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Chlorambucil

  • Chlorambucil is an alkylating drug used for the treatment of a variety of different cancers.
  • You must avoid getting pregnant while taking chlorambucil. If you are male, you must not get a woman pregnant. Ask your doctor, hospital or pharmacist about suitable contraception.
  • The most common side effects are rash, nausea, vomiting, diarrhoea and mouth ulcers.
  • If you are sick shortly after taking a dose, or you forget a dose, check what to do with your doctor.

About chlorambucil

Type of medicine Alkylating drug
Used for Treatment of a variety of different cancers
Also called Leukeran
Available as Tablet

Chlorambucil can be used to treat a variety of different cancers. Cancer is caused by the division of cells in an uncontrolled way. Chlorambucil works by preventing the growth and division of cells and therefore stops them increasing in numbers.

Before taking chlorambucil

Before taking chlorambucil make sure your doctor or pharmacist knows:

  • If you are pregnant, trying for a baby or breast-feeding.
  • If you are male or female and you and your partner are trying for a baby or intend to have children in the future.
  • If you suffer from porphyria.
  • If you suffer from liver or kidney problems.
  • If you ever had a fit or convulsion.
  • If you are receiving or have recently received radiotherapy.

How to take chlorambucil

  • Chlorambucil occasionally causes you to feel or be sick or to have diarrhoea. It is important to keep taking chlorambucil at regular dosage times even if you begin to feel unwell.
  • If you are sick shortly after taking a dose, or you forget a dose, check with your doctor. You will be told whether to take the dose again, or wait until the next dose is due.

Getting the most from your treatment

  • Important: You must avoid getting pregnant while taking chlorambucil. If you are male, you must not get a woman pregnant. Ask your doctor, hospital or pharmacist about suitable contraception.
  • You must keep your regular appointments with the doctor or hospital so your progress can be checked. You may need to have regular blood tests during your treatment with chlorambucil.
  • While you are taking chlorambucil, and for a while after you stop treatment, do not have any immunisations (vaccinations) without talking to your doctor first. chlorambucil lowers the body's resistance and there is a chance that you may get an infection from the vaccine.
  • Important: if you experience jaundice (yellowing of the skin and whites of the eyes), cystitis, a persistent cough, breathlessness or numbness/weakness of the muscles contact your doctor or go to the accident and emergency department of your local hospital at once.
  • Important: if you notice any unexpected bleeding or bruising or feel more tired than usual contact your doctor or go to the accident and emergency department of your local hospital at once.
  • Chlorambucil can lower the number of white cells in your blood, increasing the chance of getting an infection. You should take certain precautions to reduce the chance of infection. If possible avoid people with infections and check with your doctor if you think you have early symptoms of an infection, such as fever (high temperature) and a sore throat.

Can chlorambucil cause problems?

Along with their useful effects all medicines can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Speak with your doctor or pharmacist if any of the following side effects continue or become troublesome.

Common side-effects - these affect less than 1 in 10 people who take this medicine What can I do if I experience this
Feeling sick, being sick Drink plenty of liquid. Stick to simple foods such as dry toast. If vomiting continues to be a problem speak to your doctor.
Diarrhoea Drink plenty of water to replace lost fluids. If diarrhoea continues to be a problem speak to your pharmacist or doctor.
Mouth ulcers See your pharmacist if mild, see your doctor if they are affecting you too much.
Skin rash If this causes you a problem speak to your doctor.
In women their periods may stop or in men sperm production may be reduced or stopped. It is important to use contraception during treatment with this medicine, ask your doctor for advice.

How to store chlorambucil

  • Keep all medicines out of the reach of children.
  • Store in a cool, dry place, away from direct heat and light.

Important information about all medicines


  • Keep all medicines out of the sight and reach of children.
  • Make sure that the person prescribing this medicine knows about any other medicines that you are taking. This includes medicines you buy and herbal and homeopathic medicines.
  • If you buy any medicines check with a pharmacist that they are safe to take with your other medicines.
  • Before taking this medicine tell your doctor if you have ever had an allergic reaction after taking any medicine.
  • Never take more than the prescribed dose. If you suspect that you or someone else has taken an overdose of this medicine go to the accident and emergency department of your local hospital at once. Always take the container with you, if possible, even if it is empty.
  • If you are having any treatment like an operation or dental treatment tell the person carrying out the treatment which medicines you are taking.
  • Always read the printed information leaflet that comes with your medicine.
  • This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.
  • Never keep out of date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.
  • If you have any questions about this medicine ask your pharmacist.
© EMIS 2007 DocID:
1406
DocRef:
dils2308
Last Updated:
30 Jan 2007
Date of Next Review:
29 Jan 2009
Version:
22


















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PS - Health and Poverty

Perhaps the biggest cause of ill health in the world is poverty. Help to Make Poverty History. For example, why not lend some of your money to disadvantaged communities to enable them to trade their way out of poverty through schemes such as Shared Interest.

See also MAKEPOVERTYHISTORY North East for details and links to campaigns against poverty.

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