Country: United States
Language: English
Source: NLM (National Library of Medicine)
TEMOZOLOMIDE (UNII: YF1K15M17Y) (TEMOZOLOMIDE - UNII:YF1K15M17Y)
Avera McKennan Hospital
TEMOZOLOMIDE
TEMOZOLOMIDE 140 mg
PRESCRIPTION DRUG
Abbreviated New Drug Application
TEMOZOLOMIDE- TEMOZOLOMIDE CAPSULE AVERA MCKENNAN HOSPITAL ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE TEMOZOLOMIDE CAPSULES SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR TEMOZOLOMIDE CAPSULES. TEMOZOLOMIDE CAPSULES FOR ORAL USE INITIAL U.S. APPROVAL: 1999 INDICATIONS AND USAGE Temozolomide Capsules are an alkylating drug indicated for the treatment of adult patients with: • • DOSAGE AND ADMINISTRATION • • DOSAGE FORMS AND STRENGTHS • CONTRAINDICATIONS • WARNINGS AND PRECAUTIONS • • • • • • • ADVERSE REACTIONS • • • Newly diagnosed glioblastoma multiforme (GBM) concomitantly with radiotherapy and then as maintenance treatment. (1.1) Refractory anaplastic astrocytoma patients who have experienced disease progression on a drug regimen containing nitrosourea and procarbazine. (1.2) Newly Diagnosed GBM: 75 mg/m for 42 days concomitant with focal radiotherapy followed by initial maintenance dose of 150 mg/m once daily for Days 1 to 5 of a 28-day cycle of temozolomide for 6 cycles. (2.1) 2 2 Refractory Anaplastic Astrocytoma: Initial dose 150 mg/m once daily for 5 consecutive days per 28-day treatment cycle. (2.1) 2 5 mg, 20 mg, 100 mg, 140 mg, 180 mg, and 250 mg capsules. (3) Known hypersensitivity to any temozolomide capsules component or to dacarbazine (DTIC). (4.1) Myelosuppression - monitor Absolute Neutrophil Count (ANC) and platelet count prior to dosing and throughout treatment. Geriatric patients and women have a higher risk of developing myelosuppression. (5.1) Cases of myelodysplastic syndrome and secondary malignancies, including myeloid leukemia, have been observed. (5.2) _Pneumocystis _pneumonia (PCP) – PCP prophylaxis required for all patients receiving concomitant temozolomide and radiotherapy for the 42-day regimen for the treatment of newly diagnosed glioblastoma multiforme. (5.3) All patients, particularly those receiving steroids, should be observed closely for the development of l Read the complete document