Medicines requiring Special Handling – Cytoxic & Cytostatic

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List of non-chemotherapy cytotoxic/cytostatic drugs Product approved name

Leuprorelin acetate
Anastrozole Medroxyprogesterone
Azathioprine Megestrol
Bcg Menotropins
Bicalutamide Mifepristone
Chloramphenicol Mycophenolate mofetil
Ciclosporin Nafarelin
Cidofovir Oestrogen containing products
Coal tar containing products Oxytocin (including syntocinon and
syntometrine)
Colchicine
Podophyllyn
Danazol
Progesterone containing products
Diethylstilbestrol
Raloxifene
Dinoprostone
Ribavarin
Dithranol containing products
Sirolimus
Dutasteride (women should not handle)
Streptozocin
Estradiol
Tacrolimus
Exemestane
Tamoxifen
Finasteride(women should not handle)
Testosterone
Flutamide
Thalidomide
Ganciclovir
Toremifene
Gonadotrophin, chorionic
Trifluridine
Goserelin
Triptorelin
Interferon containing products (including
peginterferon) Valganciclovir
Zidovudine
Leflunomide
Letrozole

. Medicines Requiring Special Handling. This document may be adapted for use by your organization. We do not accept any
responsibility for the updating of this document. (KT/HS, NHS Tees. Feb.2012 / Review Feb. 2014)
Cancer chemotherapy drugs Product approved name
Aldesleukin Gemcitabine
Alemtuzumab
Gemtuzumab
Amsacrine
Hydroxycarbamide
Arsenic trioxide
Idarubicin
Asparaginase
Ifosfamide
Bleomycin
Imatinib mesylate
Bortezomib
Irinotecan
Busulphan
Lomustine
Capecitabine
Melphalan
Carboplatin
Mercaptopurine
Carmustine
Methotrexate
Cetuximab
Mitomycin
Chlorambucil
Mitotane
Cisplatin
Mitoxantrone
Cladribine
Oxaliplatin
Cyclophosphamide
Paclitaxel
Cytarabine
Pentamidine
Dacarbazine
Pentostatin
Dactinomycin
Procarbazine
Daunorubicin
Raltitrexed
Dasatinib
Rituximab
Docetaxel
Temozolomide
Doxorubicin
Thiotepa
Epirubicin
Topotecan
Estramustine
Trastuzumab
Etoposide
Vidaradine
Fludarabine
Vinblastine
Fluorouracil Vincristine
Information downloaded from: http://www.spaceforhealth.nhs.uk/England/login?
destination=node/8457%20Section%20ID%20:%208456 . Accessed November 2011.

. Medicines Requiring Special Handling. This document may be adapted for use by your organization. We do not accept any
responsibility for the updating of this document. (KT/HS, NHS Tees. Feb.2012 / Review Feb. 2014)