Celkeran 5mg Tablet (30'S)

Manufacturer: Celon Laboratories Ltd

Salt Composition : Chlorambucil(5mg)


Celkeran 5mg Tablet should be taken empty stomach, or 1 hour before and 2 hours after a meal. But, try to have it at the same time every day for most benefits. This will depend on what you are being treated for and may change from time to time. You should take it exactly as your doctor has advised. Taking it in the wrong way or taking too much can cause very serious side effects. It may take several weeks or months for you to see or feel the benefits but do not stop taking it unless your doctor tells you to.



Basic Information

Mechanism Of Action

Chlorambucil, an aromatic nitrogen mustard derivative, is an alkylating agent. Chlorambucil interferes with DNA replication and induces cellular apoptosis via the accumulation of cytosolic p53 and subsequent activation of Bax, an apoptosis promoter.


Pharmacokinets

Chlorambucil is extensively metabolized in the liver primarily to phenylacetic acid mustard. The pharmacokinetic data suggests that oral chlorambucil undergoes rapid gastrointestinal absorption and plasma clearance and that it is almost completely metabolized, having extremely low urinary excretion.


Side Effects

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 Celkeran

Anemia (low number of red blood cells)

Decreased blood cells (red cells, white cells, and platelets)

Decreased white blood cell count (neutrophils)

Decreased white blood cell count

Bone marrow suppression

Nausea

Vomiting

Diarrhea

Mouth ulcer

Contra Indications

New primary malignancy. Chlorambucil may be mutagenic in humans. ...

Hepatic disease. ...

Anemia, bone marrow suppression, leukopenia, neutropenia, radiation therapy, thrombocytopenia. ...

Serious rash. ...

Head trauma, seizure disorder. ...

Vaccination. ...

Pregnancy. ...

Infertility.

Pregnancy Related Information

Celkeran 5mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.


Product And Alcohol Interaction

It is not known whether it is safe to consume alcohol with Celkeran 5mg Tablet. Please consult your doctor.


Breast Feeding Related Information

Celkeran 5mg Tablet is unsafe to use during breastfeeding. Data suggests that the drug may cause toxicity to the baby.


Indications

Chlorambucil is indicated in the treatment of Hodgkin's disease, certain forms of non-Hodgkin's lymphoma, chronic lymphocytic leukaemia, and Waldenstrom's macroglobulinaemia.


Interactions

There are no known drug/drug interactions with chlorambucil. Because of its carcinogenic properties, chlorambucil should not be given to patients with conditions other than chronic lymphatic leukemia or malignant lymphomas.


Typical Dosage

 Do not chew, crush or break it. Celkeran 5mg Tablet is to be taken empty stomach.


Storage Requirements

Store in a refrigerator (2 - 8°C). Do not freeze.


Effects Of Missed Dosage

If you miss a dose of Celkeran 5mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.


Effects Of Overdose

Consult a doctor before taking any medicines

Expert Advice

Celkeran 5mg Tablet should be taken one hour before a meal or two hours after a meal.


How To Use

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Celkeran 5mg Tablet is to be taken empty stomach.


FAQs

Q. How is Celkeran 5mg Tablet administered?

Celkeran 5mg Tablet is administered orally in tablet form.

Q. Why is Celkeran 5mg Tablet toxic to cancer cells/ how does Celkeran 5mg Tablet work?

Celkeran 5mg Tablet belongs to a class of drugs called nitrogen mustard derivatives which kill the cancer cells by interfering with DNA replication, and also by directly slowing or stopping their growth.

Q. Does Celkeran 5mg Tablet cause hair loss/constipation?

No, hair loss or constipation has not been reported with the use of Celkeran 5mg Tablet.

Q. What is Celkeran 5mg Tablet used for?

Celkeran 5mg Tablet is used to treat some types of blood cancers like Hodgkin's disease (cancer that starts in blood cells that are part of immune system), certain forms of non-Hodgkin's lymphoma, chronic lymphocytic leukemia (disease where the bone marrow produces a large number of abnormal white cells. It is also used to treat Waldenstrom's macroglobulinaemia (rare blood condition involving the release of an abnormal protein, macroglobulin, into the blood).

Q. How is Celkeran 5mg Tablet excreted?

Celkeran 5mg Tablet is metabolized in liver to form nontoxic compounds which are excreted in urine.

Q. Does Celkeran 5mg Tablet need to be refrigerated?

Celkeran 5mg Tablet has to be stored in a refrigerator at a temperature between 2 °C – 8 °C.