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Indication & Dosage
 
 
Oral
MALIGNANCIES
Adult:  Treatment of chronic myeloid leukaemia: 20-30 mg/kg/day in single doses. Treatment of solid tumours: Single doses of 80 mg/kg every 3rd day. If used with radiotherapy, treatment should be started 7 days before initiation of radiotherapy.
 
Oral
SICKLE-CELL DISEASE
Adult:  Initially, 15 mg/kg daily, increased by 5 mg/kg/day every 12 wk according to response and blood counts. Max: 35 mg/kg daily.
 
Oral
SICKLE-CELL DISEASE
Child: 1-18 yr: 10-20 mg/kg daily, increased by 5 mg/kg/day every 12 wk according to response and blood counts.
 
Oral
ESSENTIAL THROMBOCYTHAEMIA
Adult: 15 mg/kg daily. Adjust subsequent doses based on platelet counts.
   
Precautions Regular monitoring of uric acid concentrations, blood counts, renal and hepatic function is recommended. Prior irradiation therapy. Elderly. Avoid use of live vaccines.
   
Potentially Life-threatening 
Adverse Drug Reactions
GI disturbances, renal impairment, pulmonary oedema, dermatological reactions, headache, dizziness. Disorientation, drowsiness, hallucinations, convulsions, alopecia.
   
Adverse Drug Reactions Bone marrow suppression.
   
Interactions Impairs immune response to vaccines; possible infection with live vaccines, zidovudine, zalcitabine. May alter action of oral anticoagulants and phenytoin.
   
   
 

 

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