{"id":60749,"date":"2024-02-28T07:06:28","date_gmt":"2024-02-28T07:06:28","guid":{"rendered":"https:\/\/medsname.com\/temozol-20\/"},"modified":"2026-04-30T10:23:43","modified_gmt":"2026-04-30T10:23:43","slug":"temozol-20","status":"publish","type":"product","link":"https:\/\/medsbase.com\/da\/temozol-20\/","title":{"rendered":"Temozol 20"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Temozol?<\/h3>\n<p style=\"margin:0;\"><strong>Temozol<\/strong> is an oral capsule from Cipla containing <strong>temozolomide<\/strong> p\u00e5 <strong>20 mg<\/strong> &mdash; an oral alkylating cytotoxic agent and the standard chemotherapy for <strong>glioblastoma multiforme (GBM)<\/strong> og <strong>anaplastic astrocytoma<\/strong>. Standard regimen: <strong>concurrent<\/strong> with radiotherapy (75 mg\/m&sup2; daily for 6 weeks), then <strong>maintenance<\/strong> 150&ndash;200 mg\/m&sup2; daily for days 1&ndash;5 of each 28-day cycle for 6 cycles (Stupp protocol). <strong>Tag p\u00e5 tom mave<\/strong> at the same time each day, with antiemetic (ondansetron) 1 hour before. Mandatory: <strong>PCP-profilakse<\/strong> with co-trimoxazole during radiotherapy phase. FBC weekly during concurrent phase, then before each maintenance cycle.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Hvad du f\u00e5r med MedsBase:<\/strong> WHO-GMP certificeret producent \u00b7 Diskret emballage \u00b7 Verdensomsp\u00e6ndende forsendelse \u00b7 1.400+ verificerede <a href=\"https:\/\/medsbase.com\/da\/reviews\/\">kundeanmeldelser<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Hver ordre er d\u00e6kket af vores <a href=\"https:\/\/medsbase.com\/da\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 hvis din pakke ikke ankommer inden for 20 hverdage, sender vi en erstatning.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:0 0 24px 0;border-radius:4px;font-size:14px;\"><strong>\u26a0 Specialistvejledning p\u00e5kr\u00e6vet.<\/strong> Kr\u00e6ftmedicin skal ordineres af en behandlende onkolog med en bekr\u00e6ftet diagnose, baseline-stadieinddeling og en defineret behandlingsplan. Start, stop eller \u00e6ndr aldrig dosis eller brug kr\u00e6ftmedicin uden for en onkolog-ledet behandlingsplan. De fleste kr\u00e6ftl\u00e6gemidler kr\u00e6ver regelm\u00e6ssig blodpr\u00f8veoverv\u00e5gning (FBC, LFT, nyrefunktion), er absolut kontraindicerede under graviditet og har betydelige l\u00e6gemiddelinteraktioner.<\/div>\n<div style=\"background:#f4f8fb;border:1px solid #d6e4ec;padding:12px 18px;margin:14px 0;border-radius:4px;font-size:14px;color:#3a5160;text-align:center;\">\n<strong>\ud83d\udd12 Krypteret Checkout<\/strong> \u00b7 <strong>\ud83d\udcb3 Verificeret processor<\/strong> \u00b7 <strong>\ud83d\ude9a Verdensomsp\u00e6ndende forsendelse<\/strong> \u00b7 <strong>\u2b50 4,9\/5 fra 1.400+ kunder<\/strong>\n<\/div>\n<h2 class=\"wp-block-heading\">What Is Temozol?<\/h2>\n<p>Temozol is an oral capsule from Cipla containing <strong>temozolomide<\/strong> (20 mg). Temozolomide is an oral alkylating cytotoxic agent of the imidazotetrazine class. It crosses the blood-brain barrier (CSF concentration ~30% of plasma) and is the only oral cytotoxic with proven survival benefit in glioblastoma multiforme. Standard combination with radiotherapy (the &ldquo;Stupp protocol&rdquo;, 2005) extended median GBM survival from 12 months to 15 months and 2-year survival from 11% to 27%.<\/p>\n<h2 class=\"wp-block-heading\">\u2014 det forst\u00e6rker den normale fysiologiske respons snarere end at udl\u00f8se en kunstigt.<\/h2>\n<ul>\n<li><strong>Newly-diagnosed glioblastoma multiforme (GBM)<\/strong> &mdash; concurrent with radiotherapy then maintenance (Stupp protocol)<\/li>\n<li><strong>Anaplastic astrocytoma<\/strong> after recurrence<\/li>\n<li><strong>Recurrent high-grade glioma<\/strong><\/li>\n<li><strong>Off-label:<\/strong> melanoma brain metastases, neuroendocrine tumours<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Dosage (Stupp protocol)<\/h2>\n<ul>\n<li><strong>Concurrent phase:<\/strong> 75 mg\/m&sup2;\/day continuously during 6 weeks of radiotherapy (total ~42 days)<\/li>\n<li><strong>4-week break<\/strong> after radiotherapy completion<\/li>\n<li><strong>Vedligeholdelsesfase:<\/strong> 150 mg\/m&sup2;\/day for days 1&ndash;5 of a 28-day cycle (cycle 1); escalate to 200 mg\/m&sup2;\/day if tolerated for cycles 2&ndash;6 (total 6 cycles, with newer evidence supporting up to 12 cycles in younger MGMT-methylated patients)<\/li>\n<\/ul>\n<ol>\n<li><strong>Take on an empty stomach at the same time each day<\/strong> &mdash; food slows absorption and reduces peak concentration. Most patients take it at bedtime, &ge; 2 hours after the last meal.<\/li>\n<li><strong>Antiemetic:<\/strong> ondansetron 8 mg orally 1 hour before each temozolomide dose, especially during the maintenance phase 5-day pulse.<\/li>\n<li>Swallow capsules whole with water. Do NOT open or chew &mdash; powder is cytotoxic.<\/li>\n<li><strong>PCP-profilakse<\/strong> with co-trimoxazole 480 mg three times weekly during the concurrent phase &mdash; lymphopenia risk. Continue until CD4 &gt; 200 cells\/&micro;L.<\/li>\n<li><strong>Obligatorisk overv\u00e5gning:<\/strong> FBC weekly during concurrent phase; before each maintenance cycle (day 22 of previous cycle and day 1 of each new cycle); LFTs monthly. Hold cycle for ANC &lt; 1,500\/&micro;L or platelets &lt; 100,000\/&micro;L.<\/li>\n<li>If a dose is vomited within 1 hour, do NOT re-dose. Resume next day per schedule.<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\">Bivirkninger<\/h2>\n<p><strong>Almindelige:<\/strong> nausea, vomiting (mostly preventable with ondansetron), fatigue, anorexia, constipation, headache, alopecia.<\/p>\n<p><strong>Vigtigt:<\/strong><\/p>\n<ul>\n<li><strong>Myelodepression<\/strong> &mdash; especially thrombocytopenia (the dose-limiting toxicity); lymphopenia with PCP risk<\/li>\n<li><strong>Pneumocystis jirovecii-pneumoni<\/strong> &mdash; lymphopenia-driven; mandatory prophylaxis during concurrent phase<\/li>\n<li>Hepatotoxicity, including rare reactivation of hepatitis B<\/li>\n<li>Severe skin reactions including SJS\/TEN (rare)<\/li>\n<li>Secondary myelodysplastic syndrome \/ acute leukaemia (rare, long-term)<\/li>\n<li>Severe lymphopenia &gt; 6 months<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Advarsler<\/h2>\n<ul>\n<li><strong>Graviditet:<\/strong> teratogenic. Reliable contraception throughout treatment + 6 months after.<\/li>\n<li><strong>Amning:<\/strong> undg\u00e5.<\/li>\n<li><strong>Sv\u00e6r leversvigt:<\/strong> undg\u00e5.<\/li>\n<li><strong>Hepatitis B carrier status:<\/strong> screen and consider antiviral prophylaxis &mdash; reactivation risk.<\/li>\n<li><strong>Levende vacciner:<\/strong> kontraindikeret.<\/li>\n<li><strong>Severe lymphopenia \/ CD4 &lt; 200:<\/strong> continue PCP prophylaxis until lymphocyte recovery.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">L\u00e6gemiddelinteraktioner<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;\">Kombiner med<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;\">Effekt<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;\">Hvad skal der g\u00f8res<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Levende vacciner<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Spredt infektion<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Kontraindiceret.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Andre myelosuppressive l\u00e6gemidler<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Additiv knoglemargh\u00e6mning<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Specialistoverv\u00e5gning.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Valproic acid<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Mildly reduces temozolomide clearance<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">No dose adjustment usually needed.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Co-trimoxazole (PCP prophylaxis)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Standard combination<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Continue throughout concurrent phase.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Opbevaring<\/h2>\n<ul>\n<li>Stuetemperatur, 15\u201330\u00b0C, original blister.<\/li>\n<li>Out of reach of children, women of childbearing potential, and pets &mdash; cytotoxic powder.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Relaterede alternativer p\u00e5 MedsBase<\/h2>\n<p>Andre onkologiske l\u00e6gemidler p\u00e5 lager sammen med dette produkt:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/da\/endoxan\/\"><strong>Endoxan (cyclophosphamid 50 mg)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/celkeran\/\"><strong>Celkeran (chlorambucil 2 \/ 5 mg)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/temotero\/\"><strong>Temotero (temozolomid 20\/100 mg)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/lomoother\/\"><strong>Lomoother (lomustin 40 mg)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/endace\/\"><strong>Endace (megestrol 40\/160 mg)<\/strong><\/a><\/li>\n<\/ul>\n<p><a href=\"https:\/\/medsbase.com\/da\/anti-cancer-medication\/\">Se alle antikr\u00e6ftl\u00e6gemidler \u2192<\/a><\/p>\n<h2 id=\"faqs\">Ofte stillede sp\u00f8rgsm\u00e5l<\/h2>\n<h3 class=\"wp-block-heading\">What is the Stupp protocol?<\/h3>\n<p>The Stupp protocol (2005) is the standard combined chemoradiotherapy regimen for newly-diagnosed glioblastoma multiforme: <strong>radiotherapy (60 Gy in 30 fractions) + concurrent temozolomide (75 mg\/m&sup2;\/day) for 6 weeks, then 4-week break, then maintenance temozolomide (150&ndash;200 mg\/m&sup2;\/day for days 1&ndash;5 of each 28-day cycle) for 6 cycles<\/strong>. The protocol extended median survival from 12 to 15 months and remains the global standard in 2026.<\/p>\n<h3 class=\"wp-block-heading\">Why must I take Temozol on an empty stomach?<\/h3>\n<p>Food slows temozolomide absorption and reduces peak plasma concentration. For consistent dosing, take temozolomide at the same time each day with no food for at least 2 hours before. Most patients take it at bedtime &ge; 2 hours after the last meal. Take ondansetron 8 mg orally 1 hour before each dose to prevent nausea.<\/p>\n<h3 class=\"wp-block-heading\">Why do I need PCP prophylaxis?<\/h3>\n<p>The continuous 6-week concurrent phase causes prolonged lymphopenia &mdash; particularly low CD4 counts &mdash; that creates a real risk of <strong>Pneumocystis jirovecii pneumonia (PCP)<\/strong>, a potentially fatal opportunistic infection. Standard prophylaxis: <strong>co-trimoxazole 480 mg three times weekly<\/strong> throughout concurrent phase, continued until CD4 recovery (often takes 6+ months).<\/p>\n<h3 class=\"wp-block-heading\">What does &ldquo;MGMT methylation&rdquo; mean for my treatment?<\/h3>\n<p>MGMT (O6-methylguanine-DNA methyltransferase) is a DNA repair enzyme that undoes temozolomide&#39;s alkylation damage. <strong>MGMT-methylated<\/strong> tumours have low MGMT expression &mdash; they cannot repair the damage, so respond much better to temozolomide. <strong>MGMT-unmethylated<\/strong> tumours have high MGMT expression and are relatively temozolomide-resistant. MGMT status is determined on the surgical biopsy and influences treatment intensity (longer maintenance, more aggressive regimens) and prognosis.<\/p>\n<h3 class=\"wp-block-heading\">Hvilke blodpr\u00f8ver har jeg brug for?<\/h3>\n<p>FBC weekly during the concurrent radiotherapy phase. Before each maintenance cycle: FBC on day 22 of the previous cycle and day 1 of the new cycle. LFTs monthly. Hold cycle for ANC &lt; 1,500\/&micro;L or platelets &lt; 100,000\/&micro;L &mdash; thrombocytopenia is the dose-limiting toxicity.<\/p>\n<h3 class=\"wp-block-heading\">What if I vomit a dose?<\/h3>\n<p>If you vomit within 1 hour of taking Temozol, do NOT re-dose &mdash; the safety risk of double-dosing is greater than the modest loss of efficacy from one missed dose. Resume the next dose at the scheduled time. Speak to your oncology team about pre-medication adjustment if vomiting recurs.<\/p>\n<h3 class=\"wp-block-heading\">Can I drink alcohol on Temozol?<\/h3>\n<p>Avoid during active treatment. Both alcohol and temozolomide are hepatotoxic, and alcohol increases nausea. Even after treatment finishes, limit alcohol given the hepatic and bone marrow recovery period.<\/p>\n<h3 class=\"wp-block-heading\">Will Temozol cure my brain tumour?<\/h3>\n<p>Glioblastoma multiforme remains one of the most aggressive cancers. The Stupp protocol is the established standard and improves median survival, but cure is uncommon at present. Specific situations carry better prognosis: younger age, MGMT methylation, complete surgical resection, IDH mutation. Discuss prognosis honestly with your neuro-oncologist &mdash; treatment goals depend on individual disease characteristics.<\/p>\n<p><!-- medsbase-why-order --><\/p>\n<h3>Hvorfor bestille fra MedsBase<\/h3>\n<p>Hver batch er indk\u00f8bt fra en <strong>WHO-GMP certificeret producent<\/strong>. Ordre sendes i neutral, um\u00e6rket emballage fra vores opfyldningspartnere og d\u00e6kket af vores <a href=\"\/da\/medsbase-re-shipment-assurance-policy\/\">Reshipment Assurance Policy<\/a>: hvis en forsendelse ikke ankommer inden for 20 hverdage sender vi en gratis genforsendelse, ingen sp\u00f8rgsm\u00e5l stillet.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Relaterede anti-kr\u00e6ftl\u00e6gemidler<\/h3>\n<p>Andre onkologiske l\u00e6gemidler p\u00e5 lager sammen med dette produkt:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/da\/temotero\/\">Temotero (temozolomid 100\/250 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/lomoother\/\">Lomoother (lomustin 40 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/endoxan\/\">Endoxan (cyclophosphamid 50 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/hydrosar\/\">Hydrosar (hydroxyurea 500 mg)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/folitrax\/\">Folitrax (methotrexat 2,5\/7,5\/10 mg)<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Shrinks brain tumors<br \/>\n\u2705 Delays tumor growth<br \/>\n\u2705 \u00d8ger overlevelsesrater<br \/>\n\u2705 Forbedrer livskvalitet<br \/>\n\u2705 Reduces cancer symptoms<\/p>\n<p>Temozol contains Temozolomide.<\/p>","protected":false},"featured_media":60750,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3595,3141,3223],"product_tag":[4914,4915],"class_list":{"0":"post-60749","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-cancer-medication","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_tag-temozol","10":"product_tag-temozolomide","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product\/60749","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/comments?post=60749"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/media\/60750"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/media?parent=60749"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_brand?post=60749"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_cat?post=60749"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_tag?post=60749"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}