What is ELOXATIN (oxaliplatin injection)?
ELOXATIN (oxaliplatin injection) is a medicine approved by the Food and Drug Administration
(FDA) that is used with 2 other chemotherapy drugs, 5-fluorouracil and leucovorin
(5-FU/LV), to treat adults with stage III colon cancer after surgery to remove the
tumor and advanced colon or rectal (colo-rectal cancer). It is not known if ELOXATIN
(oxaliplatin injection) works in children.
ELOXATIN (oxaliplatin injection) For Stage III Colon Cancer:
ELOXATIN (oxaliplatin injection) with infusional 5-fluorouracil and leucovorin was
shown to lower the chance of colon cancer returning in some patients when given
to patients with stage III colon cancer after surgery to remove the tumor. ELOXATIN
also increases survival in some patients with stage III colon cancer. The most common
adverse reactions seen in the study were nerve problems (peripheral neuropathy),
a decrease in white blood cells, red blood cells, and platelets, nausea, vomiting,
diarrhea, tiredness, mouth sores and an increase in liver enzymes.
For Advanced Colorectal Cancer (Also Known as Stage IV or Metastatic Cancer):
ELOXATIN with infusional 5-fluorouracil and leucovorin was also shown to increase
survival, shrink tumors and delay growth of tumors in some patients with advanced
colorectal cancer. The most common adverse reactions seen in the study were nerve
problems (peripheral neuropathy), a decrease in white blood cells, nausea, vomiting,
diarrhea, and tiredness.
In patients over 65 years old:
The effectiveness of ELOXATIN (oxaliplatin injection) combination therapy was not
conclusive in patients ≥65 years of age receiving adjuvant treatment of stage III
colon cancer who had their primary tumors surgically removed. Patients ≥65 receiving
ELOXATIN (oxaliplatin injection) combination therapy for adjuvant treatment of colorectal
cancer experienced more severe (Grade 3-4) low white blood cell counts than patients
<65 years of age.
For patients with advanced colorectal cancer, ELOXATIN (oxaliplatin injection) combination
therapy has been proven as effective in patients ≥65 as it is in younger patients.
The rate of overall adverse reactions, including the more severe adverse reactions
(Grade 3-4) were similar in older (≥65 years old) and younger (<65 years old) patients.
The incidence of diarrhea, dehydration, low potassium, low white blood cells, fatigue,
and a loss of consciousness were higher in patients ≥65 receiving treatment of advanced
colorectal cancer.
Important Safety Information
Anaphylactic-like reactions to ELOXATIN have been reported and may occur within
minutes of ELOXATIN administration. Epinephrine, corticosteroids, and antihistamines
have been employed to alleviate symptoms.
- Do not take ELOXATIN if you are allergic to any of the ingredients in ELOXATIN or
other medicines that contain platinum. Tell your doctor right away if you feel like
your throat is closing up, have shortness of breath, a flushed face, a rash, itching/hives,
swelling of lips or tongue, sudden cough, dizziness, sweating or chest pain.
- ELOXATIN can cause nerve problems. Tell your doctor right away if you become sensitive
to cold temperatures and cold objects; have trouble breathing, swallowing or saying
words; experience jaw tightness, odd feelings in your tongue, or chest pressure;
pain; tingling or burning in your hands, feet or around your mouth or throat.
- Tell your doctor if you develop a dry cough or have trouble breathing; these may
be signs of serious lung disease.
- ELOXATIN can cause liver problems (hepatotoxicity); your doctor will do blood tests
to watch for this.
- Because of the potential risk of fetal harm, pregnant women should not receive ELOXATIN.
Women of childbearing potential should avoid becoming pregnant while receiving ELOXATIN.
- ELOXATIN can cause a decrease in white blood cells, which can lead to infections.
Tell your doctor right away if develop any of the following signs of infection:
fever, chills, or shivering; cough that brings up mucus, burning or pain on urination,
pain on swallowing; sore throat; or redness or swelling at injection site.
- Other common side effects of ELOXATIN include a decrease in white blood cells, red
blood cells, and platelets, nausea, vomiting, diarrhea, and tiredness.
- Tell your doctor about all the medications you take, including prescription and
non-prescription medications, vitamins and herbal supplements.
Tell your doctor if you have any side effect that bothers you or that does not go
away. These are not all the possible side effects of ELOXATIN. For more information,
ask your doctor or pharmacist.
Please
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