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At a glance

Doxorubicin Hydrochloride is used in the treatment of various types of cancer. It is an anti-cancer medication that damages the DNA of cancer cells and stops their growth and multiplication.

Indications
  • Cancer
Pharmacology

Doxorubicin is a cytotoxic anthracycline antibiotic. Its cytotoxic action results from binding to DNA and inhibition of nucleic acid synthesis. It also interacts with topoisomerase II to form DNA-cleavable complexes.

Dosage

Adult Dose (IV):

  • Kaposi's Sarcoma: 20 mg/m² q3Weeks
  • Ovarian Cancer: 50 mg/m² q4Weeks
  • Multiple Myeloma: 30 mg/m² (with bortezomib)
  • Metastatic breast cancer: 60-75 mg/m² q3Weeks

Hepatic Dose: Bilirubin 1.2-3 mg/dL: 50% dose; 3.1-5 mg/dL: 25% dose; Severe impairment: Contraindicated.

Side effects

Common Side Effects (>10%):

  • Alopecia
  • Nausea and vomiting

Other Side Effects:

  • Cardiomyopathy and arrhythmias
  • Secondary malignancies
  • Extravasation and tissue necrosis
  • Severe myelosuppression
  • Tumor lysis syndrome
Use in pregnancy

Pregnancy Category D. Can cause fetal harm. Use effective contraception during and for 6 months after treatment.

Pregnancy Category: D — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Can cause fetal harm during pregnancy.
  • Discontinue if signs of cardiomyopathy develop.
  • Dose reduction needed in hepatic impairment.
  • Inform doctor if signs of infection (fever, sore throat, rash) occur.
Overdose effects

Overdose: 250 mg and 500 mg doses have proven fatal. May cause acute myocardial degeneration and severe myelosuppression.

Storage conditions

Store in a dry place at 2°-8°C. Protect from light and do not freeze. Keep out of reach of children.

Doxorubicin Hydrochloride — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.