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Section 8: Antineoplastic and Immunosuppressive Drugs and
Drugs Used in Palliative Care
8.1 IMMUNOSUPPRESSIVE DRUGS
Adequate resources and specialist oversight are a
prerequisite
for the introduction of this class of drugs.
¤azathioprine (2) tablet, 50 mg
powder for injection, 100 mg
(as sodium salt) in vial
¤ciclosporin (2) capsule, 25 mg
(for organ transplantation)
concentrate for injection,
50 mg/ml in 1-ml ampoule
8.2 CYTOTOXIC DRUGS
Adequate resources and specialist oversight are a
prerequisite
for the introduction of this class of drugs.
asparaginase (2) powder for injection,
10 000 IU in vial
bleomycin (2) powder for injection, 15 mg
(as sulfate) in vial
calcium folinate (2) tablet, 15 mg
injection, 3 mg/ml in 10-ml ampoule
chlorambucil (2) tablet, 2 mg
chlormethine (2) powder for injection, 10 mg
(hydrochloride) in vial
¤ Example of a therapeutic group. Various drugs can serve as
alternatives.
Essential Drugs
cisplatin (2) powder for injection,
10 mg, 50 mg in vial
cyclophosphamide (2) tablet, 25 mg
powder for injection,
500 mg in vial
cytarabine (2) powder for injection,
100 mg in vial
dacarbazine (2) powder for injection,
100 mg in vial
daunorubicin (2) powder for injection,
50 mg (as hydrochloride) in vial
dactinomycin (2) powder for injection
500 µg in vial
¤doxorubicin (2) powder for injection, 10 mg,
50 mg (hydrochloride) in vial
etoposide (2) capsule, 100 mg
injection, 20 mg/ml in 5-ml ampoule
fluorouracil (2) injection, 50 mg/ml
in 5-ml ampoule
levamisole (2) tablet, 50 mg
(as hydrochloride)
mercaptopurine (2) tablet, 50 mg
methotrexate (2) tablet, 2.5 mg (as sodium salt)
powder for injection, 50 mg
(as sodium salt) in vial
procarbazine capsule, 50 mg (as hydrochloride)
vinblastine (2) powder for injection,
10 mg (sulfate) in vial
vincristine (2) powder for injection,
1 mg, 5 mg (sulfate) in vial
8.3 HORMONES AND ANTIHORMONES
¤prednisolone tablet, 5 mg
powder for injection, 20 mg,
25 mg (as sodium phosphate or
sodium succinate) in vial
tamoxifen tablet, 10 mg, 20 mg (as citrate)
8.4 DRUGS USED IN PALLIATIVE CARE
The WHO Expert Committee on Essential Drugs recommended
that all the drugs mentioned in the WHO publication
Cancer Pain Relief: with a Guide to Opioid Availability,
2nd edition, be considered essential. The drugs
are included in the relevant sections of the model list
according to their therapeutic use, e.g. analgesics.