User:Mr. Ibrahem/Fludarabine

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Mr. Ibrahem/Fludarabine
Clinical data
Trade namesFludara, others
AHFS/Drugs.comMonograph
MedlinePlusa692003
Pregnancy
category
  • D
Routes of
administration
intravenous, by mouth
Legal status
Legal status
  • AU: S4 (Prescription only)
  • UK: POM (Prescription only)
Pharmacokinetic data
Bioavailability55%
Protein binding19 to 29%
Elimination half-life20 hours
Excretionkidney
Identifiers
  • [(2R,3S,4S,5R)-5-(6-amino-2-fluoro-purin-9-yl)- 3,4-dihydroxy-oxolan-2-yl]methoxyphosphonic acid
Chemical and physical data
FormulaC10H13FN5O7P
Molar mass365.214 g·mol−1
3D model (JSmol)
  • Fc1nc(c2ncn(c2n1)[C@@H]3O[C@@H]([C@@H](O)[C@@H]3O)CO)N
  • InChI=1S/C10H12FN5O4/c11-10-14-7(12)4-8(15-10)16(2-13-4)9-6(19)5(18)3(1-17)20-9/h2-3,5-6,9,17-19H,1H2,(H2,12,14,15)/t3-,5-,6+,9-/m1/s1 checkY
  • Key:HBUBKKRHXORPQB-FJFJXFQQSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Fludarabine, sold under the brand name Fludara among others, is a chemotherapy medication used in the treatment of leukemia and lymphoma.[2] These include chronic lymphocytic leukemia, non-Hodgkin's lymphoma, acute myeloid leukemia, and acute lymphocytic leukemia.[2] It is given by injection into a vein or by mouth.[2][3]

Common side effects include nausea, diarrhea, fever, rash, shortness of breath, numbness, vision changes, and feeling tired.[2] Severe side effects include brain dysfunction, low blood cell counts, and lung inflammation.[2] Use in pregnancy will likely result in harm to the baby.[2] Fludarabine is in the purine analog family of medications and works by interfering with the duplication of DNA.[2][4]

Fludarabine was approved for medical use in the United States in 1991.[2] It is on the World Health Organization's List of Essential Medicines.[5] The wholesale cost in the developing world is about US$54.00 per 50 mg vial.[6] In the United Kingdom it costs about 155.00 pounds per 50 mg vial.[3]

References[edit]

  1. ^ Cite error: The named reference who1 was invoked but never defined (see the help page).
  2. ^ a b c d e f g h "Fludarabine Phosphate". The American Society of Health-System Pharmacists. Archived from the original on 21 December 2016. Retrieved 8 December 2016.
  3. ^ a b British national formulary : BNF 69 (69 ed.). British Medical Association. 2015. p. 590. ISBN 9780857111562.
  4. ^ Helms, Richard A.; Quan, David J. (2006). Textbook of Therapeutics: Drug and Disease Management. Lippincott Williams & Wilkins. p. 2309. ISBN 9780781757348. Archived from the original on 2016-12-20.
  5. ^ World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
  6. ^ "Fludarabine Phosphate". International Drug Price Indicator Guide. Retrieved 8 December 2016.

en:Fludarabine