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The intravenous LD50 of bendamustine HCl is 240 mg/m² in the mouse and rat. Toxicities included sedation, tremor, ataxia, convulsions and respiratory distress.
Across all clinical experience, the reported maximum single dose received was 280 mg/m². Three of four patients treated at this dose showed ECG changes considered dose-limiting at 7 and 21 days post-dosing. These changes included QT prolongation (one patient), sinus tachycardia (one patient), ST and T wave deviations (two patients) and left anterior fascicular block (one patient). Cardiac enzymes and ejection fractions remained normal in all patients.
No specific antidote for TREANDA (bendamustine hydrochloride injection) overdose is known. Management of overdosage should include general supportive measures, including monitoring of hematologic parameters and ECGs.
TREANDA (bendamustine hydrochloride injection) is contraindicated in patients with a known hypersensitivity (e.g., anaphylactic and anaphylactoid reactions) to bendamustine or mannitol. [See WARNINGS AND PRECAUTIONS]
Last reviewed on RxList: 2/16/2011
This monograph has been modified to include the generic and brand name in many instances.
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