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Often used for: Brain tumors and conditioning before hematopoietic cell transplant

About thiotepa

Thiotepa is a chemotherapy agent that may be given IV or intrathecally. It slows cancer cell growth and is often part of transplant conditioning regimens.

Possible long-term effects

  • Fertility problems
  • Second cancers

Possible side effects

  • Nausea or vomiting
  • Eye pain or irritation
  • Temporary skin darkening
  • Skin irritation at the IV site
  • Low blood counts
  • Loss of appetite and weight loss
  • Dizziness
  • Fatigue or weakness
  • Headache
  • Abdominal pain
  • Mouth sores
  • Hair loss
  • Menstrual changes
  • Infertility
  • Liver problems
  • Not all patients experience these effects. Report all symptoms.

Tips for families

  • Discuss instructions with the care team.
  • Avoid skin contact with thiotepa in sweat for 24 hours after administration; follow bathing and clothing change recommendations.
  • Caregivers should wear gloves when handling contaminated items.
  • Use birth control during treatment and for 6 months afterward.
  • Inform the doctor if pregnant or breastfeeding.
  • Follow safe handling procedures for body fluids for 48 hours after dosing.