Cyclophosphamide Injection Generic Name & Formulations
Legal Class
General Description
Pharmacological Class
See Also
How Supplied
Manufacturer
Mechanism of Action
Cyclophosphamide Injection Indications
Indications
Cyclophosphamide Injection Dosage and Administration
Adult
Initially 40–50mg/kg IV in divided doses over 2–5 days; or 10–15mg/kg IV every 7–10 days; or 3–5mg/kg IV twice weekly.
Children
See full labeling.
Cyclophosphamide Injection Contraindications
Contraindications
Urinary outflow obstruction.
Cyclophosphamide Injection Boxed Warnings
Not Applicable
Cyclophosphamide Injection Warnings/Precautions
Warnings/Precautions
Risk for myelosuppression, immunosuppression, bone marrow failure, infections. Monitor CBCs during treatment. Do not initiate therapy if neutrophils ≤1,500/mm3 and platelets <50,000/mm3. Interrupt or reduce dose if serious infection occurs; consider using G-CSF to reduce risk. Increased risk for severe myelosuppression if pretreated with and/or receiving concomitant chemotherapy and/or radiation therapy. Exclude or correct any urinary tract obstructions prior to initiation; check urinary sediment regularly for signs of urotoxicity and/or nephrotoxicity. Active urinary tract infections. Monitor in patients with risk factors for cardiotoxicity and with pre-existing cardiac disease. Monitor for pulmonary toxicity. May interfere with wound healing. May contain alcohol. Severe renal or hepatic impairment: monitor. Elderly. Embryo-fetal toxicity. Advise to use effective contraception during and for up to 1 year (females of reproductive potential) and for 4 months (males w. female partners) after completion of therapy. Pregnancy. Nursing mothers: not recommended (during and for 1 week after the last dose).
Cyclophosphamide Injection Pharmacokinetics
Distribution
Volume of distribution: 30 to 50 L. Approximately 20% protein bound.
Elimination
Renal. Half-life: 3–12 hours. Total body clearance: 4 to 5.6 L/h.
Cyclophosphamide Injection Interactions
Interactions
Increased risk for hematotoxicity and/or immunosuppression with ACE inhibitors, natalizumab, paclitaxel, thiazide diuretics, zidovudine. Increased risk for cardiotoxicity with anthracyclines, cytarabine, pentostatin, radiation therapy of the cardiac region, trastuzumab. Increased risk for pulmonary toxicity with amiodarone, G-CSF, GM-CSF. Increased risk for nephrotoxicity with amphotericin B, indomethacin. Increased risk for hepatotoxicity with azathioprine. Increased risk for hepatic veno-occlusive disease and mucositis with busulfan. Increased risk for mucositis with protease inhibitors. Increased risk for hemorrhagic cystitis with radiation treatment. May affect warfarin. May antagonize cyclosporine. Potentiates depolarizing muscle relaxants (eg, succinylcholine). Potentiated by metronidazole.
Cyclophosphamide Injection Adverse Reactions
Adverse Reactions
Neutropenia, febrile neutropenia, fever, alopecia, nausea, vomiting, diarrhea; urinary tract and renal toxicity, cardiotoxicity, pulmonary toxicity, secondary malignancies (eg, urinary tract cancer, myelodysplasia, acute leukemias, lymphomas, thyroid cancer, sarcomas), veno-occlusive liver disease, infertility, hyponatremia.
Cyclophosphamide Injection Clinical Trials
See Literature
Cyclophosphamide Injection Note
Notes
Cyclophosphamide Injection Patient Counseling
See Literature
Cyclophosphamide Injection Generic Name & Formulations
Legal Class
General Description
Pharmacological Class
See Also
How Supplied
Manufacturer
Mechanism of Action
Cyclophosphamide Injection Indications
Indications
Cyclophosphamide Injection Dosage and Administration
Adult
Initially 40–50mg/kg IV in divided doses over 2–5 days; or 10–15mg/kg IV every 7–10 days; or 3–5mg/kg IV twice weekly.
Children
See full labeling.
Cyclophosphamide Injection Contraindications
Contraindications
Urinary outflow obstruction.
Cyclophosphamide Injection Boxed Warnings
Not Applicable
Cyclophosphamide Injection Warnings/Precautions
Warnings/Precautions
Risk for myelosuppression, immunosuppression, bone marrow failure, infections. Monitor CBCs during treatment. Do not initiate therapy if neutrophils ≤1,500/mm3 and platelets <50,000/mm3. Interrupt or reduce dose if serious infection occurs; consider using G-CSF to reduce risk. Increased risk for severe myelosuppression if pretreated with and/or receiving concomitant chemotherapy and/or radiation therapy. Exclude or correct any urinary tract obstructions prior to initiation; check urinary sediment regularly for signs of urotoxicity and/or nephrotoxicity. Active urinary tract infections. Monitor in patients with risk factors for cardiotoxicity and with pre-existing cardiac disease. Monitor for pulmonary toxicity. May interfere with wound healing. May contain alcohol. Severe renal or hepatic impairment: monitor. Elderly. Embryo-fetal toxicity. Advise to use effective contraception during and for up to 1 year (females of reproductive potential) and for 4 months (males w. female partners) after completion of therapy. Pregnancy. Nursing mothers: not recommended (during and for 1 week after the last dose).
Cyclophosphamide Injection Pharmacokinetics
Distribution
Volume of distribution: 30 to 50 L. Approximately 20% protein bound.
Elimination
Renal. Half-life: 3–12 hours. Total body clearance: 4 to 5.6 L/h.
Cyclophosphamide Injection Interactions
Interactions
Increased risk for hematotoxicity and/or immunosuppression with ACE inhibitors, natalizumab, paclitaxel, thiazide diuretics, zidovudine. Increased risk for cardiotoxicity with anthracyclines, cytarabine, pentostatin, radiation therapy of the cardiac region, trastuzumab. Increased risk for pulmonary toxicity with amiodarone, G-CSF, GM-CSF. Increased risk for nephrotoxicity with amphotericin B, indomethacin. Increased risk for hepatotoxicity with azathioprine. Increased risk for hepatic veno-occlusive disease and mucositis with busulfan. Increased risk for mucositis with protease inhibitors. Increased risk for hemorrhagic cystitis with radiation treatment. May affect warfarin. May antagonize cyclosporine. Potentiates depolarizing muscle relaxants (eg, succinylcholine). Potentiated by metronidazole.
Cyclophosphamide Injection Adverse Reactions
Adverse Reactions
Neutropenia, febrile neutropenia, fever, alopecia, nausea, vomiting, diarrhea; urinary tract and renal toxicity, cardiotoxicity, pulmonary toxicity, secondary malignancies (eg, urinary tract cancer, myelodysplasia, acute leukemias, lymphomas, thyroid cancer, sarcomas), veno-occlusive liver disease, infertility, hyponatremia.
Cyclophosphamide Injection Clinical Trials
See Literature
Cyclophosphamide Injection Note
Notes
Cyclophosphamide Injection Patient Counseling
See Literature
Cyclophosphamide Injection Generic Name & Formulations
Legal Class
General Description
Pharmacological Class
See Also
How Supplied
Manufacturer
Mechanism of Action
Cyclophosphamide Injection Indications
Indications
Cyclophosphamide Injection Dosage and Administration
Adult
Initially 40–50mg/kg IV in divided doses over 2–5 days; or 10–15mg/kg IV every 7–10 days; or 3–5mg/kg IV twice weekly.
Children
See full labeling.
Cyclophosphamide Injection Contraindications
Contraindications
Urinary outflow obstruction.
Cyclophosphamide Injection Boxed Warnings
Not Applicable
Cyclophosphamide Injection Warnings/Precautions
Warnings/Precautions
Risk for myelosuppression, immunosuppression, bone marrow failure, infections. Monitor CBCs during treatment. Do not initiate therapy if neutrophils ≤1,500/mm3 and platelets <50,000/mm3. Interrupt or reduce dose if serious infection occurs; consider using G-CSF to reduce risk. Increased risk for severe myelosuppression if pretreated with and/or receiving concomitant chemotherapy and/or radiation therapy. Exclude or correct any urinary tract obstructions prior to initiation; check urinary sediment regularly for signs of urotoxicity and/or nephrotoxicity. Active urinary tract infections. Monitor in patients with risk factors for cardiotoxicity and with pre-existing cardiac disease. Monitor for pulmonary toxicity. May interfere with wound healing. May contain alcohol. Severe renal or hepatic impairment: monitor. Elderly. Embryo-fetal toxicity. Advise to use effective contraception during and for up to 1 year (females of reproductive potential) and for 4 months (males w. female partners) after completion of therapy. Pregnancy. Nursing mothers: not recommended (during and for 1 week after the last dose).
Cyclophosphamide Injection Pharmacokinetics
Distribution
Volume of distribution: 30 to 50 L. Approximately 20% protein bound.
Elimination
Renal. Half-life: 3–12 hours. Total body clearance: 4 to 5.6 L/h.
Cyclophosphamide Injection Interactions
Interactions
Increased risk for hematotoxicity and/or immunosuppression with ACE inhibitors, natalizumab, paclitaxel, thiazide diuretics, zidovudine. Increased risk for cardiotoxicity with anthracyclines, cytarabine, pentostatin, radiation therapy of the cardiac region, trastuzumab. Increased risk for pulmonary toxicity with amiodarone, G-CSF, GM-CSF. Increased risk for nephrotoxicity with amphotericin B, indomethacin. Increased risk for hepatotoxicity with azathioprine. Increased risk for hepatic veno-occlusive disease and mucositis with busulfan. Increased risk for mucositis with protease inhibitors. Increased risk for hemorrhagic cystitis with radiation treatment. May affect warfarin. May antagonize cyclosporine. Potentiates depolarizing muscle relaxants (eg, succinylcholine). Potentiated by metronidazole.
Cyclophosphamide Injection Adverse Reactions
Adverse Reactions
Neutropenia, febrile neutropenia, fever, alopecia, nausea, vomiting, diarrhea; urinary tract and renal toxicity, cardiotoxicity, pulmonary toxicity, secondary malignancies (eg, urinary tract cancer, myelodysplasia, acute leukemias, lymphomas, thyroid cancer, sarcomas), veno-occlusive liver disease, infertility, hyponatremia.
Cyclophosphamide Injection Clinical Trials
See Literature
Cyclophosphamide Injection Note
Notes
Cyclophosphamide Injection Patient Counseling
See Literature
Cyclophosphamide Injection Generic Name & Formulations
Legal Class
General Description
Pharmacological Class
See Also
How Supplied
Manufacturer
Mechanism of Action
Cyclophosphamide Injection Indications
Indications
Cyclophosphamide Injection Dosage and Administration
Adult
Initially 40–50mg/kg IV in divided doses over 2–5 days; or 10–15mg/kg IV every 7–10 days; or 3–5mg/kg IV twice weekly.
Children
See full labeling.
Cyclophosphamide Injection Contraindications
Contraindications
Urinary outflow obstruction.
Cyclophosphamide Injection Boxed Warnings
Not Applicable
Cyclophosphamide Injection Warnings/Precautions
Warnings/Precautions
Risk for myelosuppression, immunosuppression, bone marrow failure, infections. Monitor CBCs during treatment. Do not initiate therapy if neutrophils ≤1,500/mm3 and platelets <50,000/mm3. Interrupt or reduce dose if serious infection occurs; consider using G-CSF to reduce risk. Increased risk for severe myelosuppression if pretreated with and/or receiving concomitant chemotherapy and/or radiation therapy. Exclude or correct any urinary tract obstructions prior to initiation; check urinary sediment regularly for signs of urotoxicity and/or nephrotoxicity. Active urinary tract infections. Monitor in patients with risk factors for cardiotoxicity and with pre-existing cardiac disease. Monitor for pulmonary toxicity. May interfere with wound healing. May contain alcohol. Severe renal or hepatic impairment: monitor. Elderly. Embryo-fetal toxicity. Advise to use effective contraception during and for up to 1 year (females of reproductive potential) and for 4 months (males w. female partners) after completion of therapy. Pregnancy. Nursing mothers: not recommended (during and for 1 week after the last dose).
Cyclophosphamide Injection Pharmacokinetics
Distribution
Volume of distribution: 30 to 50 L. Approximately 20% protein bound.
Elimination
Renal. Half-life: 3–12 hours. Total body clearance: 4 to 5.6 L/h.
Cyclophosphamide Injection Interactions
Interactions
Increased risk for hematotoxicity and/or immunosuppression with ACE inhibitors, natalizumab, paclitaxel, thiazide diuretics, zidovudine. Increased risk for cardiotoxicity with anthracyclines, cytarabine, pentostatin, radiation therapy of the cardiac region, trastuzumab. Increased risk for pulmonary toxicity with amiodarone, G-CSF, GM-CSF. Increased risk for nephrotoxicity with amphotericin B, indomethacin. Increased risk for hepatotoxicity with azathioprine. Increased risk for hepatic veno-occlusive disease and mucositis with busulfan. Increased risk for mucositis with protease inhibitors. Increased risk for hemorrhagic cystitis with radiation treatment. May affect warfarin. May antagonize cyclosporine. Potentiates depolarizing muscle relaxants (eg, succinylcholine). Potentiated by metronidazole.
Cyclophosphamide Injection Adverse Reactions
Adverse Reactions
Neutropenia, febrile neutropenia, fever, alopecia, nausea, vomiting, diarrhea; urinary tract and renal toxicity, cardiotoxicity, pulmonary toxicity, secondary malignancies (eg, urinary tract cancer, myelodysplasia, acute leukemias, lymphomas, thyroid cancer, sarcomas), veno-occlusive liver disease, infertility, hyponatremia.
Cyclophosphamide Injection Clinical Trials
See Literature
Cyclophosphamide Injection Note
Notes
Cyclophosphamide Injection Patient Counseling
See Literature
Cyclophosphamide Injection Generic Name & Formulations
Legal Class
General Description
Pharmacological Class
See Also
How Supplied
Manufacturer
Mechanism of Action
Cyclophosphamide Injection Indications
Indications
Cyclophosphamide Injection Dosage and Administration
Adult
Initially 40–50mg/kg IV in divided doses over 2–5 days; or 10–15mg/kg IV every 7–10 days; or 3–5mg/kg IV twice weekly.
Children
See full labeling.
Cyclophosphamide Injection Contraindications
Contraindications
Urinary outflow obstruction.
Cyclophosphamide Injection Boxed Warnings
Not Applicable
Cyclophosphamide Injection Warnings/Precautions
Warnings/Precautions
Risk for myelosuppression, immunosuppression, bone marrow failure, infections. Monitor CBCs during treatment. Do not initiate therapy if neutrophils ≤1,500/mm3 and platelets <50,000/mm3. Interrupt or reduce dose if serious infection occurs; consider using G-CSF to reduce risk. Increased risk for severe myelosuppression if pretreated with and/or receiving concomitant chemotherapy and/or radiation therapy. Exclude or correct any urinary tract obstructions prior to initiation; check urinary sediment regularly for signs of urotoxicity and/or nephrotoxicity. Active urinary tract infections. Monitor in patients with risk factors for cardiotoxicity and with pre-existing cardiac disease. Monitor for pulmonary toxicity. May interfere with wound healing. May contain alcohol. Severe renal or hepatic impairment: monitor. Elderly. Embryo-fetal toxicity. Advise to use effective contraception during and for up to 1 year (females of reproductive potential) and for 4 months (males w. female partners) after completion of therapy. Pregnancy. Nursing mothers: not recommended (during and for 1 week after the last dose).
Cyclophosphamide Injection Pharmacokinetics
Distribution
Volume of distribution: 30 to 50 L. Approximately 20% protein bound.
Elimination
Renal. Half-life: 3–12 hours. Total body clearance: 4 to 5.6 L/h.
Cyclophosphamide Injection Interactions
Interactions
Increased risk for hematotoxicity and/or immunosuppression with ACE inhibitors, natalizumab, paclitaxel, thiazide diuretics, zidovudine. Increased risk for cardiotoxicity with anthracyclines, cytarabine, pentostatin, radiation therapy of the cardiac region, trastuzumab. Increased risk for pulmonary toxicity with amiodarone, G-CSF, GM-CSF. Increased risk for nephrotoxicity with amphotericin B, indomethacin. Increased risk for hepatotoxicity with azathioprine. Increased risk for hepatic veno-occlusive disease and mucositis with busulfan. Increased risk for mucositis with protease inhibitors. Increased risk for hemorrhagic cystitis with radiation treatment. May affect warfarin. May antagonize cyclosporine. Potentiates depolarizing muscle relaxants (eg, succinylcholine). Potentiated by metronidazole.
Cyclophosphamide Injection Adverse Reactions
Adverse Reactions
Neutropenia, febrile neutropenia, fever, alopecia, nausea, vomiting, diarrhea; urinary tract and renal toxicity, cardiotoxicity, pulmonary toxicity, secondary malignancies (eg, urinary tract cancer, myelodysplasia, acute leukemias, lymphomas, thyroid cancer, sarcomas), veno-occlusive liver disease, infertility, hyponatremia.
Cyclophosphamide Injection Clinical Trials
See Literature
Cyclophosphamide Injection Note
Notes
Cyclophosphamide Injection Patient Counseling
See Literature