Dactinomycin IV
In Depth
- Uses and How to Use
- Dosage and Storage
- Precautions and Side Effects
- Drug Interactions
- Drug Images
Pain/sores in the mouth and throat may occur. Brush your teeth gently/carefully, avoid using mouthwash that contains alcohol, and rinse your mouth frequently with cool water mixed with baking soda or salt. It may also be best to eat soft, moist foods. Tell your doctor immediately if these effects persist/worsen or if you have trouble swallowing.
Tell your doctor immediately if any of these unlikely but serious side effects occur:
- unusual weakness/tiredness
- muscle/joint pain
- stomach pain
- swelling hands/ankles/feet (edema)
- pain/redness/swelling of arms/legs
- coughing up blood
- vomit that looks like coffee grounds
- unusual bleeding/bruising
- bloody/black/tarry stools
This medication may cause certain severe blood and bone marrow problems (low red blood cells/white blood cells/platelets). These problems can affect your body's ability to stop bleeding or fight infection. Tell your doctor immediately if you develop easy bleeding/bruising or signs of infection (e.g., fever, chills, persistent sore throat).
When dactinomycin is given after radiation treatment, it can sometimes cause a serious skin reaction that looks likes a severe sunburn (radiation recall). The reaction usually develops within days to months after treatment on the skin area previously treated with radiation. Throat problems can also be part of radiation recall with dactinomycin. Tell your doctor immediately if you develop skin redness/tenderness/swelling/peeling/blisters or painful/difficult swallowing. If you develop a skin reaction, avoid prolonged sun exposure, tanning booths, and sunlamps. Use a sunscreen and wear protective clothing when outdoors.
Tell your doctor immediately if any of these rare but very serious side effects occur:
- severe abdominal pain
- lower back/side (flank) pain
- yellowing skin/eyes
- red/pinkish/dark urine
- painful/difficult urination
- change in the amount of urine
A very serious allergic reaction to this drug is unlikely. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction:
- rash
- itching
- swelling
- severe dizziness
- trouble breathing
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
Dactinomycin IV Medical Alert
Your condition can cause complications in a medical emergency. For information about enrolling in MedicAlert, call 1-800-854-1166 (USA) or 1-800-668-1507 (Canada).
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