Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about Mitozantrone Injection.
It does not contain all the available information. It does not take the place of
talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risks of you taking
Mitozantrone Injection against the benefits it is expected to have for you.
This medicine is likely to be used while you are in hospital.
If possible, please read this leaflet carefully before this medicine is given to you.
If you have any concerns about taking this medicine, ask your doctor or nurse.
Keep this leaflet.
You may need to read it again.
What Mitozantrone Injection is used for
Mitozantrone (My-toe-ZAN-trone) belongs to a group of medicines called antineoplastic
or cytotoxic medicines. You may also hear of these being called chemotherapy medicines.
It is used to treat some types of cancer, such as:
breast cancer, including breast cancer which has spread to other parts of the body
some types of leukaemia
non-Hodgkin's lymphoma, a cancer of the lymph glands.
Mitozantrone is thought to work by interfering with the growth of cancer cells, which
slows their growth and destroys them. The growth of normal cells in other parts of
your body may also be affected.
Your doctor may have prescribed this medicine for another reason.
Ask your doctor if you have any questions about why Mitozantrone Injection has been
prescribed for you.
This medicine is available only with a doctor's prescription.
Mitozantrone Injection will be given to you only by specially trained personnel in
a hospital environment.
Mitozantrone Injection is not recommended for use in children as there is not enough
information on its effects in children.
Before you are given Mitozantrone Injection
When it must not be used
You must not be given Mitozantrone Injection if you have an allergy to:
any of the ingredients listed at the end of this leaflet.
Symptoms of an allergic reaction to Mitozantrone Injection may include:
hives, itching or skin rash
shortness of breath, wheezing
swelling of the face, lips or tongue which may lead to difficulty swallowing or breathing.
You must not be given Mitozantrone Injection if you have had any of the following
severe liver problems
if you have previously been treated with mitozantrone or an anthracycline medicine
and your cardiac (heart) function has not yet returned to normal
a reduced number of red blood cells, white blood cells, or platelets due to previous
chemotherapy or radiotherapy treatment.
If you are not sure whether you should be given mitozantrone, talk to your doctor
Before you are given it
Your doctor and nurse need to know if you have any allergies to:
any other medicines
any other substances such as foods, preservatives or dyes.
Your doctor and nurse need to know about all your medical conditions, especially if
you have ever had any of the following:
any heart problems, including a heart attack
a blood disorder with a reduced number of red blood cells, white blood cells or platelets
Tell your doctor or nurse if you have an infection or high temperature.
Your doctor may need to treat the infection before you are given mitozantrone.
Tell your doctor or nurse if you have had medicines in the past which belong to the
group called anthracyclines.
Their effects on your body may add to those caused by mitozantrone so that you may
not be able to be given it, or may need less. If you are unsure whether you have
had anthracycline medicines before, ask your doctor.
Tell your doctor or nurse if you are pregnant or intend to become pregnant.
Like most medicines used to treat cancer, mitozantrone is not recommended to be
used during pregnancy.
Tell your doctor or nurse if you are breast-feeding or plan to breast-feed.
It is recommended that you do not breast-feed while taking mitozantrone, as it passes
into breast milk and may cause serious side effects in your baby.
If you have not told your doctor or nurse about any of the above, tell them before
you are given mitozantrone.
Taking other medicines
Tell your doctor or nurse if you are taking any other medicines, including prescription
medicines or any that you buy without a prescription from your pharmacy, supermarket
or health food shop.
Some medicines may interfere with mitozantrone and some may cause unwanted side effects
if taken while you are on mitozantrone treatment.
This is especially true if you are on any other medicines with similar side effects
as mitozantrone. In some cases, two different medicines may be used together by your
doctor even if an interaction might occur. In these cases, your doctor may change
If you are in doubt, check with your doctor.
How Mitozantrone Injection is given
How it is given
Mitozantrone Injection must be given only by a doctor or nurse.
This medicine is diluted and given as a slow injection into a vein. You may be given
Mitozantrone Injection every 3 weeks if you are being treated for breast cancer or
lymphoma, or daily for 5 days for leukaemia treatment.
How much is given
Your doctor will decide what dose, how often and how long you will receive it. This
depends on your condition and other factors, such as your weight, age, blood tests,
how well your liver and kidneys work and whether or not other medicines are being
given at the same time.
Mitozantrone may be used in combination with other anti-cancer medicines.
If you have any concerns about the dosage you receive, ask your doctor.
In Case of Overdose
As your doctor will supervise how much Mitozantrone Injection you are given, you are
unlikely to have an overdose.
Immediately telephone your doctor or Poisons Information Centre (telephone 13 11 26)
for advice, or go to Accident and Emergency at the nearest hospital, if you think
that you may have been given too much Mitozantrone Injection. Do this even if there
are no signs of discomfort or poisoning.
You may need urgent medical attention.
Symptoms of a mitozantrone overdose include the side effects listed below in the 'side
effects' section, but are usually of a more severe nature.
While you are being given Mitozantrone Injection
Things you MUST do:
Be sure to keep all of your doctor's appointments so that your progress can be checked.
Your doctor may do some tests from time to time to make sure the medicine is working
and to prevent unwanted side effects.
If you become pregnant while under mitozantrone treatment, tell your doctor immediately.
Things you MUST NOT do:
Take any additional medicines without the advice of your doctor or pharmacist.
Tell your doctor or nurse as soon as possible if you do not feel well while you are
being given Mitozantrone Injection.
Any medicine may cause some unwanted side effects, including mitozantrone. Sometimes
they are serious, most of the time they are not. Side effects can sometimes be prevented
or minimised by blood and urine tests as well as taking into account your overall
Ask your doctor or nurse to answer any questions that you may have.
Do not be alarmed by this list of possible side effects.
You may not experience any of them.
Tell your doctor if:
The following are the more common side effects of mitozantrone and are usually mild.
Tell your doctor or nurse if you notice any of the following and they worry you.
Nausea and vomiting. This medicine usually causes nausea and vomiting. If symptoms
are severe or persistent you should contact your doctor or clinic.
Mouth ulcers, cold sores or sore red mouth
Temporary and total hair loss, especially of the scalp. After treatment with mitozantrone
has ended, normal hair growth should return
Blue discolouration of the urine. Mitozantrone may impart a blue-green colouration
to the urine for approximately 24 hours after administration.
Tell your doctor as soon as possible if:
The following list includes serious side effects that may require medical attention.
Serious side effects are less common.
Tell your doctor or nurse as soon as possible if you notice any of the following:
pain, redness or swelling at the site of injection or along a vein
stomach pain or blood in the stool
loss of appetite or altered taste
sleepiness, confusion or anxiety
pins and needles
fever, fatigue and weakness
tiredness, headaches, dizziness and looking pale
loosening or loss of fingernails
colour changes to fingernails
blue discolouration to the whites of the eyes.
Go to hospital if:
The following list includes very serious side effects. You may need urgent medical
attention or hospitalisation.
Tell your doctor or nurse immediately or go to Accident and Emergency at your nearest
hospital, if you notice any of the following:
shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin
slow or irregular heartbeat, chest pain
unusual tiredness after light exercise such as walking
swelling of the feet or legs
Frequent infections such as fever, severe chills or sore throat
bleeding or bruising more easily than normal.
Tell your doctor or nurse if you notice anything else that is making you feel unwell.
Other side effects not listed above may also occur in some patients. Some of these
side effects can only be found when your doctor does tests from time to time to check
Mitozantrone Injection will be stored appropriately at the pharmacy or on the ward.
What it looks like
Mitozantrone Injection is an ink blue solution in a plastic vial.
Mitozantrone Injection can be identified by an Australian Register Number, which is
found on the packaging:
AUST R 74509 Mitozantrone Injection 10mg in 5mL (sterile) Plastic Vial (single vial).
AUST R 74510 Mitozantrone Injection 20mg in 10mL (sterile) Plastic Vial (single vial).
AUST R 74511 Mitozantrone Injection 25mg in 12.5mL (sterile) Plastic Vial (single
AUST R 74512 Mitozantrone Injection 30mg in 15mL (sterile) Plastic Vial (single vial).
Mitozantrone Injection contains the active ingredient Mitozantrone Hydrochloride 2mg/mL
The inactive ingredients are:
Sodium Chloride BP
Disodium Edetate BP
Sodium Acetate in Water for Injections BP.
Mitozantrone Injection is supplied in Australia by:
Pfizer Australia Pty Ltd
ABN 50 008 422 348
38-42 Wharf Road
West Ryde NSW 2114 Australia
Toll Free number: 1800 675 229
Pfizer (Perth) Pty Limited
ABN 32 051 824 956
15 Brodie Hall Drive,
Bentley WA 6102 Australia
Date of preparation
This leaflet was prepared in Nov 2017.
© Pfizer Australia Pty Limited.