Bleomycin

— THERAPEUTIC CATEGORIES —
  • Gynecologic cancers
  • Head and neck cancer
  • Leukemias, lymphomas, and other hematologic cancers
  • Prostate and other male cancers
  • Respiratory and thoracic cancers

Bleomycin Generic Name & Formulations

General Description

Bleomycin 15units/vial, 30units/vial; lyophilized pwd for IM, IV, SC, or intrapleural administration after reconstitution.

Pharmacological Class

Cytotoxic glycopeptide antibiotic.

How Supplied

Contact supplier.

Bleomycin Indications

Indications

Palliative treatment for squamous cell carcinoma (cervix, vulva).

Bleomycin Dosage and Administration

Adult

0.25–0.5 units/kg IV, IM, or SC weekly or twice weekly. Renal impairment: see literature. Total doses >400 units: increased risk of pulmonary toxicity.

Children

Not recommended.

Bleomycin Contraindications

Not Applicable

Bleomycin Boxed Warnings

Not Applicable

Bleomycin Warnings/Precautions

Warnings/Precautions

Renal impairment. Compromised pulmonary function. Monitor renal function. Elderly. Pregnancy (Cat.D); avoid use. Nursing mothers: not recommended.

Bleomycin Pharmacokinetics

See Literature

Bleomycin Interactions

Interactions

May be potentiated by nephrotoxic drugs.

Bleomycin Adverse Reactions

Adverse Reactions

Erythema, rash, striae, vesiculation, hyperpigmentation, tenderness of the skin, hyperkeratosis, nail changes, alopecia, pruritus, stomatitis; pneumonitis, pulmonary fibrosis, idiosyncratic reaction (hypotension, mental confusion, fever, chills, wheezing).

Bleomycin Clinical Trials

See Literature

Bleomycin Note

Notes

Formerly known under the brand name Blenoxane.

Bleomycin Patient Counseling

See Literature

Bleomycin Generic Name & Formulations

General Description

Bleomycin 15units/vial, 30units/vial; lyophilized pwd for IM, IV, SC, or intrapleural administration after reconstitution.

Pharmacological Class

Cytotoxic glycopeptide antibiotic.

How Supplied

Contact supplier.

Bleomycin Indications

Indications

Palliative treatment for squamous cell carcinoma (head and neck).

Bleomycin Dosage and Administration

Adult

0.25–0.5 units/kg IV, IM, or SC weekly or twice weekly. Renal impairment: see literature. Total doses >400 units: increased risk of pulmonary toxicity.

Children

Not recommended.

Bleomycin Contraindications

Not Applicable

Bleomycin Boxed Warnings

Not Applicable

Bleomycin Warnings/Precautions

Warnings/Precautions

Renal impairment. Compromised pulmonary function. Monitor renal function. Elderly. Pregnancy (Cat.D); avoid use. Nursing mothers: not recommended.

Bleomycin Pharmacokinetics

See Literature

Bleomycin Interactions

Interactions

May be potentiated by nephrotoxic drugs.

Bleomycin Adverse Reactions

Adverse Reactions

Erythema, rash, striae, vesiculation, hyperpigmentation, tenderness of the skin, hyperkeratosis, nail changes, alopecia, pruritus, stomatitis; pneumonitis, pulmonary fibrosis, idiosyncratic reaction (hypotension, mental confusion, fever, chills, wheezing).

Bleomycin Clinical Trials

See Literature

Bleomycin Note

Notes

Formerly known under the brand name Blenoxane.

Bleomycin Patient Counseling

See Literature

Bleomycin Generic Name & Formulations

General Description

Bleomycin 15units/vial, 30units/vial; lyophilized pwd for IM, IV, SC, or intrapleural administration after reconstitution.

Pharmacological Class

Cytotoxic glycopeptide antibiotic.

How Supplied

Contact supplier.

Bleomycin Indications

Indications

Palliative treatment for lymphomas (Hodgkin's disease, non-Hodgkin's lymphoma).

Bleomycin Dosage and Administration

Adult

Lymphomas: treat with ≤2 units for the first two doses, if no acute reaction occurs, follow regular dosage schedule. Non-Hodgkin's lymphoma: 0.25–0.5 units/kg IV, IM, or SC weekly or twice weekly. Hodgkin's disease: 0.25–0.5 units/kg IV, IM, or SC weekly or twice weekly; after a 50% response, a maintenance dose of 1 unit daily or 5 units weekly IV or IM should be given. Renal impairment: see literature. Total doses >400 units: increased risk of pulmonary toxicity.

Children

Not recommended.

Bleomycin Contraindications

Not Applicable

Bleomycin Boxed Warnings

Not Applicable

Bleomycin Warnings/Precautions

Warnings/Precautions

Renal impairment. Compromised pulmonary function. Monitor renal function. Elderly. Pregnancy (Cat.D); avoid use. Nursing mothers: not recommended.

Bleomycin Pharmacokinetics

See Literature

Bleomycin Interactions

Interactions

May be potentiated by nephrotoxic drugs.

Bleomycin Adverse Reactions

Adverse Reactions

Erythema, rash, striae, vesiculation, hyperpigmentation, tenderness of the skin, hyperkeratosis, nail changes, alopecia, pruritus, stomatitis; pneumonitis, pulmonary fibrosis, idiosyncratic reaction (hypotension, mental confusion, fever, chills, wheezing).

Bleomycin Clinical Trials

See Literature

Bleomycin Note

Notes

Formerly known under the brand name Blenoxane.

Bleomycin Patient Counseling

See Literature

Bleomycin Generic Name & Formulations

General Description

Bleomycin 15units/vial, 30units/vial; lyophilized pwd for IM, IV, SC, or intrapleural administration after reconstitution.

Pharmacological Class

Cytotoxic glycopeptide antibiotic.

How Supplied

Contact supplier.

Bleomycin Indications

Indications

Palliative treatment for squamous cell carcinoma (penis), testicular carcinoma (embryonal cell, choriocarcinoma, teratocarcinoma).

Bleomycin Dosage and Administration

Adult

0.25–0.5 units/kg IV, IM, or SC weekly or twice weekly. Renal impairment: see literature. Total doses >400 units: increased risk of pulmonary toxicity.

Children

Not recommended.

Bleomycin Contraindications

Not Applicable

Bleomycin Boxed Warnings

Not Applicable

Bleomycin Warnings/Precautions

Warnings/Precautions

Renal impairment. Compromised pulmonary function. Monitor renal function. Elderly. Pregnancy (Cat.D); avoid use. Nursing mothers: not recommended.

Bleomycin Pharmacokinetics

See Literature

Bleomycin Interactions

Interactions

May be potentiated by nephrotoxic drugs.

Bleomycin Adverse Reactions

Adverse Reactions

Erythema, rash, striae, vesiculation, hyperpigmentation, tenderness of the skin, hyperkeratosis, nail changes, alopecia, pruritus, stomatitis; pneumonitis, pulmonary fibrosis, idiosyncratic reaction (hypotension, mental confusion, fever, chills, wheezing).

Bleomycin Clinical Trials

See Literature

Bleomycin Note

Notes

Formerly known under the brand name Blenoxane.

Bleomycin Patient Counseling

See Literature

Bleomycin Generic Name & Formulations

General Description

Bleomycin 15units/vial, 30units/vial; lyophilized pwd for IM, IV, SC, or intrapleural administration after reconstitution.

Pharmacological Class

Cytotoxic glycopeptide antibiotic.

How Supplied

Contact supplier.

Bleomycin Indications

Indications

Sclerosing agent for the treatment of malignant pleural effusion and prevention of recurrent pleural effusions.

Bleomycin Dosage and Administration

Adult

60 units as a single dose bolus intrapleural injection. Renal impairment: see literature.

Children

Not recommended.

Bleomycin Contraindications

Not Applicable

Bleomycin Boxed Warnings

Not Applicable

Bleomycin Warnings/Precautions

Warnings/Precautions

Renal impairment. Compromised pulmonary function. Monitor renal function. Elderly. Pregnancy (Cat.D); avoid use. Nursing mothers: not recommended.

Bleomycin Pharmacokinetics

See Literature

Bleomycin Interactions

Interactions

May be potentiated by nephrotoxic drugs.

Bleomycin Adverse Reactions

Adverse Reactions

Erythema, rash, striae, vesiculation, hyperpigmentation, tenderness of the skin, hyperkeratosis, nail changes, alopecia, pruritus, stomatitis; pneumonitis, pulmonary fibrosis, idiosyncratic reaction (hypotension, mental confusion, fever, chills, wheezing).

Bleomycin Clinical Trials

See Literature

Bleomycin Note

Not Applicable

Bleomycin Patient Counseling

See Literature