| Avoid extravasation, Concomitant radiation therapy may result in Dactinomycin toxicity, Discontinue if Diarrhoea, Stomatitis Or Severe Haematopoietic Depression occurs, Prior irradiation for Wilms tumor within 2 months of Dactinomycin therapy, Toxic effects may not be apparent until 2 to 4 days after a course of therapy is stopped. |