• pale skin, easy bruising or bleeding, unusual weakness;

• loose stools, watery diarrhea;

• bloody or black stools;

• runny nose, watery eyes, increased sweating, stomach cramps, and warmth, tingling, or redness under your skin;

• fever, chills, body aches, flu symptoms;

• white patches or sores inside your mouth or on your lips;

• sudden numbness or weakness, headache, confusion, problems with vision, speech, or balance;

• chest pain, pain or swelling in one or both legs;

• swelling or irritation where the IV needle is placed;

• nausea or vomiting that keeps you from drinking enough fluids; or

• signs of dehydration, such as dry mouth, increased thirst, drowsiness, feeling light-headed, or fainting.

Less serious side effects may be more likely to occur, such as:

• loss of appetite, constipation;

• dizziness;

• redness or peeling of the skin on your hands and feet;

• cough,

• temporary hair loss.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect irinotecan?

Before receiving irinotecan, tell your doctor if you are using any of the following drugs:

• a diuretic (water pill);

• atazanavir (Reyataz);

• ketoconazole (Nizoral);

• rifabutin (Mycobutin);

• rifampin (Rifadin, Rifater, Rifamate, Rimactane);

• St. John's wort; or

• seizure medicine such as carbamazepine (Carbatrol, Tegretol), phenobarbital (Luminal, Solfoton), or phenytoin (Dilantin).

If you are using any of these drugs, you may not be able to receive irinotecan or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect irinotecan. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

Your doctor or pharmacist has information about irinotecan written for health professionals that you may read.

What does my medication look like?

Irinotecan injection is available with a prescription under the brand name Camptosar. Other brand or generic formulations may also be available. Ask your healthcare provider or pharmacist any questions you have about this medication, especially if it is new to you.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.