Brand Names : Xeloda
Precautions While Using This Medicine
It is very important that your doctor check your progress at
to make sure that this medicine is working properly
and to check for unwanted effects.
Your health care professional may request that you have a test to determine
if your blood is clotting properly and may preform this test frequently, if
you are also taking an anticoagulant (blood thinner).
Check with your doctor immediately
if you develop
a fever of 100.5 °F or higher, or if you notice any other signs of a possible
infection. These signs include cough or hoarseness, lower back or side pain,
painful or difficult urination, sneezing, sore throat, stuffy nose, and white
spots inside the mouth or throat.
Stop taking this medicine and check with your doctor
if any of the following occur:
Diarrhea, moderately severe (four to six stools a day more than usual,
or during the night).
Pain, blistering, peeling, redness, or swelling of the palms of your
hands and/or the bottoms of your feet that is severe enough to interfere with
your normal activities.
Nausea that is severe enough to cause you to eat less than usual.
Vomiting that occurs two times, or more, in a 24-hour period.
Pain and redness, swelling, or sores or ulcers in your mouth or on
your lips that are severe enough to interfere with eating.
If vomiting occurs less often than mentioned above, or if nausea does not
cause you to eat less than usual, it is not necessary for you to stop taking
the medicine or to check with your doctor (unless these effects are particularly
bothersome). Also, you do not need to stop taking the medicine if diarrhea
occurs less often than mentioned above or if the other side effects listed
are not severe enough to interfere with eating or other daily activities.
However, check with your doctor as soon as possible if they occur.
While you are being treated with capecitabine, and after you stop treatment
with it, do not have any immunizations (vaccinations)
without your doctor's approval
. Capecitabine may lower your body's
resistance and there is a chance you might get the infection the immunization
is meant to prevent. In addition, other persons living in your household should
not take oral polio vaccine since there is a chance they could pass the polio
virus on to you. Also, avoid persons who have taken oral polio vaccine within
the last several months. 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.
Capecitabine can temporarily lower the number of white blood cells in your
blood, 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
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
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