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Doxotor IV Infusion 50 mg vial


  • 1,000.00Tk.



Indications

Doxorubicin is an anthracycline topoisomerase II inhibitor indicated for:
  • Ovarian cancer: After failure of platinum-based chemotherapy.
  • AIDS-related Kaposi’s Sarcoma: After failure of prior systemic chemotherapy or intolerance to such therapy.
  • Multiple Myeloma: In combination with bortezomib in patients who have not previously received bortezomib and have received at least one prior therapy.

Pharmacology

Doxorubicin is a cytotoxic anthracycline antibiotic. The cytotoxic action results from its binding to DNA and inhibition of nucleic acid synthesis. Doxorubicin has been shown to produce regression in a variety of disseminated malignancies.

Dosage & Administration

Administer Doxorubicin at an initial rate of 1 mg/min to minimize the risk of infusion reactions. If no infusion related reactions occur, increase rate of infusion to complete administration over 1 hour. Do not administer as bolus injection or undiluted solution.
  • Ovarian cancer: 50 mg/m2 IV every 4 weeks
  • AIDS-related Kaposi’s Sarcoma: 20 mg/m2 IV every 3 weeks
  • Multiple Myeloma: 30 mg/m2 IV on day 4 following bortezomib

Interaction

Doxorubicin interacts with a number of other drugs e.g. antibiotics (aminoglycosides), steroids, aminophylline and propranolol.

Contraindications

Cardiac disease, neonates, pregnancy and lactation, prior irradiation to mediastinum. IM/SC admin. Severe myelosuppression due to previous treatment with antitumour agents or radiotherapy.

Side Effects

Leucopenia, thrombocytopenia, nausea, vomiting, diarrhoea. Rarely facial flushing, rash, alopecia. Blurred vision, headache, seizures, paraesthesia, confusion, malaise, lethargy, skin pigmentation.

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