You must tell your doctor about any herbal supplements or therapies you may be taking. Although research in this area is limited, we do know that some of these herbal remedies, such as St. John’s Wort and Echinacea, may be quite harmful to a recovering leukemia/BMT patient. Be sure to discuss this area carefully with your doctor.
Your nurse or pharmacist will thoroughly discuss your medications with you. They will review the purpose of the medications as well as the dose, time, special instructions and major side effects and drug interactions of each. The pharmacist will provide a medication calendar.
It is very important that you know every medication that you are taking. Keep a list that includes the name of the medication, the dose and time(s) to take them. Use your medication calendar for this purpose. Bring this list whenever you see your doctor so it can be reviewed. This will also give you an opportunity to ask questions about your medications.
Important Instructions to Follow
If you are taking Cyclosporine or FK506, do not take the morning dose on clinic days until after your blood work is done.
Cyclosporine and Tacrolimus are supplied to you at no cost except for a dispensing fee. They must be picked up at Lancaster Pharmacy at 601 West Broadway (beside London Drugs), phone 604-873-8585. All other medications can be picked up at any pharmacy of you choice.
Do not take any medications or drugs, other than those prescribed by the BMT doctor, without checking with the BMT doctor first.
Do not use rectal suppositories or enemas without permission from the BMT doctor.
Do not take aspirin/ASA or any medications containing it.
Do not use recreational drugs such as marijuana, tobacco, cocaine ecstasy, etc. can lead to serious or fatal complications.
Bring enough medication for the day when you go out, in case you are delayed.
Do not stop any medication unless instructed by your doctor.
Keep track of your medications. If you are running out of your medication please check with the doctor to see if you need to keep taking them and therefore need a refill.
If you need a prescription refill, tell the nurse and doctor right away. Do not wait until you are on the last dose. Ask for refills at least 2–3 days ahead. This allows time for any unforeseen problems to be solved before you run out of medication.