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Vorinostat

Generic Name: vorinostat (vor-IN-oh-stat)
Brand Name: Zolinza

Vorinostat is used for:

Treating a type of cancer (cutaneous T-cell lymphoma) in certain patients.

Vorinostat is a histone deacetylase inhibitor. It works by blocking the growth of some cancer cells.

Do NOT use vorinostat if:

  • you are allergic to any ingredient in vorinostat

Contact your doctor or health care provider right away if any of these apply to you.

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Before using vorinostat:

Some medical conditions may interact with vorinostat. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you are dehydrated or have nausea, vomiting, or diarrhea
  • if you have low blood calcium, magnesium, or potassium levels; anemia; or low blood platelet levels
  • if you have diabetes or high blood sugar
  • if you have a history of kidney problems, liver problems, or blood clots (eg, in the lungs or legs)
  • if you have recently had or will be having bowel surgery

Some MEDICINES MAY INTERACT with vorinostat. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Valproic acid because the risk of low blood platelet levels, unusual bruising or bleeding, and serious stomach or bowel bleeding may be increased
  • Anticoagulants (eg, warfarin) because the risk of their side effects may be increased by vorinostat

This may not be a complete list of all interactions that may occur. Ask your health care provider if vorinostat may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use vorinostat:

Use vorinostat as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • An extra patient leaflet is available with vorinostat. Talk to your pharmacist if you have questions about this information.
  • Take vorinostat by mouth with food.
  • Swallow vorinostat whole. Do not open, break, crush, or chew before swallowing. If you cannot swallow vorinostat whole, tell your doctor. You may need a different medicine.
  • If the capsule is accidentally crushed or broken, do NOT touch the powder. If you get the powder on your skin or in your eyes, wash them immediately with water. Contact your doctor right away.
  • Drinking extra fluids (at least eight 8 oz glasses of liquid per day) while you are taking vorinostat is recommended. Check with your doctor for instructions.
  • Be sure you know how to properly handle and dispose of vorinostat. Contact your doctor if you have questions.
  • If you miss a dose of vorinostat, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use vorinostat.

Important safety information:

  • Vorinostat may cause dizziness or fatigue. These effects may be worse if you take it with alcohol or certain medicines. Use vorinostat with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • If vomiting or diarrhea occurs, you will need to take care not to become dehydrated. Contact your doctor for instructions.
  • Vorinostat may reduce the number of clot-forming cells (platelets) in your blood. Avoid activities that may cause bruising or injury. Tell your doctor if you have unusual bruising or bleeding. Tell your doctor if you have dark, tarry, or bloody stools.
  • Blood clots in the leg or lungs have been reported with vorinostat. Contact your doctor right away if you experience calf or leg pain, swelling, redness, or warmth; chest pain; shortness of breath; or coughing up blood. Discuss any questions or concerns with your doctor.
  • Vorinostat may raise your blood sugar. High blood sugar may make you feel confused, drowsy, or thirsty. It can also make you flush, breathe faster, or have a fruit-like breath odor. If these symptoms occur, tell your doctor right away.
  • Diabetes patients - Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine. Be sure to tell your doctor if you are unable to eat or drink normally due to nausea, vomiting, or diarrhea.
  • Tell your doctor or dentist that you take vorinostat before you receive any medical or dental care, emergency care, or surgery.
  • Lab tests, including complete blood cell counts, blood electrolyte levels, and blood glucose levels, may be performed while you use vorinostat. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Vorinostat should be used with extreme caution in CHILDREN younger than 18 years old; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: Vorinostat may cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using vorinostat while you are pregnant. It is not known if vorinostat is found in breast milk. Do not breast-feed while taking vorinostat.

Possible side effects of vorinostat:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; cough; diarrhea; dizziness; dry mouth; fatigue; hair loss; headache; loss of appetite; mild chills; muscle aches; nausea; taste changes; vomiting; weight loss.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); anxiety; black, tarry, or bloody stools; calf or leg pain, swelling, warmth, or tenderness; change in skin color or other unusual skin changes; chest pain; confusion; coughing up blood; fainting; fast or irregular heartbeat; muscle pain or spasms; one-sided weakness; redness or peeling of the skin; severe or persistent nausea, vomiting, or diarrhea; shortness of breath; slurred speech; stomach pain; swelling of the hands, ankles, or feet; symptoms of high blood sugar (eg, increased urination, thirst, or hunger; confusion; drowsiness; flushing; fast breathing; fruit-like breath odor); symptoms of infection (eg, fever, chills, persistent or severe cough, or sore throat); unusual bleeding or bruising; unusual sweating; unusual weakness or tiredness; vision problems; vomit that looks like coffee grounds.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of vorinostat:

Store vorinostat at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep vorinostat out of the reach of children and away from pets.

General information:

  • If you have any questions about vorinostat, please talk with your doctor, pharmacist, or other health care provider.
  • Vorinostat is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take vorinostat or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about vorinostat. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to vorinostat. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using vorinostat.

Issue Date: April 2, 2014
Database Edition 14.2.1.001
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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