Fludarabine is used to treat cancer of the white blood cells.
This medicine may also be used to treat other types of cancer as decided by your doctor.
Take Fludarabine exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
You may take this medicine with or without food. Swallow it whole with a glass of water. Do not divide, chew or crush the tablet. Try to take it at the same time each day.
The dose of this medicine will be decided by your doctor. Your doctor will advise you on the treatment time frame depending on the type and severity of your condition.
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor and pharmacist know.
Do not take Fludarabine if you are pregnant or planning to have a baby soon. If you become pregnant while being treated with this medicine, alert your doctor immediately. This medicine may cause harm to your unborn child. You must use proven birth control methods while taking this medicine.
Do not breastfeed while you are being treated with this medicine.
Inform your doctor if you have the following conditions:
- kidney disease
- infection or history of infection
Keep your appointments with your doctor. Your doctor needs to monitor your condition and check your response to the medication regularly. Routine blood tests may be needed while you are being treated with this medicine. Your doctor will advise you about how often you need to have these tests.
Fludarabine may cause dizziness or some problems with your eyesight. If affected, do not drive or take part in any activity in which you need to be alert or need to see clearly.
Other side effects include any of the following: fever, mouth sore, chills, rash, nausea, vomiting, loss of appetite, diarrhoea, weakness, muscle pain, cough, numbness or tingling sensation in the hands and feet and swelling of the ankles, feet or hand.
Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:
- unusual bleeding or bruising
- blood in urine or stool
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Inform your doctor and pharmacist if you are taking any of these medicines:
- other cancer medicines e.g. pentostatin, cytarabine
- blood thinning medicines e.g. dipyridamole
Avoid vaccinations during treatment with Fludarabine.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements and medicines that you buy without a prescription.
Store in a cool, dry place away from the reach of children.
Medicines must not be used past the expiry date.
As Fludarabine is a cancer medicine, always return any unused or expired tablets to the clinic, hospital or pharmacy for disposal. Do not throw it away in the household waste.