Fulvestrant
Fulvestrant.JPG

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)       :3–5
  • half-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 function
  • HDF/high flux   :Unlikely to be dialysed. Dose as in normal renal function
  • CAV/VVHD      :Unlikely to be dialysed. Dose as in normal renal function

    IMPORTANT DRUG INTERACTIONS

    Potentially hazardous interactions with other drugs
  • None 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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