rotated romidepsin Generic Name: romidepsin (ROE mi DEP sin) Brand Name: Istodax Overview Side Effects Dosage Professional Interactions More Pregnancy Warnings User Reviews Support Group Q & A What is romidepsin? Romidepsin blocks certain enzymes in the body and interferes with the growth of tumor cells. Romidepsin is used to treat T-cell lymphoma affecting the skin (cutaneous T-cell lymphoma, or CTCL). Romidepsin is usually given after other medicines have been tried without successful treatment of symptoms. Romidepsin may also be used for purposes not listed in this medication guide. Slideshow Shingles: Settling The Score What is the most important information I should know about romidepsin? Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use. What should I discuss with my health care provider before receiving romidepsin? You should not use romidepsin if you are allergic to it. To make sure romidepsin is safe for you, tell your doctor if you have: heart disease, heart rhythm disorder; a personal or family history of long QT syndrome; liver or kidney disease; an electrolyte imbalance (such as high or low levels of potassium or magnesium in your blood); or if you are sick with nausea, vomiting, or diarrhea. Do not use romidepsin if you are pregnant. It could harm the unborn baby. Use effective birth control, and tell your doctor if you become pregnant during treatment. It is not known whether romidepsin passes into breast milk or if it could harm a nursing baby. You should not breast-feed while using this medicine. How is romidepsin given? Romidepsin is injected into a vein through an IV. A healthcare provider will give you this injection. The medicine must be given slowly through an IV infusion, and can take up to 4 hours to complete. You may be given other medicine to prevent nausea or vomiting while you are receiving romidepsin. Romidepsin is usually given every 7 days for 3 weeks. This treatment cycle may be repeated 28 days after your first dose. Your doctor will determine how long to treat you with romidepsin. Romidepsin can lower blood cells that help your body fight infections and help your blood to clot. Your blood will need to be tested often. Your cancer treatments may be delayed based on the results of these tests. Your heart function may also need to be checked using an electrocardiograph or ECG (sometimes called an EKG). If you have ever had hepatitis B, romidepsin can cause this condition to come back or get worse. You will need frequent blood tests to check your liver function during treatment and for several months after you stop using this medicine. What happens if I miss a dose? Call your doctor for instructions if you miss an appointment for your romidepsin injection. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. What should I avoid while receiving romidepsin? This medicine can pass into body fluids (urine, feces, vomit). For at least 48 hours after you receive a dose, avoid allowing your body fluids to come into contact with your hands or other surfaces. Caregivers should wear rubber gloves while cleaning up a patient's body fluids, handling contaminated trash or laundry or changing diapers. Wash hands before and after removing gloves. Wash soiled clothing and linens separately from other laundry. Romidepsin side effects Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Serious and sometimes fatal infections may occur during treatment and within 30 days after treatment with romidepsin. Call your doctor right away if you have signs of infection such as: fever, chills, cold or flu symptoms, rapid heart rate, rapid and shallow breathing, feeling like you might pass out; stabbing chest pain, wheezing, cough with yellow or green mucus; swollen gums, painful mouth sores, muscle pain, feeling very tired; or upper stomach pain, loss of appetite, dark urine, jaundice (yellowing of the skin or eyes). Also call your doctor at once if you have: worsening of CTCL skin symptoms; pain or burning when you urinate; chest pain, feeling short of breath; low platelets--easy bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin; low red blood cells--pale skin, feeling light-headed or short of breath, trouble concentrating; signs of tumor cell breakdown--lower back pain, blood in your urine, little or no urinating; numbness or tingly feeling around your mouth; muscle weakness or tightness; fast or slow heart rate, weak pulse; confusion, fainting; or symptoms of a serious heart rhythm problem--headache with chest pain and severe dizziness, fainting, fast or pounding heartbeats. Common side effects may include: nausea, vomiting, loss of appetite; or mild tired feeling. 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. Side Effects (complete list) Romidepsin dosing information Usual Adult Dose for Cutaneous T-cell Lymphoma: 14 mg/m2 IV over 4 hours on days 1, 8, and 15 of a 28-day cycle Repeat cycle every 28 days provided patient continues to benefit and is tolerating therapy. Comments: -Dose reduction, discontinuation or interruption of therapy may be necessary to manage adverse reactions. -Avoid use with rifampin and strong CYP450 3A4 inducers. Uses: Treatment of cutaneous T-cell Lymphoma (CTCL) and peripheral T-cell lymphoma (PTCL) in patients who have received at least 1 prior systemic therapy. Usual Adult Dose for Peripheral T-cell Lymphoma: 14 mg/m2 IV over 4 hours on days 1, 8, and 15 of a 28-day cycle Repeat cycle every 28 days provided patient continues to benefit and is tolerating therapy. Comments: -Dose reduction, discontinuation or interruption of therapy may be necessary to manage adverse reactions. -Avoid use with rifampin and strong CYP450 3A4 inducers. Uses: Treatment of cutaneous T-cell Lymphoma (CTCL) and peripheral T-cell lymphoma (PTCL) in patients who have received at least 1 prior systemic therapy. What other drugs will affect romidepsin? Tell your doctor about all medicines you use, and those you start or stop using during your treatment with romidepsin, especially: dexamethasone; a blood thinner (warfarin, Coumadin, Jantoven); St. John's wort; an antibiotic--clarithromycin, telithromycin; antifungal medicine--itraconazole, ketoconazole, voriconazole; an antidepressant--citalopram, nefazodone; seizure medicine--carbamazepine, phenobarbital, phenytoin; heart rhythm medicine--amiodarone, disopyramide, dofetilide, flecainide, ibutilide, procainamide, quinidine, sotalol; or HIV/AIDS medicine--atazanavir, delavirdine, indinavir, nelfinavir, ritonavir, saquinavir; medicine to treat tuberculosis--isoniazid, rifampin. This list is not complete. Other drugs may interact with romidepsin, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide. Next Side Effects Print this page Add to My Med List More about romidepsin Side Effects During Pregnancy Dosage Information Drug Interactions Support Group En Español 1 Review Add your own review/rating Drug class: histone deacetylase inhibitors Consumer resources Romidepsin Romidepsin Intravenous (Advanced Reading) Other brands: Istodax Professional resources Romidepsin (AHFS Monograph) RomiDEPsin (Wolters Kluwer) Related treatment guides Cutaneous T-cell Lymphoma Peripheral T-cell Lymphoma Where can I get more information? Your pharmacist can provide more information about romidepsin. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed. Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. Copyright 1996-2012 Cerner Multum, Inc. Version: 2.03. Date modified: December 03, 2017 Last reviewed: August 04, 2015} Drug Status Rx Availability Prescription only D Pregnancy Category Positive evidence of risk N/A CSA Schedule Not a controlled drug Approval History Drug history at FDA Drug Class Histone deacetylase inhibitors Related Drugs Peripheral T-cell Lymphoma Folotyn , Istodax , belinostat , Beleodaq , pralatrexate , More... Cutaneous T-cell Lymphoma bexarotene , Targretin , methoxsalen , Zolinza , Uvadex , Actimmune , vorinostat , Targretin Gel , Istodax , interferon gamma-1b , More... Romidepsin Rating 1 User Review 1.0 /10 1 User Review 1.0 Rate it! Help and Support Looking for answers? Ask a question or go join the romidepsin support group to connect with others who have similar interests.} } generally
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