Fludara 50mg Solution
Clinical Summary
Quick overview from the medicine insert
Indication
Initial treatment of B-cell chronic lymphocytic leukaemia (CLL).
Dosage (summary)
IV: 25 mg/mu00b2 daily for 5 days every 28 days; Oral: 40 mg/mu00b2 daily for 5 days every 28 days.
Special Populations
- Renal impairment
- Hepatic impairment
- Elderly patients
Pregnancy & Breastfeeding
Contraindicated in pregnancy; not known if excreted in breast milk.
Key Drug Interactions
- Pentostatin (increased pulmonary toxicity)
- Dipyridamole (reduced efficacy)
Contraindications
- Hypersensitivity to fludarabine
- Renal impairment (creatinine clearance < 30 ml/min)
- Haemolytic anaemia
Common side effects
- Neutropenia
- Anaemia
- Thrombocytopenia
- Nausea
- Vomiting
- Fatigue
Counselling Points
- Monitor for neurological side effects
- Avoid live vaccines
- Use effective contraception during treatment
Serious warnings
- Severe neurotoxicity
- Leukoencephalopathy
- Myelosuppression
- Autoimmune phenomena
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