High Alert
Contraindicated in:
Neutrophil count ≤1500/mm3
;Use Cautiously in:
Poor performance status, previous episodes of febrile neutropenia, extensive prior radiation ports, or poor nutritional status (↑ risk of complications from prolonged neutropenia);
↑risk of adverse reactions in older adults (especially prolonged neutropenia and febrile neutropenia)
.CV: arrhythmias, hypotension
Derm: alopecia
F and E: electrolyte imbalance
GI: abdominal pain, abnormal taste, anorexia, constipation, diarrhea, gi bleed, gi perforation, nausea, vomiting, dyspepsia, ENTEROCOLITIS, ILEUS
GU: hematuria, cystitis, RENAL FAILURE
Hemat: anemia, leukopenia,
neutropenia
, thrombocytopeniaMS: arthralgia, back pain, muscle spasms
Neuro: peripheral neuropathy, weakness, fatigue
Resp: dyspnea, ACUTE RESPIRATORY DISTRESS SYNDROME, INTERSTITIAL LUNG DISEASE
Misc: fever, HYPERSENSITIVITY REACTIONS (INCLUDING ANAPHYLAXIS)
Drug-drug:
Drug-Natural Products:
Hepatic Impairment
Absorption: IV administration results in complete bioavailability.
Distribution: Extensively distributed to tissues.
Half-Life: 95 hr.
NDC Code