Vinblastine For Injection

— THERAPEUTIC CATEGORIES —
  • Breast cancer
  • Gynecologic cancers
  • Kaposi's sarcoma
  • Leukemias, lymphomas, and other hematologic cancers
  • Prostate and other male cancers

Vinblastine For Injection Generic Name & Formulations

General Description

Vinblastine (as sulfate) 10mg/vial; lyophilized pwd for IV inj or infusion after reconstitution.

Pharmacological Class

Antimicrotubule agent.

How Supplied

Pwd—10; Soln—1

Manufacturer

Vinblastine For Injection Indications

Indications

Less frequently responsive: breast cancer, unresponsive to endocrine surgery and hormonal therapy.

Vinblastine For Injection Dosage and Administration

Adult

See literature. Give by IV once weekly. 1st dose: 3.7mg/m2 as a single dose, continue to increase dose by increments (2nd dose: 5.5mg/m2, 3rd dose: 7.4mg/m2, 4th dose: 9.25mg/m2, 5th dose: 11.1mg/m2, max dose: 18.5mg/m2) until WBC 3,000cells/mm3 reached, stop at this dose, then administer a dose one increment smaller at weekly intervals for maintenance. Usual weekly dosage: 5.5–7.4mg/m2. Do not give the next dose, even if 7 days have elapsed, unless WBC ≥4,000cells/mm3. If oncolytic effect occurs before leukopenia, do not increase the size of subsequent doses. Hepatic impairment: reduce dose by 50% if serum bilirubin >3mg/100mL.

Children

Not recommended.

Vinblastine For Injection Contraindications

Contraindications

Significant granulocytopenia (unless result of disease being treated). Bacterial infections (treat first).

Vinblastine For Injection Boxed Warnings

Not Applicable

Vinblastine For Injection Warnings/Precautions

Warnings/Precautions

For IV use only; fatal if given intrathecally. Hepatic impairment. Avoid in elderly with cachexia or ulcerated skin; or in patients with malignant-cell infiltration of the bone marrow. Pre-existing pulmonary dysfunction. Progressive dyspnea requiring chronic therapy (do not re-administer). Ischemic cardiac disease. Bone marrow suppression; monitor WBC before and during treatment. Avoid contamination of the eyes or injecting into an extremity with poor circulation (thrombosis possible). Avoid extravasation. Pregnancy (Cat.D), nursing mothers: not recommended.

Vinblastine For Injection Pharmacokinetics

See Literature

Vinblastine For Injection Interactions

Interactions

May be potentiated by CYP3A inhibitors (eg, erythromycin). Antagonizes phenytoin.

Vinblastine For Injection Adverse Reactions

Adverse Reactions

Leukopenia, alopecia, GI upset, paresthesias, malaise, pain; dyspnea, severe bronchospasm.

Vinblastine For Injection Clinical Trials

See Literature

Vinblastine For Injection Note

Not Applicable

Vinblastine For Injection Patient Counseling

See Literature

Vinblastine For Injection Generic Name & Formulations

General Description

Vinblastine (as sulfate) 10mg/vial; lyophilized pwd for IV inj or infusion after reconstitution.

Pharmacological Class

Antimicrotubule agent.

How Supplied

Pwd—10; Soln—1

Manufacturer

Vinblastine For Injection Indications

Indications

Less frequently responsive: choriocarcinoma resistant to other chemotherapy.

Vinblastine For Injection Dosage and Administration

Adult

See literature. Give by IV once weekly. 1st dose: 3.7mg/m2 as a single dose, continue to increase dose by increments (2nd dose: 5.5mg/m2, 3rd dose: 7.4mg/m2, 4th dose: 9.25mg/m2, 5th dose: 11.1mg/m2, max dose: 18.5mg/m2) until WBC 3,000cells/mm3 reached, stop at this dose, then administer a dose one increment smaller at weekly intervals for maintenance. Usual weekly dosage: 5.5–7.4mg/m2. Do not give the next dose, even if 7 days have elapsed, unless WBC ≥4,000cells/mm3. If oncolytic effect occurs before leukopenia, do not increase the size of subsequent doses. Hepatic impairment: reduce dose by 50% if serum bilirubin >3mg/100mL.

Children

Not recommended.

Vinblastine For Injection Contraindications

Contraindications

Significant granulocytopenia (unless result of disease being treated). Bacterial infections (treat first).

Vinblastine For Injection Boxed Warnings

Not Applicable

Vinblastine For Injection Warnings/Precautions

Warnings/Precautions

For IV use only; fatal if given intrathecally. Hepatic impairment. Avoid in elderly with cachexia or ulcerated skin; or in patients with malignant-cell infiltration of the bone marrow. Pre-existing pulmonary dysfunction. Progressive dyspnea requiring chronic therapy (do not re-administer). Ischemic cardiac disease. Bone marrow suppression; monitor WBC before and during treatment. Avoid contamination of the eyes or injecting into an extremity with poor circulation (thrombosis possible). Avoid extravasation. Pregnancy (Cat.D), nursing mothers: not recommended.

Vinblastine For Injection Pharmacokinetics

See Literature

Vinblastine For Injection Interactions

Interactions

May be potentiated by CYP3A inhibitors (eg, erythromycin). Antagonizes phenytoin.

Vinblastine For Injection Adverse Reactions

Adverse Reactions

Leukopenia, alopecia, GI upset, paresthesias, malaise, pain; dyspnea, severe bronchospasm.

Vinblastine For Injection Clinical Trials

See Literature

Vinblastine For Injection Note

Not Applicable

Vinblastine For Injection Patient Counseling

See Literature

Vinblastine For Injection Generic Name & Formulations

General Description

Vinblastine (as sulfate) 10mg/vial; lyophilized pwd for IV inj or infusion after reconstitution.

Pharmacological Class

Antimicrotubule agent.

How Supplied

Pwd—10; Soln—1

Manufacturer

Vinblastine For Injection Indications

Indications

Frequently responsive: palliative treatment of Kaposi's sarcoma.

Vinblastine For Injection Dosage and Administration

Adult

See literature. Give by IV once weekly. 1st dose: 3.7mg/m2 as a single dose, continue to increase dose by increments (2nd dose: 5.5mg/m2, 3rd dose: 7.4mg/m2, 4th dose: 9.25mg/m2, 5th dose: 11.1mg/m2, max dose: 18.5mg/m2) until WBC 3,000cells/mm3 reached, stop at this dose, then administer a dose one increment smaller at weekly intervals for maintenance. Usual weekly dosage: 5.5–7.4mg/m2. Do not give the next dose, even if 7 days have elapsed, unless WBC ≥4,000cells/mm3. If oncolytic effect occurs before leukopenia, do not increase the size of subsequent doses. Hepatic impairment: reduce dose by 50% if serum bilirubin >3mg/100mL.

Children

Not recommended.

Vinblastine For Injection Contraindications

Contraindications

Significant granulocytopenia (unless result of disease being treated). Bacterial infections (treat first).

Vinblastine For Injection Boxed Warnings

Not Applicable

Vinblastine For Injection Warnings/Precautions

Warnings/Precautions

For IV use only; fatal if given intrathecally. Hepatic impairment. Avoid in elderly with cachexia or ulcerated skin; or in patients with malignant-cell infiltration of the bone marrow. Pre-existing pulmonary dysfunction. Progressive dyspnea requiring chronic therapy (do not re-administer). Ischemic cardiac disease. Bone marrow suppression; monitor WBC before and during treatment. Avoid contamination of the eyes or injecting into an extremity with poor circulation (thrombosis possible). Avoid extravasation. Pregnancy (Cat.D), nursing mothers: not recommended.

Vinblastine For Injection Pharmacokinetics

See Literature

Vinblastine For Injection Interactions

Interactions

May be potentiated by CYP3A inhibitors (eg, erythromycin). Antagonizes phenytoin.

Vinblastine For Injection Adverse Reactions

Adverse Reactions

Leukopenia, alopecia, GI upset, paresthesias, malaise, pain; dyspnea, severe bronchospasm.

Vinblastine For Injection Clinical Trials

See Literature

Vinblastine For Injection Note

Not Applicable

Vinblastine For Injection Patient Counseling

See Literature

Vinblastine For Injection Generic Name & Formulations

General Description

Vinblastine (as sulfate) 10mg/vial; lyophilized pwd for IV inj or infusion after reconstitution.

Pharmacological Class

Antimicrotubule agent.

How Supplied

Pwd—10; Soln—1

Manufacturer

Vinblastine For Injection Indications

Indications

Frequently responsive: palliative treatment of generalized Hodgkin's disease, lymphocytic lymphoma, histiocytic lymphoma, mycosis fungoides.

Vinblastine For Injection Dosage and Administration

Adult

See literature. Give by IV once weekly. 1st dose: 3.7mg/m2 as a single dose, continue to increase dose by increments (2nd dose: 5.5mg/m2, 3rd dose: 7.4mg/m2, 4th dose: 9.25mg/m2, 5th dose: 11.1mg/m2, max dose: 18.5mg/m2) until WBC 3,000cells/mm3 reached, stop at this dose, then administer a dose one increment smaller at weekly intervals for maintenance. Usual weekly dosage: 5.5–7.4mg/m2. Do not give the next dose, even if 7 days have elapsed, unless WBC ≥4,000cells/mm3. If oncolytic effect occurs before leukopenia, do not increase the size of subsequent doses. Hepatic impairment: reduce dose by 50% if serum bilirubin >3mg/100mL.

Children

See literature. IV use only. Hodgkin's disease: initially 6mg/m2. Adjust dose according to hematologic tolerance.

Vinblastine For Injection Contraindications

Contraindications

Significant granulocytopenia (unless result of disease being treated). Bacterial infections (treat first).

Vinblastine For Injection Boxed Warnings

Not Applicable

Vinblastine For Injection Warnings/Precautions

Warnings/Precautions

For IV use only; fatal if given intrathecally. Hepatic impairment. Avoid in elderly with cachexia or ulcerated skin; or in patients with malignant-cell infiltration of the bone marrow. Pre-existing pulmonary dysfunction. Progressive dyspnea requiring chronic therapy (do not re-administer). Ischemic cardiac disease. Bone marrow suppression; monitor WBC before and during treatment. Avoid contamination of the eyes or injecting into an extremity with poor circulation (thrombosis possible). Avoid extravasation. Pregnancy (Cat.D), nursing mothers: not recommended.

Vinblastine For Injection Pharmacokinetics

See Literature

Vinblastine For Injection Interactions

Interactions

May be potentiated by CYP3A inhibitors (eg, erythromycin). Antagonizes phenytoin.

Vinblastine For Injection Adverse Reactions

Adverse Reactions

Leukopenia, alopecia, GI upset, paresthesias, malaise, pain; dyspnea, severe bronchospasm.

Vinblastine For Injection Clinical Trials

See Literature

Vinblastine For Injection Note

Not Applicable

Vinblastine For Injection Patient Counseling

See Literature

Vinblastine For Injection Generic Name & Formulations

General Description

Vinblastine (as sulfate) 10mg/vial; lyophilized pwd for IV inj or infusion after reconstitution.

Pharmacological Class

Antimicrotubule agent.

How Supplied

Pwd—10; Soln—1

Manufacturer

Vinblastine For Injection Indications

Indications

Frequently responsive: palliative treatment of advanced carcinoma of the testis.

Vinblastine For Injection Dosage and Administration

Adult

See literature. Give by IV once weekly. 1st dose: 3.7mg/m2 as a single dose, continue to increase dose by increments (2nd dose: 5.5mg/m2, 3rd dose: 7.4mg/m2, 4th dose: 9.25mg/m2, 5th dose: 11.1mg/m2, max dose: 18.5mg/m2) until WBC 3,000cells/mm3 reached, stop at this dose, then administer a dose one increment smaller at weekly intervals for maintenance. Usual weekly dosage: 5.5–7.4mg/m2. Do not give the next dose, even if 7 days have elapsed, unless WBC ≥4,000cells/mm3. If oncolytic effect occurs before leukopenia, do not increase the size of subsequent doses. Hepatic impairment: reduce dose by 50% if serum bilirubin >3mg/100mL.

Children

See literature. IV use only. Testicular germ cell carcinomas: initially 3mg/m2. Adjust dose according to hematologic tolerance.

Vinblastine For Injection Contraindications

Contraindications

Significant granulocytopenia (unless result of disease being treated). Bacterial infections (treat first).

Vinblastine For Injection Boxed Warnings

Not Applicable

Vinblastine For Injection Warnings/Precautions

Warnings/Precautions

For IV use only; fatal if given intrathecally. Hepatic impairment. Avoid in elderly with cachexia or ulcerated skin; or in patients with malignant-cell infiltration of the bone marrow. Pre-existing pulmonary dysfunction. Progressive dyspnea requiring chronic therapy (do not re-administer). Ischemic cardiac disease. Bone marrow suppression; monitor WBC before and during treatment. Avoid contamination of the eyes or injecting into an extremity with poor circulation (thrombosis possible). Avoid extravasation. Pregnancy (Cat.D), nursing mothers: not recommended.

Vinblastine For Injection Pharmacokinetics

See Literature

Vinblastine For Injection Interactions

Interactions

May be potentiated by CYP3A inhibitors (eg, erythromycin). Antagonizes phenytoin.

Vinblastine For Injection Adverse Reactions

Adverse Reactions

Leukopenia, alopecia, GI upset, paresthesias, malaise, pain; dyspnea, severe bronchospasm.

Vinblastine For Injection Clinical Trials

See Literature

Vinblastine For Injection Note

Not Applicable

Vinblastine For Injection Patient Counseling

See Literature