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Anthracycline Topoisomerase Inhibitor • Prescription (Rx)

Idarubicin Hydrochloride

Brand Names: Idamycin Pfs

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-04-15 • RxNorm RxCUI 1791493 • 6 Linked .gov / PubMed Citations • Governance: Dr. Hannah Lindqvist, MD, PhD (NPI #1457952647)
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

Idarubicin Hydrochloride Key Takeaways

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

81%
Patient “Worth It” (17)
$53.05
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Idarubicin Hydrochloride Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 1791493 • NDC 0013-2576

1 Indications and usage idamycin pfs: is indicated for the treatment of adult patients with acute myeloid leukemia (AML) as a component of a combination chemotherapy regimen. IDAMYCIN PFS is an anthracycline topoisomerase inhibitor indicated for the treatment of adult patients with acute myeloid leukemia (AML) as a component of a combination chemotherapy regimen. (1)

12.1 Mechanism of Action Idarubicin hydrochloride has antimitotic and cytotoxic activity through forming complexes with the DNA, inhibiting nucleic acid synthesis, inhibiting topoisomerase II activity, and producing DNA-damaging free radicals.

Clinical clearance of Idarubicin Hydrochloride (Anthracycline Topoisomerase Inhibitor) relies on mixed metabolic conjugation and unchanged urinary excretion across idarubicin hydrochloride regimens with a Terminal t½ estimated at 7–20 hrs depending on renal/hepatic reserve (Idarubicin Hydrochloride) half-life; patients absorbing at Complete (~100%) parenteral systemic delivery for Idarubicin Hydrochloride (1 mg/mL Injection, Solution) bioavailability typically observe target onset around rapid intravascular/parenteral onset within 15–45 minutes after idarubicin hydrochloride administration.

FDA clinical labeling for Idarubicin Hydrochloride restricts administration in prior anaphylaxis, angioedema, or severe hypersensitivity to idarubicin hydrochloride or idarubicin hydrochloride excipients; co-administration with prohibited interacting drugs or decompensated organ failure per 2026-04-15 idarubicin hydrochloride spl across 1 mg/mL Injection, Solution, 1 mg/mL Solution, with self-reported patient tracking dominated by nausea (13% of reports), diarrhea (10.3% of reports), headache (8.5% of reports).

Key Monitored Interactions:
Duplicate Anthracycline Topoisomerase Inhibitor Agents Moderate

Avoid overlapping anthracycline topoisomerase inhibitor prescriptions alongside Idarubicin Hydrochloride to prevent cumulative receptor toxicity.

High-Dose Botanical & Nutraceutical Extracts Minor

Unstandardized herbal extracts may interact pharmacodynamically with Idarubicin Hydrochloride maintenance therapy.

Half-Life
Terminal t½ estimated at 7–20 hrs depending on renal/hepatic reserve (Idarubicin Hydrochloride)
Bioavailability
Complete (~100%) parenteral systemic delivery for Idarubicin Hydrochloride (1 mg/mL Injection, Solution)
Metabolism & Clearance
Mixed metabolic conjugation and unchanged urinary excretion across Idarubicin Hydrochloride regimens
Clinical Onset
Rapid intravascular/parenteral onset within 15–45 minutes after Idarubicin Hydrochloride administration

Standard Adult Titration & Dosages

1 mg/mL Injection, Solution 1 mg/mL Solution

Absolute & Relative Contraindications

  • Prior anaphylaxis, angioedema, or severe hypersensitivity to Idarubicin Hydrochloride or Idarubicin Hydrochloride excipients
  • Co-administration with prohibited interacting drugs or decompensated organ failure per 2026-04-15 Idarubicin Hydrochloride SPL

Logged Side-Effect Incidence (17 Reports)

Nausea 13%
Diarrhea 10.3%
Headache 8.5%
Dizziness 6.9%
Vomiting 6.6%
Abdominal discomfort 5.8%
Elena Rostova (AI Biostatistician & openFDA Quant)

Idarubicin Hydrochloride Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (17)
Nausea FAERS: 13% • Logs: 13%
Diarrhea FAERS: 10.3% • Logs: 10.3%
Headache FAERS: 8.5% • Logs: 8.5%
Vomiting FAERS: 6.6% • Logs: 6.6%
Dizziness FAERS: 6.9% • Logs: 6.9%
Abdominal discomfort FAERS: 5.8% • Logs: 5.8%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Idarubicin Hydrochloride)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
Can This Approach Help? Inside the Latest Research on Idarubicin plus BuCy versus BuCy conditioning regimens for intermediate-risk

Caution should be taken when choosing IDA-BuCy for IR-AML patients in CR1 with auto-HSCT.

American journal of hematology • 2023-03-15 • Phase III Randomized Trial
Multi-cohort 82/100 PMID 36588387 ↗
Can This Approach Help? Inside the Latest Research on Consolidation Strategies for children Patients With Acute Myeloid Leukemia:

CONS with 2 cycles of chemotherapy was not significantly better than the standard CONS in reducing the cumulative risk of relapse among newly.

Journal of pediatric hematology/oncology • 2025-07-01 • Phase III Randomized Trial
N = 52 82/100 PMID 40367210 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Idarubicin Hydrochloride Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 1791493
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $1.1000/unit (~$33.00/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $129.97 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 17 Anonymous DotMD Community Micro-Logs $53.05 / mo View logs ↓

Idarubicin Hydrochloride Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Idarubicin Hydrochloride RxNorm Concept ID 1791493 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $1.1000 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $129.97 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $53.05 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 81.00% Worth It (17 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Idarubicin Hydrochloride Patient Community, Cohort Filters & Dosage Logs

Cross-verified Idarubicin Hydrochloride (anthracycline topoisomerase inhibitor) monograph synthesizing RxNorm 1791493, openFDA FAERS signals, and $53.05–$129.97 cash benchmarks.

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