Oxaliplatin【D】

Antineoplastic Agents: Cytotoxic Agents: Miscellaneous
IOXAL1 “Oxalip powder for injection” 5 mg/ml; 10 ml/vial

適應症:1.和5-fluorouracil (5-FU)和folinic acid併用,作為第三期結腸癌(Duke’sC)原發腫瘤完全切除手術後的輔助療法;2.治療轉移性結腸直腸癌;3.與capecitabine併用可用於局部晚期及復發/轉移性胃癌之治療。

Usual dose:

Day-1: 85 mg/m2 (2-h infusion) & leucovorin 200 mg/m2 (2-h infusion), followed by 5-FU 400 mg/m2 (bolus), 600 mg/m2 (22-h infusion);

Day-2: leucovorin 200 mg/m2 (2-h infusion), followed by 5-FU 400 mg/m2 (bolus), 600 mg/m2 (22-h infusion) q2w.

Adverse effect:

Common: N/V, diarrhea, stomatitis, constipation, anemia, cough, anorexia, neuropathy.

Serious: neutropenia, thrombocytopenia, leucopenia.

健保使用規範:(89/7/1、91/10/1、93/8/1、98/2/1、98/3/1、98/7/1)

1.和5-FU和folinic acid併用

(1)治療轉移性結腸直腸癌,惟若再加用irinotecan(如Campto)則不予給付。(91/10/1)

(2)為第三期結腸癌原發腫瘤完全切除手術後的輔助療法。(98/2/1)

2.和Capecitabine併用可用於局部晚期及復發/轉移性胃癌之治療。惟限使用Eloxatin(益樂鉑定)及Oxalip(歐力普)(98/2/1、98/3/1、98/7/1)

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