Palonosetron
CLINICAL USE
Anti-emetic:For use with cancer chemotherapy
DOSE IN NORMAL RENAL FUNCTION
250 mcg as a single dose approximately 30 minutes before chemotherapy
PHARMACOKINETICS
Molecular weight                           :332.9 (as hydrochloride) %Protein binding                           :62 %Excreted unchanged in urine     : 40 Volume of distribution (L/kg)       :6.9–7.9half-life – normal/ESRD (hrs)      :40 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   :Unknown dialysability. 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 ADMINISTRATION
Reconstition
– Route
IV bolus Rate of Administration
30 seconds Comments
– OTHER INFORMATION
Repeated doses within 7 days are not recommendedUse with caution in people at risk of QT prolongation.
See how to identify renal failure stages according to GFR calculation
See how to diagnose irreversible renal disease
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