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Paclitaxel protein-bound and Myelosuppression

Result of checking the interaction of drug Paclitaxel protein-bound and disease Myelosuppression for safety when used together.

Check result:
Paclitaxel protein-bound <> Myelosuppression
Relevance: 23.07.2019 Reviewer: Shkutko P.M., M.D., in

When checking interaction based on authoritative sources Drugs.com, Rxlist.com, Webmd.com, Medscape.com there are contraindications or side effects that may cause harm or increase the negative effect from drug use in presence of concomitant diseases.

Consumer:

Paclitaxel induces dose-dependent myelosuppression, primarily affecting neutrophils. Anemia characterized as a red blood cell count <11 g/dl has been reported in 78% of patients administered paclitaxel. Thrombocytopenia is uncommon and rarely severe. Therapy with paclitaxel should be administered cautiously in patients whose bone marrow reserve may be severely depressed and should be withheld when neutrophil counts fall below 1500/mm3 and/or platelet counts fall below 100,000/mm3. Paclitaxel injection should not be used in patients with solid tumors with baseline neutrophil counts less than 1500/mm3 or in patients with AIDS-related Kaposi's sarcoma with baseline neutrophil counts of less than 1000/mm3. Patients should be instructed to immediately report any signs or symptoms suggesting bone marrow suppression such as fever, sore throat, local infection, or bleeding. Close clinical monitoring of hematopoietic function is recommended.

References:
  • "Product Information. Taxol (paclitaxel)." Bristol-Myers Squibb, Princeton, NJ.
  • Rowinsky EK, Eisenhauer EA, Chaudhry V, Arbuck SG, Donehower RC "Clinical toxicities encountered with paclitaxel (Taxol)." Semin Oncol 20(4 Suppl) (1993): 1-15
  • Reed E, Kohn EC, Sarosy G, Christian M, Goldspiel B, Davis P, Jacob J, Maher M "The incidence of severe side effects from dose intense paclitaxel, administered at one institution (Meeting abstract)." Proc Annu Meet Am Assoc Cancer Res 36 (1995): a14291995
Paclitaxel protein-bound

Generic Name: paclitaxel protein-bound

Brand Name: Abraxane

Synonyms: PACLitaxel (Protein Bound)

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