Jevtana cabazitaxel 60 mg for sale
Prostate Cancer
Indicated in combination with prednisone for hormone-refractory metastatic prostate cancer previously treated with a docetaxel-containing regimen
Give with prednisone 10 mg PO qDay (ie, administer prednisone every day throughout course of treatment with cabazitaxel)
Dose modification
- Reduce dose to 20 mg/m² with following reactions
- Febrile neutropenia or prolonged (>1 week) neutropenia grade 3 or greater: Delay until neutrophil count is >1500/mm³, and then reinitiate at reduced dose; consider G-CSF for secondary prophylaxis
- Persistent diarrhea or diarrhea grade 3 or greater: Delay until improvement, and then reinitiate at reduced dose of 20 mg/m²
- Grade 2 peripheral neuropathy: Delay treatment until improvement or resolution; then reduce dose to 20 mg/m²
- Grade 3 peripheral neuropathy: Discontinue therapy
- Discontinue if reactions persist despite reduced dose
Hepatic Impairment
Mild hepatic impairment (total bilirubin > 1 to ≤ 1.5 x upper limit of normal (ULN) or AST >1.5 x ULN): Reduce dose to 20 mg/m²
Moderate hepatic impairment (total bilirubin > 1.5 to ≤ 3 x ULN and AST = any): 15 mg/m²
Severe hepatic impairment (total bilirubine >3 x ULN): Contraindicated
Administration
Vial contents require 2 dilutions prior to administration
Use entire contents of accompanying diluent to achieve a concentration of 10 mg/mL
Antiemetic prophylaxis recommended as needed
Premedication regimen
- Initiate premedication 30 minutes before each dose Antihistamine (eg, diphenhydramine 25 mg IV) Corticosteroid (dexamethasone 8 mg IV or equivalent) H2-antagonist (eg, ranitidine 50 mg IV)
Other Information
Use cytotoxic precautions for handling, administration, and disposal
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