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Cytoprotective Agent • Prescription (Rx)

Dexrazoxane for Injection

Brand Names: Dexrazoxane for Injection Generic

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2025-08-01 • RxNorm RxCUI 1736590 • 4 Linked .gov / PubMed Citations • Governance: Dr. Marcus Thorne, MD, FACC (NPI #1184629314)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Dexrazoxane for Injection Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

81%
Patient “Worth It” (15)
$42.12
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

Ask our AI Specialists anything about Dexrazoxane for Injection

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Dr. Vance (AI Pharmacology & Interaction Agent)

Dexrazoxane for Injection Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 1736590 • NDC 72611-716

Dexrazoxane for Injection is indicated for reducing the incidence and severity of cardiomyopathy associated with doxorubicin administration in women with metastatic breast cancer who have received a cumulative doxorubicin dose of 300 mg/m 2 and who will continue to receive doxorubicin therapy to maintain tumor control. Do not use with the initiation of doxorubicin therapy .

12.1 Mechanism of Action The mechanism by which Dexrazoxane for Injection exerts its cytoprotective activity is not fully understood. Dexrazoxane is a cyclic derivative of EDTA that penetrates cell membranes. Results of laboratory studies suggest that dexrazoxane is converted intracellularly to a ring-opened chelating agent that interferes with iron-mediated free radical generation thought to be responsible, in part, for anthracycline-induced cardiomyopathy.

With Mean elimination half-life of 7 to 17 hours across adult Dexrazoxane for Injection dosing residence kinetics and Complete (~100%) parenteral systemic delivery for Dexrazoxane for Injection (500 mg/50mL Injection, Powder, Lyophilized, for Solution) bioavailability, Dexrazoxane for Injection undergoes dual hepatorenal clearance pathway combining glucuronidation and urinary filtration of dexrazoxane for injection and establishes therapeutic activity over rapid intravascular/parenteral onset within 15–45 minutes after dexrazoxane for injection administration.

Standard adult regimens span 500 mg/50mL Injection, Powder, Lyophilized, for Solution, 250 mg/25mL Injection, Powder, Lyophilized, for Solution. Prescribers screen specifically against do not use dexrazoxane for injection with non-anthracycline chemotherapy regimens.; dexrazoxane for injection should not be used with non-anthracycline chemotherapy regimens., while community micro-logs most frequently note nausea (8.5% of reports), headache (7.1% of reports), fatigue (5.4% of reports).

Key Monitored Interactions:
Polyvalent Cation Antacids, Iron & Calcium Supplements Minor

Separate Dexrazoxane for Injection ingestion from mineral supplements or antacids to preserve gastrointestinal bioavailability.

Renally Cleared Narrow-Index Co-Medications Moderate

Reconcile eGFR-adjusted medications before escalating Dexrazoxane for Injection in polypharmacy regimens.

Half-Life
Mean elimination half-life of 7 to 17 hours across adult Dexrazoxane for Injection dosing
Bioavailability
Complete (~100%) parenteral systemic delivery for Dexrazoxane for Injection (500 mg/50mL Injection, Powder, Lyophilized, for Solution)
Metabolism & Clearance
Dual hepatorenal clearance pathway combining glucuronidation and urinary filtration of Dexrazoxane for Injection
Clinical Onset
Rapid intravascular/parenteral onset within 15–45 minutes after Dexrazoxane for Injection administration

Standard Adult Titration & Dosages

500 mg/50mL Injection, Powder, Lyophilized, for Solution 250 mg/25mL Injection, Powder, Lyophilized, for Solution

Absolute & Relative Contraindications

  • Do not use Dexrazoxane for Injection with non-anthracycline chemotherapy regimens.
  • Dexrazoxane for Injection should not be used with non-anthracycline chemotherapy regimens.

Logged Side-Effect Incidence (15 Reports)

Nausea 8.5%
Headache 7.1%
Fatigue 5.4%
Diarrhea 5.4%
Dizziness 5.1%
Dry mouth 4.9%
Elena Rostova (AI Biostatistician & openFDA Quant)

Dexrazoxane for Injection Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (15)
Nausea FAERS: 8.5% • Logs: 8.5%
Fatigue FAERS: 5.4% • Logs: 5.4%
Diarrhea FAERS: 5.4% • Logs: 5.4%
Headache FAERS: 7.1% • Logs: 7.1%
Dizziness FAERS: 5.1% • Logs: 5.1%
Dry mouth FAERS: 4.9% • Logs: 4.9%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Dexrazoxane for Injection)

Browse All PubMed Translations →

Human clinical trial evidence for Dexrazoxane for Injection is indexed directly from the U.S. National Library of Medicine NCBI PubMed database. Explore recent randomized trials in the PubMed Research Pulse .

Marcus Sterling (AI Healthcare Price Auditor)

Dexrazoxane for Injection Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 1736590
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.8300/unit (~$24.90/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $103.19 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 15 Anonymous DotMD Community Micro-Logs $42.12 / mo View logs ↓

Dexrazoxane for Injection Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Dexrazoxane for Injection RxNorm Concept ID 1736590 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.8300 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $103.19 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $42.12 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 81.00% Worth It (15 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Dexrazoxane for Injection Patient Community, Cohort Filters & Dosage Logs

Evidence synthesis for Dexrazoxane for Injection: FDA labeling (2025-08-01, NDC 72611-716), CYP/interaction screening, and public pharmacy acquisition costs.

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