section name header

Pronunciation

kar-boe-PLA-tin

Classifications

Therapeutic Classification: antineoplastics

Pharmacologic Classification: alkylating agents

Indications

High Alert


Action

  • Inhibits DNA synthesis by producing cross-linking of parent DNA strands (cell-cycle phase–nonspecific).
Therapeutic effects:
  • Death of rapidly replicating cells, particularly malignant ones.

Pharmacokinetics

Absorption: IV administration results in complete bioavailability.

Distribution: Well distributed to tissues.

Protein Binding: Platinum is irreversibly bound to plasma proteins.

Metabolism/Excretion: Excreted mostly by the kidneys.

Half-Life: Carboplatin: 2.6–5.9 hr ( in renal impairment); platinum: 5 days.

Time/Action Profile

(effects on blood counts)

ROUTEONSETPEAKDURATION
IVunknown21 days28 days



Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

Derm: alopecia, rash

EENT: ototoxicity

F and E: hypocalcemia, hypokalemia, hypomagnesemia, hyponatremia

GI: abdominal pain, nausea, vomiting, constipation, diarrhea, hepatitis, stomatitis

GU: gonadal suppression, nephrotoxicity

Hemat: ANEMIA, LEUKOPENIA, THROMBOCYTOPENIA

Metab: hyperuricemia

Neuro: peripheral neuropathy, weakness

Misc: HYPERSENSITIVITY REACTIONS (INCLUDING ANAPHYLAXIS)

Interactions

Drug-drug:

Route/Dosage

Renal Impairment

Availability

(Generic available)

Assessment

Lab Test Considerations:

Implementation

IV Administration:

Patient/Family Teaching

Evaluation/Desired Outcomes

US Brand Names

Paraplatin

Code

NDC Code