Fluorouracil (5-FU)

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General information

Class/mechanism: Pyrimidine analog, antimetabolite, inhibitor of thymidylate synthase. Metabolized to 5-fluoro-2'-deoxyuridine monophosphate (FdUMP) and 5-fluorouridine triphosphate (FUTP). FdUMP inhibits DNA synthesis by binding to thymidylate synthase and inhibiting production of thymidylate; FUTP interferes with RNA processing when it is mistakenly incorporated in place of uridine triphosphate (UTP).[1][2].
Route: IV
Extravasation: irritant

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]

Diseases for which it is used

Diseases for which it was used

Patient drug information

History of changes in FDA indication

  • 4/25/1962: Initial FDA approval

Also known as

  • Generic names: 5 Fluorouracil, 5 FU, 5-fluoracilo, 5-fluorouracilo, 5-fluorouracyl, FU
  • Brand names:
Synonyms
Accusite Actino Hermal Adrucil Arumel Benton Biofur Carac Carebin
Carzonal Cinco-FU Cinkef-U Curacil Effcil Efudex Efurix Ezadex
Fauldfluor Fivocil Fivoflu Flacule Flonida Florac Fluhomer Fluolex
Fluoroplex Fluor-Uracil Fluoro-Uracile ICN Fluoro-Uracil ICN Fluorouracile Fluorouracilo Fluorourcil Fluoruracilo
Fluoxan Flurablastin Flurac Fluracedyl Fluracil Fluroblastin Fluroblastine Ftoruracil
Ftouracil Haemato-FU Ifacil Kang Ning Kecimeton Tatumi Killit Lunachol Lunapon
Natira U Neofluor O Fluor Oncofu Onkofluor Pentafu Pharmauracil Phthoruracil
Phtoruracil Ribofluor Rotianin Satelol Seco Uracil Tecflu Timadin Triosules
Uflahex Ulosagen Ulup Uraciflor Utoral Vaflu Vafu

References

  1. 1.0 1.1 Fluorouracil (5-FU) package insert (locally hosted backup)
  2. 5-FU pathway
  3. Fluorouracil (5-FU) patient drug information (Chemocare)
  4. Fluorouracil (5-FU) patient drug information (UpToDate)