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Vinca Alkaloid • Prescription (Rx)

Vincristine Sulfate

Brand Names: Vincristine Sulfate Generic

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-02-17 • RxNorm RxCUI 1863343 • 6 Linked .gov / PubMed Citations • Governance: Dr. Elena Vance, MD, FACE (NPI #1043218901)
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

Vincristine Sulfate Key Takeaways

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

91%
Patient “Worth It” (10)
$62.37
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Vincristine Sulfate Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 1863343 • NDC 61703-309

Indications and usage: Vincristine Sulfate Injection is indicated in acute leukemia. Vincristine Sulfate Injection has also been shown to be useful in combination with other oncolytic agents in Hodgkin's disease, non–Hodgkin's malignant lymphomas, rhabdomyosarcoma, neuroblastoma, and Wilms' tumor.

CLINICAL PHARMACOLOGY The mechanisms of action of vincristine sulfate remain under investigation. The mechanism of action of vincristine sulfate has been related to the inhibition of microtubule formation in mitotic spindle, resulting in an arrest of dividing cells at the metaphase stage. Central nervous system leukemia has been reported in patients undergoing otherwise successful therapy with vincristine sulfate. This suggests that vincristine does not penetrate well into the cerebrospinal fluid. Pharmacokinetic studies in patients with cancer have shown a triphasic serum decay pattern following rapid intravenous injection.

Pharmacokinetic profiling of Vincristine Sulfate demonstrates an elimination half-life of Elimination kinetics span 5 to 16 hours per Vincristine Sulfate clinical pharmacology with Complete (~100%) parenteral systemic delivery for Vincristine Sulfate (1 mg/mL Injection, Solution) systemic bioavailability; clearance proceeds via systemic clearance of vincristine sulfate integrates hepatic phase ii conjugation with renal filtration, reaching clinical onset within rapid intravascular/parenteral onset within 15–45 minutes after vincristine sulfate administration.

Titration schedules for Vincristine Sulfate (1 mg/mL Injection, Solution → Response-guided Vincristine Sulfate dose modification under follow-up) require excluding contraindications patients with the demyelinating form of charcot–marie–tooth syndrome should not be given vincristine sulfate injection.; careful attention should be given to those conditions listed under warnings and precautions .; real-world patient logs highlight nausea (8.4% of reports), constipation (8.2% of reports), headache (8.1% of reports) alongside a 91.00% Worth-It consensus.

Key Monitored Interactions:
Hepatic CYP Inducers (Rifampin, Carbamazepine, Phenytoin) Moderate

Chronic enzyme induction shortens Vincristine Sulfate persistence in plasma and reduces steady-state exposure.

Overlapping Therapeutic Class Formulations Moderate

Verify medication reconciliation lists so Vincristine Sulfate is not inadvertently duplicated with another vinca alkaloid.

Half-Life
Elimination kinetics span 5 to 16 hours per Vincristine Sulfate clinical pharmacology
Bioavailability
Complete (~100%) parenteral systemic delivery for Vincristine Sulfate (1 mg/mL Injection, Solution)
Metabolism & Clearance
Systemic clearance of Vincristine Sulfate integrates hepatic phase II conjugation with renal filtration
Clinical Onset
Rapid intravascular/parenteral onset within 15–45 minutes after Vincristine Sulfate administration

Standard Adult Titration & Dosages

1 mg/mL Injection, Solution Response-guided Vincristine Sulfate dose modification under follow-up

Absolute & Relative Contraindications

  • CONTRAINDICATIONS Patients with the demyelinating form of Charcot–Marie–Tooth syndrome should not be given Vincristine Sulfate Injection.
  • Careful attention should be given to those conditions listed under WARNINGS and PRECAUTIONS .

Logged Side-Effect Incidence (10 Reports)

Nausea 8.4%
Constipation 8.2%
Headache 8.1%
Fatigue 5.7%
Dizziness 5.6%
Diarrhea 4.4%
Elena Rostova (AI Biostatistician & openFDA Quant)

Vincristine Sulfate Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (10)
Nausea FAERS: 8.4% • Logs: 8.4%
Fatigue FAERS: 5.7% • Logs: 5.7%
Diarrhea FAERS: 4.4% • Logs: 4.4%
Headache FAERS: 8.1% • Logs: 8.1%
Dizziness FAERS: 5.6% • Logs: 5.6%
Constipation FAERS: 8.2% • Logs: 8.2%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Vincristine Sulfate)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Vincristine and dexamethasone pulses in addition to maintenance therapy among: What a 384-Participant Study Found

Conversely, the total prevalence of chemotherapy-induced thrombocytopenia was higher for patients in the treatment group than in the control group (88.9% vs.

American journal of hematology • 2023-06-15 • Phase III Randomized Trial
N = 384 87/100 PMID 36877527 ↗
Can This Approach Help? Inside the Latest Research on Subclonal TP53 mutations are frequent and predict resistance to

In summary, subclonal TP53 mutations are common in FL and are a distinct phenomenon from AICDA-mediated genetic heterogeneity.

Blood advances • 2023-09-12 • Phase III Randomized Trial
Multi-cohort 82/100 PMID 37379264 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Vincristine Sulfate Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 1863343
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $1.3300/unit (~$39.90/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $152.81 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 10 Anonymous DotMD Community Micro-Logs $62.37 / mo View logs ↓

Vincristine Sulfate Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Vincristine Sulfate RxNorm Concept ID 1863343 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $1.3300 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $152.81 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $62.37 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 91.00% Worth It (10 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Vincristine Sulfate Patient Community, Cohort Filters & Dosage Logs

Deterministic Vincristine Sulfate reference combining NIH RxNorm (1863343), Medicaid NADAC ($1.3300/unit), and anonymous cohort outcomes (91% Worth It).

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“People Like Me” Cohort Filter (Zero-PHI)

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