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Pentostatin
Definition
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Cytostatic, antimetabolite, purine antagonist.
Pharmacodynamics (Effect)
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Irreversible catalysis of the deamination from adenosine to inosine and from deoxyadenosine to deoxyinosine. Disruption of DNA synthesis, induction of apoptosis.
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Indication
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Hair cell leukemia, B-cell type CLL, prolymphocytic leukemia, cutaneous T-cell lymphomas.
Dosage and method of use
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4 mg/m2 KO/day i.v. as a bolus every 2 weeks
Notice!
Before administration intravenous fluid substitution of 500-1000 ml!
Undesirable effects
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Myelosuppression, nausea, allergic reactions, fever, fatigue, headaches, liver and kidney dysfunction.
Interactions
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Myelotoxic substances.
Contraindication
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Pregnancy, lactation, children < 16 years.
Preparations
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Nipent