Ifosfamide

ایفوسفامید

⚠ Unverified

🎗️ Antineoplastic And Immunomodulating AgentsAlkylating agent

Market / country: 🇺🇸 USA

Ifex (US)

🧮 Dose calculator

Testicular cancer · Regimen source: FDA Ifosfamide · 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 Ifosfamide · 2.2
  • • Always with mesna and at least 2 L/day hydration (haemorrhagic cystitis prevention). Infuse over at least 30 min. FDA Ifosfamide · 2.1

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🛡️ Safety & information

Contraindications

Warnings

  • • Boxed warning: myelosuppression, encephalopathy (sometimes fatal), nephrotoxicity and haemorrhagic cystitis. FDA Ifosfamide · Boxed Warning
  • • Cardiac and pulmonary toxicity; secondary malignancy; hepatic veno-occlusive disease; embryo-fetal toxicity; infertility. FDA Ifosfamide · 5

Formulations

👥 Special populations

  • 🤰 PregnancyDangerous / avoid

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

    “Risk Summary Based on mechanism of action [see Clinical Pharmacology (12.1) ] , and human and animal data (see Data) , Ifosfamide for Injection can cause fetal harm when administered to a pregnant woman.”
  • 🤱 BreastfeedingDangerous / avoid

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

    “Because of the potential for serious adverse events, and the tumorigenicity shown for ifosfamide in animal studies, advise women not to breastfeed during treatment with Ifosfamide for Injection and for one week after the last dose.”
  • 👶 ChildrenUse with caution

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

    “Safety and effectiveness 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 Ifosfamide · 8.5

    “Because elderly patients are more likely to have decreased renal function, closely monitor for adverse reactions and monitor renal function as clinically indicated.”
  • ⚥ Females & males of reproductive potentialUse with caution

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

    “Contraception Females Advise female patients of reproductive potential to use effective contraception during treatment with Ifosfamide for Injection and for 12 months after the last dose.”

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