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Bexarotene
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About bexarotene
| Type of medicine | Retinoid cytotoxic agent |
| Used for | Skin cancer |
| Also called | Targretin® |
| Available as | Capsules |
Bexarotene is used to treat certain types of skin cancer that have not responded to other treatment. It works by preventing the growth and division of cells and therefore stops them increasing in numbers.
Before taking bexarotene
Before taking bexarotene make sure your doctor or pharmacist knows:
- If you are pregnant or breast feeding.
- If you are male or female and trying for a baby or intend to have children in the future.
- If you suffer from liver problems.
- If you have a lipid disorder (such as high blood cholesterol or triglycerides).
- If you have a thyroid disorder.
- If you have or have ever had pancreatitis.
- If you have hypervitaminosis A (too much vitamin A in your body).
- If you are suffering from any kind of infection.
- If you are taking other medicines, including those available to buy without a prescription, herbal or complementary medicines.
- If you have ever had an allergic reaction to this or any other medicine.
- If you are under 18 years of age.
How to take bexarotene
- Before beginning treatment, read the manufacturer's printed information leaflet.
- Take your medication exactly as directed by your doctor.
- Swallow bexarotene capsules whole with a drink of water. Take them with or immediately after a meal.
- Bexarotene occasionally causes you to feel or be sick. It is important to keep taking bexarotene at regular dosage times even if you begin to feel unwell.
- If you vomit shortly after taking a dose, do not take another dose until your next one is due. If in doubt check with your doctor.
- Try to take bexarotene at the same time each day to avoid missing any doses.
- If you forget to take a dose, take it with your next meal on the same day if you remember. Do not take two doses on the following day to make up.
Getting the most from your treatment
- You must avoid getting pregnant while taking bexarotene. If you are female, a non-hormonal method of contraception will be needed in addition to your usual method. If you are male, you must not get a woman pregnant while you are taking bexarotene and for at least one month afterwards. Ask your doctor, hospital or pharmacist about suitable contraception.
- While you are taking bexarotene, and for a while after you stop treatment, do not have any immunisations (vaccinations) without talking to your doctor first. Bexarotene lowers the body's resistance and there is a chance that you may get an infection from the vaccine.
- If you are having any treatment like an operation or dental treatment, tell the person carrying out the treatment which medicines you are taking.
- Keep your regular doctor's appointment so your progress can be monitored.
- If you have difficulty with your eyesight while you are taking bexarotene let your doctor know so an eye examination can be arranged.
- Avoid eating grapefruit or drinking grapefruit juice while you are taking bexarotene as these can interfere with the amount of bexarotene in your body.
- Bexarotene may increase your skin's sensitivity to sunlight. Try to avoid strong sunlight and use a suncream higher than factor 15, and do not use sun beds.
- Do not stop taking this medicine without speaking to your doctor first.
- If you buy any medicines, check with a pharmacist that they are safe to take with your other medicines.
Can bexarotene 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 |
| Dizziness | Getting up and moving slowly may help |
| Stomach upset | Eat little and often and stick to simple foods. Drink plenty of water to replace any lost fluids |
| Headache | Ask your pharmacist to recommend a suitable pain-killer |
| Weight gain, difficulty sleeping, dry eyes, difficulty hearing, swollen feet and ankles, skin rash and itching, skin ulcer, loss of hair, sweating, dry skin, joint or muscle pain, weakness, pain | If troublesome, speak with your doctor |
Important: if you develop a sore throat, fever (high temperature) or aches and pains speak with your doctor immediately or go to your local accident and emergency department without delay.
If you experience any other symptoms which you think may be due to this medicine, speak with your doctor or pharmacist.
How to store bexarotene
- 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
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References
- Manufacturer's PIL, Targretin®, Ligand Pharmaceuticals UK Limited, electronic Medicines Compendium. Approved April 2006, accessed 3 July 2008.
- British National Formulary; 55th Edition (March 2008) British Medical Association and Royal Pharmaceutical Society of Great Britain, London.
The authors and editors of this article are employed to create accurate and up to date content reflecting reliable research evidence, guidance and best clinical practice. They are free from any commercial conflicts of interest. Find out more about updating.
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