Fluorouracil injection

Generic name: Fluorouracil (injection)
Dosage form: intravenous solution (50 mg/mL)
Drug class: Antimetabolites

Usage of Fluorouracil injection

Fluorouracil is used to treat cancer of the colon, rectum, breast, stomach, or pancreas.

Fluorouracil is often given in combination chemotherapy with other cancer drugs.

Fluorouracil may also be used for purposes not listed in this medication guide.

Fluorouracil injection 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.

Fluorouracil may cause serious side effects. Call your doctor at once if you have:

  • fever (take your temperature each day while receiving fluorouracil);
  • severe or ongoing diarrhea;
  • vision problems;
  • confusion, problems with balance or muscle movement;
  • painful mouth sores, red or swollen gums, trouble swallowing, talking, or eating;
  • bone marrow suppression--dizziness, pale lips or fingernail beds, fast heart rate, getting easily tired or short of breath;
  • "hand and foot syndrome"--pain, blisters, bleeding, or severe rash on the palms of your hands or the soles of your feet;
  • heart problems--chest pain or pressure, pain spreading to your jaw or shoulder, irregular heartbeats, nausea, sweating, feeling dizzy or short of breath.
  • Your cancer treatments may be delayed or permanently discontinued if you have certain side effects.

    Common side effects of fluorouracil may include:

  • diarrhea;
  • mouth sores;
  • heart problems; or
  • bone marrow suppression.
  • 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.

    Before taking Fluorouracil injection

    Tell your doctor if you have ever had:

  • a metabolic disorder called DPD (dihydropyrimidine dehydrogenase) deficiency;
  • heart problems; or
  • bone marrow depression.
  • Both men and women using fluorouracil should use effective birth control to prevent pregnancy. Fluorouracil can harm an unborn baby if the mother or father is using this medicine.

    Keep using birth control for at least 3 months after your last dose. Tell your doctor right away if a pregnancy occurs while either the mother or the father is using fluorouracil.

    This medicine may affect fertility (ability to have children) in both men and women. However, it is important to use birth control to prevent pregnancy because fluorouracil can harm an unborn baby.

    You should not breastfeed while using this medicine.

    Relate drugs

    How to use Fluorouracil injection

    Usual Adult Dose for Colorectal Cancer:

    IN COMBINATION WITH LEUCOVORIN, OR IN COMBINATION WITH LEUCOVORIN AND OXALIPLATIN OR IRINOTECAN: 400 mg/m2 by IV bolus on Day 1, followed by 2400 to 3000 mg/m2 as a continuous IV infusion over 46 hours every 2 weeksWHEN ADMINISTERED IN A BOLUS DOSING REGIMEN IN COMBINATION WITH LEUCOVORIN: 500 mg/m2 by IV bolus on Days 1, 8, 15, 22, 29, and 36 in 8-week cyclesUse: Adenocarcinoma of the colon and rectum

    Usual Adult Dose for Breast Cancer:

    ADMINISTERED AS A COMPONENT OF A CYCLOPHOSPHAMIDE-BASED MULTIDRUG REGIMEN: 500 or 600 mg/m2 IV on Days 1 and 8 every 28 days for 6 cyclesUse: Adenocarcinoma of the breast

    Usual Adult Dose for Stomach Cancer:

    ADMINISTERED AS A COMPONENT OF A PLATINUM-CONTAINING MULTIDRUG CHEMOTHERAPY REGIMEN:200 to 1000 mg/m2 IV as a continuous infusion over 24 hours; the frequency of dosing in each cycle and the length of each cycle will depend on the dose of fluorouracil and the specific regimen administered Use: Gastric adenocarcinoma

    Usual Adult Dose for Pancreatic Cancer:

    ADMINISTERED IN COMBINATION WITH LEUCOVORIN OR AS A COMPONENT OF A MULTIDRUG CHEMOTHERAPY REGIMEN THAT INCLUDES LEUCOVORIN: 400 mg/m2 by IV bolus on Day 1, followed by 2400 mg/m2 IV as a continuous infusion over 46 hours every 2 weeksUse: Pancreatic adenocarcinoma

    Warnings

    Before using fluorouracil tell your doctor about all your medical conditions or allergies, all medicines you use, and if you are pregnant or breastfeeding.

    What other drugs will affect Fluorouracil injection

    If you take a blood thinner (warfarin, Coumadin, Jantoven), you may need to have more frequent "INR" or prothrombin time tests.

    Other drugs may affect fluorouracil, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

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