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Also Known As: Mustargen®, nitrogen mustard

Mechlorethamine stops cancer cells from growing by attacking and interfering with DNA, the genetic material in cells.

How It Is Given:

Intravenously (by vein)

Immediate Side Effects (beginning within 24 hours):

  • A metallic taste in the mouth can occur while the drug is being administered or shortly afterwards.
  • Nausea and vomiting may begin one-half hour after receiving the drug and can last one to two days. However, with antinausea medicine they are less likely.

Early Side Effect (beginning within one week):

  • If the medicine leaks out of the vein into the surrounding tissue during administration, severe local skin damage can occur.

Late Side Effects (beginning after one week):

  • A temporary decrease in blood cells (white blood cells and platelets) can occur within one to two weeks after treatment.
  • Temporary thinning or loss of hair can occur several weeks after each treatment.
  • The vein into which the drug was given can darken.

Special Points:

  • Take your antinausea medicine as instructed.
  • Do not take aspirin, ibuprofen (e.g., Motrin®, Advil®) products containing them, or similar products unless your doctor prescribes them.
  • Tell your doctor or nurse if you are taking any other medications, including over-the-counter preparations that do not require a prescription, herbal remedies, vitamins, or dietary supplements. Some of these may interfere with your chemotherapy.

Call Your doctor or Nurse If You Have:

  • Nausea or vomiting and are unable to eat or drink for more than 24 hours after receiving the drug.
  • Pain, redness, swelling, or blistering at or near the injection site.
  • A fever of 100.5° F (38° C) or higher.
  • Any unexpected, unexplained problems.
  • Any questions or concerns.
Last Updated: Mar. 27, 2003
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