Injection: Since this medicine is usually administered by a qualified healthcare professional in the clinical/hospital setting, the likelihood of a missed dose is very low. If you miss any scheduled session, contact your doctor immediately for further instructions. Capsule: Take the missed dose as soon as you remember. If it is almost the time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.
Injection: Since this medicine is administered in the hospital or clinical setting by a qualified healthcare professional, the likelihood of an overdose is very low. However, emergency medical treatment will be initiated by the doctor if an overdose is suspected. Capsule: Seek emergency medical treatment or contact the doctor in case of an overdose.
Live attenuated vaccines and related products (severe)
Adalimumab (severe)
Clozapine (severe)
Deferiprone (severe)
This medicine is used in the treatment of cancer of the ovaries in patients who have not adequately responded to other anticancer medications.
This medicine is used in the treatment of cervical cancer, a cancer of the cervix characterized by symptoms such as bleeding in between periods, foul-smelling white discharge, low back pain, lower abdominal pain, etc.
This medicine is used in the treatment of small cell lung cancer, a highly malignant and aggressive cancer affecting the lungs.
Nausea or Vomiting
Diarrhea
Hair loss
Unusual tiredness or weakness
Stomach pain
Painful or difficult urination
Black or tarry stools
Weight loss
This medicine is not recommended for use in patients with a known allergy to TOPOTEL 4mg Injection Vial or any other inactive ingredients present along with this medicine.
This medicine is not recommended for use in patients with a severe bone marrow suppression (neutrophils less than 1.5 x 109/l or platelet count less than 100 x 109/l) since it may worsen the patient's condition.