Page 32 - Hikma - Oncology booklet
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Dosage Con.



          Multiple Myeloma

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               Dexa                                        orally once a day on Days 1 to
                                           25 mg            21 of repeated 28-day cycles



         Dexamethasone


                     Duration of Therapy: Until disease progression or

                     unacceptable            toxicity;      treatment          is    continued,

                     modified, or discontinued based upon clinical and

                     laboratory findings.



                        Renal Dose Adjustments





         Multiple Myeloma (MM) and Mantle Cell Lymphoma (MCL):





                                                                    CrCl less than 30 mL/min
                                                                            (Non-Dialysis)




                 CrCl 30 to 60 mL/min                              15 mg every other day.



         10 mg once a day; 

         dose to 15 mg after 2                              CrCl greater than 60 mL/min
         cycles if the patient

         tolerates 10 mg without                        No adjustment recommended.
         dose-limiting toxicity.











          18/01/2020                                                                               2
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