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Bleomycin

Immunomodulators, Antineoplastic and Medicines used in Palliative Care
Powder · Injection15mg19 brands · 16 makers
Bleomycin is listed in Nepal's National List of Essential Medicines (NLEM, Sixth Revision 2021) under Immunomodulators, Antineoplastic and Medicines used in Palliative Care. 19 brand names for this medicine are listed in the NepalDoc medicine catalog.
Generic namebleomycin
Therapeutic classImmunomodulators, Antineoplastic and Medicines used in Palliative Care > 8.2.1 Cytotoxic medicines (complementary list)
Form & strength (NLEM)Powder for injection:15mg (as sulfate) in vial
Source / स्रोतNational List of Essential Medicines Nepal (2021); NepalDoc medicine catalog

What it's for

Bleomycin for Injection, USP should be considered a palliative treatment. It has been shown to be useful in the management of the following neoplasms either as a single agent or in proven combinations with other approved chemotherapeutic agents: Squamous Cell Carcinoma: Head and neck (including mouth, tongue, tonsil, nasopharynx, oropharynx, sinus, palate, lip, buccal mucosa, gingivae, epiglottis, skin, larynx), penis, cervix, and vulva.

From the U.S. FDA-approved label for Bleomycin. Full label: DailyMed.

Bleomycin for Injection, USP should be considered a palliative treatment. It has been shown to be useful in the management of the following neoplasms either as a single agent or in proven combinations with other approved chemotherapeutic agents: Squamous Cell Carcinoma: Head and neck (including mouth, tongue, tonsil, nasopharynx, oropharynx, sinus, palate, lip, buccal mucosa, gingivae, epiglottis, skin, larynx), penis, cervix, and vulva. The response to Bleomycin for Injection, USP is poorer in patients with previously irradiated head and neck cancer. Lymphomas: Hodgkin's disease, non-Hodgkin's lymphoma. Testicular Carcinoma: Embryonal cell, choriocarcinoma, and teratocarcinoma. Bleomycin for Injection, USP has also been shown to be useful in the management of: Malignant Pleural Effusion: Bleomycin for Injection, USP is effective as a sclerosing agent for the treatment of malignant pleural effusion and prevention of recurrent pleural effusions.

From the U.S. FDA-approved label for Bleomycin. Full label: DailyMed.

Because of the possibility of an anaphylactoid reaction, lymphoma patients should be treated with 2 units or less for the first 2 doses. If no acute reaction occurs, then the regular dosage schedule may be followed. The following dose schedule is recommended: Squamous cell carcinoma, non-Hodgkin's lymphoma, testicular carcinoma – 0.25 to 0.50 units/kg (10 to 20 units/m 2 ) given intravenously, intramuscularly, or subcutaneously weekly or twice weekly.

Directions from the U.S. FDA-approved label — your doctor or pharmacist may advise differently.

Bleomycin for injection is contraindicated in patients who have demonstrated a hypersensitive or an idiosyncratic reaction to it.

Excerpt from the U.S. FDA-approved label. Talk to a pharmacist or doctor before use.

Patients receiving bleomycin must be observed carefully and frequently during and after therapy. It should be used with extreme caution in patients with significant impairment of renal function or compromised pulmonary function. Pulmonary toxicities occur in 10% of treated patients. In approximately 1%, the nonspecific pneumonitis induced by bleomycin progresses to pulmonary fibrosis and death. Although this is age and dose related, the toxicity is unpredictable. Frequent roentgenograms are recommended (see ADVERSE REACTIONS: Pulmonary ).

Warnings and precautions excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor before use.

Pulmonary The most serious side effects are pulmonary adverse reactions, occurring in approximately 10% of treated patients. The most frequent presentation is pneumonitis occasionally progressing to pulmonary fibrosis. Approximately 1% of patients treated have died of pulmonary fibrosis.

Excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor about side effects.

19 products from 16 makers in the NepalDoc medicine catalog use this generic:

BrandCompositionMakerPack
Bleocip InjectionBleomycinCipla Ltd.
Bledmax 15mg InjectionBleomycin (15mg)Max India Ltdvial of 1 Powder for Injection
Bleocare 15mg InjectionBleomycin (15mg)Criticare Laboratories Pvt Ltdvial of 1 Injection
Bleocare 30mg InjectionBleomycin (30mg)Criticare Laboratories Pvt Ltdvial of 1 Injection
Bleocel 15IU InjectionBleomycin (15IU)Celon Laboratories Ltdvial of 1 ml Injection
Bleochem 15IU InjectionBleomycin (15IU)Biochem Pharmaceutical Industriesvial of 1 Injection
Bleocin InjectionBleomycin (15IU)Khandelwal Laboratories Pvt Ltdvial of 1 Injection
Bleocol 15IU InjectionBleomycin (15IU)Vhb Life Sciences Incvial of 1 Injection
Bleolem 15mg InjectionBleomycin (15mg)Lemeryvial of 1 Injection
Bleomycin Sulphate InjectionBleomycin (15IU)Dabur India Ltdvial of 1 ml Injection
Bleotex 15IU InjectionBleomycin (15IU)Alkem Laboratories Ltdvial of 1 Injection
Bleowel 15IU InjectionBleomycin (15IU)Getwell Oncology Pvt Ltdvial of 1 Injection
Blomin 15IU InjectionBleomycin (15IU)Venus Remedies Ltdvial of 1 Injection
Metbleo InjectionBleomycin (15IU)Metta Life Sciences Private Limitedvial of 1 Injection
Naprobleo 15IU InjectionBleomycin (15IU)Miracalus Pharma Pvt Ltdvial of 1 Injection
Oil Bleo 30mg InjectionBleomycin (30mg)Khandelwal Laboratories Pvt Ltdvial of 1 Injection
Oncobleo 15IU InjectionBleomycin (15IU)Sun Pharmaceutical Industries Ltdvial of 1 Injection
Tumocin 15IU InjectionBleomycin (15IU)Neon Laboratories Ltdvial of 1 ml Injection
Tumocin 30mg InjectionBleomycin (30mg)Neon Laboratories Ltdvial of 1 Injection

Brand list from the NepalDoc medicine catalog. Availability varies by pharmacy — call ahead to confirm stock.

Conditions Store refrigerated between 2° and 8°C (36° and 46°F). The sterile powder is stable under refrigeration and should not be used after the expiration date is reached. Bleomycin for Injection, USP should not be reconstituted or diluted with D 5 W or other dextrose containing diluents.

Storage information from the U.S. FDA-approved label.

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+ Safety information

This page is information only and is not medical advice. Medicine details come from the sources listed above and may change — always confirm the medicine, strength and dose with a pharmacist or doctor before use. NLEM listing does not guarantee that a medicine is in stock at any pharmacy.

NepalDoc — Nepal's Healthcare Super-App (Beta) / नेपालको स्वास्थ्य सुपर-एप (बेटा).
Medicine information only — not medical advice. Confirm with a pharmacist or doctor.