Fulvestrant
Fulvestrant
CLINICAL USE
Treatment of post-menopausal women with oestrogen-receptor-positive, locally advanced or metastatic breast cancer
DOSE IN NORMAL RENAL FUNCTION
250 mg monthly
PHARMACOKINETICS
Molecular weight                           :606.8 %Protein binding                           :99 %Excreted unchanged in urine     : <1 Volume of distribution (L/kg)       :3–5half-life – normal/ESRD (hrs)      :40 days/unchanged DOSE IN RENAL IMPAIRMENT
GFR (mL/MIN)
20 to 50     : Dose as in normal renal function 10 to 20     : Dose as in normal renal function <10           : Dose as in normal renal function DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES
CAPD                :Unlikely to be dialysed. Dose as in normal renal function HD                     :Unlikely to be dialysed. Dose as in normal renal functionHDF/high flux   :Unlikely to be dialysed. Dose as in normal renal functionCAV/VVHD      :Unlikely to be dialysed. Dose as in normal renal function IMPORTANT DRUG INTERACTIONS
Potentially hazardous interactions with other drugsNone known ADMINISTRATION
Reconstition
– Route
IM Rate of Administration
–Comments
– OTHER INFORMATION
As it is an intramuscular injection, use with caution in patients who are heparinised.
See how to identify renal failure stages according to GFR calculation
See how to diagnose irreversible renal disease
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