Formulary Monographs [EPIRUBICIN, 1000]

EPIRUBICIN
ANTINEOPLASTICS
Acute leukaemias, lymphomas, solid tumours.
Leukopenia, nausea and vomiting, diarrhoea, thrombocytopenia, EKG changes, congestive cardiac failure secondary to a diffuse cardiomyopathy, alopecia. C.f. prescribing in liver disease p. 13.
Avoid during pregnancy. Teratogenic effects and embryotoxicity were noted in animal studies.
It is unknown whether epirubicin is distributed in milk. Breastfeeding is therefore not recommended due to the potential risks of adverse effects in the nursing infant.