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Bacillus Calmette Guerin

About

Bacillus Calmette Guerin belongs to the class of drugs called immunizing agents used to treat bladder cancer and prevent its recurrence after bladder surgery. Bacillus Calmette Guerin is also used as a vaccine to prevent tuberculosis (TB). Bladder cancer begins in the bladder, and the symptoms include painful urination, blood in the urine, frequent or urgent urination, pain in the lower back. Tuberculosis is a highly infectious disease caused by a bacterium called Mycobacterium tuberculosis. It mostly affects the lungs and is transmitted via infected droplets in the air released through sneezes and coughs. 

Bacillus Calmette Guerin contains Bacillus Calmette-Guerin, a strain of bacteria that activates cells in the immune system. Thereby, it destroys cancer cells lining the bladder. Also, it works by stimulating the immune system of the body to produce antibodies against Mycobacterium tuberculosis bacteria. Thereby, it helps develop immunity and protect the body against tuberculosis. 

Bacillus Calmette Guerin will be administered by a healthcare professional; do not self-administer. In some cases, you may experience pain when urinating, bloody urine, frequent urination, extreme tiredness, fever, nausea, vomiting, diarrhoea, muscle pain, or joint pains. Most of these side effects of Bacillus Calmette Guerin do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor. 

If you are allergic to Bacillus Calmette Guerin or any other medicines, please tell your doctor. If you have shared a needle, had unsafe sex, had a blood transfusion or if you have been a drug user, inform your doctor before taking Bacillus Calmette Guerin. Avoid drinking alcohol with Bacillus Calmette Guerin as it may irritate the bladder. If you are taking medicines for Tuberculosis (Tb), avoid taking Bacillus Calmette Guerin and inform your doctor.

Uses of Bacillus Calmette Guerin

Bladder cancer, Tuberculosis (TB)

Medicinal Benefits

Bacillus Calmette Guerin belongs to the class of drugs called immunizing agents used to treat bladder cancer and prevent its recurrence after bladder surgery. Bacillus Calmette Guerin is also used as a vaccine to prevent tuberculosis (TB). Bacillus Calmette Guerin contains Bacillus Calmette-Guerin, a strain of bacteria that activates cells in the immune system. Thereby, it destroys cancer cells lining the bladder. Also, it works by stimulating the immune system of the body to produce antibodies against Mycobacterium tuberculosis bacteria. Thereby, it helps to develop immunity and protect the body against tuberculosis.

Directions for Use

Bacillus Calmette Guerin will be administered by a healthcare professional; do not self-administer.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Bacillus Calmette Guerin

  • Pain when urinating
  • Bloody urine
  • Frequent urination
  • Extreme tiredness
  • Fever
  • Nausea
  • Vomiting
  • Diarrhoea
  • Muscle pain or joint pains

In-Depth Precautions and Warning

Drug Warnings

If you are allergic to Bacillus Calmette Guerin or any other medicines, please tell your doctor. If you have shared a needle, had unsafe sex, had a blood transfusion or if you have been a drug user, inform your doctor before taking Bacillus Calmette Guerin. Avoid drinking alcohol with Bacillus Calmette Guerin as it may irritate the bladder. If you are taking medicines for Tuberculosis (Tb), avoid taking Bacillus Calmette Guerin and inform your doctor. Avoid intake of any liquid 4 hours before and 2 hours after taking Bacillus Calmette Guerin.

Drug Interactions

Drug-Drug Interaction: Bacillus Calmette Guerin may interact with antibiotics, immunosuppressants and bone marrow suppressants.

Drug-Food Interaction: No interactions found. 

Drug-Disease Interaction: If you have urinary tract infection, cystitis (inflammation of the bladder), HIV infection or immune system problems, inform your doctor before taking Bacillus Calmette Guerin. 

Drug-Drug Interactions Checker List:

Safety Advice

  • Safety Warning

    Alcohol

    unsafe

    Avoid alcohol consumption with Bacillus Calmette Guerin as it may irritate the bladder.

  • Safety Warning

    Pregnancy

    caution

    Bacillus Calmette Guerin is given to a pregnant woman if the doctor thinks benefits outweigh risks. Please consult a doctor if you are pregnant or planning for pregnancy.

  • Safety Warning

    Breast Feeding

    caution

    It is unknown whether Bacillus Calmette Guerin is excreted in human milk. Bacillus Calmette Guerin is given to breastfeeding mothers only if the doctor thinks benefits are greater than risks. Therefore please consult a doctor if you are breastfeeding.

  • Safety Warning

    Driving

    safe if prescribed

    Bacillus Calmette Guerin usually does not affect your ability to drive or operate machinery.

  • Safety Warning

    Liver

    caution

    Take Bacillus Calmette Guerin with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required.

  • Safety Warning

    Kidney

    caution

    Take Bacillus Calmette Guerin with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required.

  • Safety Warning

    Children

    caution

    Bacillus Calmette Guerin should be used with caution in children if advised by a doctor.

Habit Forming

No

Diet & Lifestyle Advise

  • Eat more fruits and vegetables as they provide essential vitamins and minerals to the body.
  • Include foods rich in protein such as chicken, eggs, fish, meat, nuts, seeds, dairy, beans, lentils and soy products as adequate protein supports the immune system and helps to maintain muscle mass. 
  • Include foods containing healthy fats such as nuts, seeds, avocados, fish, olives and olive oils.
  • Choose foods containing whole grain as it contains fibre and nutrients.

Special Advise

Before taking Bacillus Calmette Guerin, a Tuberculin skin test is done by your doctor. If this gives a positive result, avoid taking Bacillus Calmette Guerin.

Patients Concern

Disease/Condition Glossary

Bladder cancer: It begins in the bladder, and the symptoms include painful urination, blood in the urine, frequent or urgent urination, pain in the lower back. Smoking increases the risk of bladder cancer. Other factors include eating a high-fat diet, family history of bladder cancer, exposure to cancer-causing chemicals, low fluid consumption, chronic bladder infections, previous treatment with Cytoxan (chemotherapy drug) and previous radiation therapy to treat cancer in the pelvic area.

Tuberculosis (TB): It is a highly infectious disease caused by a bacterium called Mycobacterium tuberculosis. It mostly affects the lungs and is transmitted via infected droplets in the air released through sneezes and coughs. The symptoms of TB include a cough lasting for more than 3 weeks, chest pain, weakness, weight loss, chills, fever, loss of appetite, unexplained tiredness and coughing up phlegm or blood.

FAQs

Bacillus Calmette Guerin activates cells in the immune system. Thereby, it destroys cancer cells lining the bladder. Also, it works by stimulating the immune system of the body to produce antibodies against Mycobacterium tuberculosis bacteria. Thereby, it helps develop immunity and protects the body against tuberculosis.

You are recommended to use a condom if you are having sexual intercourse during the week after taking Bacillus Calmette Guerin to lower the chance of passing Bacillus Calmette Guerin (BCG) bacteria to your partner. However, discuss with a doctor if you have any concerns regarding this.

You are not recommended to take Bacillus Calmette Guerin with antibiotics as co-administration may reduce the effectiveness of Bacillus Calmette Guerin. However, inform your doctor before taking Bacillus Calmette Guerin with other medicines.

Bacillus Calmette Guerin cause bloody urine as a temporary and common side effect. Usually, it subsides within 2 days. However, if the condition persists or worsens, please consult a doctor.

Bacillus Calmette Guerin is not recommended for HIV patients. Therefore, if you are HIV positive, inform your doctor before taking Bacillus Calmette Guerin.

Available Medicines for

Bacillus Calmette Guerin

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