Cerubidine (Daunorubicin) Drug Information: Side Effects and Drug Interactions

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May 26, 2012

Cerubidine

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Leukemia facts

Leukemia is a cancer of the blood cells.
While the exact cause(s) of leukemia is not known, risk factors have been identified.
Leukemias are grouped by how quickly the disease develops (acute or chronic) as well as by the type of blood cell that is affected (lymphocytes or myelocytes). The four main types of leukemia include acute lymphocytic leukemia (ALL), chronic lymphocytic leukemia (CLL), acute myelocytic leukemia (AML), and chronic myelocytic leukemia (CML).
People with leukemia are at significantly increased risk for developing infections, anemia, and bleeding. Other symptoms and signs include easy bruising, weight loss, night sweats, and unexplained fevers.
The diagnosis of leukemia is supported by findings of the medical history and examination, and examining blood and bone marrow samples under a microscope.
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Cerubidine

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SIDE EFFECTS

Dose-limiting toxicity includes myelosuppression and cardiotoxicity (See WARNINGS). Other reactions include:

Cutaneous: Reversible alopecia occurs in most patients. Rash, contact dermatitis and urticaria have occurred rarely.

Gastrointestinal:Acute nausea and vomiting occur but are usually mild. Antiemetic therapy may be of some help. Mucositis may occur 3 to 7 days after administration. Diarrhea and abdominal pain have occasionally been reported.

Local: If extravasation occurs during administration, severe local tissue necrosis, severe celluli-tis, thrombophlebitis, or painful induration can result.

Acute Reactions: Rarely, anaphylactoid reaction, fever, and chills can occur. Hyperuricemia may occur, especially in patients with leukemia, and serum uric acid levels should be monitored.

DRUG INTERACTIONS

Use of Cerubidine (daunorubicin) in a patient who has previously received doxorubicin increases the risk of cardiotoxicity. Cerubidine (daunorubicin) should not be used in patients who have previously received the recommended maximum cumulative doses of doxorubicin or Cerubidine (daunorubicin) . Cyclophosphamide used concurrently with Cerubidine (daunorubicin) may also result in increased cardiotoxicity. Dosage reduction of Cerubidine (daunorubicin) may be required when used concurrently with other myelosup-pressive agents.

Hepatotoxic medications, such as high-dose methotrexate, may impair liver function and increase the risk of toxicity.

Last reviewed on RxList: 8/13/2008
This monograph has been modified to include the generic and brand name in many instances.