section name header

Pronunciation

ka-pe-SITE-a-been audio

Indications

High Alert

Action

Therapeutic Effects:

Pharmacokinetics

Absorption: Well absorbed after oral administration.

Distribution: Unknown.

Metabolism/Excretion: Metabolized mostly in tissue and by the liver to 5-fluorouracil; 5-fluorouracil is metabolized by dihydropyrimidine dehydrogenase to a less toxic compound; inactive metabolites are excreted primarily in urine.

Half-life: 45 min.

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CV: edema, chest pain.

Derm: STEVENS-JOHNSON SYNDROME, TOXIC EPIDERMAL NECROLYSIS, dermatitis, hand-and-foot syndrome, nail disorder, alopecia, erythema, rashes.

EENT: eye irritation, epistaxis, rhinorrhea.

F and E: dehydration.

GI: diarrhea, NECROTIZING ENTEROCOLITIS, abdominal pain, anorexia, constipation, hyperbilirubinemia, nausea, stomatitis, vomiting, dyspepsia, xerostomia.

GU: acute renal failure, fertility.

Hemat: anemia, leukopenia, thrombocytopenia.

MS: arthralgia, myalgia.

Neuro: dysgeusia, peripheral neuropathy, fatigue, headache, dizziness, insomnia.

Resp: cough, dyspnea.

Misc: fever.

Interactions

Drug-Drug:

Drug-Food:

Route/Dosage

see Calculator

Renal Impairment

Implementation

US Brand Names

Xeloda

Classifications

Therapeutic Classification: antineoplastics

Pharmacologic Classification: antimetabolites

Availability

(Generic available)

Time/Action Profile

(blood levels)

ROUTEONSETPEAKDURATION
POunknown1.5 hr (2 hr for 5-FU)unknown

†Onset of antineoplastic effect is 6 wk.

†Peak 5-FU levels occur at 2 hr.

Assessment

Lab Test Considerations:

Pot. Nursing Diagnoses

Patient/Family Teaching

Evaluation/Desired Outcomes

Code

NDC Code*