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藥品參考

Irinotecan

Irinotecan is a medicine in the class oncology. It is used for colorectal cancer.

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僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。

本頁的臨床內容僅提供英文版。

重點資訊

藥物類別
Oncology
ATC 代碼
L01CE02
常見劑型
注射劑, 輸注液
常見規格
40 mg/2 ml, 20 mg/ml, 100 mg/5 ml
已知交互作用
174 (禁忌併用: 2 · 嚴重: 49 · 中度: 93 · 輕微: 30)
商品名
25
國家與市場
5

劑型、規格與商品名稱會因國家而異。請核對您手上的產品。

用途

作用方式

Binds to topoisomerase I to produce double-strand breaks in DNA

成人常用劑量(仿單摘要)

Regimen 1 (Weekly): 125 mg/m² IV infusion over 90 minutes on days 1, 8, 15, 22, then 2 weeks off, then repeat

僅摘錄仿單中第一行劑量說明;完整的劑量內容請見 App。

懷孕與哺乳

懷孕
Unsafe Can cause fetal harm: embryo deaths and birth defects in rats and rabbits below human exposure; human data are limited. Avoid; verify pregnancy status. Contraception after the last dose: women 6 months, men 3 months (liposomal form: 7 and 4 months).
哺乳
Unsafe Irinotecan and its active metabolite pass into milk, the metabolite for up to a week after a dose. US labels: do not breastfeed during treatment and for 7 days after the last dose (liposomal form: 1 month). LactMed: higher doses may need a longer break.

已通報的副作用

  • Diarrhea
  • Nausea
  • Leukopenia
  • Anemia
  • Neutropenia
  • Thrombocytopenia

哪些人需要特別留意

  • Drug is subject to photodegradation, especially in neutral and alkaline solutions
  • Avoid pregnancy; can cause fetal harm
  • Renal impairment and acute renal failure reported; usually in patients who became volume depleted from severe vomiting and/or diarrhea

請告知藥師或醫師您是否懷孕或哺乳、是否患有腎臟或肝臟疾病、是否有過敏,以及您正在使用的所有其他藥物或保健品。

重要交互作用 (174)

All 174 interactions, with severity and what to do

Pro+ 會員專屬

解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可開啟 Irinotecan 的完整藥品專論:劑量、懷孕與哺乳、副作用、警示及所有交互作用。

  • Dosing by age, kidney and liver function, and further dose lines
  • Paediatric dosing
  • Patient counselling points
  • Food interactions

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同類別的其他藥品

常見問題

What is Irinotecan used for?

Irinotecan is a medicine in the class oncology. It is used for Colorectal cancer.

What side effects have been reported with Irinotecan?

Diarrhea, Nausea, Leukopenia, Anemia, Neutropenia, Thrombocytopenia.

Can Irinotecan be taken in pregnancy or while breastfeeding?

Pregnancy: Unsafe. Can cause fetal harm: embryo deaths and birth defects in rats and rabbits below human exposure; human data are limited. Avoid; verify pregnancy status. Contraception after the last dose: women 6 months, men 3 months (liposomal form: 7 and 4 months). Breastfeeding: Unsafe. Irinotecan and its active metabolite pass into milk, the metabolite for up to a week after a dose. US labels: do not breastfeed during treatment and for 7 days after the last dose (liposomal form: 1 month). LactMed: higher doses may need a longer break.

What does Irinotecan interact with?

MediHelp lists 174 known interactions for Irinotecan. Contraindicated: 2 · Major: 49 · Moderate: 93 · Minor: 30. The most serious include Clozapine, Sacituzumab govitecan, Adenovirus types 4 and 7 live.

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