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palonosetron

palonosetron
Brand names: Aloxi, Palonosetron HYDROCHLORIDE
Form Strength ANAN ASMP LACH LALK LOHH LOLR LOWC SDSD SESE SFSF Formulary Status
SOLUTION, INTRAVENOUS 0.25 mg/5 mL         Restricted


Comments:

Restricted to use in outpatient oncology setting and inpatients on cisplatin therapy, stem cell transplant plans, and induction acute leukemia plans where appropriate.

Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines

(Note: “Therapeutic Interchange” should be placed in the order comments.)

5-HT3 Antagonists

Medication

Ordered

Brand Name

Available Dosages

Frequency

Formulary Medication

Equivalent

Dose

Equivalent Frequency

 

Granisetron

Kytril

1 mg

Same as ordered

Ondansetron

16 mg

Same as ordered

2 mg

Dolasetron

Anzemet

100 mg

200 mg

*Palonosetron

Aloxi

250 mcg

Once

Ondansetron

16 mg*

Once, may repeat q4h PRN x2 more doses

Note: IV granisetron approved for use in pediatric patients who have failed ondansetron
Note:
  If the dosing falls outside of the above dosing, contact the MD to clarify conversion.

*OLOL P&T approval (April 2022): When ordered from an oncology treatment plan for inpatient administration, the automatic therapeutic interchange for palonosetron 250mcg is ondansetron 8mg once on day 1 and each subsequent day of chemotherapy (if not already on the treatment plan for that day).


Last updated: Dec. 9, 2024
  • Restricted: Restricted to use in outpatient oncology setting and inpatients on cisplatin therapy, stem cell transplant plans, and induction acute leukemia plans where appropriate.


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Pharmacy Phone Numbers
Our Lady of the Lake Regional Medical Center
225-765-4434
Our Lady of the Lake Children’s Hospital
225-374-1380
Our Lady of the Lake Ascension Hospital
225-647-5057
Our Lady of the Lake Assumption Community Hospital
985-369-4290
Our Lady of Angels Hospital
985-730-6789
Our Lady of Lourdes Hospital
337-470-2866
Our Lady of Lourdes Women and Children’s
337-470-5070
Our Lady of Lourdes Heart Hospital
337-470-1080
St. Dominic Jackson Memorial Hospital
601-200-6000
St. Francis Medical Center
318-966-3461