About This Drug
Lomustine is used to treat cancer. It is given by mouth (orally).
Possible Side Effects
- Bone marrow depression. This is a decrease in the number of white blood cells, red blood cells, and platelets. This may raise your risk for infection, make you tired and weak (fatigue), and raise your risk of bleeding.
- Nausea and throwing up (vomiting). These symptoms may happen within a few hours after your treatment and may last up to 24 hours. Medicines are available to stop or lessen these side effects.
- Soreness of the mouth and throat. You may have red areas, white patches, or sores that hurt.
- Decreased appetite (decreased hunger)
- Changes in lung tissue may happen with large amounts of this drug. These changes may not last forever, and your lung tissue may go back to normal, Sometimes these changes may not be seen for years. You may get a cough or have trouble catching your breath.
- This drug may affect how your kidneys work. Your kidney function will be checked as needed.
- Increased risk of getting another cancer (rare)
Treating Side Effects
- Drink 6-8 cups of fluids each day unless your doctor has told you to limit your fluid intake due to some other health problem. A cup is 8 ounces of fluid. If you throw up or have loose bowel movements, you should drink more fluids so that you do not become dehydrated (lack of water in the body from losing too much fluid).
- Ask your doctor or nurse about medicine that is available to help stop or lessen nausea and throwing up (vomiting).
- Mouth care is very important. Your mouth care should consist of routine, gentle cleaning of your teeth or dentures and rinsing your mouth with a mixture of 1/2 teaspoon of salt in 8 ounces of water or 1/2 teaspoon of baking soda in 8 ounces of water. This should be done at least after each meal and at bedtime.
- If you have mouth sores, avoid mouthwash that has alcohol. Avoid alcohol and smoking because they can bother your mouth and throat.
- Take this drug by mouth without food, at least one hour before you eat or two hours after you eat.
- Take this drug with water and swallow the medicine whole. Do not chew, break, or crush it.
Food and Drug Interactions
- Avoid drinking alcohol for 1 hour after taking lomustine.
- This drug may interact with other medicines. Tell your doctor and pharmacist about all of the medicines and dietary supplements (vitamins, minerals, herbs, and others) that you are taking at this time. The safety and use of dietary supplements and alternative diets are often not known. Using these might affect your cancer or interfere with your treatment. Until more is known, you should not use dietary supplements or alternative diets without your cancer doctor’s help.
When to Call the Doctor
Call your doctor or nurse right away if you have any of these symptoms:
- Fever of 100.5 F (38 C) or above
- Easy bruising or bleeding
- Wheezing or trouble breathing
- Nausea that stops you from eating or drinking
- Throwing up more than 3 times a day
- Chest pain or symptoms of a heart attack. Most heart attacks involve pain in the center of the chest that lasts more than a few minutes. The pain may go away and come back. It can feel like pressure, squeezing, fullness, or pain. Sometimes pain is felt in one or both arms, the back, neck, jaw, or stomach. If any of these symptoms last 2 minutes, call 911.
- Symptoms of a stroke such as sudden numbness or weakness of your face, arm, or leg, mostly on one side of your body; sudden confusion, trouble speaking or understanding; sudden trouble seeing in one or both eyes; sudden trouble walking, feeling dizzy, loss of balance or coordination; or sudden, bad headache with no known cause. If you have any of these symptoms for 2 minutes, call 911.
- Feeling confused or agitated
Call your doctor or nurse as soon as possible if you have any of these symptoms:
- Trouble walking or changes in the way you walk, feeling clumsy when buttoning clothes, opening jars, or other routine hand motions
- Dry cough that does not stop
- Nausea that is not relieved by prescribed medicines
- Pain in your mouth or throat that makes it hard to eat or drink
- Lasting loss of appetite or rapid weight loss of five pounds in a week
- Fatigue that interferes with daily activities
Sexual Problems and Reproduction Concerns
- Infertility warning: Sexual problems and reproduction concerns may happen. In both men and women, this drug may affect your ability to have children. This cannot be determined before your treatment. Talk with your doctor or nurse if you plan to have children. Ask for information on sperm or egg banking.
- In men, this drug may interfere with your ability to make sperm, but it should not change your ability to have sexual relations.
- In women, menstrual bleeding may become irregular or stop while you are getting this drug. Do not assume that you cannot become pregnant if you do not have a menstrual period.
- Women may go through signs of menopause (change of life) like vaginal dryness or itching. Vaginal lubricants can be used to lessen vaginal dryness, itching, and pain during sexual relations.
- Genetic counseling is available for you to talk about the effects of this drug therapy on future pregnancies. Also, a genetic counselor can look at the possible risk of problems in the unborn baby due to this medicine if an exposure happens during pregnancy.
- Pregnancy warning: This drug may have harmful effects on an unborn child, so effective methods of birth control should be used during your cancer treatment.
- Breastfeeding warning: Woman should not breast feed during treatment because this drug could enter the breast milk and badly harm a breast feeding baby.
Revised July 2014