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fluorouracil
generic
Black Box Warnings .
Appropriate Use
admin. only under supervision of physician experienced in cancer chemotherapy and potent antimetabolites; hospitalize pts for at least 1st tx course due to possible severe toxic rxns
Adult Dosing .
Dosage forms: INJ
Special Note
- [uses, dosing may vary]
- Info: refer to institution protocols and pkg insert prior to prescribing for uses and dosing incl. toxicity-related dose adjustments
breast CA
- [500 mg/m^2/dose IV x1 on days 1, 8 of 28-day cycle]
- Alt: 600 mg/m^2/dose IV x1 on days 1, 8 of 28-day cycle; Info: give x6 cycles; part of multi-drug chemo regimen
colorectal CA
- [bolus regimen]
- Dose: 500 mg/m^2/dose IV x1 on days 1, 8, 15, 22, 29, 36 of 56-day cycle; Info: give x4 cycles; use w/ (levo)leucovorin
- [infusional regimen]
- Dose: 400 mg/m^2/dose IV x1 on day 1, then 1200-1500 mg/m^2/24h IV infusion on days 1, 2 of 14-day cycle; Info: use w/ (levo)leucovorin w/ or w/o irinotecan or oxaliplatin
gastric CA
- [resectable dz]
- Dose: 200 mg/m^2/24h IV infusion on days 1-21 of 21-day cycle; Alt: 800 mg/m^2/24h IV infusion on days 1-5 of 28-day cycle; Info: give x3 cycles preop, then x3 cycles postop; use w/ cisplatin or part of multi-drug chemo regimen
- [advanced dz]
- Dose: 750-1000 mg/m^2/24h IV infusion on days 1-4 of 28-day cycle; Info: use w/ cisplatin
pancreatic CA
- [400 mg/m^2/dose IV x1 on day 1, then 1200 mg/m^2/24h IV infusion on days 1, 2 of 14-day cycle]
- Info: give x12 cycles; part of multi-drug chemo regimen
renal dosing
- [see below]
- renal impairment: no adjustment
- HD: decr. usual dose by up to 50%, on dialysis days admin. after dialysis; no supplement; PD: not defined
hepatic dosing
- [see below]
- hepatic impairment: not defined, caution advised
Peds Dosing .
Peds dosing is currently unavailable or not applicable for this drug.