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What is Cosmegen?

Cosmegen (Dactinomycin) belongs to the group of cancer-fighting medications known as antineoplastics, and specifically to the family of antineoplastics called actinomycins. Cosmegen (Dactinomycin) causes the death of cancer cells by interfering with their growth and reproduction.

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Cosmegen Indication

Cosmegen (Dactinomycin) belongs to the group of cancer-fighting medications known as antineoplastics, and specifically to the family of antineoplastics called actinomycins. Cosmegen (Dactinomycin) causes the death of cancer cells by interfering with their growth and reproduction.

Cosmegen (Dactinomycin) is used to treat certain types of cancer. It is used alone or in combination with other cancer therapies to treat gestational trophoblastic neoplasia (a type of cancer that occurs in the uterus). It is also used in combination with other cancer therapies to treat childhood rhabdomyosarcoma, Ewing's sarcoma, and Wilms' tumour.

Your doctor may have suggested Cosmegen (Dactinomycin) for conditions other than those listed in these drug information articles. As well, some forms of Cosmegen (Dactinomycin) may not be used for all of the conditions discussed here. If you have not discussed this with your doctor or are not sure why you are being given Cosmegen (Dactinomycin), speak to your doctor. Do not stop using Cosmegen (Dactinomycin) without consulting your doctor.

Do not give Cosmegen (Dactinomycin) to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take Cosmegen (Dactinomycin) if their doctor has not prescribed it.

Cosmegen Dosage

The recommended dose and dosing schedule of Cosmegen (Dactinomycin) varies according to the specific type of cancer being treated, the response to therapy, and the other medications or treatments being used. The dose administered is also based on body size.

Cosmegen (Dactinomycin) is usually injected into a vein through a specially prepared site on your skin. It is always given under the supervision of a doctor. Very careful handling of Cosmegen (Dactinomycin) is required. It is always administered in a hospital or similar setting with access to sterile equipment for preparation.

As well as interfering with the genetic material DNA of cancer cells, Cosmegen (Dactinomycin) can interfere with some of your normal cells. This can cause a number of side effects such as hair loss and mouth sores.

Cosmegen (Dactinomycin) often causes nausea and vomiting, but it is important to keep using Cosmegen (Dactinomycin) even if you feel ill. Your doctor, nurse, or pharmacist can advise you on how to reduce the effects of nausea and vomiting. Keep track of any side effects and report them to your doctor as suggested in the section, "What side effects are possible with Cosmegen (Dactinomycin)?"

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

It is important that Cosmegen (Dactinomycin) be given exactly as recommended by your doctor. If you miss an appointment to receive Cosmegen (Dactinomycin), contact your doctor as soon as possible to reschedule your appointment.

Cosmegen (Dactinomycin) is stored at room temperature and protected from light and humidity.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

Cosmegen Side Effects

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is used in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who used Cosmegen (Dactinomycin). If you are concerned about side effects, discuss the risks and benefits of Cosmegen (Dactinomycin) with your doctor.

The following side effects have been reported by at least 1% of people using Cosmegen (Dactinomycin). Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

Important note: Side effects (except for nausea and vomiting) do not usually become apparent until 2 to 4 days after a course of therapy and may not reach their peak for an additional 1 to 2 weeks.

  • nausea and vomiting
  • skin darkening or redness of areas where radiation was given
  • skin rash or Acne
  • temporary loss of hair

Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

  • Diarrhea
  • difficulty swallowing
  • pain, redness, or swelling at the place of injection
  • signs of infection such as Fever higher than 38°C (100°F), chills, sweating, sore throat, coughing, painful urination, unusual vaginal itching or discharge, or redness or swelling around a cut, wound, or catheter site
  • sores in mouth
  • stomach pain
  • symptoms of Anemia such as fatigue, weakness, or shortness of breath
  • symptoms of liver problems such as yellow eyes or skin, swelling or enlargement of the abdomen, dark urine, pale stools, nausea, or vomiting
  • unusual bleeding (e.g., black or tarry stools or blood in the urine) or bruising
  • weight loss

Stop using the medication and seek immediate medical attention if any of the following occur:

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking Cosmegen (Dactinomycin).

Cosmegen Available form

Each vial contains lyophilized, amorphous yellow Cosmegen (Dactinomycin) powder 500 µg and mannitol 20 mg. Forms a clear gold-coloured solution on reconstitution.

Cosmegen Contraindications

Do not use Cosmegen (Dactinomycin) if you:

  • are allergic to Cosmegen (Dactinomycin) or any ingredients of the medication
  • have an active infection of Chickenpox or herpes zoster

Cosmegen Precautions

There may be an interaction between Cosmegen (Dactinomycin) and any of the following:

  • enflurane
  • halothane
  • live vaccines (e.g., Measles, Mumps, Polio, typhoid)
  • Natalizumab
  • other medications that are used to treat cancer
  • radiation therapy

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

  • stop taking one of the medications,
  • change one of the medications to another,
  • change how you are taking one or both of the medications, or
  • leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Cosmegen (Dactinomycin). Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

Cosmegen Warnings

Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Cosmegen (Dactinomycin).

Blood clotting: Cosmegen (Dactinomycin) can reduce the number of platelet cells in the blood. Platelets help the blood to clot, and a shortage could make you bleed more easily. Tell your doctor of any signs that your blood is not clotting properly. Such symptoms may include black and tarry stools, blood in the urine, easy bruising, or cuts that won't stop bleeding.

Fertility: There is little information about whether Cosmegen (Dactinomycin) causes infertility. However, other anticancer medications may cause infertility. Therefore, Cosmegen (Dactinomycin) may cause infertility. Discuss any concerns about infertility with your doctor.

Infection: As well as killing cancer cells, Cosmegen (Dactinomycin) can reduce the number of cells that fight infection in the body (white blood cells). Avoid contact with people who are sick, especially those with contagious infections, and tell your doctor if you begin to notice signs of an infection, such as fever or chills.

Liver problems: If you have moderate to severe liver problems, discuss with your doctor how Cosmegen (Dactinomycin) may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Cosmegen (Dactinomycin), and whether any special monitoring is needed.

Secondary cancers: Anticancer medications such as Cosmegen (Dactinomycin) may cause other types of cancer to develop, including Leukemia. Talk to your doctor if you have concerns about this.

Vaccinations: You should not receive live vaccines while receiving Cosmegen (Dactinomycin).

Pregnancy: Cosmegen (Dactinomycin) should not be used during pregnancy unless the benefits outweigh the risks. Effective birth control should be practiced while using Cosmegen (Dactinomycin). If you become pregnant while using Cosmegen (Dactinomycin), contact your doctor immediately.

Breast-feeding: It is not known if Cosmegen (Dactinomycin) passes into breast milk. Women should not breast-feed while receiving Cosmegen (Dactinomycin) treatment due to risk of potential harm to the infant. Talk to your doctor.

Children: Cosmegen (Dactinomycin) should be given to infants only over the age of 6 months.

Cosmegen frequently asked questions

How To Buy Cosmegen Online?

You can buy Cosmegen online at PocketPills if you already have a valid prescription from your doctor. You can get started by uploading your prescription, ordering a refill by transferring any existing medications to our pharmacy or talking to one of our Canadian Doctors to get an online prescription. Get started now!

How To Get a Prescription for Cosmegen?

You can consult a Canadian doctor online at Our physicians can prescribe medications online during your consultation. Once you receive a prescription, you'll have the option to have it delivered to your door in discreet packaging and at no additional cost!. Click here to get an online prescription today!

Can I Get Same-Day Delivery?

Yes! We do provide same-day delivery in select areas. We do next business day delivery and can also ship overnight as well.

How Much is Shipping Cost for Cosmegen in Canada?

Shipping cost for Cosmegen to you in Canada is zero. Pocketpills offers FREE shipping anywhere in Canada to help you get access to treatment.

How to get Cosmegen delivered to my home?

You could get Cosmegen delivered at your doorstep from us in Canada if you ordered prescription medications with a valid prescription. If you are not sure if we deliver to your area, contact us.

How to get Cosmegen in Canada for free?

You can get Cosmegen for free in Canada if your health insurance provider covers it fully. Contact your provider or us to help you find out if you qualify to get Cosmegen for free.

Can I consult a doctor online to get Cosmegen?

Yes. You can book a consultation online with a Canadian doctor here with us at PocketPills to see if you qualify for a prescription to order Cosmegen.

Can I buy Cosmegen without a prescription?

You need a valid prescription to buy Cosmegen from us. Contact us if you need a prescription. One of our doctors can give you a telephone call at your convenience.


All material © 1996-2021 MediResource Inc. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition.

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