
5-Fluril 250
Form: Injection
Strength: 250mg/10ml
Generic Name: 5-Fluorouracil (5-FU)
Company: EDCL
MRP:৳ 55.0 (250mg vial)
Is Antibiotic: No
Indications
5-Fluril 250 is used alone or in combination to treat various types of cancer including:
– Colon or rectum cancer
– Stomach and pancreas cancer
– Liver cancer
– Breast cancer
– Bladder cancer
– Lung cancer
– Ovarian cancer
– Cervical cancer.
Pharmacology
5-Fluril 250 is not active in the body initially but is converted to 5-fluorodeoxyuridine monophosphate (FdUMP), its active form. This active form blocks an enzyme called thymidylate kinase, which reduces the production of thymidine, an important building block for DNA. FdUMP also gets included in RNA, causing RNA to become altered. The drug mainly affects cells that are rapidly growing, especially those in the G2 and S phases of the cell cycle.
Dosage & Administration
For intravenous use: 5-Fluril 250 can be given either by a rapid injection or slow infusion. A common dose is 12-13.5 mg/kg daily for 5 days, repeated every 4 weeks. For slow infusion, the drug is mixed in a 500 ml dextrose solution and given over 2-3 hours for 5 consecutive days.
Palliative care for cancer: Start with 12 mg/kg intravenously for 4 days. After that, reduce the dose to 6 mg/kg on days 6, 8, 10, and 12. Discontinue on day 12 even if no side effects appear.
For patients with poor nutritional status: Start with 6 mg/kg daily for 3 days, with a maximum of 400 mg/day. If no side effects occur, continue with 3 mg/kg on days 5, 7, and 9. Discontinue on day 9.
Maintenance therapy: After initial therapy, the dose may be repeated every 30 days or continued weekly at 10-15 mg/kg/week, with a maximum of 1g/week.
Pediatric use: Safety and effectiveness have not been established for children, but 5-Fluril 250 is sometimes used with adult doses.
Intra-arterial infusion: For adults, a dose of 5-7.5 mg/kg is given by infusion into the artery using a pump over 10-20 days.
With radiation therapy: A typical dose is 5-10 mg/kg daily in combination with radiation.
With other chemotherapy drugs: 5-Fluril 250 is often used in combination with other anticancer drugs, especially for breast, gastrointestinal, head, and neck cancers.
Interaction
Taking cimetidine (a drug used for stomach issues) for 4 weeks before using fluorouracil can increase the levels of the drug in the blood. This is due to cimetidine’s effect on liver enzymes and blood flow.
Contraindications
5-Fluril 250 should not be used by people who are severely weak or have bone marrow issues from chemotherapy or radiation. 5-Fluril 250 is also not safe for pregnant or breastfeeding women, and should not be used by people without cancer.
Side Effects
Severe side effects can include heart problems, low blood cell counts, neurological issues, and hand-foot syndrome. Common side effects include nausea, vomiting, loss of appetite, rash, and hair loss. In some cases, eye problems such as conjunctivitis can occur, leading to long-term issues with the tear ducts. Prolonged use may cause pain and redness in the hands and feet.
Pregnancy & Lactation
5-Fluril 250 should not be used during pregnancy, especially in the first trimester, as 5-Fluril 250 can cause birth defects. 5-Fluril 250 may be safe during later pregnancy stages under careful medical supervision. 5-Fluril 250 is not known if the drug passes into breast milk, so breastfeeding mothers should not use 5-Fluril 250.
Precautions & Warnings
5-Fluril 250 is a highly toxic drug with a narrow margin of safety. Patients should be closely monitored for signs of toxicity, such as low white blood cells or platelets, mouth sores, severe diarrhea, or gastrointestinal bleeding. Treatment should be stopped if these signs appear.
Overdose Effects
Overdose may cause severe toxicity, including blood issues, gastrointestinal problems, and other side effects. There is no specific antidote for overdose, so treatment focuses on managing symptoms and providing supportive care.
Drug Class
Not applicable.
Storage Conditions
Store the vial in its original box, keeping 5-Fluril 250 below 25°C. Do not refrigerate. Protect from light.
Similar Brands of 5-Fluorouracil (5-FU) (Injection – 250mg/10ml)
Brand Name | Form | Strength | Company | MRP (৳) |
---|---|---|---|---|
Drucil | Injection | 250mg/10ml | Healthcare Pharmaceuticals Ltd. | 100.0 |
Flurotor 250 IV Injection | Injection | 250mg/10ml | Eskayef Pharmaceuticals Ltd. | 75.0 |
Fluroxan 250 | Injection | 250mg/10ml | Beacon Pharmaceuticals Ltd. | 60.0 |