Indication
Breast cancer, Chronic lymphocytic leukaemia, Hodgkin's disease, Leukaemia, Macroglobulinemia, Non-hodgkin's lymphoma, Ovarian cancer, Waldenstrom's macroglobulinaemia.
Contra Indication
Hypersensitivity. Pregnancy and lactation. Porphyria. Leukopenia, Thrombocytopenia.
Caution
Altered fertility, haematological monitoring, lymphocytic infiltration. Carcinogenic potential.
Side Effect
Bone marrow suppression (anemia, neutropenia, thrombocytopenia) is the most commonly occurring side effect of chlorambucil. Gastrointestinal Distress (nausea, vomiting, diarrhea, and oral ulcerations). Central Nervous System: Seizures, tremors, muscular twitching, confusion, agitation, ataxia, and hallucinations. Skin reactions. Hepatotoxicity. Infertility, Hair Loss.