Doxorubicin

دوکسوروبیسین

⚠ Unverified

🎗️ Antineoplastic And Immunomodulating AgentsAnthracycline

Market / country: 🇺🇸 USA

Adriamycin (US)

🧮 Dose calculator

Breast cancer (hormonal therapy) · Regimen source: FDA Doxorubicin · 2.1

  • • Only under an oncologist in an equipped centre. Calculator = label mg/m² × BSA (Mosteller); protocol, cycle interval and adjustment for CBC and renal/hepatic function rest with the oncology team. FDA Doxorubicin · 2

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🛡️ Safety & information

Contraindications

  • ⛔ Severe myocardial insufficiency; MI within 4–6 weeks; severe persistent myelosuppression; severe hepatic impairment (Child-Pugh C or bilirubin >5); severe hypersensitivity. FDA Doxorubicin · 4

Warnings

  • • Boxed warning: cumulative-dose cardiomyopathy (LVEF before and during); secondary malignancy (AML/MDS); extravasation and tissue necrosis; severe myelosuppression. FDA Doxorubicin · Boxed Warning

Formulations

👥 Special populations

  • 🤰 PregnancyDangerous / avoid

    Label: can cause fetal harm. Dangerous in pregnancy. FDA Doxorubicin · 8.1

    “Risk Summary Based on findings in animals and its mechanism of action, Doxorubicin Hydrochloride Injection can cause fetal harm when administered to a pregnant woman; avoid the use of Doxorubicin Hydrochloride Injection during the 1 st trimester.”
  • 🤱 BreastfeedingDangerous / avoid

    Label: breastfeeding not recommended, or choose between the drug and breastfeeding. FDA Doxorubicin · 8.2

    “Because of the potential for serious adverse reactions in the breastfed child, advise women not to breastfeed during treatment with Doxorubicin Hydrochloride Injection and for 10 days after the final dose.”
  • 👶 ChildrenUse with caution

    The label has conditions, age limits or notes for children; the label sentence is quoted below. FDA Doxorubicin · 8.4

    “Based on postmarketing reports, pediatric patients treated with doxorubicin hydrochloride are at risk for developing late cardiovascular dysfunction.”
  • 👴 Older adultsNo specific problem stated

    Label: no specific difference or dose adjustment stated for older adults. FDA Doxorubicin · 8.5

    “Clinical experience in patients who were 65 years of age and older who received doxorubicin hydrochloride-based chemotherapy regimens for metastatic breast cancer showed no overall differences in safety and effectiveness compared with younger patients.”
  • ⚥ Females & males of reproductive potentialUse with caution

    Label has advice on pregnancy testing, contraception or fertility for females and males. FDA Doxorubicin · 8.3

    “Contraception Females Doxorubicin Hydrochloride Injection can cause fetal harm when administered to pregnant women [see Use in Specific Populations (8.1) ] .”

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