Cesamet

Cesamet

Generic Name: nabilone (NAB il own)

Brand Names: Cesamet

What is Cesamet?

Cesamet is a man-made form of cannabis (marijuana is an herbal form of cannabis). It has many effects on your central nervous system.

Cesamet is used to treat severe nausea and vomiting that is caused by cancer chemotherapy. It is for use only when other medications have been unable to control the nausea and vomiting.

Cesamet may also be used for purposes other than those listed in this medication guide.

Important information about Cesamet

Cesamet may be habit-forming and should be used only by the person it was prescribed for. Cesamet should never be given to another person, especially someone who has a history of drug abuse or habitual marijuana use. Keep the medication in a secure place where others cannot get to it. Do not use Cesamet if you have ever had an allergic reaction to natural or man-made marijuana.

Before taking Cesamet, tell your doctor if you have high blood pressure, heart disease, a history of mental illness or drug addiction, or if you are also using other medicines that can affect your central nervous system, such as a tranquilizer, sleep medicine, or anti-psychotic medications.

Use this medication exactly as it was prescribed for you. Do not use it in larger amounts or for longer than recommended by your doctor.

Avoid using other medicines that affect the central nervous system (such as stimulants, diet pills, cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression, anxiety, mental illness, or Parkinson's disease). These other drugs can add to the effects of Cesamet.

Cesamet causes effects that will impair your thinking or reactions. Do not drive or do anything that requires you to be awake and alert until the effects of Cesamet wear off.

There are many other medicines that can add to the side effects of Cesamet. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

What should I discuss with my health care provider before taking Cesamet?

Do not use Cesamet if you have ever had an allergic reaction to natural or man-made marijuana such as dronabinol (Marinol).

Before using Cesamet, tell your doctor if you have:

high blood pressure (hypertension);

heart disease;

past or present mental illness such as depression, schizophrenia, or other psychotic disorders;

a history of drug or alcohol addiction; or

if you are also using other medicines that can affect your central nervous system, such as a tranquilizer, sleep medicine, or anti-psychotic medications.

If you have any of these conditions, you may not be able to use this medication, or you may need a dosage adjustment or special tests during treatment.

Cesamet may be habit-forming and should be used only by the person it was prescribed for. Cesamet should never be given to another person, especially someone who has a history of drug abuse or habitual marijuana use. Keep the medication in a secure place where others cannot get to it. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether Cesamet passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Older adults may be especially sensitive to the side effects of Cesamet.

Cesamet is not for use in patients younger than 18 years old.

How should I take Cesamet?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor.

Cesamet is usually given 1 to 3 hours before you receive your chemotherapy treatment. Your doctor may recommend that you take a small dose of Cesamet on the night before your chemotherapy.

Cesamet may also be used 2 or 3 times each day of the chemotherapy treatment cycle, and for 48 hours after treatment ends, if needed.

The effects of Cesamet may last for 48 to 72 hours, and this length of time may not be the same every time you take the medication.

Store Cesamet at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of a Cesamet overdose may include extreme drowsiness, fainting, hallucinations, fear, disorientation, unusual thoughts or behaviors, or feeling extremely happy or sad.

What should I avoid while taking Cesamet?

Avoid using other medicines that affect the central nervous system (such as stimulants, diet pills, cold medicine, pain medication, muscle relaxers, and medicine for seizures, depression, anxiety, mental illness, or Parkinson's disease). These other drugs can add to the effects of Cesamet.

Cesamet causes effects that will impair your thinking or reactions. Do not drive or do anything that requires you to be awake and alert until the effects of Cesamet wear off.

Cesamet side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Cesamet and call your doctor at once if you have any of these serious side effects:

hallucinations (seeing or hearing things that are not there);

paranoia, extreme fear;

fast heart rate;

feeling light-headed, fainting; or

unusual thoughts or behavior.

Continue using Cesamet and talk with your doctor if you have any of these less serious side effects:

dizziness, drowsiness;

feeling "high";

weakness, lack of coordination;

depression, anxiety, confusion;

dry mouth;

headache, trouble concentrating; or

sleep problems (insomnia).

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

See also: Cesamet side effects (in more detail)

What other drugs will affect Cesamet?

Before taking Cesamet, tell your doctor if you are using any of the following drugs:

amphetamines, including stimulants and medicine to treat attention deficit hyperactivity disorder (ADHD);

prescription or over-the-counter weight loss aids (Dexatrim, Meridia);

antidepressants such as amitriptyline (Elavil), amoxapine (Ascendin), clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), or nortriptyline (Pamelor);

barbiturates such as butalbital (Fiorinal), phenobarbital (Luminal, Solfoton), secobarbital (Seconal);

sedatives such as Ativan, Dalmane, Halcion, Klonopin, Librium, ProSom, Restoril, Tranxene, Valium, Xanax;

lithium;

theophylline (Respbid, Slo-Bid, Theo-24, Theo-Dur, Uniphyl);

buspirone (BuSpar);

atropine (Donnatal, and others);

belladonna, dicyclomine (Bentyl);

clidinium (Quarzan);

glycopyrrolate (Robinul);

hyoscyamine (Anaspaz, Cystospaz, Levsin, and others);

mepenzolate (Cantil);

methscopolamine (Pamine), and scopolamine (Transderm-Scop);

methantheline (Provocholine), propantheline (Pro-Banthine); or

street drugs such as cocaine or Ectasy.

If you are using any of these drugs, you may not be able to use Cesamet, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect Cesamet. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

More Cesamet resources

Cesamet Side Effects (in More Detail)

Cesamet Use in Pregnancy & Breastfeeding

Cesamet Drug Interactions

Cesamet Support Group

0 Reviews for Cesamet - Add your own review/rating

Cesamet Prescribing Information (FDA)

Cesamet MedFacts Consumer Leaflet (Wolters Kluwer)

Cesamet Monograph (AHFS DI)

Cesamet Advanced Consumer (Micromedex) - Includes Dosage Information

Nabilone Professional Patient Advice (Wolters Kluwer)

Compare Cesamet with other medications

Nausea/Vomiting, Chemotherapy Induced

Where can I get more information?

Your pharmacist has more information about Cesamet written for health professionals that you may read.

What does my medication look like?

Nabilone is available with a prescription under the brand name Cesamet. Other brand or generic forms may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

Cesamet 1 mg--purple and white capsule