Difference between revisions of "Mesna (Mesnex)"

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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>  
 
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>  
 
==Diseases for which it is used==
 
*[[Acute lymphocytic leukemia]]
 
*[[Bone cancer]]
 
*[[Cervical cancer]] ‎
 
*[[Hodgkin lymphoma]] ‎
 
*[[Non-Hodgkin lymphoma]] ‎
 
*[[Testicular cancer]] ‎
 
*[[Thymoma]]
 
*[[Uterine cancer]]
 
  
 
==Patient drug information==
 
==Patient drug information==
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==History of changes in FDA indication==
 
==History of changes in FDA indication==
*12/30/1988: Initial FDA approval:
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*12/30/1988: Initial FDA approval  
  
 
==Also known as==
 
==Also known as==
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==References==
 
==References==
 
<references/>
 
<references/>
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[[Category:Drug index]]
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[[Category:Chemotherapy protective agents]]
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[[Category:Drugs FDA approved in 1988]]

Revision as of 14:21, 3 November 2014

General information

Class/mechanism: Detoxifying agent to reduce the risk of hemorrhagic cystitis with agents such as Ifosfamide (Ifex). Mesna is rapidly metabolized to mesna disulfide (dimesna), which remains intravascular and is rapidly processed by the kidneys, where it is converted back into mesna. Mesna binds to the urotoxic metabolites of ifosfamide, acrolein and 4-hydroxy-ifosfamide, limiting the risk of hemorrhagic cystitis. It has not been shown to interfere with antitumor efficacy.[1][2]
Route: IV, PO
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

History of changes in FDA indication

  • 12/30/1988: Initial FDA approval

Also known as

Precise Name: Mesna (RXCUI 44)

Synonyms
Anti Uron MEI AN Mesa Mesna-Cell Mesna Delta Farma Mesna Filaxis Mesna GI Kendrick Mesna Microsules
Mesnex Mesnil Mestian Mistabron Mistabronco Mitexan Mucolene Neper
Novacarel Siruta Uromes Uromitexan Uroprot Varimesna

References