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BICNU

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Generic Name for BICNU

Carmustine 100mg/vial; lyophilized pwd for IV infusion after reconstitution and dilution; preservative-free.

Legal Classification:

Rx

Pharmacological Class for BICNU

Alkylating agent.

Manufacturer of BICNU

Bristol-Myers Squibb

Indications for BICNU

Palliative therapy as a single agent or in combination with other chemotherapeutic agents for brain tumors (glioblastoma, brainstem glioma, medulloblastoma, astrocytoma, ependymoma, metastatic brain tumors).

Other Indications for BICNU

Adult dose for BICNU

Pretreat with antiemetics. Give by slow IV infusion. Previously untreated patients as a single agent: Initially 150–200mg/m2 every 6 weeks. May give as one single dose or divided into daily injections (eg, 75–100mg/m2) on 2 consecutive days. Adjust subsequent doses based on hematologic response (see literature). In combination therapy: adjust doses accordingly (see literature).

Children's dosing for BICNU

Not recommended.

Contraindications for BICNU

Bone marrow suppression.

Warnings/Precautions for BICNU

Monitor blood counts weekly for > 6 weeks after a dose. Do not give repeat doses until platelets are >100,000/mm3 and leukocytes are 4000/mm3. Monitor liver and renal function. Perform pulmonary function tests prior to and during therapy. History of lung disease. Patients with baseline < 70% of the predicted Forced Vital Capacity or Carbon Monoxide Diffusing Capacity, and cumulative doses > 1400mg/m2 increase risk of pulmonary toxicity. Elderly. Pregnancy (Cat.D), nursing mothers: not recommended.

Adverse Reactions for BICNU

Delayed myelosuppression leading to infection and bleeding, pulmonary toxicity, delayed pulmonary fibrosis, secondary malignancies, nausea, vomiting, hepatotoxicity, nephrotoxicity, neuroretinitis, chest pain, headache, hypersensitivity, hypotension, tachycardia. Intensive flushing of the skin and suffusion of the conjunctiva related to rapid IV infusion.

How is BICNU supplied?

Single-use vial—1 (w. 3mL sterile diluent)

Related Disease:

Brain tumors
Hodgkin's disease
Non-Hodgkin's lymphoma

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