♦Dexrazoxane
(dex-ra’-zoo-zayne)
Zinecard
Pregnancy Category C
Mechanism of Action
Dexrazoxane is a chelating agent that interferes with iron-mediated radicals thought to be responsible for anthracycline-induced cardiotoxicity.
Indications
Reduction of the incidence and severity of cardiomyopathy associated with doxorubicin therapy in women with metastatic breast cancer who have received a cumulative dose of 300 mg/m2 and who could benefit from continued doxorubicin therapy.
Metabolism/Excretion
Not bound to plasma proteins; 42% of the dose is excreted in the urine.