Celdaz 200mg, Dacarbazine Injection, AntiCancer Drugs, Chemotherapy, Online Pharmacy
AntiCancer Drugs Sarcoma(Soft tissue/Bone) Skin Cancer Blood Cancer

Celdaz 200mg Injection

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Generic For DTIC-DOME
Active Ingredient DACARBAZINE
Strength 200MG
Manufacturer CELON LABORATORIES
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Product Description

Celdaz 200mg Injection is a cytotoxic anticancer drug containing Dacarbazine, an alkylating agent classified under triazenes. Administered via intravenous infusion, Dacarbazine acts as a prodrug, requiring hepatic activation to exert its therapeutic effect. It disrupts DNA synthesis in rapidly dividing malignant cells by methylating guanine residues, resulting in cell cycle arrest and apoptosis. This agent is particularly indicated for advanced-stage malignancies, including metastatic malignant melanoma and Hodgkin's lymphoma, and is a critical component of combination chemotherapy regimens.

Indications & Uses

  • AntiCancer Drugs > Metastatic Malignant Melanoma and Hodgkin's Disease
    Celdaz is primarily used in the palliative treatment of metastatic malignant melanoma, helping to slow disease progression and improve symptom control. It is also a key component of combination regimens such as ABVD for relapsed or refractory Hodgkin’s lymphoma. Due to its systemic cytotoxicity, it is typically reserved for cases not responsive to front-line treatments or where other options are limited.

Benefits & Effectiveness

Key Benefits / Mechanism

  • Undergoes hepatic metabolism to form the active compound MTIC

  • Methylates DNA and inhibits RNA and protein synthesis in tumor cells

  • Induces cytotoxicity and cell death, especially in rapidly proliferating cancer cells

  • Non-cell cycle specific, allowing broad-spectrum activity across multiple tumor types

  • Historically effective in melanoma and Hodgkin’s lymphoma, even with the advent of targeted therapies

Directions for Use

Usual Adult Dose for Malignant Melanoma:

  • 2 to 4.5 mg/kg IV once daily for 10 days; repeat every 4 weeks OR

  • 250 mg/m² IV once daily for 5 consecutive days; repeat every 3 weeks
    Use: For metastatic malignant melanoma

Usual Adult Dose for Hodgkin's Disease:

  • 150 mg/m² IV once daily for 5 days in combination chemotherapy; repeat every 4 weeks OR

  • 375 mg/m² IV on Day 1 in combination chemotherapy; repeat every 15 days
    Use: For Hodgkin’s disease as part of second-line combination chemotherapy

Comments:

  • Administer by slow intravenous infusion to minimize vein irritation and reduce phlebitis risk

  • Antiemetic premedication is strongly advised due to high emetogenic potential

  • Hematologic monitoring is essential due to dose-dependent bone marrow suppression

  • Dose adjustments may be necessary in patients with hepatic or renal dysfunction

  • Not recommended for use in pediatric patients unless strictly indicated

Storage

  • Store in a refrigerator at 2–8°C (36–46°F).
  • Keep the vials protected from light. Do not freeze.
  • After reconstitution, use the solution immediately or as per stability guidelines.
  • Follow institutional procedures for handling and disposal of cytotoxic agents.

Possible Side Effects

  • Common: severe nausea and vomiting, fatigue, anorexia, myelosuppression (anemia, leukopenia, thrombocytopenia)
  • Serious: hepatic toxicity, nephrotoxicity, photosensitivity reactions, rarely veno-occlusive disease of the liver
  • Local: extravasation at injection site may cause tissue necrosis
  • Monitoring: regular CBC, liver enzymes, and renal function tests recommended during treatment

FAQs

Celdaz is primarily used to treat metastatic malignant melanoma and Hodgkin’s lymphoma, especially in combination regimens after first-line therapy failure.
It can be used alone in metastatic melanoma but is typically part of combination chemotherapy (e.g., ABVD) in Hodgkin’s lymphoma.
It is administered intravenously in cycles. Dosing frequency and duration depend on the cancer type and patient response.
Monitor for nausea, vomiting, blood count suppression, and liver/kidney function abnormalities. Use antiemetics and hydrate well.
Its use in pediatric populations is rare and must be carefully considered by an oncologist based on individual risk-benefit assessment.

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