Cytoxan

Cyclophosphamide

Utilized to target malignant neoplasms to alleviate disease progression and cell proliferation.

Active ingredient
Cyclophosphamide
Supply
Rx
Route
Oral use
Form
Tablet; Powder for solution for injection
Strengths
50mg

Cytoxan details

Alternative names
Endoxan
Therapeutic class
Alkylating Agent
Pharmacological class
Mustard Nitrogen Analogue
Known off-label uses
severe rheumatoid arthritis; systemic lupus erythematosus
Contraindications
severe bone marrow suppression; hypersensitivity; active infection
Minor side effects
nausea; alopecia; fatigue
Moderate side effects
cystitis; immunosuppression; infertility
Dosage forms
Tablet; Powder for solution for injection
Administration route
Oral use
Supply category
Prescription only (specially controlled medicine)
Manufacturer
Baxter
Onset Time
1–2 weeks
Duration
varies by regimen
Storage instructions
Store at room temperature, keep dry.
Drug interactions
Doxorubicin; Allopurinol
Age restrictions
paediatric use requires expert supervision.
Precautions and warnings

maintain adequate hydration; regular blood count monitoring; risk of secondary malignancies

Serious side effects

haemorrhagic cystitis, requires immediate medical attention; bone marrow failure, requires immediate medical attention

Patient summary

Utilized to target malignant neoplasms to alleviate disease progression and cell proliferation.

Mechanism of action

This chemotherapy agent works by cross-linking DNA, which prevents cancer cells from dividing and growing. It is often used as part of combination therapy to manage various types of blood and solid cancers.

Pregnancy and breastfeeding

Pregnancy: Highly teratogenic; must be avoided. Breastfeeding: Absolutely contraindicated; discontinue breastfeeding.

Where this medicine is registered

  • Singapore
  • Hong Kong
  • Thailand
  • Malaysia
  • Philippines
  • Indonesia
  • Taiwan
  • South Korea
  • Japan
  • Australia
  • New Zealand
  • UAE
  • South Africa

About Cytoxan

Cytoxan is a chemotherapy agent containing cyclophosphamide, used in the treatment of conditions including malignant lymphoma, multiple myeloma and leukaemia. The same active ingredient is also available as Endoxan, supplied as 50mg tablets manufactured by Baxter. These medicines are typically managed under the close supervision of a medical specialist to manage side effects and monitor progress.

Cytoxan availability in Asia

Cytoxan is registered across 13 markets, including the UAE, Singapore and Hong Kong, with availability also in Thailand, Malaysia and the Philippines. Generic cyclophosphamide, often made in India, offers a more affordable alternative to the original brand. This accessibility assists expats and individuals living far from specialised care centres with maintaining their regular treatment. Given the nature of this medication, it is best used under a doctor’s care to ensure appropriate treatment monitoring.