Land: Verenigde Staten
Taal: Engels
Bron: NLM (National Library of Medicine)
TOPOTECAN HYDROCHLORIDE (UNII: 956S425ZCY) (TOPOTECAN - UNII:7M7YKX2N15)
Pfizer Laboratories Div Pfizer Inc.
TOPOTECAN HYDROCHLORIDE
TOPOTECAN 4 mg in 4 mL
PRESCRIPTION DRUG
Abbreviated New Drug Application
TOPOTECAN HYDROCHLORIDE- TOPOTECAN HYDROCHLORIDE INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION PFIZER LABORATORIES DIV PFIZER INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE TOPOTECAN HYDROCHLORIDE FOR INJECTION SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR TOPOTECAN HYDROCHLORIDE FOR INJECTION. INITIAL U.S. APPROVAL: 1996 WARNING: BONE MARROW SUPPRESSION _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ DO NOT GIVE TOPOTECAN HYDROCHLORIDE FOR INJECTION TO PATIENTS WITH BASELINE NEUTROPHIL COUNTS LESS THAN 1,500 CELLS/MM . IN ORDER TO MONITOR THE OCCURRENCE OF BONE MARROW SUPPRESSION, PRIMARILY NEUTROPENIA, WHICH MAY BE SEVERE AND RESULT IN INFECTION AND DEATH, MONITOR PERIPHERAL BLOOD CELL COUNTS FREQUENTLY ON ALL PATIENTS RECEIVING TOPOTECAN HYDROCHLORIDE FOR INJECTION. (5.1) INDICATIONS AND USAGE Topotecan Hydrochloride for Injection is a topoisomerase inhibitor indicated for: (1) small cell lung cancer sensitive disease after failure of first-line chemotherapy. (1) combination therapy with cisplatin for stage IV-B, recurrent, or persistent carcinoma of the cervix which is not amenable to curative treatment with surgery and/or radiation therapy. (1) DOSAGE AND ADMINISTRATION Small cell lung cancer: 1.5mg/m by intravenous infusion over 30 minutes daily for 5 consecutive days, starting on day one of a 21-day course. (2.1) Cervical cancer: 0.75mg/m by intravenous infusion over 30 minutes on days 1, 2, and 3 followed by cisplatin 50mg/m by intravenous infusion on day 1 repeated every 21 days. (2.2) See Dosage Modification Guidelines for patients with neutropenia or reduced platelets. (2.1, 2.2) (2) See Dosage Adjustment in Renal Impairment. (2.3) (2) DOSAGE FORMS AND STRENGTHS 4- mg (free base) single-dose vial.(3) (3) CONTRAINDICATIONS History of severe hypersensitivity reactions (e.g., anaphylactoid reactions) to topotecan or any of its ingredients (4) Severe bone marrow depression (4) WARNINGS AND PRECAUTIONS Bone Lees het volledige document