Mitomycin

— THERAPEUTIC CATEGORIES —
  • Colorectal and other GI cancers
  • Pancreatic, thyroid, and other endocrine cancers

Mitomycin Generic Name & Formulations

General Description

Mitomycin 5mg/vial, 20mg/vial, 40mg/vial; pwd for IV infusion after reconstitution and dilution; contains mannitol.

Pharmacological Class

Cytotoxic antibiotic.

How Supplied

Contact supplier.

Mitomycin Indications

Indications

Disseminated adenocarcinoma of the stomach.

Mitomycin Dosage and Administration

Adult

Give by IV infusion. 20mg/m2 as a single dose every 6–8 weeks. Discontinue if disease progresses after two courses. Myelosuppression: see literature for dose adjustments.

Children

Not recommended.

Mitomycin Contraindications

Contraindications

Thrombocytopenia. Coagulation disorders. Bleeding tendencies.

Mitomycin Boxed Warnings

Not Applicable

Mitomycin Warnings/Precautions

Warnings/Precautions

Renal toxicity; serum creatinine >1.7mg: not recommended. Monitor platelets, WBCs, differential, hemoglobin repeatedly during and for at least 8 weeks after therapy. Avoid extravasation. Monitor fluid balance and avoid overhydration. Pregnancy, nursing mothers: not recommended.

Mitomycin Pharmacokinetics

See Literature

Mitomycin Interactions

Interactions

Caution with vinca alkaloids, other chemotherapy.

Mitomycin Adverse Reactions

Adverse Reactions

Thrombocytopenia, leukopenia (cumulative myelosuppression); inj site reactions (eg, cellulitis), stomatitis, alopecia, renal toxicity, pulmonary toxicity (eg, pulmonary infiltrates); discontinue if occurs; hemolytic uremic syndrome, CHF, fever, anorexia, nausea, vomiting.

Mitomycin Clinical Trials

See Literature

Mitomycin Note

Notes

Formerly known under the brand names Mitozytrex, Mutamycin.

Mitomycin Patient Counseling

See Literature

Mitomycin Generic Name & Formulations

General Description

Mitomycin 5mg/vial, 20mg/vial, 40mg/vial; pwd for IV infusion after reconstitution and dilution; contains mannitol.

Pharmacological Class

Cytotoxic antibiotic.

How Supplied

Contact supplier.

Mitomycin Indications

Indications

Disseminated adenocarcinoma of the pancreas.

Mitomycin Dosage and Administration

Adult

Give by IV infusion. 20mg/m2 as a single dose every 6–8 weeks. Discontinue if disease progresses after two courses. Myelosuppression: see literature for dose adjustments.

Children

Not recommended.

Mitomycin Contraindications

Contraindications

Thrombocytopenia. Coagulation disorders. Bleeding tendencies.

Mitomycin Boxed Warnings

Not Applicable

Mitomycin Warnings/Precautions

Warnings/Precautions

Renal toxicity; serum creatinine >1.7mg: not recommended. Monitor platelets, WBCs, differential, hemoglobin repeatedly during and for at least 8 weeks after therapy. Avoid extravasation. Monitor fluid balance and avoid overhydration. Pregnancy, nursing mothers: not recommended.

Mitomycin Pharmacokinetics

See Literature

Mitomycin Interactions

Interactions

Caution with vinca alkaloids, other chemotherapy.

Mitomycin Adverse Reactions

Adverse Reactions

Thrombocytopenia, leukopenia (cumulative myelosuppression); inj site reactions (eg, cellulitis), stomatitis, alopecia, renal toxicity, pulmonary toxicity (eg, pulmonary infiltrates); discontinue if occurs; hemolytic uremic syndrome, CHF, fever, anorexia, nausea, vomiting.

Mitomycin Clinical Trials

See Literature

Mitomycin Note

Notes

Formerly known under the brand names Mitozytrex, Mutamycin.

Mitomycin Patient Counseling

See Literature