Doxorubicin HCl【D】

Antineoplastic Agents: Cytotoxic Agents: Antitumor Antibiotics
IADRI1 “Adriblastina injection” 10 mg/vial
ILIPO1 “Lipo-dox liposome injection” 10 mg/vial

適應症:

IADRI1:急慢性白血球過多症、硬瘤、淋巴瘤、軟纖維性肉瘤、交感神經母細胞瘤、乳癌、肺癌。

ILIPO1:用於治療1.CD4數量低下(<200 CD4 lymphocytes/mm3)和黏膜、皮膚或內臟有病變的AIDS related kaposi’s sarcoma的病人;2.用於治療曾接受第一線含platinum及paclitaxel化學治療而失敗者,或再復發之進行性或轉移性卵巢癌病人;3.可用於單一治療有心臟疾病風險考量之轉移性乳癌患者。

Usual dose:

AIDS-related Kaposi’s sarcoma: 20 mg/m2 IV over 30 min q3w.

Ovarian cancer: 50 mg/m2 IV over 1 h q4w.

Multiple myeloma: 40 mg/m2 IV in combination with vincristine and dexamethasone.

Dose adjustment:

Hepatic impairment: 50% dose reduction for serum bilirubin of 1.2 to 3 mg/dL; 75% dose reduction for serum bilirubin of 3.1 to 5 mg/dL.

Adverse effect:

Common: abdominal pain, constipation, diarrhea, alopecia.

Serious: myelosuppression, cardiomyopathy, infusion reactions, palmar-plantar erythrodysesthesia, rash, stomatitis.

健保使用規範:(91/3/1、93/8/1、93/11/1、99/10/1)

限用於下列適應症: (99/10/1)

  1. 用於治療曾接受第一線含platinum及paclitaxel化學治療而失敗者或再復發之進行性或轉移性卵巢癌病人。(91/3/1)
  2. 用於治療CD4數量低下(< 200 CD4 lymphocyte/mm3)和粘膜、皮膚或內臟有病變的AIDS related Kaposi’s Sarcoma的病人。(91/3/1)
  3. 用於單一治療有心臟疾病風險考量之轉移性乳癌患者。(93/11/1)

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