Epirubin 2 mg/ml (IV Infusion)

10 mg vial: ৳ 950.00

Medicine Details

Indications

  • Adjuvant therapy
  • Axillary node tumor
  • Breast cancer

Pharmacology

  • Cytotoxic
  • DNA/RNA synthesis inhibition
  • Topoisomerase II inhibition
  • Free radicals generation
  • Plasma protein binding

Dosage & Administration

  • Intravenous infusion
  • 3-to 4-week cycles
  • Total dose given on day 1 or divided on days 1 and 8
  • 100 to 120 mg/m² dose
  • CEF-120 regimen
  • FEC-100 regimen
  • Prophylactic antibiotic therapy

Interaction

  • Cardioactive compounds monitoring
  • Cimetidine interaction
  • Combination with other cytotoxic drugs
  • Paclitaxel combination
  • Docetaxel combination
  • Radiation therapy effect
  • Hepatic function impact

Contraindications

  • Hypersensitivity to Epirubicin or anthracyclines/anthracenediones

Side Effects

  • Myelosuppression
  • Cardiotoxicity
  • Alopecia
  • Hyperpyrexia
  • Lethargy
  • Amenorrhoea
  • Nausea
  • Vomiting
  • Diarrhea
  • Fever
  • Rash
  • Anorexia
  • Reddish appearance of urine

Pregnancy & Lactation

  • Pregnancy Category D
  • Excretion in human milk

Precautions & Warnings

  • Storage conditions impact
  • Physician supervision
  • Baseline assessment
  • Blood counts monitoring
  • Cardiac function monitoring
  • Supportive care necessity
  • Cardiotoxicity monitoring

Use in Special Populations

  • Dosage adjustments based on toxicities
  • Bone marrow dysfunction impact
  • Hepatic/renal impairment recommendations
  • Pediatric use considerations
  • Geriatric use considerations

Overdose Effects

  • Supportive treatment
  • Delayed CHF observation

Therapeutic Class

  • Cytotoxic Chemotherapy

Storage Conditions

  • Refrigerated storage
  • Avoid freezing
  • Protection from light

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