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. Author manuscript; available in PMC: 2014 Apr 22.
Published in final edited form as: Curr Treat Options Neurol. 2008 Jul;10(4):295–307. doi: 10.1007/s11940-008-0032-y
Standard dosage 60 mg/m2 daily on days 8–21.
Contraindications Hypersensitivity to drug or components, myelosuppression.
Main drug interactions Disulfiram-like interaction with alcohol. Tricyclic antidepressants and sympathomimetics may induce hypertensive crisis. Rare cases of encephalopathy.
Main side effects Encephalopathy, nausea, vomiting, myelosuppression, photosensitivity.
Special points Weak monoamine oxidase inhibitor requiring patients to avoid foods that are tyramine-rich. Best taken on an empty stomach at bedtime. Dosed in 50-mg tablets; a patient’s individual dose should be rounded to the nearest 50 mg based on dry weight.
Cost $24 per pill, roughly $1000 per cycle.