Recently Searched
Choose Generic substitutes to Save up to 50% off 
₹0
INTRODUCTION
TEMOREL 20 CAPSULE contains Temozolomide which belongs to the group of medicines called Antineoplastic agents. It is used for specific forms of brain tumors in adults with newly diagnosed glioblastoma multiforme which is used first together with radiotherapy as a concomitant phase of therapy and then used alone as a monotherapy. It is also used in children (above 3 years) and adults to treat malignant glioma, such as glioblastoma multiforme or anaplastic astrocytoma if they return or get worse after standard treatment.
Glioblastoma multiforme is an aggressive type of cancer that affects the brain or spinal cord which is generally characterized by symptoms such as headache, nausea, drowsiness, blurred vision, personality changes and seizures.
Along with this treatment, your doctor might advise you to take liver function tests to assess the hepatotoxicity and function of your liver. Before taking TEMOREL 20 CAPSULE inform your doctor if you have or ever had hepatitis B infection (serious liver infection).
TEMOREL 20 CAPSULE is not recommended for use if you have certain kinds of blood cells which are severely reduced such as white blood cell and platelet count. TEMOREL 20 CAPSULE should be used with caution during pregnancy only if it is clearly necessary and not recommended for use in breastfeeding women. It is not recommended for use in children below 3 years of age and should be used with caution in children and adolescents (from 3 to 18 years of age). Consult your doctor before taking TEMOREL 20 CAPSULE. The most common side effects of taking TEMOREL 20 CAPSULE are loss of appetite, difficulty while speaking, headache, vomiting, nausea, diarrhea, and constipation. Consult and inform your doctor if any of these symptoms gets worse.
USES OF TEMOREL 20 CAPSULE
It is used for:
- Specific forms of brain tumors in with newly diagnosed glioblastoma multiforme (in adults)
- Malignant glioma, such as glioblastoma multiforme or anaplastic astrocytoma (in adults and children)
HOW TEMOREL 20 CAPSULE WORKS
TEMOREL 20 CAPSULE works by damaging the genetic material (DNA and RNA) of the cancer cells inside the brain cells and works against the cell growth and multiplication.
DIRECTIONS FOR USE
Take TEMOREL 20 CAPSULE as advised by your physician. Swallow TEMOREL 20 CAPSULE with a glass of water and do not chew or crush the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.
SIDE EFFECTS OF TEMOREL 20 CAPSULE
COMMON
- Loss of appetite
- Difficulty while speaking
- Headache
- Vomiting, nausea
- Diarrhea
- Constipation
- Rash
- Hair loss
- Tiredness
- Infections
- Feeling sick, extreme tiredness, loss of appetite (signs of neutropenia)
- Fever, cough, runny nose (signs of lymphopenia)
- Prolonged cuts, bleeding from gums, blood in urine (signs of thrombocytopenia)
- Allergic reactions
- Memory impairment
- Depression, anxiety, confusion, sleeplessness
- Difficulty concentrating
- Dizziness
- Visual disturbances
- Deafness, ringing in the ears, earache
- Blood clot in lung or legs
- High blood pressure
- Shortness of breath
- Bronchitis
- Cough and cold
- Inflammation of sinuses
- Stomach or abdominal pain
- Dry skin, itching
- Muscle damage, muscle aches and pain, muscle weakness
- Joint and back pain
- Frequent urination
- Fever
- Flu-like symptoms such as chills, cough, fever, muscle aches
- Pain
- Fluid retention
- Weight gain or loss
- Radiation injury such as weakness, hair loss, and bloody vomit
UNCOMMON
- New or reactivated cytomegalovirus infections such as chickenpox, herpes simplex
- Signs of reactivated hepatitis B virus infections such as abdominal pain, dark urine, fever, and joint pain
- Secondary cancers including leukemia (blood cancer)
- Reduced blood cell counts such as pancytopenia
- Red spots under the skin
- Signs of diabetes insipidus
- Piles
- Dry mouth
- Blisters on body or in mouth
- Skin peeling, skin eruption, painful reddening of the skin, severe rash with skin swelling
- Increased sensitivity to sunlight
- Urticaria (red, itchy skin)
- Increased sweating
- Change in skin colour
- Vaginal bleeding or irritation
- Absent or heavy menstrual periods
- Breast pain
- Sexual impotence
- Shivering
Stop taking TEMOREL 20 CAPSULE and contact your doctor if you experience any of the following side effects:
- Signs of a severe allergic (hypersensitive) reaction such as itchy red skin, wheezing or other breathing difficulty
- Uncontrolled bleeding
- Seizures (fits)
- Fever and symptoms of infections such as cough, chills, sweat
- Chills
- Severe headache
HOW TO MANAGE SIDE EFFECTS
Constipation
Try to eat high-fiber foods such as vegetables, cereals, fresh fruit, and drink plenty of water. Consult and inform your doctor for receiving alternate treatments for constipation.
Diarrhea
Drink plenty of water and stay hydrated. Try to avoid taking any medicine on your own to treat diarrhea, consult and inform your doctor if the symptom gets worse.
Dizziness Or Drowsiness
Try to rest and get enough sleep. Try to avoid driving or operating any tools or machines while you feel dizzy. Limit consumption of alcohol, as it can aggravate dizziness. Consult and inform your doctor if the symptom does not improve.
Headache
If TEMOREL 20 CAPSULE causes headache, then take rest and drink plenty of fluids. Try to avoid drinking alcohol. Ask your doctor to recommend a painkiller. Headaches should usually go away after the first week of taking TEMOREL 20 CAPSULE. If headaches last more than a week or severe, consult and inform your doctor.
Nausea And Vomiting
Try to take TEMOREL 20 CAPSULE with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if symptom gets worse.
WARNING & PRECAUTIONS
PREGNANCY
Monitoring requiredTEMOREL 20 CAPSULE should be used in pregnant women only if it is clearly necessary. Women with childbearing potential should use effective contraceptive precautions which should be continued for at least 6 months following the completion of treatment. Consult your doctor before taking TEMOREL 20 CAPSULE.
BREASTFEEDING
ContraindicatedTEMOREL 20 CAPSULE is not recommended for use in breastfeeding women. Consult your doctor before taking TEMOREL 20 CAPSULE.
DRIVING AND USING MACHINES
Use with CautionTEMOREL 20 CAPSULE may cause tiredness or sleepiness. If you experience any such effects avoid driving and using machines. Consult your doctor before taking TEMOREL 20 CAPSULE.
KIDNEY
Use with CautionTEMOREL 20 CAPSULE should be used with caution in patients with kidney problems such as severe renal impairment. Consult your doctor for advice before taking TEMOREL 20 CAPSULE.
LIVER
Use with CautionTEMOREL 20 CAPSULE should be used with caution in patients with mild, moderate, and severe hepatic impairment. Consult your doctor for advice before taking TEMOREL 20 CAPSULE.
ALLERGY
ContraindicatedDo not take TEMOREL 20 CAPSULE if you are allergic to Temozolomide or any of the other ingredients of this medicine.
LUNGS
Use with CautionTEMOREL 20 CAPSULE should be used with caution in patients with lung disease such as pneumocystis jirovecii pneumonia (serious fungal infection of lungs). Consult your doctor before taking TEMOREL 20 CAPSULE.
USE IN PEDIATRICS
ContraindicatedTEMOREL 20 CAPSULE is not recommended for use in children below 3 years of age. There is limited information in patients over 3 years of age who have taken TEMOREL 20 CAPSULE. Consult your doctor before taking TEMOREL 20 CAPSULE.
USE IN GERIATRICS
Use with CautionTEMOREL 20 CAPSULE should be used with caution in elderly patients (aged 70 years or above). Consult your doctor before taking TEMOREL 20 CAPSULE.
OTHERS
TEMOREL 20 CAPSULE is not recommended for use if you:
- Have certain kinds of blood cells which are severely reduced such as white blood cell and platelet count
Before taking TEMOREL 20 CAPSULE, inform your doctor if you:
- Have signs of anemia (low red blood cell count)
- Have signs of low platelet count
- Have a risk of other changes in blood cells such as leukemia (blood cancer)
INTERACTIONS
A. Drug-Drug Interactions:
Before taking TEMOREL 20 CAPSULE, inform your doctor, if you are taking any of the following medicine:
- Dacarbazine (used for cancer of the lymph system and malignant melanoma)
Overdosage:
If you or anyone else accidentally takes too much of TEMOREL 20 CAPSULE, consult your doctor immediately or visit the nearby hospital.
SYNOPSIS
| Drug | : | Temozolomide |
| Pharmacological Category | : | Antineoplastic agents |
| Therapeutic Indication | : | Glioblastoma multiforme, Anaplastic astrocytoma |
| Dosage Forms | : | Capsule, Tablet, Injection |
MORE INFORMATION
- Keep the medicine out of reach in children
- Store TEMOREL 20 CAPSULE at room temperature
FAQs ABOUT TEMOREL 20 CAPSULE
Q: What TEMOREL 20 CAPSULE is used for?
A: TEMOREL 20 CAPSULE is used for specific forms of brain tumors in adults with newly diagnosed glioblastoma multiforme which is used first together with radiotherapy as a concomitant phase of therapy and then used alone as a monotherapy. It is also used in children (above 3 years) and adults to treat malignant glioma, such as glioblastoma multiforme or anaplastic astrocytoma if they return or get worse after standard treatment.
Q: How should TEMOREL 20 CAPSULE be taken?
A: Take TEMOREL 20 CAPSULE as advised by your physician. Swallow TEMOREL 20 CAPSULE with a glass of water and do not chew or crush the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.
Q: What are the side effects of TEMOREL 20 CAPSULE?
A: The most common symptoms of taking TEMOREL 20 CAPSULE are loss of appetite, difficulty while speaking, headache, vomiting, nausea, diarrhea, and constipation. Consult and inform your doctor if any of these symptoms gets worse.
Q: What happens if you forget to take TEMOREL 20 CAPSULE?
A: If you forget to take TEMOREL 20 CAPSULE at the usual time, take your dose as soon as possible and then continue with your medication at the usual times. Avoid taking a double dose to make up for forgotten individual doses. Consult and inform your doctor before taking TEMOREL 20 CAPSULE if you have queries on the missed dose.
Q: Is TEMOREL 20 CAPSULE safe to use in children?
A: TEMOREL 20 CAPSULE is not recommended for use in children below 3 years of age. There is limited information in patients over 3 years of age who have taken TEMOREL 20 CAPSULE. Consult your doctor before taking TEMOREL 20 CAPSULE.
REFERENCES
1. KD. Tripathi. Anticancer Drugs. Seventh edition. 2013. Page – 858.
2. J.R. Wesolowski, P. Rajdev, and S.K. Mukherji. Temozolomide (Temodar). NIH National Library of Medicine, National center for biotechnology information. PMC PubMed Central. September 2010 [Accessed on November 08th, 2023] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7966084/
3. SP Labo N.V. Electronic medicines compendium (EMC). [Revised in August 2021] [Accessed on November 08th, 2023] https://www.medicines.org.uk/emc/files/pil.1463.pdf
4. Merck & Co., Inc. TEMODAR. [Revised in November 2019] [Accessed on November 08th, 2023] https://www.merck.com/product/usa/pi_circulars/t/temodar_capsules/temodar_pi.pdf
USEFUL DIAGNOSTIC TESTS
- Liver function test
AUTHOR DETAILS
Written By Dr. Janet.C, Pharm.D
Last updated on 21 Nov 2023 | 04:09 PM(IST)
The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.