This medicine, like all medicines used to treat cancer, is very strong. Make sure you understand why you are getting it and what the risks and benefits of treatment are. It is important for you to work closely with your doctor.
Your doctor will prescribe your exact dose and tell you how often it will be given.
Your medicine will be given directly into a vein, usually in your arm or chest. This is called intravenous (in-tra-VEEN-us), or IV.
A nurse or other caregiver trained to give cancer drugs will give you your treatments.
Drink plenty of fluids while using this medicine.
Do not get the medicine on your skin. If this happens, wash the area with soap and water, and tell your caregiver right away.
If you have your treatments at a clinic, the staff at the clinic will keep your medicine there.
If a dose is missed:
If you miss a dose, call your doctor, home health caregiver, or the clinic where you have your treatments for instructions.
Do not breastfeed while you are using this medicine.
Before you start your treatments, make sure your doctor knows if you have an infection, gout, or heart, liver, or kidney disease.
If you start to have pain, redness, swelling where the IV is given, tell your health caregiver right away.
This medicine may turn your urine red for 1 or 2 days after your treatment. This is normal. You may want to protect your clothing from being stained.
You may get infections more easily while being treated with this medicine. Stay away from crowds or people with colds, flu, or other infections. Your doctor may prescribe medicine to prevent infections.
This medicine can cause nausea and vomiting. Your doctor may prescribe medicine for you to keep you from feeling sick. If the medicine does not help (you can't keep liquids down), call your doctor.
Your doctor may want you to have blood and heart tests on a regular schedule while you are using this medicine. Keep all of your appointments, or reschedule any appointments you miss.
Do not get pregnant while you are receiving epirubicin. Use an effective form of birth control while you are being treated with this medicine.
If you are pregnant, talk to your doctor before you start your treatments.