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Decitabine

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Overview

What is Decitabine?

Decitabine for injection contains decitabine (5-aza-2'-deoxycitidine), an analogue of the natural nucleoside 2'-deoxycytidine. Decitabine is a fine, white to almost white powder with the molecular formula of CHNO and a molecular weight of 228.21. Its chemical name is 4-amino-1-(2-deoxy-β-D-erythro-pentofuranosyl)-s-triazin-2(1)-one and it has the following structural formula:

Decitabine is slightly soluble in ethanol/water (50/50), methanol/water (50/50) and methanol; sparingly soluble in water and soluble in dimethylsulfoxide (DMSO).

Decitabine for injection a sterile, white to off white lyophilized powder/cake, supplied in a clear, colorless glass vial. Each 20 mL, single dose, glass vial contains 50 mg decitabine, 68 mg monobasic potassium phosphate (potassium dihydrogen phosphate) and 11.6 mg sodium hydroxide.



What does Decitabine look like?



What are the available doses of Decitabine?

Lyophilized powder in a single-dose vial, 50 mg/vial. ()

What should I talk to my health care provider before I take Decitabine?

How should I use Decitabine?

Decitabine for injection is indicated for treatment of patients with myelodysplastic syndromes (MDS) including previously treated and untreated, and secondary MDS of all French-American-British subtypes (refractory anemia, refractory anemia with ringed sideroblasts, refractory anemia with excess blasts, refractory anemia with excess blasts in transformation, and chronic myelomonocytic leukemia) and intermediate-1, intermediate-2, and high-risk International Prognostic Scoring System groups.

There are two regimens for decitabine for injection administration. With either regimen it is recommended that patients be treated for a minimum of 4 cycles; however, a complete or partial response may take longer than 4 cycles.

Complete blood counts and platelet counts should be performed as needed to monitor response and toxicity, but at a minimum, prior to each cycle. Liver chemistries and serum creatinine should be obtained prior to initiation of treatment.


What interacts with Decitabine?

Sorry No Records found


What are the warnings of Decitabine?

Sorry No Records found


What are the precautions of Decitabine?

Sorry No Records found


What are the side effects of Decitabine?

Sorry No records found


What should I look out for while using Decitabine?

None


What might happen if I take too much Decitabine?

There is no known antidote for overdosage with decitabine for injection. Higher doses are associated with increased myelosuppression including prolonged neutropenia and thrombocytopenia. Standard supportive measures should be taken in the event of an overdose.


How should I store and handle Decitabine?

TALTZ is sterile and preservative-free. Discard any unused portion. Decitabine for injection is a sterile, white to off white lyophilized powder/cake, supplied as 50 mg single-dose vial NDC 68001-347-28. Vial individually packaged in a shelf pack. NDC 68001-347-36.Storage Store vials at 25°C (77°F); excursions permitted to 15 to 30°C (59 to 86°F).Decitabine for injection is a sterile, white to off white lyophilized powder/cake, supplied as 50 mg single-dose vial NDC 68001-347-28. Vial individually packaged in a shelf pack. NDC 68001-347-36.Storage Store vials at 25°C (77°F); excursions permitted to 15 to 30°C (59 to 86°F).Decitabine for injection is a sterile, white to off white lyophilized powder/cake, supplied as 50 mg single-dose vial NDC 68001-347-28. Vial individually packaged in a shelf pack. NDC 68001-347-36.Storage Store vials at 25°C (77°F); excursions permitted to 15 to 30°C (59 to 86°F).


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Clinical Information

Chemical Structure

No Image found
Clinical Pharmacology

Decitabine is believed to exert its antineoplastic effects after phosphorylation and direct incorporation into DNA and inhibition of DNA methyltransferase, causing hypomethylation of DNA and cellular differentiation or apoptosis. Decitabine inhibits DNA methylation which is achieved at concentrations that do not cause major suppression of DNA synthesis. Decitabine-induced hypomethylation in neoplastic cells may restore normal function to genes that are critical for the control of cellular differentiation and proliferation. In rapidly dividing cells, the cytotoxicity of decitabine may also be attributed to the formation of covalent adducts between DNA methyltransferase and decitabine incorporated into DNA. Non-proliferating cells are relatively insensitive to decitabine.

Non-Clinical Toxicology
None

Treatment with decitabine for injection is associated with neutropenia and thrombocytopenia. Complete blood and platelet counts should be performed as needed to monitor response and toxicity, but at a minimum, prior to each dosing cycle. After administration of the recommended dosage for the first cycle, treatment for subsequent cycles should be adjusted Clinicians should consider the need for early institution of growth factors and/or antimicrobial agents for the prevention or treatment of infections in patients with MDS. Myelosuppression and worsening neutropenia may occur more frequently in the first or second treatment cycles, and may not necessarily indicate progression of underlying MDS.

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Reference

This information is obtained from the National Institute of Health's Standard Packaging Label drug database.
"https://dailymed.nlm.nih.gov/dailymed/"

While we update our database periodically, we cannot guarantee it is always updated to the latest version.

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Professional

Clonazepam Description Each single-scored tablet, for oral administration, contains 0.5 mg, 1 mg, or 2 mg Clonazepam, USP, a benzodiazepine. Each tablet also contains corn starch, lactose monohydrate, magnesium stearate, microcrystalline cellulose, and povidone. Clonazepam tablets USP 0.5 mg contain Yellow D&C No. 10 Aluminum Lake. Clonazepam tablets USP 1 mg contain Yellow D&C No. 10 Aluminum Lake, as well as FD&C Blue No. 1 Aluminum Lake. Chemically, Clonazepam, USP is 5-(o-chlorophenyl)-1,3-dihydro-7-nitro-2H-1,4-benzodiazepin-2-one. It is a light yellow crystalline powder. It has the following structural formula: C15H10ClN3O3 M.W. 315.72
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Tips

Tips

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Interactions

Interactions

A total of 440 drugs (1549 brand and generic names) are known to interact with Imbruvica (ibrutinib). 228 major drug interactions (854 brand and generic names) 210 moderate drug interactions (691 brand and generic names) 2 minor drug interactions (4 brand and generic names) Show all medications in the database that may interact with Imbruvica (ibrutinib).