Docetaxel and paclitaxel exert their cytotoxic effects by arresting mitosis through microtubule stabilization, resulting in cellular apoptosis. Food and Drug Administration FDA is warning that the intravenous chemotherapy drug docetaxel contains ethanol, also known as alcohol, which may cause patients to experience intoxication or feel drunk during and after treatment.
Patient had treatment but did not develop any injuries b. Obtain frequent blood counts to monitor for neutropenia Severe hypersensitivity, including very rare fatal anaphylaxis, has been reported in patients who received dexamethasone premedication.
Concomitant radiotherapy appears to increase the incidence and severity of pneumonitisalthough sequential as opposed to concurrent paclitaxel use appears to be associated with a much lower rate. Cross, in Comprehensive Toxicology8. Did the patient have any pre-existing conditions like alopecia Family History or contraindications?
Concurrent gemcitabine use may increase the incidence of pulmonary toxicity. Whether the patient received administration of Taxotere? Health care professionals should consider the alcohol content of docetaxel when prescribing or administering the drug to patients, particularly in those whom alcohol intake should be avoided or minimized and when using it in conjunction with other medications.
The two taxanes commercially available are paclitaxel, a naturally occurring taxane, and docetaxel, a semisynthetic taxane. These chemotherapeutic agents are used in the treatment of a variety of oncological disorders and may be used in combination for the definitive treatment of lung, breast, ovarian, and head and neck cancers, or alone in salvage regimens.
Frequency and treatment details Critical Review of chemotherapy records Oncologists Recommendation 3. Continuous infusion and pulsed low-dose administration may reduce pulmonary toxicity.
When the patient started developing hair loss?
Pulmonary toxicities due to paclitaxel are uncommon, but multiple cases of acute pneumonitis manifested by bilateral pulmonary alveolar interstitial infiltrates occurring hours to weeks after its administration have been reported.
Whether the patient received warning about permanent hair loss or baldness? Identify and report cases with the following scenarios: They are derived from a naturally occurring taxane structure from the plant of the genus Taxus yews. Case reports have described acute pneumonitis, occasionally leading to respiratory failure and death.
We are revising the labels of all docetaxel drug products to warn about this risk. The base taxane structure is being utilized as the starting skeleton for the development of newer molecules with the promise of improved pharmacological and toxicological properties Kingston and Newman LFT elevations increase risk of severe or life-threatening complications.The taxanes in clinical use include paclitaxel (Taxol, Bristol-Myers Squibb) and docetaxel (Taxotere, Sanofi-Aventis).
Paclitaxel is a natural product isolated from the bark of the Western yew tree (Taxus brevifolia) and docetaxel is a semisynthetic analog (Wani et al., ).
Taxotere (docetaxel) vs. Taxol (paclitaxel) Taxotere (docetaxel) has been vastly advertised by its manufacturer Sanofi-Aventis, as a newer, more effective alternative to Taxol (paclitaxel). ChemInform Abstract: Taxol Semisynthesis: A Highly Enantio- and Diastereoselective Synthesis of the Side Chain and a New Method for Ester Formation at C- 13 Using Thioesters.
TAXOTERE (Docetaxel) is an antineoplastic agent belonging to the taxoid family. It is prepared by semisynthesis beginning with a precursor extracted from the renewable needle biomass of yew plants.
Approval: By U.S. Food & Drug Administration (FDA) for treatment of locally advanced or metastatic breast cancer, head and neck cancer, gastric cancer, hormone-refractory prostate cancer and non.
The taxoids, paclitaxel (Taxol®) and docetaxel (Taxotere®), represent a novel class of antineoplastic drugs.
Paclitaxel and docetaxel share a similar mechanism of action: the promotion of microtubule assembly and inhibition of microtubule disassembly.
The semisynthesis of Taxol was critical to its development as a drug. This review focuses on methods that have been developed to convert the readily available deacetylbaccatin III (DAB) into.Download