Dobixin 50 Injection
Doxorubicin Hydrochloride
              50mg  
              
              Drug International Ltd.
                  
              
              | Pack size | |
|---|---|
| Unite Price | 900.00 BDT | 
Indications
Dobixin 50 Injection is used for: 
 AIDS-related Kaposi's sarcoma, Ovarian carcinoma, Metastatic breast carcinoma, bladder carcinoma
                                              
                        Adult Dose
Intravenous
As Doxorubicin liposomal
Kaposi's Sarcoma
Indicated for AIDS-related Kaposi’s sarcoma in patients after failure of prior systemic chemotherapy or intolerance to such therapy
20 mg/m² IV q3Weeks 
Ovarian Cancer
Indicated for ovarian cancer in patients whose disease has progressed or recurred after platinum-based chemotherapy
50 mg/m² IV q4Weeks x 4 courses minimum 
Multiple Myeloma
Indicated in combination with bortezomib for multiple myeloma in patients who have not previously received bortezomib and have received at least 1 prior therapy
30 mg/m² IV on day 4 following bortezomib 1.3 mg/m² on days 1, 4, 8 & 11 q3Weeks
Metastatic breast cancer
Adult: 60-75 mg/m2 BSA once every 3 wk in combination with cyclophosphamide given as an infusion over 1 hr diluted in 0.9% sodium chloride or 5% glucose. 
Irrigation
Local malignant neoplasms in the bladder
Adult: 50 ml of a 1 mg/ml solution instilled into the bladder for 1 hr once a mth. 
Hepatic Impairment
Serum bilirubin <1.2 mg/dL: Dose adjustment not necessary
Serum bilirubin 1.2-3 mg/dL [20.5-51.3 micromoles/L]: Give 50% dose
Serum bilirubin: 3.1-5 mg/dL [53-85.5 micromoles/L]: Give 25% dose
Severe hepatic impairment: Contraindicated
                                              
                        Child Dose
Safety and efficacy not established
                                              
                        Renal Dose
Renal Impairment
Dose adjustment not necessary
                                              
                        Administration
Contra Indications
Cardiac disease, neonates, pregnancy and lactation, prior irradiation to mediastinum. IM/SC admin. Severe myelosuppression due to previous treatment with antitumour agents or radiotherapy.
                                              
                        Precautions
Elderly, children, hepatic impairment. Monitor blood counts and ECG.
Lactation: Enters breast milk/not recommended
                                              
                        Pregnancy-Lactation
Pregnancy Category: D
Lactation: Enters breast milk/not recommended
                                              
                        Interactions
Doxorubicin interacts with a number of other drugs e.g. antibiotics (aminoglycosides), steroids, aminophylline and propranolol.
Potentially Fatal: Cholestasis induced by mercaptopurine may be potentiated by concurrent administration of the drug. Toxicity may be increased if streptozocin is given concurrently.
                                              
                        Side Effects
Side effects of Doxorubicin Hydrochloride : 
 >10%
Kaposi's Sarcoma
Anemia (>50%), Thrombocytopenia (>50%), Neutropenia (10-50%), Anemia (18.2%), Nausea (17%)
Ovarian cancer 
>25%
Hand-foot syndrome (50%), Nausea (46%), Stomatitis (41%), Asthenia (40.2%), Vomiting (32.6%), Rash (28%), Constipation (>25%), Abdominal pain (>25%)
Ovarian cancer 
10-25%
Fever (21.3%), Anorexia (20%), Diarrhea (20%), Peripheral edema, Dyspepsia, Pharyngitis, Dyspnea, Alopecia
1-10%
Kaposi's Sarcoma 
5-10%
Asthenia (9.9%), Fever (9.1%), Diarrhea (7.8%), Vomiting (7.8%), Stomatitis (6.8%), Rash (1-5%), Alopecia (1-5%), Increased alkaline phosphatase
Kaposi's Sarcoma 
1-5%
Hand-foot syndrome (3.4%), Hypotension, Tachycardia, Dyspnea, Hemolysis, Rash
Ovarian cancer (selected)
Neutropenia (13.3%), Anemia (0.4-5.4%), Thrombocytopenia (1.3%)
<1%
Abscess, Acute myeloid leukemia, Cardiomegaly, Cardiomyopathy, Erythema nodosum, Hyperkalemia, Hyperuricemia, Ketosis
Potentially Fatal: Bone marrow suppression,  cardiotoxicity.
                                              
                        Mode of Action
Doxorubicin is a cytotoxic anthracycline antibiotic. The cytotoxic action results from its binding to DNA and inhibition of nucleic acid synthesis. Doxorubicin has been shown to produce regression in a variety of disseminated malignancies.
                                              
                        Note
Dobixin 50 50mg Injection generic name is Doxorubicin Hydrochloride. Dobixin 50 50mg Injection is manufactured by Drug International Ltd.Dobixin 50 is availble in all over Bangladesh.
 Mes BD drug index information on Dobixin 50 Injection is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.
                                        Some other brands of Doxorubicin Hydrochloride :
Injection
                        
                                Xorubin
                                50mg/vial
                            
                            
                            
                                Beacon Pharmaceuticals Ltd.
                            
                        Injection
                        
                                Xorubin
                                10mg/vial
                            
                            
                            
                                Beacon Pharmaceuticals Ltd.
                            
                        Injection
                        
                                Doxorubicin Hexal
                                10mg/100ml
                            
                            
                            
                                Novartis (Bangladesh) Ltd.
                            
                        Injection
                        
                                Doxorubicin Hexal
                                 100mg/50ml
                            
                            
                            
                                Novartis (Bangladesh) Ltd.
                            
                        Injection
                        
                                Doxorubicin Hexal
                                50mg/25ml
                            
                            
                            
                                Novartis (Bangladesh) Ltd.