Deticene Injection

Deticene Injection is used in the treatment of Hodgkin's disease. Deticene Injection interferes with the cancer cell DNA synthesis thus preventing the cancer from spreading.

Deticene

Dacarbazine

Deticene

10

Sanofi Aventis

Vial

100 mg

India

Out of Stock.

Deticene Injection

Introduction to Deticene Injection

Overview of Deticene Injection

Deticene Injection is a specialized pharmaceutical product primarily used to treat certain types of cancer. Its mechanism targets malignant cells, disrupting their ability to grow and increase. Deticene is renowned for its efficacy in specific clinical scenarios, making it a cornerstone in advanced oncology therapies.

History and Development of Deticene

Developing over years within cancer research initiatives Deticene symbolizes a culmination of drug creation efforts. The creation of this medication was guided by the necessity, for treatments that could reduce systemic toxicity while increasing effectiveness in combating cancerous cells.

Therapeutic Classification of Deticene

Deticene is considered as one of the drugs that fall under the category of medications. This classification emphasizes its role in stopping the division of cancer cells—a characteristic that makes it valuable for treating cancer patients.

Composition of Deticene Injection

Active Pharmaceutical Ingredient (API)

Deticene Injection contains dacarbazine as its component—a nucleoside metabolic inhibitor that disrupts DNA methylation for the survival of cancer cells.

Inactive Ingredients and Excipients

The formulation consists of stabilizers and buffering agents along, with solubilizers to improve drug stability and compatibility, for patients while ensuring the effectiveness of the compound remains intact.

Available Strengths and Formulations

  • Deticene is typically available in single-dose vials.
  • Strengths include 50 mg and 100 mg per vial.
  • Designed for reconstitution prior to intravenous administration.

Uses of Deticene Injection

Approved Therapeutic Uses

The FDA has authorized the use of Deticene to treat myelodysplastic syndromes (MDS) and other types of blood cancers that demand precise treatment approaches, an area where Deticene proves to be particularly effective.

Treatment of Specific Cancers

Deticene plays a pivotal role in managing acute myeloid leukemia (AML) and chronic myelomonocytic leukemia (CMML), particularly in patients unable to tolerate intensive chemotherapy regimens.


Role in Hematologic Malignancies

Its efficacy in modulating abnormal hematopoiesis has positioned Deticene as an indispensable agent in treating bone marrow disorders characterized by dysplasia and ineffective blood cell production.

Off-Label Uses

Emerging Applications in Non-Cancer Conditions

Recent research has explored Deticene's utility in conditions like sickle cell anemia and autoimmune disorders due to its immunomodulatory properties.

Experimental Applications in Clinical Trials

Ongoing studies investigate Deticene's potential in epigenetic therapy for solid tumors, underscoring its versatility in oncology.

Dacarbazine mechanism of action

Mechanism of Action at the Cellular Level

Deticene inhibits DNA methyltransferase enzymes, resulting in DNA hypomethylation. This action reactivates tumor suppressor genes, curbing cancer cell growth.


Dacarbazine chemotherapy

While primarily targeting rapidly dividing cells, Deticene's effects on healthy cells are minimized through precise dosing regimens reducing systemic adverse effects.

Pharmacokinetics and Bioavailability

Deticene demonstrates rapid systemic absorption upon intravenous administration with a short half-life necessitating controlled infusion protocols.

Dosage and Administration of Deticene Injection

Standard Dosage Guidelines for Approved Uses

Typical regimens involve daily administration for five consecutive days followed by a rest period as part of a 28-day cycle.

Dosage Modifications for Specific Populations

  • Elderly Patients: Age-related physiological changes require careful dose adjustments to balance efficacy and tolerability.
  • Patients with Renal or Hepatic Impairment: Reduced clearance rates necessitate lower doses to avoid drug accumulation and toxicity.

Administration Protocols and Techniques

Hospitals usually give Deticene through an IV drip for about 1 to 2 hours in a environment.

Missed Dose Management

In case a dose is forgotten​ tey consulting a healthcare provider is important to avoid any interruptions, in the treatment plan.

Dacarbazine side effects

Common Side Effects

Patients might encounter stomach issues like queasiness and diarrhea, as well as feeling tired and experiencing changes in blood composition.

Gastrointestinal Disturbances

Symptoms such as nausea and stomach pain can be treated with measures and changes in the diet.

Hematologic Abnormalities

Transient neutropenia, anemia, and thrombocytopenia are observed, requiring close monitoring of blood counts.

Serious Side Effects and Long-Term Implications

Uncommon serious responses may involve neutropenia and opportunistic infections, highlighting the importance of timely intervention in such situations.

Reporting Adverse Reactions

Healthcare professionals are advised to record and disclose any reactions to pharmacovigilance systems for safety monitoring purposes.

Warnings and Precautions

Key Warnings for Safe Use

Patients who have previously experienced hypersensitivity reactions to decitabine are advised to steer clear of Deticene due to the risks of developing malignancies, with prolonged use needing careful consideration.


Precautionary Measures During Treatment

In advance, it's crucial to check blood counts and organ function to prevent any possible complications.

Risks Associated with Prolonged Use

Prolonged contact could lead to a buildup of effects in the body over time, such as decreased bone marrow function that may require medical monitoring.

Contraindications of Deticene Injection

Absolute Contraindications

  • Severe hypersensitivity to any component of Deticene.
  • Pregnancy due to teratogenic risks.

Relative Contraindications Requiring Risk Assessment

Patients with severe hepatic or renal impairment, uncontrolled infections, or significant comorbidities should undergo thorough evaluation before initiating therapy.


Special Considerations for Administration

Administration to Elderly Patients

Deticene Injection requires meticulous consideration when administered to elderly patients. Advanced age often correlates with diminished physiological reserves and comorbidities, necessitating tailored dosage regimens. While the therapeutic benefits remain significant, risks such as heightened myelosuppression or organ toxicity demand vigilance.

Age-Specific Risks and Benefits

  • Risks: Increased susceptibility to side effects, including hematologic toxicity and infection.
  • Benefits: Improved quality of life in managing hematologic malignancies with careful monitoring.

Administration to Pregnant Women and Nursing Mothers

The use of Deticene Injection during pregnancy is contraindicated due to its teratogenic potential. Exposure can lead to severe fetal harm, including congenital anomalies or miscarriage. For nursing mothers, the excretion of Deticene in breast milk remains unverified, but precautions should be taken to avoid potential neonatal exposure.


Risks to the Fetus and Breastfeeding Safety

  • Fetal Risks: Teratogenicity and embryotoxicity.
  • Breastfeeding Risks: Potential unknown transfer through lactation necessitates cessation of breastfeeding during treatment.

Administration to Children

In pediatric patients, Deticene usage is rare and limited to specific clinical scenarios, often under investigational protocols. Proper dosing is calculated based on body surface area (BSA), ensuring optimal therapeutic levels while minimizing risks.

Pediatric Dosage Guidelines and Safety Considerations

  • Dosage: Determined on a case-by-case basis, with frequent monitoring of hematologic parameters.
  • Safety Considerations: Potential for developmental interference, necessitating stringent follow-up protocols.

Drug Interactions with Deticene Injection

Common Drug Interactions and Their Impact

Concurrent use of Deticene with other myelosuppressive agents can amplify adverse hematologic effects. Drugs affecting hepatic enzyme systems may alter Deticene metabolism, leading to suboptimal or toxic plasma levels.

Interaction with Over-the-Counter Medications

OTC medications, particularly NSAIDs and antacids, may interact with Deticene, potentially increasing gastrointestinal irritation or interfering with its absorption.

Food and Supplement Interactions

No significant food interactions have been documented; however, caution is advised when consuming supplements that affect liver function or hematologic parameters, such as vitamin K antagonists or iron supplements.

Overdosage and Management

Signs and Symptoms of Overdose

Overdosage with Deticene may manifest as severe myelosuppression, profound fatigue, febrile episodes, or gastrointestinal distress. Early recognition of symptoms is critical to mitigating complications.

Immediate Actions and Supportive Care Measures

  • Discontinue Deticene immediately.
  • Provide supportive care, including hydration, electrolyte management, and blood transfusions as needed.

Antidotes and Specific Interventions

No specific antidote for Deticene exists. Treatment focuses on symptomatic management and prevention of complications, such as infections or hemorrhage.

Storage and Handling of Deticene Injection

Deticene Injection should be stored at controlled room temperature (20-25°C), protected from light and moisture. Reconstituted solutions must be used promptly or stored according to the manufacturer's guidelines.

Shelf Life and Expiration Considerations

  • Unopened vials remain stable until the expiration date.
  • Reconstituted solutions must be used within a specified time frame to ensure potency.

Proper Handling and Disposal Procedures

Handling requires compliance with cytotoxic drug protocols. Unused or expired Deticene must be disposed of according to hazardous waste regulations to prevent environmental contamination.

Handling Precautions for Healthcare Providers

Protective Measures During Preparation and Administration

Healthcare professionals must wear appropriate personal protective equipment (PPE), including gloves, gowns, and eye protection, to minimize exposure during preparation and administration.


Preventing Exposure and Contamination Risks

  • Work in designated areas equipped with biosafety cabinets.
  • Employ closed-system drug transfer devices (CSTDs) to reduce aerosolization risks.
  • Immediately clean any spills using approved cytotoxic spill kits.

Deticene Injection FAQ

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