Cyclophosphamide

Therapeutic Group

Anti-neoplastics

Indication Dosage

Indication:

Cyclophosphamide is a medication used to treat certain types of cancer and autoimmune diseases. It works by slowing down or stopping the growth of abnormal cells in the body. Your doctor may prescribe it to help fight cancer or manage conditions like lupus and rheumatoid arthritis.

Dosage:

Rheumatoid Arthritis With Severe Systemic Manifestations: 

Oral: 

  • Adult: 1-1.5 Mg/kg Daily 

Severe Systemic Rheumatoid Arthritis and other Connective Tissue Diseases (especially With Active Vasculitis): 

By IV Inj: 

  • Adult: 0.5-1g Every 2 Weeks, Then Reduced To 0.5-1g, With Prophylactic Mesna, Every Month, Frequency Adjusted According To Clinical Response And Haematological Monitoring. 

In Combination With Other Agents For Treatment Of A Wide Range Of Malignancies, Including Leukaemias, Lymphomas, Multiple Myeloma, Mycosis Fungoides, Neuroblastoma, Ovary Adenocarcinoma, Retinoblastoma, Breast Carcinoma And Solid Tumours: 

By IV Inj: 

  • Adults & Children: 40-50 Mg/kg In Divided Doses Over 2-5 Days, Or 10-15 Mg/kg For 7-10 Days, Or 3-5 Mg/kg. 

Oral: 

  • Adults & Children: 1-5 Mg/kg/day.

Content

  • Inj 100mg /200mg /500mg /1gm: Cyclophospha-mide 100mg /200mg /500mg /1gm, Vial.
  • Tab 50mg: Cyclophosphamide 50mg.

Pregnancy

Positive Evidence Of Risk: Avoid

Stability

  • Alkylating Agent

Contra Indications

  • Bladder Haemorrhage, Acute Uti, Myelo-suppression, Haemorrhagic Cystitis

Precautions

  • Bladder Haemorrhage, Acute Uti, Myelo-suppression, Haemorrhagic Cystitis

Lactation

  • Contraindicated. Discontinue breast-feeding.

Side Effects

  • Anorexia
  • Cardiotoxicity At High Doses
  • Disturbances Of Carbohydrate Metabolism
  • Inappropriate Secretion Of Anti-diuretic Hormone
  • Interstitial Pulmonary Fibrosis
  • Pancreatitis
  • Pigmentation Of Nails
  • And Soles
  • Urothelial Toxicity
  • Alopecia
  • Bone-marrow Suppression
  • Haemorrhagic Cystitis
  • Hyperuricaemia
  • Male Sterility
  • Nausea
  • Oral Mucositis
  • Premature Menopause
  • Secondary Malignancy
  • Thromboembolism
  • Tumourlysis Syndrome
  • Vomiting.
  • Rare: Hepatotoxicity
  • Renal Dysfunction