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estramustine (Emcyt)
Tradenames: Emcyt,
Indications:
- palliative treatment of prostatic cancer
Contraindications:
1) active thrombophlebitis
2) hypersensitivity to estramustine, estradiol or nitrogen mustard
Dosage:
Take on an empty stomach
Avoid taking with milk
Capsule: 140 mg
Adverse effects:
1) common (> 10%)
- diarrhea, nausea, decreased libido, breast tenderness, breast enlargement, edema, dyspnea, mild increases in liver function tests
2) less common (1-10%)
- leg cramps, anorexia, flatulence, leukopenia, lethargy, thrombophlebitis, myocardial infarction, pulmonary embolism, insomnia
3) uncommon (< 1%)
- night sweats, pigment changes, hypercalcemia, tinnitus, hot flashes, depression, cardiac arrest
Test interactions: increases serum K+
Mechanism of action:
- estrogen [2]
Interactions
drug adverse effects of estrogens
General
antineoplastic endocrine agent
estrogen
Database Correlations
PUBCHEM correlations
References
- Kaiser Permanente Northern California Regional Drug
Formulary, 1998
- Deprecated Reference
Components
17-beta estradiol (E2, Estrace, Estinyl, Delestrogen, Elestrin, Evamist, Imvexxy)
mechlorethamine; nitrogen mustard (Mustargen, Nor-mustard, Chlorethazine)