Carmustine

Introduction To Carmustine

Carmustine is used to treat cancer of lymphatic system, brain and certain types of cancers of bone marrow. It may also be used to treat other types of cancer. It can be used alone, or together with certain other medicines as part of combination chemotherapy.

Carmustine is generally administered by a doctor or a nurse. You should not self-administer this medicine at home. This dose and duration of the treatment will depend on what you are being treated and the severity of your condition. You should get the injection regularly for as long as the doctor has prescribed.

The most common side effects of this medicine include nausea, vomiting, constipation, depression, sleepiness, speech disorder, rash, hair loss, headache, weakness, fever, and pain. Other than this, some patients might notice thrombophlebitis, paralysis of one side of the body, convulsion, confusion, and brain swelling. It is very strong medicine and some people may develop serious side effects while taking it. This medicine may lower your ability to fight infections and lead to problems with your blood, lungs, liver, or kidneys. Your doctor will advise you regular blood tests to check for these.

Before taking it, tell your doctor if you have liver, lungs, or kidney problems or are taking any medicines to treat infections. Many other medicines can affect, or be affected by, this medicine so let your doctor know all medications you are using. This medicine is not recommended during pregnancy or while breastfeeding. It may harm your baby. You and your partner should avoid becoming pregnant or fathering a child for several months after your treatment with it has stopped.

Uses of Carmustine

  • Brain tumor

Benefits of Carmustine

Brain tumor
Brain tumor is an abnormal mass or collection of cells that may be cancerous (malignant) or non-cancerous (benign). Carmustine kills or stops the growth of cancer cells and also prevents the multiplication of cancer cells. It is a potent and very toxic medicine and you should discuss the risks and benefits with your doctor. You should avoid drinking alcohol while having this treatment and drink plenty of water to stay hydrated.

Side effects of Carmustine

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Carustine

  • Nausea
  • Vomiting
  • Headache
  • Fever
  • Rash
  • Constipation
  • Weakness
  • Confusion
  • Infection
  • Hair loss
  • Convulsion
  • Depression
  • Speech disorder
  • Brain swelling
  • Thrombophlebitis
  • Hemiplegia (paralysis of one side of the body)
  • Sleepiness
  • Hemiplegia (paralysis of one side of the body)
  • Pain

How to use Carmustine

Your doctor or nurse will give you this medicine. Kindly do not self administer.

How Carmustine works

Carmustine is an anti-cancer medication. It works by damaging the genetic material (DNA and RNA) of the cancer cells. This stops their growth and multiplication.

Quick tips

  • Carmustine is given as an injection into the veins under the supervision of a doctor.

Safety Advice

sdsPregnancyCONSULT YOUR DOCTOR

Can I take Carmustine if I’m pregnant?

Carmustine is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.

sdsBreastfeedingUNSAFE

Can I take Carmustine if I’m breastfeeding?

Carmustine is unsafe to use during breastfeeding. Data suggests that the drug may cause toxicity to the baby.

sdsAlcoholCONSULT YOUR DOCTOR

Is drinking alcohol while taking Carmustine safe?

It is not known whether it is safe to consume alcohol with Carmustine. Please consult your doctor.

sdsDrivingUNSAFE

Can I drive after taking Carmustine?

Carmustine may cause side effects which could affect your ability to drive.

sdsKidneyCONSULT YOUR DOCTOR

Can I take Carmustine if I have/had kidney diseases?

There is limited information available on the use of Carmustine in patients with kidney disease. Please consult your doctor. However, the use of Carmustine is not recommended in patients with severe kidney disease.

sdsLiverCONSULT YOUR DOCTOR

Can I take Carmustine if I have/had liver diseases?

There is limited information available on the use of Carmustine in patients with liver disease. Please consult your doctor.

Frequently Asked Questions

Q. Is Carmustine safe?

Carmustine is safe if taken at prescribed dose and duration as advised by your doctor.

Q. Is Carmustine a vesicant?

Carmustine is classified under irritants amongst chemotherapy drugs. However when administered at high doses it can act as vesicant.

Q. Does Carmustine inhibit DNA replication?

Yes, Carmustine works by preventing DNA replication.

References

Written By:

Dr Advikka Ridhy

Dr Advikka Ridhy

MBBS

RMO, Aster MIMS

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