Cisplatin

— THERAPEUTIC CATEGORIES —
  • Bladder, kidney, and other urologic cancers
  • Gynecologic cancers
  • Prostate and other male cancers

Cisplatin Generic Name & Formulations

General Description

Cisplatin 1mg/mL; soln for IV infusion after dilution; 50mg/vial; lyophilized pwd for IV infusion after reconstitution and dilution.

Pharmacological Class

Platinum coordination complex.

How Supplied

Contact supplier

Cisplatin Indications

Indications

Advanced bladder cancer.

Cisplatin Dosage and Administration

Adult

Administer pre- and post-treatment antiemetics as appropriate. Give by slow IV infusion. 50–70mg/m2 IV per cycle once every 3–4 weeks. Heavily pretreated patients: initially 50mg/m2 IV per cycle every 4 weeks. Subsequent cycles, other dosages, combination regimens, dose modifications: see full labeling.

Children

Not recommended.

Cisplatin Contraindications

Not Applicable

Cisplatin Boxed Warnings

Boxed Warning

Nephrotoxicity. Peripheral neuropathy. Nausea and vomiting. Myelosuppression.

Cisplatin Warnings/Precautions

Warnings/Precautions

Risk of dose-related nephrotoxicity or peripheral neuropathy, serious nausea, vomiting and myelosuppression. Baseline renal impairment or significant reductions in CrCl during therapy; reduce dose or consider alternatives. Monitor serum creatinine, BUN, CrCl, and electrolytes prior to initiation and as clinically indicated. Maintain adequate hydration before, during, and for 24hrs after dose. Consider magnesium supplementation as needed. Do baseline and periodic neurologic exam; consider discontinuation if Grade 3–4 neuropathy develops. Monitor blood counts before initiation, before each subsequent courses, and as clinically indicated. Monitor for infection. Have supportive equipment and medications readily available. Monitor audiometric and vestibular function (esp. children). Avoid extravasation. Elderly. Embryo-fetal toxicity. Use effective contraception during and for 14 months (females) or 11 months (males w. female partners) after last dose. Pregnancy; exclude status before initiation. Nursing mothers: not recommended.

Cisplatin Pharmacokinetics

See Literature

Cisplatin Interactions

Interactions

Potentiates nephrotoxicity with other nephrotoxic drugs. Increased ototoxicity with other ototoxic drugs. Avoid contact with aluminum (eg, needles, IV sets).

Cisplatin Adverse Reactions

Adverse Reactions

Nephrotoxicity, peripheral neuropathy, nausea, vomiting, myelosuppression, ototoxicity; hypersensitivity reactions (monitor), ocular toxicity, secondary malignancies, inj site reactions, impaired fertility.

Cisplatin Clinical Trials

See Literature

Cisplatin Note

Notes

Formerly known under the brand name Platinol.

Cisplatin Patient Counseling

See Literature

Cisplatin Generic Name & Formulations

General Description

Cisplatin 1mg/mL; soln for IV infusion after dilution; 50mg/vial; lyophilized pwd for IV infusion after reconstitution and dilution.

Pharmacological Class

Platinum coordination complex.

How Supplied

Contact supplier

Cisplatin Indications

Indications

Advanced ovarian cancer.

Cisplatin Dosage and Administration

Adult

Administer pre- and post-treatment antiemetics as appropriate. Give by slow IV infusion. 75–100mg/m2 IV per cycle once every 3–4 weeks on Day 1. Subsequent cycles, other dosages, combination regimens, dose modifications: see full labeling.

Children

Not recommended.

Cisplatin Contraindications

Not Applicable

Cisplatin Boxed Warnings

Boxed Warning

Nephrotoxicity. Peripheral neuropathy. Nausea and vomiting. Myelosuppression.

Cisplatin Warnings/Precautions

Warnings/Precautions

Risk of dose-related nephrotoxicity or peripheral neuropathy, serious nausea, vomiting and myelosuppression. Baseline renal impairment or significant reductions in CrCl during therapy; reduce dose or consider alternatives. Monitor serum creatinine, BUN, CrCl, and electrolytes prior to initiation and as clinically indicated. Maintain adequate hydration before, during, and for 24hrs after dose. Consider magnesium supplementation as needed. Do baseline and periodic neurologic exam; consider discontinuation if Grade 3–4 neuropathy develops. Monitor blood counts before initiation, before each subsequent courses, and as clinically indicated. Monitor for infection. Have supportive equipment and medications readily available. Monitor audiometric and vestibular function (esp. children). Avoid extravasation. Elderly. Embryo-fetal toxicity. Use effective contraception during and for 14 months (females) or 11 months (males w. female partners) after last dose. Pregnancy; exclude status before initiation. Nursing mothers: not recommended.

Cisplatin Pharmacokinetics

See Literature

Cisplatin Interactions

Interactions

Potentiates nephrotoxicity with other nephrotoxic drugs. Increased ototoxicity with other ototoxic drugs. Avoid contact with aluminum (eg, needles, IV sets).

Cisplatin Adverse Reactions

Adverse Reactions

Nephrotoxicity, peripheral neuropathy, nausea, vomiting, myelosuppression, ototoxicity; hypersensitivity reactions (monitor), ocular toxicity, secondary malignancies, inj site reactions, impaired fertility.

Cisplatin Clinical Trials

See Literature

Cisplatin Note

Notes

Formerly known under the brand name Platinol.

Cisplatin Patient Counseling

See Literature

Cisplatin Generic Name & Formulations

General Description

Cisplatin 1mg/mL; soln for IV infusion after dilution; 50mg/vial; lyophilized pwd for IV infusion after reconstitution and dilution.

Pharmacological Class

Platinum coordination complex.

How Supplied

Contact supplier

Cisplatin Indications

Indications

Advanced testicular cancer.

Cisplatin Dosage and Administration

Adult

Administer pre- and post-treatment antiemetics as appropriate. Give by slow IV infusion. 20mg/m2 IV daily for 5 days per cycle. Subsequent cycles, other dosages, combination regimens, dose modifications: see full labeling.

Children

Not recommended.

Cisplatin Contraindications

Not Applicable

Cisplatin Boxed Warnings

Boxed Warning

Nephrotoxicity. Peripheral neuropathy. Nausea and vomiting. Myelosuppression.

Cisplatin Warnings/Precautions

Warnings/Precautions

Risk of dose-related nephrotoxicity or peripheral neuropathy, serious nausea, vomiting and myelosuppression. Baseline renal impairment or significant reductions in CrCl during therapy; reduce dose or consider alternatives. Monitor serum creatinine, BUN, CrCl, and electrolytes prior to initiation and as clinically indicated. Maintain adequate hydration before, during, and for 24hrs after dose. Consider magnesium supplementation as needed. Do baseline and periodic neurologic exam; consider discontinuation if Grade 3–4 neuropathy develops. Monitor blood counts before initiation, before each subsequent courses, and as clinically indicated. Monitor for infection. Have supportive equipment and medications readily available. Monitor audiometric and vestibular function (esp. children). Avoid extravasation. Elderly. Embryo-fetal toxicity. Use effective contraception during and for 14 months (females) or 11 months (males w. female partners) after last dose. Pregnancy; exclude status before initiation. Nursing mothers: not recommended.

Cisplatin Pharmacokinetics

See Literature

Cisplatin Interactions

Interactions

Potentiates nephrotoxicity with other nephrotoxic drugs. Increased ototoxicity with other ototoxic drugs. Avoid contact with aluminum (eg, needles, IV sets).

Cisplatin Adverse Reactions

Adverse Reactions

Nephrotoxicity, peripheral neuropathy, nausea, vomiting, myelosuppression, ototoxicity; hypersensitivity reactions (monitor), ocular toxicity, secondary malignancies, inj site reactions, impaired fertility.

Cisplatin Clinical Trials

See Literature

Cisplatin Note

Notes

Formerly known under the brand name Platinol.

Cisplatin Patient Counseling

See Literature