(tax-o-tear)
Docetaxel (dox-e-tax-elle)
Consumer Medicine Information (CMI)
What is in this leaflet
This leaflet answers some common questions about Taxotere.
It does not contain all the available information. It does not take the place of talking to your doctor, nurse or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risks of you being given this medicine against the benefits they expect it will have for you.
If you have any concerns about being given this medicine, ask your doctor, nurse or pharmacist.
Keep this leaflet with the medicine.
You may need to read it again.
What Taxotere is used for
Taxotere is used to treat breast cancer, ovarian cancer, some types of lung cancer, head and neck cancer and prostate cancer.
Taxotere works by stopping cells from growing and multiplying.
Taxotere belongs to a group of medicines called antineoplastic or cytotoxic medicines. You may also hear of these being called chemotherapy medicines.
Your doctor, however, may prescribe Taxotere for another purpose.
Ask your doctor, nurse or pharmacist if you have any questions about why Taxotere has been prescribed for you.
You may have probably taken another medicine to treat your breast, ovarian, lung, head and neck or prostate cancer. However, your doctor has now decided to treat you with Taxotere.
Taxotere may be used alone or in combination with other medicines to treat cancer.
This medicine is only available with a doctor's prescription.
Taxotere is not addictive.
Before you are given it
When you must not be given it
Taxotere is not recommended for use in children.
Do not receive Taxotere if you have an allergy to docetaxel or any of the ingredients listed at the end of this leaflet.
Symptoms of an allergic reaction include:
shortness of breath, wheezing, difficulty breathing or a tight feeling in your chest
swelling of the face, lips, tongue or other parts of the body
rash, itching, hives or flushed, red skin
dizziness or light-headedness
back pain
Do not receive Taxotere if you have, or have had, any of the following medical conditions:
severe liver problems
blood disorder with a reduced number of white blood cells
Do not receive it if you are pregnant or intend to become pregnant either during treatment or in the three months following the last dose of Taxotere.
Like most medicines used to treat cancer, Taxotere is not recommended for use during pregnancy, unless you and your doctor have discussed the risks and benefits involved.
Do not receive it if you are breastfeeding or planning to breastfeed.
It is not known if Taxotere passes into breast milk and therefore there is a possibility that the breast-fed baby may be affected.
Do not receive it after the expiry date (EXP) printed on the vial.
If you receive it after the expiry date has passed, it may not work as well.
Do not receive it if the packaging is damaged or shows signs of tampering.
If you are not sure whether you should start having Taxotere, talk to your doctor or pharmacist.
Before you are given it
Tell your doctor if you have allergies to:
any of the ingredients listed at the end of this leaflet
any other medicines
any other substances, such as foods, preservatives or dyes
Tell your doctor if you are pregnant or intend to become pregnant.
Like most medicines of this kind, Taxotere is not recommended to be used during pregnancy. Your doctor will discuss the risks and benefits of being given it if you are pregnant.
Tell your doctor if you are breast-feeding or planning to breast-feed.
It is not known whether Taxotere passes into breast milk. Your doctor will discuss the risks and benefits of being given it if you are breast-feeding or planning to breast-feed.
Tell your doctor if you have or have had any medical conditions, especially the following:
liver problems
blood disorder with a reduced number of white blood cells
Tell your doctor if you have an infection or high temperature.
Your doctor may decide to delay your treatment until the infection has gone. A mild illness, such as a cold, is not usually a reason to delay treatment.
Tell your doctor if you plan to have surgery.
If you have not told your doctor about any of the above, tell them before you are given Taxotere.
Taking other medicines or treatments
Tell your doctor, nurse or pharmacist if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and Taxotere may interfere with each other. These include:
other medicines used to treat cancer, radiation therapy or any other treatment which lowers your immune system, including cyclosporin
some medicines used to treat bacterial infections, including erythromycin
ketoconazole - a medicine used to treat fungal infections
nifedipine - medicine used to treat high blood pressure and angina
medicines used to treat or prevent viral infections, including ritonavir
These medicines and treatments may be affected by Taxotere, or may affect how well it works. You may need different amounts of your medicine, or you may need to have different medicines. Your doctor or pharmacist will advise you.
Your doctor, nurse or pharmacist has more information on medicines to be careful with or to avoid while being given Taxotere.
How it is given
Taxotere should only be administered by trained professionals, with appropriate handling, in a hospital or clinic environment.
Before you are given your Taxotere infusion your doctor should:
prescribe you an oral corticosteroid (eg dexamethasone) to help stop or reduce the severity of certain side effects. For breast, lung ovarian, and head and neck cancer, this medicine is usually taken for three days (one day before, the day of and the day after your infusion). These medicines are very important. For prostate cancer, this is usually taken on the day of the infusion (12 hours, 3 hours and 1 hour before your infusion).
Test your blood to see how many white blood cells you have. If they are too low, your infusion may be delayed
Test your blood for levels of liver enzymes. If these levels are high your doctor may reduce your dose or decide you should not have a Taxotere infusion at that time.
Ask your doctor or pharmacist if you have any questions on these medicines or tests.
How much is given
Your doctor will decide what dose you will receive. This depends on your condition and other factors, such as your weight and height.
The standard dose of Taxotere is 75 to 100 mg/m2 which is based on your body size (m2).
When Taxotere is given in combination with capecitabine (another medicine used for the treatment of breast cancer) the usual dose of Taxotere is 75 mg/m2.
Ask your doctor if you want to know more about the dose of Taxotere you receive.
How it is given
Taxotere is given as an infusion (drip) into your veins, over 1 hour.
How long it will be given
Taxotere is given every 3 weeks. This is called one cycle of chemotherapy. Your doctor will decide how many of these cycles you will need.
If you receive too much (overdose)
As Taxotere is given to you under the supervision of your doctor, it is very unlikely that you will receive too much. However, if you experience any unexpected or worrying side effects after being given Taxotere, tell your doctor immediately or go to Accident and Emergency at your nearest hospital.
You may need urgent medical attention.
While you are being given it
Things you must do
Be sure to keep all your doctor's appointments.
It is important to have your follow-up doses/cycles/infusions of Taxotere at the appropriate times to get the best effects from your treatments.
Your doctor may also want to check your blood pressure and do some blood and other tests from time to time to check on your progress and detect any unwanted side effects.
Tell all the doctors, dentists and pharmacists who are treating you that you are being given Taxotere.
If you are about to be started on any new medicine, tell your doctor or pharmacist that you are being given Taxotere.
If you plan to have surgery that needs a general anaesthetic, tell your doctor or dentist that you are being Taxotere.
If you become pregnant while you are being given Taxotere, tell your doctor immediately.
Taxotere can lower the number of white blood cells and platelets in your blood. This means that you have an increased chance of getting an infection or bleeding. The following precautions should be taken to reduce your risk of infection or bleeding:
Avoid people who have infections. Check with your doctor or nurse immediately if you think you may be getting an infection, or if you get a fever, chills, cough, hoarse throat, pain in the lower back or side or you find it painful or difficult to urinate.
Be careful when using a toothbrush, toothpick or dental floss. Your doctor, dentist, nurse or pharmacist may recommend other ways to clean your teeth and gums. Check with your doctor before having any dental work.
Be careful not to cut yourself when you are using sharp objects such as a razor or nail cutters.
Avoid contact sports or other situations where you may bruise or get injured.
If you notice swelling in the feet and legs or a slight weight gain, inform your doctor or nurse.
Taxotere may cause fluid retention which means the body is holding extra water. If this fluid retention is in the chest or around the heart it can be life-threatening. In most cases, fluid retention will go away within weeks or months after your treatments are completed.
Things you must not do
Do not have Taxotere to treat any other complaints unless your doctor tells you to.
Side effects
All medicines have some unwanted side effects. Sometimes they are serious, but most of the time they are not. Your doctor has weighed the risks of using this medicine against the benefits they expect it will have for you.
Do not be alarmed by this list of possible side effects.
You may not experience any of them.
Tell your doctor, nurse or pharmacist as soon as possible if you do not feel well while you are being given Taxotere.
It helps most people with breast, ovarian, lung, head and neck or prostate cancer, but it may have unwanted side effects in a few people.
Tell your doctor, nurse or pharmacist if you notice any of the following and they worry you:
irritation, pain, swelling or colouring around the needle during infusion
high temperature
stomach pain or discomfort
feeling sick, upset stomach or vomiting
mild diarrhoea
constipation
inflammation of the food pipe (oesophagus)
whitening or darkening of the skin or nails
loosening of the nails
unusual hair loss or thinning
joint pain or swelling
aching muscles, muscle tenderness or weakness not caused by exercise
unusual tiredness or weakness
confusion
mild swelling of hands, ankles and feet
weight gain
pins and needles or a burning or tingling feeling in hands or feet
redness or rash around previous radiation site (if you have had radiotherapy)
back pain
decreased appetite
high blood pressure(hypertension)
low blood pressure (hypotension)
temporary visual disturbances or feeling that you are about to faint, which mostly occur when you are being infused with Taxotere
These are the more common side effects of Taxotere.
Tell your doctor, nurse or pharmacist as soon as possible if you notice any of the following:
infections
frequent infections with fever, severe chills, sore throat or mouth ulcers - especially 5-7 days after receiving a Taxotere infusion
sore red mouth or vagina or swelling in these areas
severe diarrhoea
tiredness, headaches, being short of breath when exercising, dizziness and looking pale
breathing problems, shortness of breath or difficulty in breathing
coughing, wheezing
change in the rhythm or rate of your heart beats (palpitations)
pain in muscles
flushed, dry skin, irritability and confusion
passing little or no urine, drowsiness, nausea, vomiting and breathlessness
fainting
yellowing of the skin or eyes, also called jaundice
flaking of the skin
red, scaly patches of the skin especially around the cheeks and nose
raised lumps on the skin which looks like scalding
hardening of the skin
chest pain / heart attack
excessive watery discharge from the eyes
trouble with your hearing, or some loss of hearing
sudden and severe swelling or pain in the joints or rash
These may be serious side effects. You may need medical attention.
If any of the following happen, tell your doctor or nurse immediately, or go to Accident and Emergency at your nearest hospital:
sudden signs of allergy such as rash, itching, hives on the skin, swelling of the face, tongue or other parts of the body, shortness of breath, wheezing or trouble breathing
convulsions, fits or seizures
ulcer in the stomach or intestine - vomiting blood or material that looks like coffee grounds, bleeding from the back passage, black sticky bowel motions or bloody diarrhoea
difficulty in breathing
sudden swelling of the leg/arm which may be due to blood clots.
These are very serious side effects.
You may need urgent medical attention or hospitalisation.
These side effects may differ when using Taxotere in combination with another chemotherapy agent.
Please consult your doctor for possible side effects that may be caused by using Taxotere with another chemotherapy agent.
Tell your doctor, nurse or pharmacist if you notice anything that is making you feel unwell.
Other side effects not listed above may occur in some patients.
Do not be alarmed by this list of possible side effects.
You may not experience any of them.
Ask your doctor to answer any questions you may have.
The benefits and side effects of Taxotere may take some time to occur. Therefore even after you have finished your Taxotere treatment you should tell your doctor or nurse immediately if you notice any of the side effects listed in this section.
After being given it
If you have any queries about any aspect of your medicine, or any questions regarding the information in this leaflet, discuss them with your doctor, nurse or pharmacist.
Storage
The Taxotere solution for infusion will be stored in the pharmacy or on the ward. The infusion is kept in a cool dry place, protected from light, where the temperature stays below 25°C.
Product description
What it looks like
The Taxotere single-dose vials contain a clear yellowish to brown thick liquid. The Taxotere concentrate vial is mixed into the clear Taxotere diluent by the pharmacy. This is then injected into an infusion bag/glass bottle ready for your infusion in the Chemotherapy Unit. The infusion bag/glass bottle is then sent to the Chemotherapy Unit ready for your infusion.
Ingredients
Active ingredient:
Taxotere 20mg contains 20mg of docetaxel per vial.
Taxotere 80mg contains 80mg of docetaxel per vial.
Inactive Ingredients:
Taxotere does not contain gluten, sucrose, lactose, tartrazine or any other azo dyes.
Polysorbate 80 (DF/RPR1) in the Taxotere concentrate.
The diluent contains water for injections and ethanol.
Your doctor, nurse or pharmacist can inform you what other ingredients are in your infusion bag/glass bottle.
