Informational only — Not medical advice. Always consult a licensed healthcare provider.

Community data Updated 22 hours ago

Indications

Idarubicin Hydrochloride PhaRes is used together with other approved antileukemic drugs to treat acute myeloid leukemia (AML) in adults. This covers the French-American-British (FAB) classifications M1 through M7.

⚠️ Always consult a registered physician before taking any medicine.

Pharmacology

Idarubicin hydrochloride is an analog of daunorubicin that works by intercalating into DNA. It inhibits the synthesis of nucleic acids and interacts with the enzyme topoisomerase II. The anthracycline structure of idarubicin has no methoxy group at position 4, and this makes the compound highly lipophilic. As a result, cells take it up faster than they take up other anthracyclines.

Pregnancy & Breastfeeding

Idarubicin is Pregnancy Category D. In rats, it was embryotoxic and teratogenic at 1.2 mg/m2/day, which is one tenth of the human dose and did not poison the mother animals. In rabbits it was embryotoxic but not teratogenic, even at 2.4 mg/m2/day (two tenths of the human dose), and that dose was toxic to the mothers. No conclusive information shows that idarubicin harms human fertility or causes teratogenesis. There has been one report of a fetal death after the mother was exposed to idarubicin in the second trimester. No adequate and well-controlled studies have been done in pregnant women.

If Idarubicin is used during pregnancy, or if the patient becomes pregnant during treatment, she should be told about the possible hazard to the fetus. Women who could become pregnant should be advised to avoid pregnancy.

Nursing mothers: It is not known whether idarubicin passes into human milk. Many drugs do pass into milk, and idarubicin could cause serious adverse reactions in a nursing infant, so mothers should stop nursing before they take this medicine.

⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.

Dosage Reference

⚠️ Reference ranges from official sources only. Consult your doctor for personalized dosing.

Adults: For induction therapy in adults with AML, the recommended schedule is idarubicin hydrochloride 12 mg/m2 daily for 3 days, given by slow intravenous injection over 10 to 15 min, together with cytarabine. The cytarabine can be given as 100 mg/m2 daily by continuous infusion for 7 days. Or it can be given as a 25 mg/m2 intravenous bolus, followed by 200 mg/m2 daily for 5 days by continuous infusion. If there is unequivocal evidence of leukemia after the first induction course, a second course may be given. Patients who develop severe mucositis should have the second course delayed until they have recovered from it, and a dose reduction of 25% is recommended. In patients with hepatic and/or renal impairment, a dose reduction of idarubicin should be considered. Idarubicin should not be given if the bilirubin level is above 5 mg%. The benefit of consolidation in prolonging the duration of remissions and survival is not proven. There is no consensus on which optional regimens to use for consolidation. Pediatric Use: Safety and effectiveness in children have not been established.