Vinblastine for injection
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Vinblastine for injection to:
Generic Name for Vinblastine for injection
Vinblastine (as sulfate) 10mg/vial; lyophilized pwd for IV inj or infusion after reconstitution.
Legal Classification:
Rx
Pharmacological Class for Vinblastine for injection
Antimicrotubule agent.
Manufacturer of Vinblastine for injection
Bedford Laboratories
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Indications for Vinblastine for injection
Less frequently responsive: choriocarcinoma resistant to other chemotherapy.
Other Indications for Vinblastine for injection
Adult dose for Vinblastine for injection
See literature. Give by IV once weekly. 1st dose: 3.7mg/m2 as a single dose, continue to increase dose by increments (2nd dose: 5.5mg/m2, 3rd dose: 7.4mg/m2, 4th dose: 9.25mg/m2, 5th dose: 11.1mg/m2, max dose: 18.5mg/m2) until WBC 3,000cells/mm3 reached, stop at this dose, then administer a dose one increment smaller at weekly intervals for maintenance. Usual weekly dosage: 5.5–7.4mg/m2. Do not give the next dose, even if 7 days have elapsed, unless WBC ≥4,000cells/mm3. If oncolytic effect occurs before leukopenia, do not increase the size of subsequent doses. Hepatic impairment: reduce dose by 50% if serum bilirubin >3mg/100mL.
Children's dosing for Vinblastine for injection
Not recommended.
Also:
Contraindications for Vinblastine for injection
Significant granulocytopenia (unless result of disease being treated). Bacterial infections (treat first).
Warnings/Precautions for Vinblastine for injection
For IV use only; fatal if given intrathecally. Hepatic impairment. Avoid in elderly with cachexia or ulcerated skin; or in patients with malignant-cell infiltration of the bone marrow. Pre-existing pulmonary dysfunction. Progressive dyspnea requiring chronic therapy (do not re-administer). Ischemic cardiac disease. Bone marrow suppression; monitor WBC before and during treatment. Avoid contamination of the eyes or injecting into an extremity with poor circulation (thrombosis possible). Avoid extravasation. Pregnancy (Cat.D), nursing mothers: not recommended.
Interactions for Vinblastine for injection
May be potentiated by CYP3A inhibitors (eg, erythromycin). Antagonizes phenytoin.
Adverse Reactions for Vinblastine for injection
Leukopenia, alopecia, GI upset, paresthesias, malaise, pain; dyspnea, severe bronchospasm.
How is Vinblastine for injection supplied?
Pwd—10
Soln—1