Vincrist

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 22.04.2021

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Definition
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Cytostatic drug, vinca alkaloid (see also vinblastine), which is semi-synthetically extracted from vinca rosea of an evergreen species. Vincristine binds specifically to beta-tubulin and thus blocks the polymerisation with alpha-tubulin to form microtubules.

Half-life
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85 hours.

Indication
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Leukaemia, Hodgkin's disease (see lymphogranulomatosis, malignant), non-Hodgkin's lymphomas, metastatic malignant melanoma, AIDS-associated Kaposi's sarcoma, bronchial carcinoma.

Pregnancy/nursing period
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Contraindicated during pregnancy (in animal experiments embryo- or fetotoxic). Contraindicated during lactation (it is not known whether the substance passes into breast milk).

Dosage and method of use
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1.4 mg/m2 KO i.v. once a week.

Undesirable effects
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BB changes, gastrointestinal disorders, subileus, liver or kidney damage, hyperuricemia, alopecia (see alopecia medicamentosa), dermatitis, stomatitis, erythroderma, neurotoxic disorders, disorders of spermiogenesis and ovulation.

Preparations
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Vincristine sulphate Hexal, vincristine Bristol

Literature
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  1. Aldenhoven M et al (2006) Therapeutic strategies for epidemic Kaposi's sarcoma. Int J STD AIDS 17: 571-578

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Last updated on: 22.04.2021