{"id":1913,"date":"2023-08-16T14:12:51","date_gmt":"2023-08-16T11:12:51","guid":{"rendered":"https:\/\/www.vet-ebooks.com\/vetdrugslist\/?p=1913"},"modified":"2023-08-12T17:19:35","modified_gmt":"2023-08-12T14:19:35","slug":"lomustine-ccnu","status":"publish","type":"post","link":"https:\/\/www.vet-ebooks.com\/vetdrugslist\/lomustine-ccnu\/","title":{"rendered":"Lomustine (CCNU)"},"content":{"rendered":"<p style=\"text-align: center; font-size: 24px; font-family: sans-serif;\"><strong>Lomustine (CCNU) In Dogs &amp; Cats: Uses, Dosage and Side Effects<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1943 size-full aligncenter\" src=\"https:\/\/www.vet-ebooks.com\/vetdrugslist\/wp-content\/uploads\/2023\/08\/Lomustine.jpg\" alt=\"Lomustine (CCNU) In Dogs &amp; Cats: Uses, Dosage and Side Effects\" width=\"800\" height=\"480\" srcset=\"https:\/\/www.vet-ebooks.com\/vetdrugslist\/wp-content\/uploads\/2023\/08\/Lomustine.jpg 800w, https:\/\/www.vet-ebooks.com\/vetdrugslist\/wp-content\/uploads\/2023\/08\/Lomustine-300x180.jpg 300w, https:\/\/www.vet-ebooks.com\/vetdrugslist\/wp-content\/uploads\/2023\/08\/Lomustine-768x461.jpg 768w, https:\/\/www.vet-ebooks.com\/vetdrugslist\/wp-content\/uploads\/2023\/08\/Lomustine-696x418.jpg 696w, https:\/\/www.vet-ebooks.com\/vetdrugslist\/wp-content\/uploads\/2023\/08\/Lomustine-700x420.jpg 700w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/p>\n\n<h2 style=\"border-bottom: 2px #fabd14 solid; font-size: 20px;\"><strong>Overview<\/strong><\/h2>\n<ul>\n<li>Interferes with the synthesis and function of DNA, RNA and proteins.<\/li>\n<li>Antitumour activity correlates best with formation of interstrand cross-linking of DNA.<\/li>\n<li>Lomustine is highly lipid-soluble, allowing rapid transport across the blood\u2013brain barrier.<\/li>\n<\/ul>\n<h2 style=\"border-bottom: 2px #fabd14 solid; font-size: 20px;\"><strong>Uses of Lomustine (CCNU)<\/strong><\/h2>\n<ul>\n<li>Reported to have some efficacy in the treatment of <strong>brain tumours<\/strong>, <strong>mast cell tumours<\/strong>, <strong>refractory lymphoma<\/strong>, <strong>histiocytic sarcoma<\/strong> and <strong>epitheliotrophic lymphoma<\/strong>.<\/li>\n<li>Component of the modified CHOP protocol for treatment of <strong>T-cell lymphoma<\/strong>.<\/li>\n<\/ul>\n<div class='code-block code-block-12' style='margin: 8px auto; text-align: center; display: block; clear: both;'>\n<a target=\"_blank\" href=\"https:\/\/www.vet-ebooks.com\/premium-memberships\/\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-17003\" src=\"https:\/\/www.vet-ebooks.com\/wp-content\/uploads\/2024\/10\/veterinary-books-1.jpg\" width=\"480\" height=\"98\"  alt=\"Vet Books\"\/><\/a><\/div>\n\n<h2 style=\"border-bottom: 2px #fabd14 solid; font-size: 20px;\"><strong>Dose of Lomustine (CCNU) in Dogs and Cats<\/strong><\/h2>\n<p><strong>Dogs: <\/strong><\/p>\n<ul>\n<li><span style=\"text-decoration: underline;\"><strong>All uses:<\/strong> <\/span>60\u201380 mg\/m2 p.o. q3\u20134wk.<\/li>\n<\/ul>\n<p><strong>Cats: <\/strong><\/p>\n<ul>\n<li><span style=\"text-decoration: underline;\"><strong>All uses:<\/strong><\/span> A dose of 30\u201360 mg\/m2 p.o. q4\u20136wk has been suggested but is not well established.<\/li>\n<li><strong>If using this drug in the cat<\/strong>, specialist advice should be sought, as dosing intervals may need to be increased.<\/li>\n<\/ul>\n<div class='code-block code-block-2' style='margin: 8px auto 8px 0; text-align: left; display: block; clear: both;'>\n <html>\n  <head>\n    <style>\n    \n \n      #calculator {\n        width: 100%;\n        margin: auto;\n      }\n      \n      @media (max-width: 600px) {\n        #calculator {\n          width: 90%;\n        }\n      }\n      \n      #calculator23 {\n        display: block;\n        margin-bottom: 8px;\n        font-size: 14px;\nfont-family: sans-serif;font-weight:600;\n      }\n      \n      #calculator24{\n        width: 100%;\n        padding: 12px 20px;\n        margin: 8px 0;\n        box-sizing: border-box;\n        border: 2px solid #ccc;\n        border-radius: 4px;\n      }\n      \n      #calculator25 {\n        width: 100%;\n    background-color: #fabd14;\n    color: white;\n    padding: 11px 18px;\n    margin: 5px 0;\n    border: none;\n    border-radius: 4px;\n    cursor: pointer;\n    font-size: 15px;\n    font-family: sans-serif;\n    font-weight: 600;\n}\n      }\n      \n      #result {\n        font-size: 18px;\n        font-weight: bold;\n      }\n    <\/style>\n  <\/head>\n  <body>\n  \n \n\n  <h2 style=\"border-bottom: 2px #fff7e6 solid;\" class=\"cd-section-title\"><span><strong>Drug Dosage Calculator<\/strong><\/span><\/h2>\n    <form id=\"calculator\">\n      <label id=\"calculator23\" for=\"weight\">Animal Weight (kg):<\/label>\n      <input type=\"text\" id=\"weight\" name=\"weight\" id=\"calculator24\">\n      <label for=\"dose\" id=\"calculator23\">Drug Dose (mg\/kg):<\/label>\n      <input type=\"text\" id=\"dose\" name=\"dose\" id=\"calculator24\">\n      <label for=\"concentration\" id=\"calculator23\">Drug Concentration (mg\/mL or mg\/tablet):<\/label>\n      <input type=\"text\" id=\"concentration\" name=\"concentration\" id=\"calculator24\">\n      <button type=\"button\" onclick=\"calculate()\" id=\"calculator25\">Calculate<\/button>\n    <\/form> \n    \n    <p style=\"\n    font-size: 13px;\n    font-weight: 600;\n    font-family: sans-serif;\n    background: #444;\n    padding: 5px;\n    border-radius: 5px;\n    color: #fff;\n\">You Should Give: <span id=\"result\"><\/span><\/p>\n\n\n    \n    <script>\n      function calculateDose(weight, dose, concentration) {\n        return (weight * dose \/ concentration).toFixed(2);\n      }\n      \n      function calculate() {\n        let weight = document.getElementById(\"weight\").value;\n        let dose = document.getElementById(\"dose\").value;\n        let concentration = document.getElementById(\"concentration\").value;\n        let result = calculateDose(weight, dose, concentration);\n        document.getElementById(\"result\").innerHTML = result + \" mL or tablet \";\n      }\n    <\/script>\n  <\/body>\n<\/html>\n<\/div>\n\n<h2 style=\"border-bottom: 2px #fabd14 solid; font-size: 20px;\"><strong>Side Effects of Lomustine (CCNU) in Dogs and Cats<\/strong><\/h2>\n<ul>\n<li><strong>Myelosuppression<\/strong> is the dose-limiting toxicity, with neutropenia developing 7\u201314 days after administration (although the onset of myelosuppression can range from 1\u20136 weeks and can be particularly delayed in cats).<\/li>\n<li><strong>Neutropenia<\/strong> may be severe and life-threatening at the higher end of the dose range in some dogs.<\/li>\n<li><strong>Thrombocytopenia<\/strong> can also be seen, often with no other concurrent cytopenias.<\/li>\n<li>GI and cumulative dose-related and potentially irreversible <strong>hepatic toxicity<\/strong> have been reported in the dog.<\/li>\n<\/ul>\n<h2 style=\"border-bottom: 2px #fabd14 solid; font-size: 20px;\"><strong>Contraindications of Lomustine (CCNU) in Dogs and Cats<\/strong><\/h2>\n<ul>\n<li>Bone marrow suppression.<\/li>\n<li>Pre-existing liver disease.<\/li>\n<\/ul>\n<h2 style=\"border-bottom: 2px #fabd14 solid; font-size: 20px;\"><strong>Some Notes:<\/strong><\/h2>\n<ul>\n<li>Do not use it with other myelosuppressive agents.<\/li>\n<li>Lomustine requires hepatic microsomal enzyme hydroxylation for the production of antineoplastic metabolites.<\/li>\n<li>It should be used with caution in dogs being treated with agents that induce liver enzyme activity, e.g. phenobarbital.<\/li>\n<li>In humans, cimetidine enhances the toxicity of lomustine.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Lomustine (CCNU) In Dogs &amp; Cats: Uses, Dosage and Side Effects Overview Interferes with the synthesis and function of DNA, RNA and proteins. Antitumour activity correlates best with formation of interstrand cross-linking of DNA. Lomustine is highly lipid-soluble, allowing rapid transport across the blood\u2013brain barrier. Uses of Lomustine (CCNU) Reported to have some efficacy in [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1943,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[],"class_list":["post-1913","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-antineoplastic"],"_links":{"self":[{"href":"https:\/\/www.vet-ebooks.com\/vetdrugslist\/wp-json\/wp\/v2\/posts\/1913","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vet-ebooks.com\/vetdrugslist\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.vet-ebooks.com\/vetdrugslist\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.vet-ebooks.com\/vetdrugslist\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vet-ebooks.com\/vetdrugslist\/wp-json\/wp\/v2\/comments?post=1913"}],"version-history":[{"count":0,"href":"https:\/\/www.vet-ebooks.com\/vetdrugslist\/wp-json\/wp\/v2\/posts\/1913\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.vet-ebooks.com\/vetdrugslist\/wp-json\/wp\/v2\/media\/1943"}],"wp:attachment":[{"href":"https:\/\/www.vet-ebooks.com\/vetdrugslist\/wp-json\/wp\/v2\/media?parent=1913"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.vet-ebooks.com\/vetdrugslist\/wp-json\/wp\/v2\/categories?post=1913"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.vet-ebooks.com\/vetdrugslist\/wp-json\/wp\/v2\/tags?post=1913"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}