Unlabeled Use:
Absorption: IV administration results in complete bioavailability.
Distribution: Extensive tissue distribution.
Protein Binding: >90% (platinum).
Metabolism/Excretion: Undergoes rapid and extensive nonenzymatic biotransformation; excreted mostly by the kidneys.
Half-life: 391 hrs.
Contraindicated in:
Use Cautiously in:
Adverse reactions are noted for the combination of oxaliplatin, 5-fluorouracil and leucovorin
CV: chest pain, edema, QT interval prolongation, thromboembolism, TORSADES DE POINTES.
EENT: visual abnormalities.
F and E: dehydration, hypokalemia.
GI: diarrhea, nausea, vomiting, abdominal pain, anorexia, gastroesophageal reflux, stomatitis.
Hemat: anemia, neutropenia, thrombocytopenia, leukopenia.
Local: injection site reactions.
MS: rhabdomyolysis, back pain.
Neuro: fatigue, neurotoxicity, REVERSIBLE POSTERIOR LEUKOENCEPHALOPATHY SYNDROME.
Resp: cough, dyspnea, PULMONARY FIBROSIS.
Misc: ANAPHYLAXIS/ANAPHYLACTOID REACTIONS, fever.
Drug-Drug:
Renal Impairment
(Generic available)
1.5 × 109/L and platelets
75 × 109/L. Reduce dose of oxaliplatin to 75 mg/m2 and infusional 5-fluorouracil to 300 mg/m2 bolus and 500 mg/m2 22-hr infusion. Advanced Colorectal Cancer:After recovery from grade 3/4 gastrointestinal (despite prophylactic treatment), or grade 4 neutropenia, or febrile neutropenia, or grade 3/4 thrombocytopenia: reduce dose of oxaliplatin to 65 mg/m2 and 5-fluorouracil by 20% (300 mg/m2 bolus and 500 mg/m2 22-hr infusion). Delay next dose until neutrophils
1.5 × 109/L and platelets
75 × 109/L.Monitor and correct electrolytes before starting therapy and periodically during therapy.IV Administration:
100.5° F, cough that brings up mucus, chills or shivering, burning or pain on urination, pain on swallowing, sore throat, redness or swelling at intravenous site) or signs of allergic reactions occur.NDC Code*