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Arranon

Generic name: nelarabine

What is Arranon?

Arranon is an anti-cancer medicine used to treat adults and children who have:

What is the most important information I should know about Arranon?

Arranon may cause blood related adverse reactions. Your doctor will do blood tests regularly during treatment to monitor blood counts, including platelets.

Arranon may cause serious nervous system problems including:

  • extreme sleepiness
  • seizures
  • coma
  • numbness and tingling in the hands, fingers, feet, or toes (peripheral neuropathy)
  • weakness and paralysis

Call the doctor right away if you or your child has the following symptoms:

  • seizures
  • numbness and tingling in the hands, fingers, feet, or toes
  • problems with fine motor skills such as buttoning clothes
  • unsteadiness while walking
  • increased tripping while walking
  • weakness when getting out of a chair or walking upstairs

These symptoms may not go away even when treatment with Arranon is stopped.

What should I tell my healthcare provider before using Arranon?

Tell the doctor about all health conditions you or your child have, including if you or your child:

  • have any nervous system problems.
  • have kidney problems.
  • are breastfeeding or plan to breastfeed. It is not known whether Arranon passes through breast milk. You should not breastfeed during treatment with Arranon.
  • are pregnant or plan to become pregnant. Arranon can harm your unborn baby. You should not become pregnant while you are taking Arranon. You should use effective birth control to avoid getting pregnant. Talk with your doctor about your choices.
  • are male (including if you have had a vasectomy) with a sexual partner who is pregnant, think that they may be pregnant, or who could become pregnant. You should use condoms during sexual intercourse during treatment with Arranon and for 3 months after last dose.

Tell the doctor about all the medicines you or your child take, including prescription and nonprescription medicines, vitamins, and herbal supplements.

How should I use Arranon?

Arranon is an intravenous medicine. This means it is given through a tube in your vein.

What should I avoid while using Arranon?

  • You or your child should not drive or operate dangerous machines. Arranon may cause sleepiness during and for several days after treatment.
  • You or your child should not receive vaccines made with live germs during treatment with Arranon.

What are the possible side effects of Arranon?

Arranon may cause serious nervous system problems. See “What is the most important information I should know about Arranon?

Arranon may also cause:

  • decreased blood counts such as low red blood cells, low white blood cells, and low platelets. Blood tests should be done regularly to check blood counts. Call the doctor right away if you or your child:
  • is more tired than usual, pale, or has trouble breathing
  • has a fever or other signs of an infection
  • bruises easy or has any unusual bleeding
  • stomach area problems such as nausea, vomiting, diarrhea, and constipation
  • headache
  • sleepiness
  • blurry eyesight

Call your doctor right away if you experience unexplained muscle pain, tenderness, or weakness while taking Arranon. This is because on rare occasions, muscle problems can be serious.

These are not all the side effects associated with Arranon. Ask your doctor or pharmacist for more information.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

General information about the safe and effective use of Arranon

This guide summarizes important information about Arranon. If you have questions or problems, talk with your or your child’s doctor. You can ask your doctor or pharmacist for information about Arranon that is written for healthcare providers or it is available at WWW.PHARMA.US.NOVARTIS.COM.

How should I store Arranon?

Store Arranon (nelarabine) Injection between 20°C and 25°C (68°F and 77°F); excursions permitted to 15°C to 30°C (59°F to 86°F). See USP Controlled Room Temperature.

What are the ingredients in Arranon?

Active ingredients: nelarabine

Inactive ingredients: sodium chloride, water

Source: National Library of Medicine. Last updated July 31, 2019.