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Amifostine

mifostine is a cytoprotective adjuvant used in cancer chemotherapy and radiotherapy involving DNA-binding chemotherapeutic agents. More

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Description

mifostine is a cytoprotective adjuvant used in cancer chemotherapy and radiotherapy involving DNA-binding chemotherapeutic agents.

Generic Name

Amifostine

Chemical names

Amifostine, Ethiofos, Ethyol, Gammaphos

Brand names

Amfos, Amiphos, Chemophos, Cytofos, Ethyol, M-Fost, Naprofos

IUPAC name

({2-[(3-aminopropyl) amino] ethyl} sulfanyl) phosphonic acid

Pharmacokinetics

Actions

It is a cytoprotective agent and an organic thiophosphate indicates to reduce the renal toxicity associated with the administration of cisplatin repeatedly in patients with non-small cell lung cancer or advanced ovarian cancer and also used to reduce the incidence of acute to severe xerostomia in patients undergoing post-operative radiation treatment for head and neck cancer. 

 

Dosage/Dosage form

As a cytoprotective agent in chemotherapy.
Adult- initially 910 mg/m² BSA once daily, as an infusion given over 15 minutes, 30 mins beofre start of chemotherapy.

Therapeutic uses

Cytoprotective agent in chemotherapy. Preventaion of Xerostomia.

Adverse effects/Side effects

Nausea, hypotension during infusion, vomiting, flushing, feeling of warmth, chills, dizziness, sneezing, cough and drowsiness, mild skin rashes.

Interaction

  • Amantadine  or Antihypertensives or Antidepressants  or Bromocriptine (e.g., Parlodel) or Deferoxamine (e.g., Desferal) or Pimozide (e.g., Orap) or Trimeprazine (e.g., Temaril) or Promethazine (e.g., Phenergan)
  • Sometimes amifostine causes low blood pressure while it is being injected.

Contraindications

Caution when used during lactation and pregnancy.

Storage

Store at 20-25°C. 

Information

Molecular weight

214.223

Molecular formula

C5H15N2O3PS

CAS number

20537-88-6

Precautions

Monitor BP every 5 min during the 15 min infusion