Difference between revisions of "Pentostatin (Nipent)"

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Also known as 2'-deoxycoformycin or dCF.
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==General information==
 
==General information==
 
Class/mechanism: Purine (adenosine) analog, inhibitor of adenosine deaminase (ADA), causes elevated intracellular levels of dATP, and inhibits ribonucleotide reductase, which interferes with DNA synthesis.  Pentostatin can also inhibit RNA synthesis and has been observed to cause DNA damage.  ADA enzymatic activity is greater in T-cell malignancies compared to B-cell malignancies.  Exact mechanism of action in hairy cell leukemia is not fully understood.<ref name="insert">[http://products.hospira.com/assets/pdfs/EN-1503.pdf Pentostatin (Nipent) package insert]</ref><ref>[http://hemonc.org/docs/packageinsert/pentostatin.pdf Pentostatin (Nipent) package insert (locally hosted backup)]</ref>
 
Class/mechanism: Purine (adenosine) analog, inhibitor of adenosine deaminase (ADA), causes elevated intracellular levels of dATP, and inhibits ribonucleotide reductase, which interferes with DNA synthesis.  Pentostatin can also inhibit RNA synthesis and has been observed to cause DNA damage.  ADA enzymatic activity is greater in T-cell malignancies compared to B-cell malignancies.  Exact mechanism of action in hairy cell leukemia is not fully understood.<ref name="insert">[http://products.hospira.com/assets/pdfs/EN-1503.pdf Pentostatin (Nipent) package insert]</ref><ref>[http://hemonc.org/docs/packageinsert/pentostatin.pdf Pentostatin (Nipent) package insert (locally hosted backup)]</ref>
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<br>Extravasation: no information
 
<br>Extravasation: no information
  
For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer.  Instead, for the most current information, please refer to your preferred pharmacopeias such as [http://www.thomsonhc.com/home/dispatch Micromedex], [http://online.lexi.com/ Lexicomp], [http://www.utdol.com/online/content/search.do UpToDate (courtesy of Lexicomp)], or the package insert<ref name="insert"></ref>.  
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For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer.  Instead, for the most current information, please refer to your preferred pharmacopeias such as [http://www.thomsonhc.com/home/dispatch Micromedex], [http://online.lexi.com/ Lexicomp], [http://www.utdol.com/online/content/search.do UpToDate (courtesy of Lexicomp)], or the prescribing information<ref name="insert"></ref>.  
  
 
==Patient drug information==
 
==Patient drug information==

Revision as of 06:09, 10 March 2012

Also known as 2'-deoxycoformycin or dCF.

General information

Class/mechanism: Purine (adenosine) analog, inhibitor of adenosine deaminase (ADA), causes elevated intracellular levels of dATP, and inhibits ribonucleotide reductase, which interferes with DNA synthesis. Pentostatin can also inhibit RNA synthesis and has been observed to cause DNA damage. ADA enzymatic activity is greater in T-cell malignancies compared to B-cell malignancies. Exact mechanism of action in hairy cell leukemia is not fully understood.[1][2]
Route: IV
Extravasation: no information

For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias such as Micromedex, Lexicomp, UpToDate (courtesy of Lexicomp), or the prescribing information[1].

Patient drug information

References