Irocan 40, Irocan 100, Irocan 300, Irocan 500 40 mg, 100 mg, 300 mg or 500 mg Solution for Infusion
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of advanced colorectal cancer.
Dosage (summary)
350 mg/mu00b2 IV every 3 weeks for monotherapy; 80 mg/mu00b2 weekly or 180 mg/mu00b2 every 2 weeks for combination therapy.
Special Populations
- Hepatic impairment
- Renal impairment
- Elderly
Pregnancy & Breastfeeding
Contraindicated in pregnancy and lactation; effective contraception required.
Key Drug Interactions
- Azole antifungals
- St John's Wort
- Live attenuated vaccines
Contraindications
- Severe hypersensitivity to irinotecan
- Chronic inflammatory bowel disease
- Bowel obstruction
- Bilirubin > 1.5 times ULN
- Severe bone marrow failure
- WHO performance status > 2
Common side effects
- Neutropenia
- Diarrhea
- Nausea
- Vomiting
- Alopecia
Counselling Points
- Avoid pregnancy during treatment
- Report diarrhea immediately
- Hydration is crucial
Serious warnings
- Risk of delayed diarrhea
- Severe neutropenia
- Monitor for infections
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