Page 90 - controlled drug delievery
P. 90

Examples of marketed Liposomes

• Cont. Caelyx/Doxil®:

    – Recommended dose 20-50 mg/m2 every 4 weeks as
       compared to 60-90 mg/m2 every 3 weeks in case of non
       liposomal formulation (Adriamycin®)

    – Vd of Doxrubicin: 2.5 L/m2 (Doxil) & 24-69 L/m2 (Adriamycin)

    – Cardiotoxicity: Insignificant in Doxil up to 1500 mg/m2
       commulative dose versus high risk of cardiac toxicity with
       conventional injections at 400 mg/m2 commulative dose

    – Repeated administration is limited by palmar-plantar
       erythrodysaesthesia (ulceration & blisters of the palms &
       soles due to dug accumulation in the skin of these areas
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