Epirubicin

اپی‌روبیسین

⚠ Unverified

🎗️ Antineoplastic And Immunomodulating AgentsAnthracycline

Market / country: 🇺🇸 USA

Ellence (US)

🧮 Dose calculator

Breast cancer (hormonal therapy) · Regimen source: FDA Ellence · 2.2

  • • 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 Ellence · 2.2
  • • Calculator gives the lower bound. CEF-120: 60 mg/m² days 1 and 8; FEC-100: 100 mg/m² day 1. FDA Ellence · 2.2

Enter age and weight.

🛡️ Safety & information

Contraindications

  • ⛔ Severe myocardial insufficiency; recent MI or severe arrhythmias; prior maximum cumulative anthracycline dose; severe persistent myelosuppression; severe hepatic impairment (Child-Pugh C or bilirubin >5 mg/dL); severe hypersensitivity to anthracyclines. FDA Ellence · 4

Warnings

  • • Boxed warning: cumulative-dose cardiotoxicity (0.9% at 550 mg/m² to 3.3% at 900); secondary malignancies (AML); tissue necrosis with extravasation; severe myelosuppression. FDA Ellence · Boxed Warning

Formulations

  • 2 mg/mL (50 mg/25 mL, 200 mg/100 mL) — injection 🇺🇸 USA FDA Ellence · 3

👥 Special populations

  • 🤰 PregnancyDangerous / avoid

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

    “Risk Summary Based on findings from animal studies and its mechanism of action, ELLENCE can cause fetal harm when administered to a pregnant woman [see Clinical Pharmacology (12.1) ] ; avoid the use of ELLENCE during the 1 st trimester.”
  • 🤱 BreastfeedingDangerous / avoid

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

    “Because of the potential for serious adverse reactions in the breastfed child, advise lactating women not to breastfeed during treatment with ELLENCE and for at least 7 days after the last dose.”
  • 👶 ChildrenUse with caution

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

    “Safety and effectiveness of ELLENCE have not been established in pediatric patients.”
  • 👴 Older adultsUse with caution

    Label: use with caution in older adults, usually starting at the low end of the dose range. FDA Ellence · 8.5

    “In elderly female patients, closely monitor for increased toxicity due to the risk of decreased clearance of epirubicin [see Clinical Pharmacology (12.3) ].”
  • ⚥ Females & males of reproductive potentialUse with caution

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

    “Contraception Females ELLENCE can cause fetal harm when administered to a pregnant woman [see Use in Specific Populations (8.1) ] .”

📚 Reference status for this drug

Shows which sources have references recorded for this drug and which do not.

🔗 Similar drugs

Doz is only a support tool and does not replace clinical judgment or official sources. Check every dose against the original source before prescribing. About & disclaimer · Sources

Information on this site is compiled from online websites and references. Doz accepts no responsibility for self-medication without approval from a physician and a reliable reference, or for any consequences of using this information.

Inspired by the Saphira project; part of the content is taken from it.

For suggestions, corrections, adding drugs or anything else, you can contact me on Telegram: @cenaav