验证中
本页为自动翻译。剂量和警告请以英文原文为准。 阅读英文版
首页 / 药物A–Z / Etoposide

Etoposide

Etoposide Injection is indicated in the management of the following neoplasms: Refractory Testicular Tumors Etoposide Injection in combination therapy.

Checked against the official label · Updated

Prescription medicine Intravenous Safety alerts on record

How to use Etoposide

What the official label says. If a doctor prescribed it, follow the prescription. Your pack's leaflet comes first if it is different.

Serious warning: Etoposide injection should be administered under the supervision of a qualified physician experienced in the use of cancer chemotherapeutic agents. Severe myelosuppression with resulting infection or bleeding may occur.
Who it is for

Etoposide Injection is indicated in the management of the following neoplasms: Refractory Testicular Tumors Etoposide Injection in combination therapy with other approved chemotherapeutic agents in patients with refractory testicular tumors who have already received appropriate surgical, chemotherapeutic, and radiotherapeutic therapy. Small Cell Lung Cancer Etoposide Injection and/or capsules in combination with other approved chemotherapeutic agents as first line treatment in patients with small cell lung cancer.

How to take it and how often
  • Note: Plastic devices made of acrylic or ABS (a polymer composed of acrylonitrile, butadiene, and styrene) have been reported to crack and leak when used with undiluted etoposide injection
  • Etoposide Injection The usual dose of etoposide injection in testicular cancer in combination with other approved chemotherapeutic agents ranges from 50 to 100 mg/m 2 /day on days 1 through 5 to 100 mg/m 2 /day on days 1, 3, and 5
  • In small cell lung cancer, the etoposide injection dose in combination with other approved chemotherapeutic drugs ranges from 35 mg/m 2 /day for 4 days to 50 mg/m 2 /day for 5 days
  • For recommended dosing adjustments in patients with renal impairment see PRECAUTIONS section
  • Chemotherapy courses are repeated at 3- to 4-week intervals after adequate recovery from any toxicity
  • The dosage should be modified to take into account the myelosuppressive effects of other drugs in the combination or the effects of prior x-ray therapy or chemotherapy which may have compromised bone marrow reserve
  • Administration Precautions As with other potentially toxic compounds, caution should be exercised in handling and preparing the solution of etoposide injection
  • Skin reactions associated with accidental exposure to etoposide injection may occur
  • The use of gloves is recommended
  • If etoposide injection solution contacts the skin or mucosa, immediately and thoroughly wash the skin with soap and water and flush the mucosa with water. …
Children
  • Safety and effectiveness
  • In pediatric patients have not been established
  • Etoposide injection contains polysorbate 80
  • In premature
  • Infants, a life-threatening syndrome consisting of liver and renal failure, pulmonary deterioration, thrombocytopenia, and ascites has been associated with an injectable vitamin E product containing polysorbate 80
  • Anaphylactic reactions have been reported
  • In pediatric patients (see WARNINGS section)
Older adults

Clinical studies of etoposide injection for the treatment of refractory testicular tumors did not include sufficient numbers of patients aged 65 years and over to determine whether they respond differently from younger patients. …

Talk to a doctor first if

Etoposide injection is contraindicated in patients who have demonstrated a previous hypersensitivity to etoposide or any component of the formulation.

Medicines it may not mix with

High-dose cyclosporin A resulting in concentrations above 2000 ng/mL administered with oral etoposide has led to an 80% increase in etoposide exposure with a 38% decrease in total body clearance of etoposide compared to etoposide alone.

Warnings

Patients being treated with etoposide injection must be frequently observed for myelosuppression both during and after therapy. Myelosuppression resulting in death has been reported. Dose-limiting bone marrow suppression is the most significant toxicity associated with etoposide injection therapy. Therefore, the following studies should be obtained at the start of therapy and prior to each subsequent cycle of etoposide injection: platelet count, hemoglobin, white blood cell count, and differential. …

Possible side effects

The following data on adverse reactions are based on both oral and intravenous administration of etoposide injection as a single agent, using several different dose schedules for treatment of a wide variety of malignancies. Hematologic Toxicity Myelosuppression is dose related and dose limiting, with granulocyte nadirs occurring 7 to 14 days after drug administration and platelet nadirs occurring 9 to 16 days after drug administration. Bone marrow recovery is usually complete by day 20, and no cumulative toxicity has been reported. Fever and infection have also been reported in patients with neutropenia. Death associated with myelosuppression has been reported. …

Pregnancy and breastfeeding

Pregnancy Etoposide Injection can cause fetal harm when administered to a pregnant woman. Etoposide has been shown to be teratogenic in mice and rats. In rats, an intravenous etoposide dose of 0.4 mg/kg/day (about 1/20 th of the human dose on a mg/m 2 basis) during organogenesis caused maternal toxicity, embryotoxicity, and teratogenicity (skeletal abnormalities, exencephaly, encephalocele, and anophthalmia); higher doses of 1.2 and 3.6 mg/kg/day …

If you take too much

No proven antidotes have been established for etoposide injection overdosage.

If you miss a dose

Take it when you remember, unless it is nearly time for the next dose. Then skip the missed one. Never take two doses at once to make up for it. Check your leaflet, as some medicines are different.

From the official U.S. FDA label for this active ingredient. Your pack may have a different strength, so always read its leaflet. If a doctor prescribed it, follow the prescription. Ask a pharmacist if you are unsure. Label dated 2026-05-20.

Brands around the world

Products with Etoposide as the active ingredient. Names differ between countries.

Registered products

United States (FDA)

EtopophosETOPOSIDE PHOSPHATE 100 mg/1 · Injection, Powder, Lyophilized, For Solution · H2-Pharma, LLC
NDC 61269-410Label
EtoposideETOPOSIDE 20 mg/mL · Injection · BluePoint Laboratories
NDC 68001-265Label
EtoposideETOPOSIDE 50 mg/1 · Capsule · Catalent Germany Eberbach GmBH
NDC 55361-0006Label
EtoposideETOPOSIDE 20 mg/mL · Injection · Hikma Pharmaceuticals USA Inc.
NDC 0143-9376Label
AvopefETOPOSIDE 100 mg/5mL · Injection · AVYXA Pharma, LLC
NDC 83831-144Label

Nigeria (NAFDAC)

NAFDACEtoglob 100 Tablet C4-1789

Other countries: check your pack's registration number and we point you to your regulator.

Safety alerts and recalls

Toposar (etoposide injection USP), 1 gram/50 mL (20 mg/mL), 50 mL Multiple-dose Vial, Rx only, Teva Pharmaceuticals USA, Inc., North Wales, PA 19454, NDC 0703-5657-01.U.S. FDA Class II
10 Feb 2021 · Teva Pharmaceuticals USA · TerminatedLack of Assurance of Sterility: manufacturing areas for the recalled products exceeded acceptance levels for microbial recovery leading to a lack of sterility assurance for these sterile injectable products.
Etoposide 184 MG / 500 ml NS IVPB; Etoposide 176 MG/ 500 ml 0.9% NACL IVPB; Etoposide 170 MG / 500 ml 0.9% NACL IVPB; Etoposide 152 MG / 500 ml 0.9% NACL IVPB; Etoposide 275 MG / 5U.S. FDA Class II
12 Jun 2019 · Infusion Options, Inc. · TerminatedLack of Assurance of Sterility
Doxorubicin 110 MG / 55 ML IVP SYRINGE; Doxorubicin 56 MG / 28 ML IVP SYRINGE; Doxorubicin 75 MG / 37.5 ML IVP SYRINGE; Doxorubicin 125 MG / 62.5 ML SYRINGE IVP; Doxorubicin 93 MG U.S. FDA Class II
12 Jun 2019 · Infusion Options, Inc. · TerminatedLack of Assurance of Sterility
Doxorubicin Liposomal 71 MG / 250 ML D5W IVPB; Doxorubicin Liposomal 66 MG/250 ML D5W, Rx Only, Infusion Options, Inc. 5924 13the Ave, Brooklyn, NY 11219-4934, 718-283-7233 DoxU.S. FDA Class II
12 Jun 2019 · Infusion Options, Inc. · TerminatedLack of Assurance of Sterility

A recall usually affects certain batches only. Compare the lot number on your pack.

Check your pack of Etoposide

Type the registration number on the pack, or scan it with your camera.

Or take photos of the pack
3 free checks left today Official sources: U.S. FDA · EMA (EU) · Health Canada · WHO alerts

Questions about Etoposide

What is Etoposide used for?

Etoposide Injection is indicated in the management of the following neoplasms: Refractory Testicular Tumors Etoposide Injection in combination therapy with other approved chemotherapeutic agents in patients with refractory testicular tumors who have already received appropriate surgical, chemotherapeutic, and radiotherapeutic therapy. Small Cell Lung Cancer Etoposide Injection and/or capsules in combination with othe (From the official U.S. FDA label.)

How do I take Etoposide?

Follow your prescription or the leaflet in your pack. The official label says: Note: Plastic devices made of acrylic or ABS (a polymer composed of acrylonitrile, butadiene, and styrene) have been reported to crack and leak when used with undiluted etoposide injection. Etoposide Injection The usual dose of etoposide injection in testicular cancer in combination with other approved chemotherapeutic agents ranges from 50 to 100 mg/m 2 /day on days 1 through …

Do I need a prescription for Etoposide?

Usually yes. Etoposide is a prescription medicine in most countries. Rules differ by country.

What brands contain Etoposide?

Etoposide is sold under names such as Vepesid, Toposar, Avopef, Etopophos. Brand names differ between countries.

What are the side effects of Etoposide?

The official label lists: The following data on adverse reactions are based on both oral and intravenous administration of etoposide injection as a single agent, using several different dose schedules for treatment of a wide variety of malignancies. Hematologic Toxicity Myelosuppression is dose related and dose limiting, with granulocyte nadirs occurring 7 to 14 days after drug administration and platel… Tell your doctor about any side effect that bothers you or does not go away.

Can children take Etoposide?

Safety and effectiveness in pediatric patients have not been established. Etoposide injection contains polysorbate 80. In premature infants, a life-threatening syndrome consisting of liver and renal failure, pulmonary deterioration, thrombocytopenia, and ascites has been associated with an injectable vitamin E product containing polysorbate 80. Anaphylactic reactions have been… Always use the dose for the child's age or weight on the pack or prescription.

Can I take Etoposide when pregnant or breastfeeding?

Pregnancy Etoposide Injection can cause fetal harm when administered to a pregnant woman. Etoposide has been shown to be teratogenic in mice and rats. In rats, an intravenous etoposide dose of 0.4 mg/kg/day (about 1/20 th of the human dose on a mg/m 2 basis) during organogenesis caused maternal toxicity, embryotoxicity, and teratogenicity (skeletal abnormalities, exencephaly, e… Ask your doctor or midwife first.

What medicines interact with Etoposide?

High-dose cyclosporin A resulting in concentrations above 2000 ng/mL administered with oral etoposide has led to an 80% increase in etoposide exposure with a 38% decrease in total body clearance of etoposide compared to etoposide alone. Use the free interaction checker before combining medicines.

What happens if I take too much Etoposide?

No proven antidotes have been established for etoposide injection overdosage. Get medical help right away.

How can I check that my Etoposide is genuine?

Scan the registration number on your pack with PillVera (NAFDAC number in Nigeria, NDC in the United States, DIN in Canada), check the expiry date and buy only from licensed pharmacies.

Sources

This page shows what official sources say, in plain words. It is not medical advice: your prescription and your doctor or pharmacist come first. Brand names, strengths and rules differ between countries.