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Indications ⬇

High Alert


Contraind./Precautions ⬆ ⬇

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects ⬆ ⬇

Interactions ⬆ ⬇

Drug-drug:

Availability ⬆ ⬇

(Generic available)

Route/Dosage ⬆ ⬇

Previously Untreated Multiple Myeloma

Hepatic Impairment

Previously Untreated Mantle Cell Lymphoma

Hepatic Impairment

Relapsed Multiple Myeloma and Mantle Cell Lymphoma

Hepatic Impairment

US Brand Names ⬆ ⬇

Velcade

Action ⬆ ⬇

  • Inhibits proteasome, a regulator of intracellular protein catabolism, resulting in disruption of various intracellular processes.
  • Cytotoxic to a variety of cancerous cells.
Therapeutic effects:
  • Decreased progression and improved survival in multiple myeloma and mantle cell lymphoma.

Classifications ⬆ ⬇

Therapeutic Classification: antineoplastics

Pharmacologic Classification: proteasome inhibitors

Pharmacokinetics ⬆ ⬇

Absorption: IV administration results in complete bioavailability.

Distribution: Widely distributed to tissues.

Metabolism/Excretion: Mostly metabolized by the liver via the CYP2C19, CYP3A4, and CYP1A2 isoenzymes, and to a lesser extent by the CYP2D6 and CYP2C9 isoenzymes; excretion pathway unknown.

Half-Life: 9–15 hr.

Time/Action Profile ⬆ ⬇

ROUTEONSETPEAKDURATION
IVunknown38 days*unknown

*Median time to response based on clinical parameters.

Patient/Family Teaching ⬆ ⬇

Pronunciation ⬆ ⬇

bor-TEZ-o-mib

Code ⬆

NDC Code