Carboplatinum

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Carboplatinum

Definition
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Platinum derivative of the second generation with alkylating effect on the DNA of tumour cells ( alkylans) for use as a cytostatic drug.

Pharmacodynamics (Effect)
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Intracellular activation to release reactive platinum complexes. Binding to nucleophilic groups e.g. GC-rich DNA sequences. This creates DNA cross-links and DNA-protein links that lead to apoptosis and cell growth inhibition.

Indication
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Approved for the treatment of advanced epithelial ovarian cancer and small cell lung cancer.

Malignant melanoma ( off-label use).

Pregnancy/nursing period
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Contraindicated.

Dosage and method of use
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400 mg/m2 KO i.v. as infusion over 15-60 minutes.

Undesirable effects
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Systemic ADRs:

  • Thrombocytopenia and other blood formation disorders
  • gastrointestinal disorders
  • Toxic liver damage
  • Renal damage
  • Cardiac arrhythmia
  • neurological disorders, visual, hearing and taste disorders
  • Disorders of spermatogenesis and ovulation.

Cutaneous ADRs (listed according to their frequency):

Preparations
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Carboplatinum Hexal®, Carboplatinum ratiopharm®

Authors

Last updated on: 29.10.2020