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Indications

High Alert

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CNS: malaise, dizziness.

CV: hypertension, hypotension.

GI: anorexia, mucositis, nausea, vomiting, abdominal pain, constipation, diarrhea, taste alteration.

Derm: STEVENS-JOHNSON SYNDROME, alopecia, pruritis, rash, urticaria.

Endo: sterility.

Hemat: ANEMIA, leukopenia, THROMBOCYTOPENIA.

Local: phlebitis at IV site.

Misc: ALLERGIC REACTIONS INCLUDING ANAPHYLAXIS, fever.

Interactions

Drug-Drug:

Availability

Route/Dosage

see Calculator

Other regimens are used. Doses below are (and should always be) expressed as the desired etoposide dose).

Testicular Neoplasms

Small-Cell Carcinoma of the Lung

US Brand Names

Etopophos

Action

Therapeutic Effects:

Classifications

Therapeutic Classification: antineoplastics

Pharmacologic Classification: podophyllotoxin derivatives

Pharmacokinetics

Absorption: After IV administration, etoposide phosphate is rapidly converted to etoposide.

Distribution: Rapidly distributed; poorly enters the CSF; probably crosses placenta; enters breast milk.

Protein Binding: 97%.

Metabolism/Excretion: Some metabolism by the liver with biliary excretion, 44% excreted in feces; 45% excreted unchanged by the kidneys.

Half-life: 4–11 hr.

Time/Action Profile

(noted as effects on blood counts)

ROUTEONSETPEAKDURATION
IVunknown12–19 days (granulocytes) 10–15 days (platelets)21 days

Patient/Family Teaching

Pronunciation

e-toe-POE-side FOS-fate

Code

NDC Code*