Vinblastine For Injection Generic Name & Formulations
Legal Class
Rx
General Description
Vinblastine (as sulfate) 10mg/vial; lyophilized pwd for IV inj or infusion after reconstitution.
Pharmacological Class
Antimicrotubule agent.
See Also
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
Legal Class
Rx
General Description
Vinblastine (as sulfate) 10mg/vial; lyophilized pwd for IV inj or infusion after reconstitution.
Pharmacological Class
Antimicrotubule agent.
See Also
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
Legal Class
Rx
General Description
Vinblastine (as sulfate) 10mg/vial; lyophilized pwd for IV inj or infusion after reconstitution.
Pharmacological Class
Antimicrotubule agent.
See Also
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
Legal Class
Rx
General Description
Vinblastine (as sulfate) 10mg/vial; lyophilized pwd for IV inj or infusion after reconstitution.
Pharmacological Class
Antimicrotubule agent.
See Also
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
Legal Class
Rx
General Description
Vinblastine (as sulfate) 10mg/vial; lyophilized pwd for IV inj or infusion after reconstitution.
Pharmacological Class
Antimicrotubule agent.
See Also
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