Drug List


Drug Name

Dacogen (Decitabine)

Manufactured By

Otsuka America Pharmaceutical Inc.

Drug Savings

Nationwide Prescription Connection (NPC) is an experienced advocacy service that helps connect patients to manufacturer provided free and discount programs. We can help the uninsured, under insured, those in the Medicare gap also known as the "doughnut hole", or even those needing help with expensive co-pays.  Our web site makes it easy for you to enter the medications you are taking, along with some basic patient information, and then finds the program that is right for you.

NPC's mission is your health. We recognize your need for help when you are applying for discount programs for your prescription medications. We consist of friendly and experienced advocates that not only know how these free and discount programs work, but are ready to help. We are available to take your call and answer any questions you may have as you search for the right program to fit your needs. We can also explain any supporting material you may need to provide as you apply for these programs. If for any reason you are denied, we also are experienced in the best appeals process with a high success rate.

Treats Disease/Condition


Treatment of myelodysplastic syndrome (MDS)

How To Use

As an infusion into the vein (intravenous or IV). The actual dosage of decitabine that you will receive depends on many factors, including your height and weight, your general health or other health problems, and the type of cancer or condition you have. Your doctor will determine your exact dosage and schedule.

Side Effects

Important things to remember about the side effects of decitabine: You will not get all of the side effects mentioned below. Side effects are often predictable in terms of their onset, duration, and severity. Side effects are almost always reversible and will go away after therapy is complete. Side effects are quite manageable. There are many options to minimize or prevent them. The following side effects are common (occurring in greater than 30%) for patients taking decitabine: Low blood counts. Your white and red blood cells and platelets may temporarily decrease. This can put you at increased risk for infection, anemia and/or bleeding, and may increase need for blood or platelet transfusions. Fatigue, fever, nausea, cough, Petechiae (Tiny red dots on your skin, called petechiae [pe- TEEK- ee- ay]. Can occur with low platelet count.) constipation, diarrhea, and hyperglycemia. These are less common side effects for patients receiving decitabine: Headache, difficulty sleeping, swelling, low albumin, low magnesium, chills, low potassium, bruising, rash, low sodium, dizziness, aches and pains, cardiac murmur, poor appetite, sore throat, abdominal pain, high bilirubin blood level, high potassium, mouth sores, drowsiness, abnormal liver function blood tests, confusion, anxiety, itching, and heartburn. This list includes common and less common side effects for those taking decitabine. Side effects that are very rare -- occurring in less than about 10 percent of patients -- are not listed here. But you should always inform your health care provider if you experience any unusual symptoms. Contact your health care provider immediately, day or night, if you should experience any of the following symptoms: Fever of 100.4° F (38° C) or higher, chills (possible signs of infection) The following symptoms require medical attention, but are not an emergency. Contact your health care provider within 24 hours of noticing any of the following: Nausea (interferes with ability to eat and unrelieved with prescribed medication). Vomiting (vomiting more than 4-5 times in a 24 hour period). Diarrhea (4-6 episodes in a 24-hour period). Unusual bleeding or bruising Black or tarry stools, or blood in your stools. Blood in the urine. Pain or burning with urination. Extreme fatigue (unable to carry on self-care activities). Mouth sores (painful redness, swelling or ulcers).

Drug Interactions

There may be other drugs that can interact with decitabine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

In Case of Overdose

Overdose symptoms may include some of the serious side effects listed in this medication guide.Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

In Case of Missed Dose

Call your doctor for instructions if you miss an appointment for your decitabine injection.