Arsenic Trioxide

(AR se nik tri OKS id)

What key warnings do I need to know about before giving this drug to my child?

• An unsafe fast heartbeat may happen. Tell the doctor if your child has a history of fast heartbeats, kidney failure, low potassium or magnesium levels, or lung failure. Check all drugs with your child's doctor.
• This drug may cause a health problem called retinoic-acid-APL syndrome. Very bad problems may happen in some children who have this health problem. Call your child's doctor right away if your child has a fever, trouble breathing, or weight gain.
• Sometimes drugs are not safe when your child takes them with other drugs. They can cause bad side effects. This is one of those drugs. Be sure to talk to your child’s doctor about all the drugs your child takes.

Is it safe for my child to take this drug?

• Not if your child has an allergy to arsenic trioxide or any other part of this drug.
• Be sure to let the doctor know if your child has any allergies or side effects to drugs, foods, or dyes. Make sure to tell about the allergy and what signs your child had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.

Why does my child need this drug?

• It is used to treat some types of leukemias and bone marrow problems.

How does this drug work?

• Arsenic trioxide harms cancer cells causing their death.

How is this drug given?

• It is given as a shot into a vein over a period of time.

How long does this drug take to work?

• It may take a few months to see the full effect.

What do I do if my child misses a dose? (does not apply to patients in the hospital)

• Call your doctor for an office visit.

What safety measures do I need to take when my child is using this drug?

• Keep a list of all your child's drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child's doctor.
• If your child has kidney disease, talk with the doctor.
• If your child has a weak heart, talk with the doctor.
• Have your child's blood work checked. Talk with your child's doctor.
• Check all drugs your child is taking with your child's doctor. This drug may not mix well with some other drugs.

What are some side effects of this drug?

• Feeling dizzy. Have your child get up slowly over a few minutes when sitting or lying down. Have your child be extra careful climbing stairs.
• Upset stomach or throwing up. Many small meals and good mouth care may help. Older children may suck hard, sugar-free candy.
• Cough.
• Headache.
• Swelling.
• Belly pain.
• Hard stools (constipation).
• Loose stools (diarrhea).
• High blood sugar.
• Feeling tired or weak.

When do I need to call my child's doctor?

• If any of this news causes you to be worried or if any of the unwanted side effects happen after your child is given this drug.
• If your child shows signs of a very bad reaction, call your child's doctor or the ER right away. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; swelling of face, lips, tongue, or throat; or if your child is not acting normal.
• If your child shows any signs of infection. These include a fever of 100.5°F (38°C) or higher, chills, very bad sore throat, ear or sinus pain, cough, more sputum or change in color or sputum, pain with passing urine, mouth sores, wound that will not heal, or anal itching or pain.
• If your child has trouble breathing.
• If your child has a fast heartbeat.
• If your child shows signs of very bad dizziness or passes out.
• If your child has a change in thinking clearly and with logic.
• If your child has more trips to the bathroom, more thirst, or weight loss.
• If your child has very loose stools (diarrhea).
• If your child has a very bad upset stomach or is throwing up.
• If your child has any bruising or bleeding.
• If your child gets a rash.
• If your child’s health problem does not get better or if you believe your child’s health problem is worse.

How do I store and/or throw out this drug?

• The shot will be given to your child in a hospital or doctor's office. You will not store it at home.

General drug facts

• If your child has a very bad allergy, he/she needs to wear an allergy ID at all times.
• You may get this drug by drug order only.
• Get rid of this drug when your child no longer needs it or if the drug is outdated.
• Most drugs may be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
• In Canada, take any unused drugs to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.
• Do not share your child's drug with others and do not give anyone else's drug to your child.
• Keep all drugs out of the reach of children and pets.
• Keep a list of all your child's drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child's doctor.
• Call your doctor for help with any side effects. If in the U.S., you may also call the FDA at 1-800-FDA-1088 or if in Canada, you may also call Health Canada's Vigilance Program at 1-866-234-2345.
• Talk with the doctor before giving your child any new drug, including OTC, natural products, or vitamins.
• If you do not use a drug the right way, it may not be safe. Follow what your child’s doctor tells you.

Copyright © 1978- Lexi-Comp Inc., The Children's Hospital, Denver, CO., and Pediatric Pharmacy Advocacy Group, Inc. All Rights Reserved. This information is protected under US and international copyright law. Unauthorized use or reproduction is prohibited.