Endoxan 500 mg/vial (IV Infusion)

500 mg vial: ৳ 521.76

Medicine Details

Indications

  • Malignant lymphomas
  • Hodgkin's disease
  • Leukemias
  • Mycosis fungoides
  • Neuroblastoma
  • Adenocarcinoma of the ovary
  • Retinoblastoma
  • Carcinoma of the breast

Pharmacology

  • Liver biotransformation
  • Active alkylating metabolites
  • DNA cross-linking
  • Good bioavailability
  • Low plasma protein binding

Dosage & Administration

  • Intravenous and oral dosing
  • Adjustable dosages based on leukocyte count
  • Dialyzable
  • No consistent evidence for renal function dosage modification

Interaction

  • Increased metabolism with phenobarbital
  • Concurrent drug actions
  • Potentiation of succinylcholine chloride effect

Contraindications

  • Severely depressed bone marrow function
  • Previous hypersensitivity

Side Effects

  • Nausea and vomiting
  • Anorexia
  • Alopecia
  • Leukopenia
  • Hemorrhagic ureteritis
  • Interstitial pneumonitis
  • SIADH

Pregnancy & Lactation

  • Category D
  • Excreted in breast milk
  • Potential for tumorigenicity

Precautions & Warnings

  • Leukopenia
  • Thrombocytopenia
  • Impaired hepatic function
  • Impaired renal function

Use in Special Populations

  • Similar safety profile in pediatric patients
  • Elderly patients may be more susceptible to toxicities

Overdose Effects

  • No specific antidote
  • Supportive measures for myelosuppression or cardiac toxicity

Therapeutic Class

  • Cytotoxic Chemotherapy

Storage Conditions

  • Temperature not exceeding 25°C
  • Dry place
  • Protect from light and moisture
  • Do not freeze

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