


  • thiamine Oral, Injection Advanced Consumer (Micromedex) - Includes Dosage Information

  • thiamine Concise Consumer Information (Cerner Multum)

  • Thiamine Hydrochloride Monograph (AHFS DI)

  • Vitamin B12 Monograph (AHFS DI)



Compare Thiamine with other medications


  • Beriberi
  • Vitamin B1 Deficiency
  • Vitamin/Mineral Supplementation and Deficiency
  • Wernicke's Encephalopathy

thiethylperazine Oral, Intramuscular, Rectal


thye-eth-il-PER-a-zeen


Commonly used brand name(s)

In the U.S.


  • Torecan

Available Dosage Forms:


  • Suppository

  • Tablet

  • Solution

Therapeutic Class: Antiemetic


Pharmacologic Class: Phenothiazine


Chemical Class: Piperazine (class)


Uses For thiethylperazine


Thiethylperazine is a phenothiazine medicine. It is used to treat nausea and vomiting.


thiethylperazine is available only with your doctor's prescription.


Before Using thiethylperazine


In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For thiethylperazine, the following should be considered:


Allergies


Tell your doctor if you have ever had any unusual or allergic reaction to thiethylperazine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.


Pediatric


Children are usually more sensitive than adults to the effects of phenothiazine medicines such as thiethylperazine. Certain side effects, such as muscle spasms of the face, neck, and back, tic-like or twitching movements, inability to move the eyes, twisting of the body, or weakness of the arms and legs, are more likely to occur in children, especially those with severe illness or dehydration.


Geriatric


Elderly patients are usually more sensitive to the effects of phenothiazine medicines such as thiethylperazine. Confusion; difficult or painful urination; dizziness; drowsiness; feeling faint; or dryness of mouth, nose, or throat may be more likely to occur in elderly patients. Also, nightmares or unusual excitement, nervousness, restlessness, or irritability may be more likely to occur in elderly patients. In addition, uncontrolled movements may be more likely to occur in elderly patients taking thiethylperazine.


Breast Feeding


There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.


Interactions with Medicines


Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking thiethylperazine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.


Using thiethylperazine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.


  • Cisapride

  • Grepafloxacin

  • Sparfloxacin

Using thiethylperazine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Fentanyl

  • Gatifloxacin

  • Ibutilide

  • Isradipine

  • Levorphanol

  • Methadone

  • Metrizamide

  • Morphine

  • Morphine Sulfate Liposome

  • Moxifloxacin

  • Octreotide

  • Oxycodone

  • Pentamidine

  • Procarbazine

  • Tramadol

Using thiethylperazine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Belladonna

  • Belladonna Alkaloids

  • Betel Nut

  • Evening Primrose

  • Meperidine

  • Phenylalanine

Interactions with Food/Tobacco/Alcohol


Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.


Using thiethylperazine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use thiethylperazine, or give you special instructions about the use of food, alcohol, or tobacco.


  • Ethanol

Other Medical Problems


The presence of other medical problems may affect the use of thiethylperazine. Make sure you tell your doctor if you have any other medical problems, especially:


  • Alcohol abuse—thiethylperazine, if taken together with alcohol, may lower the blood pressure and cause CNS depressant effects, such as severe drowsiness

  • Asthma attack or

  • Other lung diseases—Thiethylperazine may cause secretions to become thick so that it might be difficult to cough them up, for example, during an asthma attack

  • Blood disease or

  • Heart or blood vessel disease—thiethylperazine may cause more serious conditions to develop

  • Difficult urination or

  • Enlarged prostate—thiethylperazine may cause urinary problems to get worse

  • Glaucoma—thiethylperazine may cause an increase in inner eye pressure

  • Liver disease—Thiethylperazine may accumulate in the body, increasing the chance of side effects, such as muscle spasms

  • Parkinson's disease or

  • Seizure disorders—The chance of thiethylperazine causing seizures or uncontrolled movements is greater when these conditions are present

Proper Use of thiethylperazine


Thiethylperazine is used only to relieve or prevent nausea and vomiting. Use it only as directed. Do not use more of it and do not use it more often than your doctor ordered. To do so may increase the chance of side effects.


For patients taking thiethylperazine by mouth:


  • thiethylperazine may be taken with food or a full glass (8 ounces) of water or milk to reduce stomach irritation.

For patients using the suppository form of thiethylperazine :


  • To insert suppository: First, remove foil wrapper and moisten the suppository with cold water. Lie down on your side and use your finger to push the suppository well up into the rectum. If the suppository is too soft to insert, chill it in the refrigerator for 30 minutes or run cold water over it before removing the foil wrapper.

  • Wash your hands with soap and water.

Dosing


The dose of thiethylperazine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of thiethylperazine. If your dose is different, do not change it unless your doctor tells you to do so.


The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.


  • For nausea and vomiting:
    • For oral dosage form (tablets):
      • Adults—10 milligrams (mg) one to three times a day.

      • Children—Use and dose must be determined by your doctor.


    • For injection dosage form:
      • Adults—10 mg one to three times a day, injected into a muscle.

      • Children—Use and dose must be determined by your doctor.


    • For rectal dosage form (suppositories):
      • Adults—10 mg one to three times a day.

      • Children—Use and dose must be determined by your doctor.



Missed Dose


If you miss a dose of thiethylperazine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.


Storage


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.


Keep out of the reach of children.


Do not keep outdated medicine or medicine no longer needed.


Precautions While Using thiethylperazine


If you are going to be taking thiethylperazine for a long time, your doctor should check your progress at regular visits, especially during the first few months of treatment with thiethylperazine. This will allow your dosage to be changed if necessary to meet your needs.


Thiethylperazine will add to the effects of alcohol and other CNS depressants (medicines that cause you to feel drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are using thiethylperazine .


thiethylperazine may cause some people to have blurred vision or to become dizzy, lightheaded, drowsy, or less alert than they are normally. Make sure you know how you react to thiethylperazine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert or able to see well.


Dizziness, lightheadedness, or fainting may occur, especially when you get up from a lying or sitting position. Getting up slowly may help. If the problem continues or gets worse, check with your doctor.


When using thiethylperazine on a regular basis, make sure your doctor knows if you are taking large amounts of aspirin or other salicylates at the same time (as for arthritis or rheumatism). Effects of too much aspirin, such as ringing in the ears, may be covered up by thiethylperazine.


Thiethylperazine may cause dryness of the mouth, nose, and throat. For temporary relief of mouth dryness, use sugarless candy or gum, melt bits of ice in your mouth, or use a saliva substitute. However, if your mouth continues to feel dry for more than 2 weeks, check with your medical doctor or dentist. Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections.


thiethylperazine Side Effects


Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.


Check with your doctor as soon as possible if any of the following side effects occur:


Less common or rare
  • Abdominal or stomach pains

  • aching muscles and joints

  • blurred vision, change in color vision, or difficulty in seeing at night

  • confusion (especially in the elderly)

  • convulsions (seizures)

  • difficulty in speaking or swallowing

  • fast heartbeat

  • fever and chills

  • inability to move eyes

  • lip smacking or puckering

  • loss of balance control

  • mask-like face

  • muscle spasms (especially of face, neck, and back)

  • nausea, vomiting, or diarrhea

  • nightmares (continuing)

  • nosebleeds

  • puffing of cheeks

  • rapid or fine, worm-like movements of tongue

  • shuffling walk

  • skin itching (severe)

  • sore throat and fever

  • stiffness of arms or legs

  • swelling of arms, hands, and face

  • tic-like or twitching movements

  • trembling and shaking of hands and fingers

  • twisting movements of body

  • uncontrolled chewing movements

  • uncontrolled movements of arms or legs

  • unusual bleeding or bruising

  • unusual excitement, nervousness, restlessness, or irritability

  • unusual tiredness or weakness

  • weakness of arms and legs

  • yellow eyes or skin

Symptoms of overdose
  • Confusion (severe)

  • convulsions (seizures)

  • dizziness (severe)

  • drowsiness (severe)

  • dry mouth (severe)

  • hyperextension of neck and trunk

  • inability to move eyes

  • loss of consciousness

  • spasms of face and neck

  • stuffy nose

  • troubled breathing

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:


More common
  • Dizziness

  • drowsiness

Less common or rare
  • Constipation

  • dizziness or lightheadedness, especially when getting up from a lying or sitting position

  • dryness of mouth, nose and throat

  • fainting

  • fever

  • headache

  • ringing or buzzing in ears

  • skin rash

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.


Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: thiethylperazine Oral, Intramuscular, Rectal side effects (in more detail)



The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.


The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.


More thiethylperazine Oral, Intramuscular, Rectal resources


  • Thiethylperazine Oral, Intramuscular, Rectal Side Effects (in more detail)
  • Thiethylperazine Oral, Intramuscular, Rectal Use in Pregnancy & Breastfeeding
  • Thiethylperazine Oral, Intramuscular, Rectal Drug Interactions
  • Thiethylperazine Oral, Intramuscular, Rectal Support Group
  • 0 Reviews for Thiethylperazine Oral, Intramuscular, Rectal - Add your own review/rating


Compare thiethylperazine Oral, Intramuscular, Rectal with other medications


  • Nausea/Vomiting

Thioplex


Generic Name: thiotepa (Injection route)

thye-oh-TEP-a

Commonly used brand name(s)

In the U.S.


  • Thioplex

Available Dosage Forms:


  • Powder for Solution

Therapeutic Class: Antineoplastic Agent


Pharmacologic Class: Alkylating Agent


Chemical Class: Nitrogen Mustard


Uses For Thioplex


Thiotepa belongs to the group of medicines called alkylating agents. It is used to treat some kinds of cancer.


Thiotepa interferes with the growth of cancer cells, which are eventually destroyed. Since the growth of normal body cells may also be affected by thiotepa, other effects will also occur. Some of these may be serious and must be reported to your doctor. Other effects, like hair loss, may not be serious but may cause concern. Some effects do not occur for months or years after the medicine is used.


Before you begin treatment with thiotepa, you and your doctor should talk about the good this medicine will do as well as the risks of using it.


Thiotepa is to be administered only by or under the immediate supervision of your doctor.


Once a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although these uses are not included in product labeling, thiotepa is used in certain patients with the following medical conditions:


  • Cancer in the membranes that cover and protect the brain and spinal cord (the meninges)

Before Using Thioplex


In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:


Allergies


Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.


Pediatric


There is no specific information about the use of thiotepa in children.


Geriatric


Many medicines have not been tested in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information about the use of thiotepa in the elderly.


Pregnancy








Pregnancy CategoryExplanation
All TrimestersDStudies in pregnant women have demonstrated a risk to the fetus. However, the benefits of therapy in a life threatening situation or a serious disease, may outweigh the potential risk.

Breast Feeding


There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.


Interactions with Medicines


Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.


Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.


  • Rotavirus Vaccine, Live

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Adenovirus Vaccine Type 4, Live

  • Adenovirus Vaccine Type 7, Live

  • Bacillus of Calmette and Guerin Vaccine, Live

  • Influenza Virus Vaccine, Live

  • Measles Virus Vaccine, Live

  • Mumps Virus Vaccine, Live

  • Rotavirus Vaccine, Live

  • Rubella Virus Vaccine, Live

  • Smallpox Vaccine

  • Typhoid Vaccine

  • Varicella Virus Vaccine

  • Yellow Fever Vaccine

Interactions with Food/Tobacco/Alcohol


Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.


Other Medical Problems


The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:


  • Chickenpox (including recent exposure) or

  • Herpes zoster (shingles)—Risk of severe disease affecting other parts of the body

  • Gout (history of) or

  • Kidney stones (history of)—Thiotepa may increase levels of uric acid in the body, which can cause gout or kidney stones

  • Infection—Thiotepa can reduce immunity to infection

  • Kidney disease or

  • Liver disease—Effects may be increased because of slower removal of thiotepa from the body

Proper Use of Thioplex


While you are using thiotepa, your doctor may want you to drink extra fluids so that you will pass more urine. This will help prevent kidney problems and keep your kidneys working well.


Thiotepa sometimes causes nausea, vomiting, and loss of appetite. However, it is very important that you continue to receive the medicine, even if you begin to feel ill. Ask your health care professional for ways to lessen these effects.


Dosing


The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.


The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.


Precautions While Using Thioplex


It is very important that your doctor check your progress at regular visits to make sure that this medicine is working properly and to check for unwanted effects.


Before having any kind of surgery, including dental surgery, make sure the medical doctor or dentist in charge knows that you are taking this medicine.


While you are being treated with thiotepa, and after you stop treatment with it, do not have any immunizations (vaccinations) without your doctor's approval. Thiotepa may lower your body's resistance and there is a chance you might get the infection the immunization is meant to prevent. Other people living in your household should not take or should not have recently taken oral polio vaccine since there is a chance they could pass the polio virus on to you. Also, avoid other persons who have taken oral polio vaccine. Do not get close to them and do not stay in the same room with them for very long. If you cannot take these precautions, you should consider wearing a protective face mask that covers the nose and mouth.


Thiotepa can lower the number of white blood cells in your blood temporarily, increasing the chance of getting an infection. It can also lower the number of platelets, which are necessary for proper blood clotting. If this occurs, there are certain precautions you can take, especially when your blood count is low, to reduce the risk of infection or bleeding:


  • If you can, avoid people with infections. Check with your doctor immediately if you think you are getting an infection or if you get a fever or chills, cough or hoarseness, lower back or side pain, or painful or difficult urination.

  • Check with your doctor immediately if you notice any unusual bleeding or bruising; black, tarry stools; blood in urine or stools; or pinpoint red spots on your skin.

  • Be careful when using a regular toothbrush, dental floss, or toothpick. Your medical doctor, dentist, or nurse may recommend other ways to clean your teeth and gums. Check with your medical doctor before having any dental work done.

  • Do not touch your eyes or the inside of your nose unless you have just washed your hands and have not touched anything else in the meantime.

  • Be careful not to cut yourself when you are using sharp objects such as a safety razor or fingernail or toenail cutters.

  • Avoid contact sports or other situations where bruising or injury could occur.

Thioplex Side Effects


Along with their needed effects, medicines like thiotepa can sometimes cause unwanted effects such as blood problems, loss of hair, and other side effects. These and others are described below. Also, because of the way these medicines act on the body, there is a chance that they might cause other unwanted effects that may not occur until months or years after the medicine is used. These delayed effects may include certain types of cancer, such as leukemia. Discuss these possible effects with your doctor.


Although not all of these side effects may occur, if they do occur they may need medical attention.


Check with your doctor immediately if any of the following side effects occur:


Less common
  • Black, tarry stools

  • blood in urine or stools

  • cough or hoarseness

  • fever or chills

  • lower back or side pain

  • painful or difficult urination

  • pinpoint red spots on skin

  • unusual bleeding or bruising

Rare
  • Skin rash

  • tightness of throat

  • wheezing

Check with your doctor as soon as possible if any of the following side effects occur:


Less common
  • Joint pain

  • pain at place of injection or instillation

  • swelling of feet or lower legs

Rare
  • Sores in mouth and on lips

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:


Less common
  • Dizziness

  • hives

  • loss of appetite

  • missing menstrual periods

  • nausea and vomiting

This medicine may cause a temporary loss of hair in some people. After treatment with thiotepa has ended, normal hair growth should return.


After you stop using this medicine, it may still produce some side effects that need attention. During this period of time, check with your doctor immediately if you notice the following side effects:


  • Black, tarry stools

  • blood in urine or stools

  • cough or hoarseness

  • fever or chills

  • lower back or side pain

  • painful or difficult urination

  • pinpoint red spots on skin

  • unusual bleeding or bruising

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.


Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Thioplex side effects (in more detail)



The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.


The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.


More Thioplex resources


  • Thioplex Side Effects (in more detail)
  • Thioplex Use in Pregnancy & Breastfeeding
  • Thioplex Drug Interactions
  • Thioplex Support Group
  • 0 Reviews for Thioplex - Add your own review/rating


  • Thioplex Concise Consumer Information (Cerner Multum)

  • Thiotepa Prescribing Information (FDA)

  • Thiotepa Professional Patient Advice (Wolters Kluwer)

  • Thiotepa MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Thioplex with other medications


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  • Cancer
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  • Serosal Cavity Neoplastic Disease

thiethylperazine


Generic Name: thiethylperazine (thye eh thill PEAR a zeen)

Brand Names: Torecan


What is thiethylperazine?

Thiethylperazine is in a class of drugs called phenothiazines.


Thiethylperazine is used to relieve nausea and vomiting.


Thiethylperazine may also be used for purposes other than those listed in this medication guide.


What is the most important information I should know about thiethylperazine?


Call your doctor immediately if you experience uncontrollable movements of the mouth, tongue, cheeks, jaw, arms or legs.


Use caution when driving, operating machinery, or performing other hazardous activities. Thiethylperazine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking thiethylperazine. Do not take thiethylperazine with other drugs that cause drowsiness, including antidepressants, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants, except under the direction of your doctor.

What should I discuss with my healthcare provider before taking thiethylperazine?


Before taking this medication, tell your doctor if you have


  • liver disease or other problems with your liver;

  • kidney disease;


  • heart disease or other heart problems such as high blood pressure, low blood pressure, a previous heart attack, irregular heartbeats, or other conditions;




  • seizures or epilepsy;




  • an enlarged prostate or difficulty urinating; or




  • glaucoma.



You may not be able to take thiethylperazine, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.


It is not known whether thiethylperazine will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant. It is not known whether thiethylperazine passes into breast milk and how it might affect a nursing infant. Do not take thiethylperazine without first talking to your doctor if you are breast-feeding a baby. Thiethylperazine is not recommended for use by children younger than 12 years of age. If you are over 60 years of age, you may be more likely to experience side effects from thiethylperazine. Your doctor may prescribe a lower dose of this medication.

How should I take thiethylperazine?


Take thiethylperazine exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse or doctor to explain them to you.


Take each dose with a full glass of water.

Thiethylperazine is usually taken several times a day. Follow your doctor's instructions.


Store thiethylperazine tablets at room temperature away from moisture and heat.

What happens if I miss a dose?


Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed by your doctor.


What happens if I overdose?


Seek emergency medical attention.

Symptoms of a thiethylperazine overdose include drowsiness, deep sleep, agitation, restlessness, seizures or convulsions, fever, coma, and death.


What should I avoid while taking thiethylperazine?


Use caution when driving, operating machinery, or performing other hazardous activities. Thiethylperazine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking thiethylperazine. Do not take thiethylperazine with other drugs that cause drowsiness, including antidepressants, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants, unless your doctor approves.

Thiethylperazine side effects


If you experience any of the following serious side effects, stop taking thiethylperazine and seek emergency medical attention or contact your doctor immediately:

  • an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);




  • uncontrollable movements of the mouth, tongue, cheeks, jaw, arms, or legs;




  • confusion; or




  • yellowing of the skin or eyes.



Other, less serious side effects may be more likely to occur. Continue to take thiethylperazine and talk to your doctor if you experience



  • headache, dizziness, or drowsiness;




  • agitation, weakness, or tremor (shaking);




  • an increased heart rate;




  • constipation; or




  • dry mouth.



Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.


Thiethylperazine Dosing Information


Usual Adult Dose for Nausea/Vomiting:

10 mg orally or via deep intramuscular injection, 1 to 3 times a day as needed.

Usual Pediatric Dose for Nausea/Vomiting:

> 12 years: 10 mg orally or via deep intramuscular injection, 1 to 3 times a day as needed.


What other drugs will affect thiethylperazine?


Thiethylperazine may increase the side effects of other drugs that cause drowsiness, including antidepressants, alcohol, antihistamines, sedatives (used to treat insomnia), pain relievers, anxiety medicines, and muscle relaxants. Tell your doctor about all medicines that you are taking, and do not take any medicine without first talking to your doctor.


Drugs other than those listed here may also interact with thiethylperazine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.



More thiethylperazine resources


  • Thiethylperazine Side Effects (in more detail)
  • Thiethylperazine Use in Pregnancy & Breastfeeding
  • Thiethylperazine Drug Interactions
  • Thiethylperazine Support Group
  • 0 Reviews for Thiethylperazine - Add your own review/rating


  • thiethylperazine Oral, Intramuscular, Rectal Advanced Consumer (Micromedex) - Includes Dosage Information

  • Torecan Prescribing Information (FDA)



Compare thiethylperazine with other medications


  • Nausea/Vomiting


Where can I get more information?


  • Your pharmacist has more information about thiethylperazine written for health professionals that you may read.

What does my medication look like?


Thiethylperazine is available with a prescription under the brand name Torecan in 10 mg tablets and as an injection. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.


See also: thiethylperazine side effects (in more detail)


Thiola


Generic Name: tiopronin (Oral route)

tye-oh-PROE-nin

Commonly used brand name(s)

In the U.S.


  • Thiola

Available Dosage Forms:


  • Tablet

Therapeutic Class: Renal-Urologic Agent


Uses For Thiola


Tiopronin is used to prevent kidney stones, which may develop due to too much cystine in the urine (cystinuria). This medicine works by removing the extra cystine from the body.


In addition to the helpful effects of this medicine, it has side effects that can be very serious. Before you take tiopronin, be sure that you have discussed its use with your doctor.


Tiopronin is available only with your doctor's prescription.


Before Using Thiola


In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:


Allergies


Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.


Pediatric


Although there is no specific information comparing use of tiopronin in children with use in other age groups, this medicine is not expected to cause different side effects or problems in children than it does in adults.


Geriatric


Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. Although there is no specific information comparing the use of tiopronin in the elderly with use in other age groups, this medicine is not expected to cause different side effects or problems in older people than it does in younger adults.


Pregnancy








Pregnancy CategoryExplanation
All TrimestersCAnimal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding


There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.


Interactions with Medicines


Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.


Interactions with Food/Tobacco/Alcohol


Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.


Other Medical Problems


The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:


  • Blood problems (or a history of) or

  • Kidney disease (or a history of) or

  • Liver disease—Tiopronin may make these conditions worse

Proper Use of Thiola


Take this medicine on an empty stomach (at least 30 minutes before meals or 2 hours after meals).


You should drink 2 full glasses (8 ounces each) of water with each meal and at bedtime. You should also drink another 2 full glasses during the night.


It is important that you follow any special instructions from your doctor, such as following a low-methionine diet. Methionine is found in animal proteins such as milk, eggs, cheese, and fish. Also, make certain your health care professional knows if you are on any special diet, such as a low-sodium or low-sugar diet. If you have any questions about this, check with your doctor.


Take this medicine regularly as directed. Do not stop taking it without first checking with your doctor, since stopping the medicine and then restarting it may increase the chance of side effects.


Dosing


The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.


The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.


  • For oral dosage form (tablets):
    • To prevent kidney stones:
      • Adults—To start, 800 milligrams (mg) a day, divided into three doses. Your doctor may change your dose if needed.

      • Children up to 9 years of age—Dose must be determined by your doctor.

      • Children 9 years and older—Dose is based on body weight and must be determined by your doctor. The usual dose to start is 15 mg per kilogram (kg) (6.8 mg per pound) of body weight a day, divided into three doses. Your doctor may change your dose if needed.



Missed Dose


If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.


Storage


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.


Keep out of the reach of children.


Do not keep outdated medicine or medicine no longer needed.


Precautions While Using Thiola


Your doctor should check your progress at regular visits to make sure that this medicine is working properly and does not cause unwanted effects.


Thiola Side Effects


Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.


Check with your doctor immediately if any of the following side effects occur:


More common
  • Yellow skin or eyes

Less common
  • Muscle pain

  • sore throat and fever

  • unusual bleeding or bruising

Check with your doctor as soon as possible if any of the following side effects occur:


More common
  • Pain, swelling, or tenderness of the skin

  • skin rash, hives or itching

  • ulcers or sores in mouth

Less common
  • Bloody or cloudy urine

  • chills

  • difficulty in breathing

  • high blood pressure

  • hoarseness

  • joint pain

  • swelling of feet or lower legs

  • tenderness of glands

  • unusual bleeding

Rare
  • Chest pain

  • cough

  • difficulty in chewing, talking, or swallowing

  • double vision

  • general feeling of discomfort, illness, or weakness

  • muscle weakness

  • spitting up blood

  • swelling of lymph glands

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:


More common
  • Abdominal or stomach pain

  • bloating or gas

  • diarrhea or soft stools

  • loss of appetite

  • nausea and vomiting

  • warts

  • wrinkling or peeling or unusually dry skin

Less common
  • Changes in taste or smell

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.


Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Thiola side effects (in more detail)



The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.


The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.


More Thiola resources


  • Thiola Side Effects (in more detail)
  • Thiola Use in Pregnancy & Breastfeeding
  • Thiola Support Group
  • 0 Reviews for Thiola - Add your own review/rating


  • Thiola MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Thiola with other medications


  • Cystinuria

Thioplex


Generic Name: thiotepa (THYE oh TEP a)

Brand Names: Thioplex


What is Thioplex (thiotepa)?

Thiotepa is a cancer (antineoplastic) medication. Thiotepa interferes with the growth of cancer cells and slows their growth and spread in the body.


Thiotepa is used in the treatment of cancers of the breast, ovary, bladder, and others.


Thiotepa may also be used for purposes other than those listed in this medication guide.


What is the most important information I should know about Thioplex (thiotepa)?


Thiotepa should only be administered under the supervision of a qualified healthcare provider experienced in the use of cancer chemotherapeutic agents.


Serious side effects have been reported with the use of thiotepa including: allergic reactions (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); severe heart damage with prolonged use; decreased bone marrow function and blood problems (extreme fatigue; easy bruising or bleeding; black, bloody or tarry stools; fever or chills; or signs of infection); severe nausea, vomiting, diarrhea, and loss of appetite; and others. Talk to your doctor about the possible side effects from treatment with thiotepa.


What should I discuss with my healthcare provider before using Thioplex (thiotepa)?


Do not use thiotepa without first talking to your doctor if you have
  • kidney disease;

  • liver disease; or


  • poor bone marrow function.



The use of thiotepa may be dangerous if you have any of the conditions listed above.


Thiotepa is in the FDA pregnancy category D. This means that thiotepa is known to be harmful to an unborn baby. Do not use thiotepa without first talking to your doctor if you are pregnant. Discuss with your doctor the appropriate use of birth control during treatment with thiotepa if either you or your partner is of childbearing potential. It is not known whether thiotepa passes into breast milk. Do not take thiotepa without first talking to your doctor if you are breast-feeding a baby. The safety and effectiveness of thiotepa in children has not been established.

How should I use Thioplex (thiotepa)?


Thiotepa should only be administered under the supervision of a qualified healthcare provider experienced in the use of cancer chemotherapeutic agents.


Your doctor will determine the correct amount and frequency of treatment with thiotepa depending upon the type of cancer being treated and other factors. Talk to your doctor if you have any questions or concerns regarding the treatment schedule.


Your doctor will probably want you to have regularly scheduled blood tests and other medical evaluations during treatment with thiotepa to monitor progress and side effects.


Skin accidentally exposed to thiotepa should be rinsed thoroughly with soap and warm water.


Your healthcare provider will store thiotepa as directed by the manufacturer. If you are storing thiotepa at home, follow the directions provided by your healthcare provider.


What happens if I miss a dose?


Contact your doctor if you miss a dose of thiotepa.


What happens if I overdose?


If for any reason an overdose of thiotepa is suspected, seek emergency medical attention or contact your healthcare provider immediately.

Symptoms of a thiotepa overdose tend to be similar to side effects caused by the medication, although often more severe.


What should I avoid while using Thioplex (thiotepa)?


Thiotepa can lower the activity of your immune system making you susceptible to infections. Avoid contact with people who have colds, the flu, or other contagious illnesses and do not receive vaccines that contain live strains of a virus (e.g., live oral polio vaccine) during treatment with thiotepa. In addition, avoid contact with individuals who have recently been vaccinated with a live vaccine. There is a chance that the virus can be passed on to you.


Skin accidentally exposed to thiotepa should be rinsed thoroughly with soap and warm water.


Thioplex (thiotepa) side effects


If you experience any of the following serious side effects from thiotepa, seek emergency medical attention or contact your doctor immediately:



  • an allergic reaction (including difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);




  • decreased bone marrow function and blood problems (extreme fatigue; easy bruising or bleeding; black, bloody or tarry stools; or fever, chills, or signs of infection);




  • tissue or vein reactions near the site of administration;




  • liver damage (abdominal pain, yellowing of the skin or eyes);




  • severe nausea, vomiting, or loss of appetite;




  • fever, chills, or other signs of infection; or




  • painful or difficult urination.



Other, less serious side effects may be more likely to occur. Continue taking thiotepa and talk to your doctor if you experience:



  • fatigue or weakness;




  • mild to moderate nausea, vomiting, or loss of appetite;




  • redness or inflammation of the eyes;




  • dizziness, headache, or blurred vision;




  • temporary hair loss;




  • a loss of skin coloration; or




  • decreased menstruation in women and decreased sperm production in men.



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


What other drugs will affect Thioplex (thiotepa)?


Do not receive "live" vaccines during treatment with thiotepa. Administration of a live vaccine may be dangerous during treatment with thiotepa.

Drugs other than those listed here may also interact with thiotepa. Talk to your doctor and pharmacist before taking any other prescription or over-the-counter medicines, including herbal products, during treatment with thiotepa.



More Thioplex resources


  • Thioplex Side Effects (in more detail)
  • Thioplex Use in Pregnancy & Breastfeeding
  • Thioplex Drug Interactions
  • Thioplex Support Group
  • 0 Reviews for Thioplex - Add your own review/rating


  • Thioplex Advanced Consumer (Micromedex) - Includes Dosage Information

  • Thiotepa Prescribing Information (FDA)

  • Thiotepa Professional Patient Advice (Wolters Kluwer)

  • Thiotepa MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Thioplex with other medications


  • Bladder Cancer
  • Breast Cancer
  • Cancer
  • Lymphoma
  • Ovarian Cancer
  • Serosal Cavity Neoplastic Disease


Where can I get more information?


  • Your healthcare provider may have additional information about thiotepa that you may read.

See also: Thioplex side effects (in more detail)


thiotepa


Generic Name: thiotepa (THYE oh TEP a)

Brand Names: Thioplex


What is thiotepa?

Thiotepa is a cancer (antineoplastic) medication. Thiotepa interferes with the growth of cancer cells and slows their growth and spread in the body.


Thiotepa is used in the treatment of cancers of the breast, ovary, bladder, and others.


Thiotepa may also be used for purposes other than those listed in this medication guide.


What is the most important information I should know about thiotepa?


Thiotepa should only be administered under the supervision of a qualified healthcare provider experienced in the use of cancer chemotherapeutic agents.


Serious side effects have been reported with the use of thiotepa including: allergic reactions (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); severe heart damage with prolonged use; decreased bone marrow function and blood problems (extreme fatigue; easy bruising or bleeding; black, bloody or tarry stools; fever or chills; or signs of infection); severe nausea, vomiting, diarrhea, and loss of appetite; and others. Talk to your doctor about the possible side effects from treatment with thiotepa.


What should I discuss with my healthcare provider before using thiotepa?


Do not use thiotepa without first talking to your doctor if you have
  • kidney disease;

  • liver disease; or


  • poor bone marrow function.



The use of thiotepa may be dangerous if you have any of the conditions listed above.


Thiotepa is in the FDA pregnancy category D. This means that thiotepa is known to be harmful to an unborn baby. Do not use thiotepa without first talking to your doctor if you are pregnant. Discuss with your doctor the appropriate use of birth control during treatment with thiotepa if either you or your partner is of childbearing potential. It is not known whether thiotepa passes into breast milk. Do not take thiotepa without first talking to your doctor if you are breast-feeding a baby. The safety and effectiveness of thiotepa in children has not been established.

How should I use thiotepa?


Thiotepa should only be administered under the supervision of a qualified healthcare provider experienced in the use of cancer chemotherapeutic agents.


Your doctor will determine the correct amount and frequency of treatment with thiotepa depending upon the type of cancer being treated and other factors. Talk to your doctor if you have any questions or concerns regarding the treatment schedule.


Your doctor will probably want you to have regularly scheduled blood tests and other medical evaluations during treatment with thiotepa to monitor progress and side effects.


Skin accidentally exposed to thiotepa should be rinsed thoroughly with soap and warm water.


Your healthcare provider will store thiotepa as directed by the manufacturer. If you are storing thiotepa at home, follow the directions provided by your healthcare provider.


What happens if I miss a dose?


Contact your doctor if you miss a dose of thiotepa.


What happens if I overdose?


If for any reason an overdose of thiotepa is suspected, seek emergency medical attention or contact your healthcare provider immediately.

Symptoms of a thiotepa overdose tend to be similar to side effects caused by the medication, although often more severe.


What should I avoid while using thiotepa?


Thiotepa can lower the activity of your immune system making you susceptible to infections. Avoid contact with people who have colds, the flu, or other contagious illnesses and do not receive vaccines that contain live strains of a virus (e.g., live oral polio vaccine) during treatment with thiotepa. In addition, avoid contact with individuals who have recently been vaccinated with a live vaccine. There is a chance that the virus can be passed on to you.


Skin accidentally exposed to thiotepa should be rinsed thoroughly with soap and warm water.


Thiotepa side effects


If you experience any of the following serious side effects from thiotepa, seek emergency medical attention or contact your doctor immediately:



  • an allergic reaction (including difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);




  • decreased bone marrow function and blood problems (extreme fatigue; easy bruising or bleeding; black, bloody or tarry stools; or fever, chills, or signs of infection);




  • tissue or vein reactions near the site of administration;




  • liver damage (abdominal pain, yellowing of the skin or eyes);




  • severe nausea, vomiting, or loss of appetite;




  • fever, chills, or other signs of infection; or




  • painful or difficult urination.



Other, less serious side effects may be more likely to occur. Continue taking thiotepa and talk to your doctor if you experience:



  • fatigue or weakness;




  • mild to moderate nausea, vomiting, or loss of appetite;




  • redness or inflammation of the eyes;




  • dizziness, headache, or blurred vision;




  • temporary hair loss;




  • a loss of skin coloration; or




  • decreased menstruation in women and decreased sperm production in men.



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


Thiotepa Dosing Information


Usual Adult Dose for Breast Cancer:

0.3 to 0.4 mg/kg by rapid IV administration once.

Usual Adult Dose for Ovarian Cancer:

0.3 to 0.4 mg/kg by rapid intravenous administration once.

Usual Adult Dose for Serosal Cavity Neoplastic Disease:

0.6 to 0.8 mg/kg by intracavitary injection once

Usual Adult Dose for Bladder Cancer:

30 to 60 mg by intravesical instillation once, for the treatment of superficial bladder tumors

Usual Adult Dose for Lymphoma:

500 to 1000 mg intravenously once, for the treatment of refractory lymphomas

Usual Adult Dose for Malignant Disease:

0.3 to 0.4 mg/kg by rapid IV administration once.
or
0.6 to 0.8 mg/kg by intracavitary injection once.
or
0.6 to 0.8 mg/kg by intratumor injection once.
or
30 to 60 mg by intravesical instillation once.
or
10 to 15 mg by intrathecal injection once.
or
500 to 1000 mg IV once.

Usual Pediatric Dose for Malignant Disease:

Sarcomas: 25 to 65 mg/m2 IV as a single dose every 3 to 4 weeks.

Autologous bone marrow transplantation: 300 mg/m2 IV over 3 hours, repeat every 24 hours for 3 doses. The maximum tolerated dose is 1125 mg/m2 over 3 days.


What other drugs will affect thiotepa?


Do not receive "live" vaccines during treatment with thiotepa. Administration of a live vaccine may be dangerous during treatment with thiotepa.

Drugs other than those listed here may also interact with thiotepa. Talk to your doctor and pharmacist before taking any other prescription or over-the-counter medicines, including herbal products, during treatment with thiotepa.



More thiotepa resources


  • Thiotepa Side Effects (in more detail)
  • Thiotepa Use in Pregnancy & Breastfeeding
  • Thiotepa Drug Interactions
  • Thiotepa Support Group
  • 0 Reviews for Thiotepa - Add your own review/rating


  • thiotepa Injection Advanced Consumer (Micromedex) - Includes Dosage Information

  • Thiotepa Prescribing Information (FDA)

  • Thiotepa Professional Patient Advice (Wolters Kluwer)

  • Thiotepa MedFacts Consumer Leaflet (Wolters Kluwer)



Compare thiotepa with other medications


  • Bladder Cancer
  • Breast Cancer
  • Cancer
  • Lymphoma
  • Ovarian Cancer
  • Serosal Cavity Neoplastic Disease


Where can I get more information?


  • Your healthcare provider may have additional information about thiotepa that you may read.

See also: thiotepa side effects (in more detail)