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Lomustine (Nitrosourceas) : It is highly and soluble alkylating agent with a wide range of antitumour activity. They cross blood brain barrier and are effective in meningeal leukemias a brain tumurs.

Indication : Meaninigeal leukemias, brain turmours, Hodgkin’s disease.

Dosage : 100-130mg/sqm body surface area single oral dose every 6 wks.

Contraindications : Pregnancy, lactation, Hypersensitivity.

Special Precautions : Renal impairment C.N.S. distrubances, Monitor blood counts.

Paediatrics: Not recommended in infants.

Pregnancy : Safety not established.
Lactation : Safety not established.
Elderly : Use with caution.

Side effect : Nausea, vomiting, seizures, Bone marrow depression is delayed tor 6 wks. Visceral fibrosis and renal damage.

Drug Interactions : Theophylline cause leucopania and thrombocylopenia.

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