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ONCOLOGY Nurse Edition. Vol. 23 No. 11
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Drug Essentials 

Bevacizumab for Renal Cell Carcinoma, Glioblastoma, and Other Solid Tumors

By Gail M. Wilkes, MS, RNC | October 9, 2009
Gail M. Wilkes, MS, RNC, AOCN, is an oncology educator and nurse practitioner at Boston Medical Center, Boston, Massachusetts. She has published cancer-related books for patients and professionals, and is an author of the Oncology Nursing Drug Handbook.

Metastatic Renal Cell Carcinoma
10 mg/kg IV every 2 weeks with interferon alfa

Glioblastoma
10 mg/kg IV every 2 weeks

Metastatic Colorectal Cancer
5 mg/kg IV every 2 weeks with bolus-IFL (irinotecan plus 5-FU, leucovorin); 10 mg/kg IV every 2 weeks with
FOLFOX4 (oxaliplatin [Eloxatin], leucovorin, 5-FU)

Nonsquamous Non-small-cell Lung Cancer (NSCLC)
15 mg/kg IV every 3 weeks with carboplatin(Drug information on carboplatin)/paclitaxel

Metastatic Breast Cancer
10 mg/kg IV every 2 weeks with paclitaxel

Adverse Reactions to Bevacizumab(Drug information on bevacizumab) by Body System (boldface type indicates more common events, and effects are influenced by any concomitant chemotherapy)

CNS: Dizziness, headache, rare reversible posterior leukoencephalopathy syndrome
CV: Hypertension, congestive heart failure (rare)
ENT: Epistaxis, rhinitis, lacrimation disorder
GI: Diarrhea, constipation, GI perforation, rectal hemorrhage (rare), stomatitis, taste alterations
GU: Proteinuria, nephritic syndrome (rare)
Hematologic: GI hemorrhage, deep vein thrombosis, neutropenia, leucopenia, arterial thrombotic events, rare pulmonary embolism
Musculoskeletal: Myalgia
Reproductive: Potential for fetal harm
Respiratory: Dyspnea, upper respiratory infection
Skin: Dry skin, exfoliative dermatitis
Other: Asthenia, abdominal pain, rare infusion reactions

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Financial Disclosure: The author has no significant financial interest or other relationship with the manufacturers of any products or providers of any service mentioned in this article.




 
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