Pharmacy	Dose/Quantity				Package Price	Shipping	Total Cost	Price/Unit	Order
	PHRM262	25 mg 1 Pills				$1.49	$18.00	$19.49	$19.49
	PHRM262	50 mg 1 Pills				$2.99	$18.00	$20.99	$20.99
	PHRM003	50 mg 30 Tabs				$15.00	$8.00	$23.001	$0.771
	PHRM369	50 mg 50 Pills				$19.20	$9.00	$28.20	$0.56
	PHRM187	50 mg 60 Tabs				$54.67	FREE	$54.67	$0.91
	PHRM187	50 mg 90 Tabs				$71.00	FREE	$71.00	$0.79
	PHRM262	500 mg 1 Vial Injection				$8.00	$18.00	$26.00	$26.00
	PHRM262	1000 mg 1 Vial Injection				$11.00	$18.00	$29.00	$29.00

Medical Information:

About your treatment

Your doctor has ordered the drug cyclophosphamide to help treat your illness. The drug can be taken by mouth in tablet form or be given by injection into a vein.

This medication is used to treat:

• lymphomas
• multiple myeloma
• leukemias
• mycosis fungoides
• neuroblastoma
• ovarian carcinoma
• retinoblastoma
• breast cancer

This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

Cyclophosphamide is in a class of drugs known as alkylating agents; it slows or stops the growth of cancer cells in your body. The length of treatment depends on the types of drugs you are taking, how well your body responds to them, and the type of cancer you have.

Cyclophosphamide is also used to treat bronchogenic carcinoma, small cell lung carcinoma, and other types of cancer. Talk to your doctor about the possible risks of using this drug for your condition.

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Before taking cyclophosphamide,

• tell your doctor and pharmacist if you are allergic to cyclophosphamide or any other drugs.

• tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially aspirin and vitamins.

• tell your doctor if you have or have ever had kidney disease.

• you should know that cyclophosphamide may interfere with the normal menstrual cycle (period) in women and may stop sperm production in men. However, you should not assume that you cannot get pregnant or that you cannot get someone else pregnant. Women who are pregnant or breast-feeding should tell their doctors before they begin taking this drug. You should not plan to have children while receiving chemotherapy or for a while after treatments. (Talk to your doctor for further details.) Use a reliable method of birth control to prevent pregnancy. Cyclophosphamide may harm the fetus.

• while being treated with cyclophosphamide, drink plenty of fluids because this drug can irritate your kidneys and bladder. This precaution is especially important if you have had chemotherapy before.

• do not have any vaccinations (e.g., measles or flu shots) without talking to your doctor.

• you should know that cyclophosphamide has been associated with the development of other types of cancers. Talk with your doctor about the potential risk of developing a new cancer.

Side effects from cyclophosphamide are common and include:

• thinned or brittle hair
• darkened and thickened skin
• blistering skin or acne
• loss of appetite or weight

Tell your doctor if either of these symptoms is severe or lasts for several hours:

• mouth blistering
• fatigue

If you experience any of the following symptoms, call your doctor immediately:

• painful urination or red urine
• black, tarry stools
• unusual bruising or bleeding
• cough
• congestion
• fever
• dizziness
• chills
• shortness of breath
• sore throat
• swelling of the feet or ankles
• nausea and vomiting
• rash

Keep cyclophosphamide in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

• Drink plenty of fluids. Drink about 10 eight-ounce glasses of fluid and urinate frequently during the first 24 hours after treatment to keep your kidneys working.
• The most common side effect of cyclophosphamide is a decrease in the number of blood cells. Your doctor may order tests before, during, and after your treatment to see if your blood cells are affected by the drug.