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DACARBAZINE

DACARBAZINE

Background and Date of approval DACARBAZINE

Dacarbazine is an anticancer drug that belongs to the category of medicines known as alkylating agents. It was approved in May 1975 to treat Metastatic malignant melanoma.

Uses of DACARBAZINE

Dacarbazine has been developed as a first-line agent to treat advanced and metastatic malignant melanoma. This drug is also prescribed to treat Hodgkin’s disease.

How is DACARBAZINE administered?

Dacarbazine will be administered to you by a healthcare professional in a hospital setting. This injection will be given intravenously into a vein in your arm or hand. Do not self-administer this medicine. The specific dose and schedule of administration depend on the type and stage of the cancer being treated. This injection is usually given about 30 minutes before you receive your anti-cancer medicine (chemotherapy). During the infusion, you will be monitored for any side effects or reactions to the medication. It is important to get the dose at the scheduled time. If you missed the schedule, contact your doctor and reschedule the dose. 

Side Effects of DACARBAZINE

The common side effects that are likely to occur while you are on the treatment with Dacarbazine are Low levels of RBC, WBC and platelets in blood, loss of appetite, nausea, vomiting, hair loss, and skin reactions. If you experience any allergic or unusual reactions after taking this medicine, report to your doctor immediately.

Warnings

It is not recommended to take Dacarbazine if you are allergic to this drug or any of its ingredients. During the treatment, your doctor may periodically monitor your complete blood counts, prothrombin time, INR, blood sugar, electrolytes, liver panel, and kidney parameters to prevent serious complications. You should not have a live vaccine if you are having this drug. This is because it may weaken your immune system and make you more likely to catch a serious infection.

Precautions

Dacarbazine can lower the body's ability to fight infection and cause anaemia, bleeding problems, and other side effects. Patients should be monitored for signs of infection, such as fever or sore throat, and for any unusual bleeding or bruising. This drug is not recommended during pregnancy as it causes harm to the unborn baby. Tell your healthcare provider before beginning this treatment if you are pregnant or planning to have a baby. It is advised for both men and women to follow proper contraceptive methods during and for 3 months after the last dose of this drug. It is not known whether it is excreted in human milk, so breastfeeding should be avoided during treatment with the drug. This drug may cause pain along the vein. If you feel pain, tell your nurse straight away so that the infusion site can be checked. They may give the drug more slowly or flush it through with more fluids to reduce pain.

Word of Advice

Dacarbazine causes skin dryness so it is advised to use an effective moisturiser for your skin. Ensure that you stay hydrated and maintain a balanced diet. This medicine may cause nausea and vomiting, so it is advised to take anti-emetic medication when it is necessary. Avoid driving or operating heavy machines if you experience dizziness, or tiredness while on treatment with this drug. It can increase the risk of sunburn, so it is important to avoid prolonged sun exposure and wear protective clothing and sunscreen.

Frequently Asked Questions

Q1.

Is Dacarbazine prescribed as a monotherapy?

Dacarbazine is often used as a monotherapy to treat melanoma, which is a type of skin cancer. It may also be used as a monotherapy to treat Hodgkin's lymphoma in patients who cannot tolerate other chemotherapy drugs.

Q2.

How will I receive Dacarbazine Injection?

Dacarbazine solution is administered into a vein as a short-term infusion over 30 – 60 minutes.

Q3.

Can Dacarbazine be used in combination with other drugs?

Yes, Dacarbazine is often used in combination with other chemotherapy drugs to improve treatment outcomes.

Q4.

Whether Dacarbazine is safe to use during pregnancy?

Dacarbazine is not recommended during pregnancy and it is unsafe because it may harm a developing fetus. Women who are pregnant or planning to become pregnant should discuss their treatment options with their doctor immediately.

Q5.

Who should not take Dacarbazine?

Dacarbazine is not recommended for people who are allergic to any of their ingredients. It should also be avoided in patients who have severe bone marrow suppression or blood cell disorders, as well as those with severe liver or kidney disease.

Q6.

Can you smoke while on treatment with Dacarbazine?

It is not recommended to smoke cigarettes while on treatment with Dacarbazine as smoking can reduce the concentration of drug in the body.

Q7.

Is Dacarbazine light sensitive?

It is recommended to protect dacarbazine from light during storage and administration to ensure the drug's stability and effectiveness.

References

  1. Medac, [Revised on Jul 2020] [Accessed on 27th March 2023] https://www.hpra.ie/img/uploaded/swedocuments/1d9264f6-b924-4af9-9b27-af9c9593d4a3.pdf
  2. Hospira, Inc., [Revised on Apr 2021] [Accessed on 27th March 2023], http://labeling.pfizer.com/ShowLabeling.aspx?id=5938
  3. Devendra Choudhary, Hanmant Goykar, Dnyaneshwar Kalyane, Nagaraja Sreeharsha, Rakesh K.Tekade, Prodrug design for improving the biopharmaceutical properties of therapeutic drugs, The Future of Pharmaceutical Product Development and Research, 1st Edition, 2020, 179-226.
  4. Goodman & Gilman’s, The Pharmacological Basis of Therapeutics, Chemotherapy of neoplastic diseases, 12th edition, 2011, 1686 and 1687.
  5. Bertram.G.Katzung, Basic and Clinical Pharmacology, Cancer Chemotherapeutic drugs, 14th edition, 2017, 956.
  6. KD Tripathi, Essentials of Medical Pharmacology, Anticancer drugs, 7th edition, 2013, 861.

Disclaimer

The drug information on this page is not a substitute for medical advice, it is meant for educational purposes only. For further details consult your doctor about your medical condition to know if you are eligible to receive this treatment.

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