Contraindicated in:
Use Cautiously in:
Derm: acne, alopecia, erythema (especially of previously irradiated skin), hyperpigmentation (especially of previously irradiated skin), skin eruptions, photosensitivity, rash.
EENT: pharyngitis.
F and E: hypocalcemia.
GI: HEPATIC VENO-OCCLUSIVE DISEASE, anorexia, nausea, stomatitis, vomiting, abdominal pain, ascites, diarrhea, dysphagia, esophagitis, hepatotoxicity, ulceration.
Hemat: anemia, leukopenia, thrombocytopenia, febrile neutropenia, neutropenia.
Local: phlebitis at IV site, tissue injury (due to extravasation).
MS: myalgia.
Resp: pneumonitis.
Misc: fever.
Drug-Drug:
Wilms Tumor
Rhabdomyosarcoma
Ewing Sarcoma
Metastatic Nonseminomatous Testicular Cancer
Gestational Trophoblastic Neoplasms
Regional Perfusion in Locally Recurrent Solid Malignancies
Absorption: IV administration results in complete bioavailability.
Distribution: Widely distributed, with extensive tissue binding; does not cross the blood-brain barrier. Crosses the placenta.
Metabolism/Excretion: Excreted in bile (50%) and feces (14%) as unchanged drug; small amounts excreted unchanged by the kidneys (10%).
Half-life: 36 hr.
NDC Code*