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Emcyt Side Effects, and Drug Interactions - Estramustine
SIDE EFFECTS
In a randomized, double-blind trial comparing therapy with EMCYT Capsules in 93 patients (11.5 to 15.9 mg/kg/day) or diethylstilbestrol (DES) in 93 patients (3.0 mg/day), the following adverse effects were reported:
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|
EMCYT n=93 |
DES n=93 |
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CARDIOVASCULAR-RESPIRATORY
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Cardiac Arrest
|
0 | 2 |
|
Cerebrovascular Accident
|
2 | 0 |
|
Myocardial Infarction
|
3 | 1 |
|
Thrombophlebitis
|
3 | 7 |
|
Pulmonary Emboli
|
2 | 5 |
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Congestive Heart Failure
|
3 | 2 |
|
Edema
|
19 | 17 |
|
Dyspnea
|
11 | 3 |
|
Leg Cramps
|
8 | 11 |
|
Upper Respiratory Discharge
|
1 | 1 |
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Hoarseness
|
1 | 0 |
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GASTROINTESTINAL
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Nausea
|
15 | 8 |
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Diarrhea
|
12 | 11 |
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Minor Gastrointestinal Upset
|
11 | 6 |
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Anorexia
|
4 | 3 |
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Flatulence
|
2 | 0 |
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Vomiting
|
1 | 1 |
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Gastrointestinal Bleeding
|
1 | 0 |
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Burning Throat
|
1 | 0 |
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Thirst
|
1 | 0 |
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INTEGUMENTARY
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Rash
|
1 | 4 |
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Pruritus
|
2 | 2 |
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Dry Skin
|
2 | 0 |
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Pigment Changes
|
0 | 3 |
|
Easy Bruising
|
3 | 0 |
|
Flushing
|
1 | 0 |
|
Night Sweats
|
0 | 1 |
|
Fingertip Peeling Skin
|
1 | 0 |
|
Thinning Hair
|
1 | 1 |
|
BREAST CHANGES
|
||
|
Tenderness
|
66 | 64 |
|
Enlargement
|
||
|
Mild
|
60 | 54 |
|
Moderate
|
10 | 16 |
|
Marked
|
0 | 5 |
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MISCELLANEOUS
|
||
|
Lethargy Alone
|
4 | 3 |
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Depression
|
0 | 2 |
|
Emotional Lability
|
2 | 0 |
|
Insomnia
|
3 | 0 |
|
Headache
|
1 | 1 |
|
Anxiety
|
1 | 0 |
|
Chest Pain
|
1 | 1 |
|
Hot Flashes
|
0 | 1 |
|
Pain in Eyes
|
0 | 1 |
|
Tearing of Eyes
|
1 | 1 |
|
Tinnitus
|
0 | 1 |
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LABORATORY ABNORMALITIES
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||
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Hematologic
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||
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Leukopenia
|
4 | 2 |
|
Thrombopenia
|
1 | 2 |
|
Hepatic
|
||
|
Bilirubin Alone
|
1 | 5 |
|
Bilirubin and LDH
|
0 | 1 |
|
Bilirubin and SGOT
|
2 | 1 |
|
Bilirubin, LDH and SGOT
|
2 | 0 |
|
LDH and/or SGOT
|
31 | 28 |
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Miscellaneous
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||
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Hypercalcemia Transient
|
0 | 1 |
Calcium-rich foods or drugs may impair the absorption of EMCYT.
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