Dosing Guidlines for Adults

Drug Detail for Adult Drugs


Vinblastine

Miscellaneous Agents

Antineoplastic Agents


General Toxicity Notes
Myelosuppressive and may aggravate uremic predisposition to hemorrhage and infection.
Excreted Unchanged %
None
Half-Life (NormalESRD) hours
1.0-1.5/No data
Plasma Protein Binding %
75
Volume of Distribution L/kg
13-40
Dose for Normal Renal Function
3.7 mg/m2
Second Dose
Adjustment for Renal Failure Method
D
Adjustment for Renal Failure GFR, mL/min >50 [Recommended Level]
100% [B]
Adjustment for Renal Failure GFR, mL/min 10-50 [Recommended Level]
100% [B]
Adjustment for Renal Failure GFR, mL/min <10 [Recommended Level]
100% [B]
Supplement for Dialysis [Recommendation Level]: IHD
IHD: None, [D]
Supplement for Dialysis [Recommendation Level]: PD
PD: None, [D]
Supplement for Dialysis [Recommendation Level]: CRRT
CRRT: Dose for GFR 10-50, [D]
References
Owellen RJ, Hartke CA, Hains FO. Pharmacokinetics and metabolism of vinblastine in humans. Cancer Res. 1977; 37: 2597-602. [PMID: 889590] / Rahmani R, Zhou XJ. Pharmacokinetics and metabolism of vinca alkaloids. Cancer Surv. 1993; 17: 269-81. [PMID: 8137344]
Toxicity Notes
Vinca alkaloids may increase antidiuretic hormone secretion. Vd increases with time due to avid tissue binding.