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Topocan 4mg Injection

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Product introduction

Topocan 4mg Injection is used in the treatment of ovarian cancer. It shows its working by stopping or slowing down the growth of cancer cells.

Topocan 4mg Injection is given as an IV infusion into vein by a qualified medical professional. Your doctor will decide what dose is necessary and how often you need to take it. This will depend on what you are being treated for and may change from time to time. You should take it exactly as your doctor has advised. Taking it in the wrong way or taking too much can cause very serious side effects. It may take several weeks or months for you to see or feel the benefits but do not stop taking it unless your doctor tells you to.

The most common side effects of this medicine include tiredness, vomiting, weakness, nausea, and abdominal pain. This medicine may reduce the number of blood cells (decrease red blood and white blood cells) in your blood, thereby, increasing the susceptibility to infections. Inform your doctor if you notice fever, chills, sore throat, and severe diarrhea. Regular blood tests are required to check your blood cells along with heart, liver, and blood uric acid levels.

Before taking it, tell your doctor if you have heart disease, liver, or kidney problems or are taking any medicines to treat infections. Many other medicines can affect, or be affected by, this medicine so let your healthcare team know all medications you are using. This medicine is not recommended during pregnancy or while breastfeeding. The use of effective contraception by both males and females during treatment is important to avoid pregnancy.

Uses of Topocan Injection

Benefits of Topocan Injection

In Ovarian cancer

Ovarian cancer is a cancer that begins in the female organs that produce eggs (ovaries). This type of cancer is usually detected very late and can be fatal too. It usually spreads to the pelvis and stomach. Topocan 4mg Injection kills or stops the growth of cancer cells and also prevents the multiplication of cancer cells. It is an effective medicine but has some side effects that may be bothersome. Consult your doctor to know about ways that can help you avoid these side effects.

Side effects of Topocan Injection

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Topocan

  • Tiredness
  • Vomiting
  • Weakness
  • Nausea
  • Abdominal pain
  • Indigestion
  • Decreased white blood cell count
  • Decreased blood cells (red cells, white cells, and platelets)
  • Diarrhea
  • Injection site reactions (pain, swelling, redness)

How to use Topocan Injection

Your doctor or nurse will give you this medicine. Kindly do not self administer.

How Topocan Injection works

Topocan 4mg Injection is an anti-cancer medication. It works by suppressing the activity of an enzyme (topoisomerase I) involved in DNA multiplication of the cancer cells. This slows the growth of cancer cells and eventually kills them.

Safety advice

Consuming alcohol with Topocan 4mg Injection does not cause any harmful side effects.
Topocan 4mg Injection is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Breast feeding
Topocan 4mg Injection is unsafe to use during breastfeeding. Data suggests that the drug may cause toxicity to the baby.
Topocan 4mg Injection may cause side effects which could affect your ability to drive.
Topocan 4mg Injection can make you feel tired and this may affect your ability to drive.
Topocan 4mg Injection should be used with caution in patients with kidney disease. Dose adjustment of Topocan 4mg Injection may be needed. Please consult your doctor.
Use of Topocan 4mg Injection is not recommended in patients with end-stage kidney disease.
Topocan 4mg Injection is safe to use in patients with liver disease. No dose adjustment of Topocan 4mg Injection is recommended.

What if you forget to take Topocan Injection?

If you miss a dose of Topocan 4mg Injection, please consult your doctor.\n

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.
No substitutes found for this medicine

Quick tips

  • Topocan 4mg Injection helps treat ovarian cancer.
  • It is given by a drip into a vein (intravenous infusion).
  • Do not drive or operate machinery as Topocan 4mg Injection may cause tiredness, drowsiness or weakness.
  • Use a reliable contraceptive method to prevent pregnancy while you are taking this medicine.
  • Your doctor may get regular blood tests done to monitor your blood cells during treatment with this medicine.
  • Inform your doctor immediately if you notice any signs of infection such as fever, sore throat, rash or severe diarrhea.

Fact Box

Chemical Class
Camptothecin Derivative
Habit Forming
Therapeutic Class
Action Class
Topoisomerase Inhibitor

Patient concerns

ovarian cancer stage 3 c surgery done chemotheraphy done
Dr. Aanchal Maheshwari
C?se has to be seen in person before starting the treatment
My mother dignosis with stage4 ovarian cancer, 1st done on 24th of may 16, I need a alternative medicine parallelly
Dr. Manju Singh
I would like to recommend you that please continue your treatment as advice by your doctor.


Q. How often is Topocan 4mg Injection given?

Generally Topocan 4mg Injection treatment is for 4 cycles of 21 day each, patient is given Topocan 4mg Injection for first 5 days of each cycle.

Q. Does Topocan 4mg Injection cause hair loss?

Yes, Topocan 4mg Injection may cause temporary hair loss.

Q. Does Topocan 4mg Injection cause flare reaction?

Yes, Topocan 4mg Injection may cause flare reaction.

Q. How long does Topocan 4mg Injection take to work?

Topocan 4mg Injection may start its action once the infusion is started, however, the complete effect may be assessed only after completion of 4 cycles.

Q. Is Topocan 4mg Injection a vesicant?

Topocan 4mg Injection is a vesicant (irritant).

Q. Is Topocan 4mg Injection effective?

Yes Topocan 4mg Injection is effective if used at prescribed doses for the prescribed duration as advised by your doctor.

Q. What is Topocan 4mg Injection chemotherapy?

It is a treatment therapy that includes Topocan 4mg Injection with or without combination of other drugs in treatment of cancer (Usually ovarian or lung cancer).

Q. How is Topocan 4mg Injection administered?

Topocan 4mg Injection is either administered orally as a capsule or as an intravenous Infusion in the arm over a period of 30 min.

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.


  1. Chabner BA, Bertino J, Cleary J, et al. Cytotoxic Agents. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 1711-12.
  2. Chu E, Sartorelli AC. Cancer Chemotherapy. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 951.
  3. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. p. 1383.
  4. Topotecan hydrochloride. Camberley, Surrey: Novartis Pharmaceuticals UK Ltd.; 1996 [revised 23 Apr. 2018]. [Accessed 24 Jan. 2019] (online) Available from:External Link
  5. Topotecan. Unterach, Austria: Ebewe Pharma; 1996 [revised Feb. 2014]. [Accessed 27 Mar. 2019] (online) Available from:External Link
  6. Central Drugs Standard Control Organisation (CDSCO). [Accessed 27 Mar. 2019] (online) Available from:External Link
  7. Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Topotecan. [Updated 2018 Dec 3]. [Accessed 19 Feb. 2020] (online) Available from:External Link

Marketer details

Name: Venus Remedies Ltd
Address: SCO 857, Cabin No. 10, 2nd Floor, NAC, Manimajra, Chandigarh (U.T.), 160101, India
Country of origin: India

Inclusive of all taxes
MRP2137.5  3% OFF
10.0 ml in 1 vial
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