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Decitabine

Uses of Decitabine

  • Decitabine is primarily used in the management of certain types of blood disorders and cancers, including myelodysplastic syndromes (MDS) and acute myeloid leukaemia (AML). It belongs to a class of anti-cancer chemotherapy medicines.

  • Secondary uses of Decitabine, off-label, may include treatment for chronic myelomonocytic leukaemia (CMML) and relapsed/refractory acute lymphoblastic leukaemia (ALL).

Side effects of Decitabine

  • Fatigue

  • Fever

  • Nausea

  • Cough

How Decitabine works

  • Decitabine is a type of chemotherapy medicine which falls under the therapeutic category of antineoplastic agents, more specifically, hypomethylating agents.

  • It works by incorporating itself into the DNA of cells and inhibiting an enzyme called DNA methyltransferase. This enzyme normally adds methyl groups to DNA, and its inhibition by Decitabine leads to a loss of DNA methylation.

  • This loss of methylation can reactivate certain genes, known as tumour suppressor genes, that were previously silenced or 'turned off' by excessive methylation. By reactivating these genes, Decitabine helps normalise the processes of cell growth and division.

  • In addition to this, Decitabine also directly kills abnormal blood-forming cells in the bone marrow, which further aids in controlling conditions such as myelodysplastic syndromes and acute myeloid leukaemia.

Certified content

Reviewed By

Ashmita Borgohain
Ashmita BorgohainMedical Content Writer & Editor| 12 years

MSc (Applied Genetics)

Expert Advice

Dosage Forms Available

  • Decitabine is available for use via the intravenous route in the form of a sterile lyophilised powder for injection.

  • Decitabine is also available for oral administration as tablets.

Age and Dose Restrictions

  • Decitabine is intended for use in adults, particularly those aged 65 and older who are diagnosed with acute myeloid leukaemia (AML) and are not candidates for standard induction chemotherapy.

Contraindications

  • Decitabine is contraindicated in individuals who have known hypersensitivity to Decitabine or any component of its formulation.

Other Medications to Avoid

  • Decitabine may interact with drugs that are substrates of cytidine deaminase (such as cytarabine).

  • Live vaccines should be avoided during treatment due to immunosuppression.

Overdose and Missed Dose

  • Overdose of Decitabine might cause severe side effects, including myelosuppression resulting in infections and bleeding. In case of a suspected overdose, consult your doctor immediately.

  • If you forget a dose of Decitabine, take it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and adhere to your regular dosing schedule.

Management of Side Effects

  • Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

  • Drinking plenty of fluids can help manage some common side effects such as nausea and constipation.

  • Resting and avoiding strenuous activities can aid in managing fatigue.

Use in Driving and Operating Machinery

  • Decitabine administration may result in fatigue and weakness, which could affect your ability to drive or operate heavy machinery. Hence, it is recommended to avoid such activities after taking Decitabine.

Use in Pregnancy and Lactation

  • Decitabine is not recommended during pregnancy unless necessary. The drug may also pass into breast milk. Therefore, breastfeeding mothers should consult their doctor before taking Decitabine.

Caution in Other Conditions

  • Patients with severe hepatic impairment should exercise caution when using Decitabine as dose adjustment may be required.

  • Patients with high tumour burden should be closely monitored for the development of Tumour Lysis Syndrome (TLS) while using this medicine.

Special Dietary and Lifestyle Recommendations

  • Maintain a healthy diet that supports your immune system. Include plenty of fruits, vegetables, whole grains and lean proteins.

  • Avoid exposure to infections. Wash your hands frequently and avoid close contact with people who are sick.

  • Regularly monitor your health and report any new or worsening symptoms to your doctor promptly.

  • Keep yourself well-hydrated to help manage potential side effects like nausea and constipation.

Frequently asked questions

No, Decitabine is not a steroid. It is an anti-cancer medication used in the management of certain types of blood disorders and cancers.

Yes, Decitabine can have an impact on fertility. It may cause harm to the foetus if taken during pregnancy. Therefore, effective contraception is recommended during treatment to prevent pregnancy.

There is no direct impact of Decitabine on sleep. However, some common side effects, like fatigue, may indirectly affect sleep patterns.

Decitabine should be taken as per the doctor's instructions. The usual dose depends on the patient's body surface area and the specific disease being managed.

Decitabine should be administered strictly as per your doctor's advice.

There are no specific diet restrictions mentioned while taking Decitabine in the research data provided. However, you should always follow your doctor's advice regarding diet and lifestyle modifications.

The time Decitabine takes to show its effects can vary depending on the individual patient and the disease being treated. Your doctor will monitor your progress through regular tests and adjust your treatment as necessary.

Terms & Conditions

Available medicines for DECITABINE
Decitas 50 MG Injection 1
Decitas 50 MG Injection 1
Intas Pharmaceuticals Ltd
Pack of 1 Units
₹3485.41
MRP ₹4250.50
18.00% OFF
Decitex 30 MG Injection 1
Decitex 30 MG Injection 1
Sun Pharma Laboratories Ltd.
Pack of 1 Units
₹4548.07
MRP ₹5546.43
18.00% OFF
Dacogen 50 MG Injection 1 ML
Dacogen 50 MG Injection 1 ML
Johnson & Johnson
Pack of 1 ML
₹50372.60
MRP ₹61430.00
18.00% OFF
Xalibo 50 MG Injection 1 ML
Xalibo 50 MG Injection 1 ML
Dr. Reddys Laboratories Ltd
Pack of 1 ML
₹4253.34
MRP ₹5187.00
18.00% OFF
Decitas 30 MG Injection 1
Decitas 30 MG Injection 1
Intas Pharmaceuticals Ltd
Pack of 1 Units
₹2921.27
MRP ₹3562.52
18.00% OFF
Deczuba 50 MG Injection 1
Deczuba 50 MG Injection 1
Glenmark Pharmaceuticals Ltd.
Pack of 1 Units
₹2788.82
MRP ₹3401.00
18.00% OFF
Natdecita 50 MG Injection 1
Natdecita 50 MG Injection 1
Natco Pharma Ltd
Pack of 1 Units
₹4180.12
MRP ₹5097.71
18.00% OFF
Decitex 50 MG Injection 1
Decitex 50 MG Injection 1
Sun Pharma Laboratories Ltd.
Pack of 1 Units
₹5108.10
MRP ₹6229.39
18.00% OFF

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