Read about the cancer drug combination PMitCEBO, how you have it and what the side effects can be.
What it is
PMitCEBO is the name of a combination of chemotherapy drugs and a steroid. It is made up of the drugs:
- P – prednisolone, a steroid
- Mit – mitoxantrone
- C – cyclophosphamide
- E – etoposide
- B – bleomycin
- O – vincristine (also called Oncovin)
It is a treatment for non Hodgkin lymphoma (NHL).
How you have it
You have PMitCEBO chemotherapy as cycles of treatment. Each cycle of treatment lasts 2 weeks. Depending on your needs, you may have between 4 and 8 cycles, taking 2 to 4 months in total.
You have the drugs into your bloodstream (intravenously).
Prednisolone comes as white tablets in different doses. Your doctor will tell you the dose to take. You take the steroids every day until you finish your chemotherapy. It is very important that you take your tablets as prescribed after a meal, or with milk, as they can irritate your stomach. Your doctor will also prescribe a course of antibiotic tablets for you to take to help prevent infection.
Into your bloodstream
You have the treatment through a drip into your arm. A nurse puts a small tube (a cannula) into one of your veins and connects the drip to it.
You might need a central line. This is a long plastic tube that gives the drugs into a large vein, either in your chest or through a vein in your arm. It stays in while you’re having treatment, which may be for a few months.
Taking your tablets or capsules
Whether you have a full or empty stomach can affect how much of a drug gets into your bloodstream.
You should take the right dose, not more or less.
Never stop taking a cancer drug without talking to your specialist first.
When you treatment
You have each cycle of treatment in the following way:
- drips (infusions) of cyclophosphamide, etoposide and mitoxantrone - taking about 2 hours
- prednisolone tablets
- a drip of vincristine into a vein
- drips of fluid (saline)
- a drip of bleomycin
Although you carry on taking your prednisolone tablets, you have no chemotherapy drugs for the next 6 days. You then start another treatment cycle.
Tests during treatment
You have blood tests before starting treatment and during your treatment. They check your levels of blood cells and other substances in the blood. They also check how well your liver and kidneys are working.
Other medicines, foods and drink
Cancer drugs can interact with some other medicines and herbal products. Tell your doctor or pharmacist about any medicines you are taking. This includes vitamins, herbal supplements and over the counter remedies.
Pregnancy and contraception
This treatment might harm a baby developing in the womb. It is important not to become pregnant or father a child while you are having treatment and for a few months afterwards. Talk to your doctor or nurse about effective contraception before starting treatment.
Don’t breastfeed during this treatment because the drug may come through in your breast milk.
You may not be able to become pregnant or father a child after treatment with these drugs. Talk to your doctor before starting treatment if you think you may want to have a baby in the future. Men may be able to store sperm before starting treatment. Women may be able to store eggs or ovarian tissue but this is rare.
Treatment for other conditions
Always tell other doctors, nurses or dentists that you’re having this treatment if you need treatment for anything else, including teeth problems.
Don’t have immunisations with live vaccines while you’re having treatment and for at least 6 months afterwards.
In the UK, live vaccines include rubella, mumps, measles, BCG, yellow fever and Zostavax (shingles vaccine).
- have other vaccines, but they might not give you as much protection as usual
- have the flu vaccine
- be in contact with other people who've had live vaccines as injections
Avoid contact with people who’ve had live vaccines taken by mouth (oral vaccines). This includes the rotavirus vaccine given to babies. The virus is in the baby’s urine for up to 2 weeks and can make you ill. So, you mustn't change their nappies for 2 weeks after their vaccination.
You also need to avoid anyone who has had oral polio or typhoid vaccination recently.
More information about this treatment
For further information about this treatment go to the electronic Medicines Compendium (eMC) website.
You can report any side effect you have to the Medicines Health and Regulatory Authority (MHRA) as part of their Yellow Card Scheme.