Palonosetron
Palonosetron.JPG

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)       :6.9–7.9
  • half-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 function
  • HDF/high flux   :Unknown dialysability. 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 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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