A member asked:

Can you tell me about the long term side effects from the chemotherapy drugs adriamycin (doxorubicin) and cytoxin?

5 doctors weighed in across 2 answers

TWO MAJOR ONES: Adriamycin (doxorubicin) and Cytoxan is a great combination regimen used in breast cancer. The major long term side effects for both of these drugs is secondary leukemias, risk is around 1%. For adriamycin (doxorubicin) there is a concern for cardiotoxicity, but risk rises with cumulative dose. Risk is less than 10%. Patients get an echocardiogram or muga scan prior to therapy to evaluate heart status. Talk to your md.

Answered 8/19/2019

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Dr. Michael Engel answered

Specializes in Pediatric Hematology and Oncology

Both drugs have...: Significant ses. Anthracyclines like adriamycin (doxorubicin) are associated with cardiotoxicity. A cardioprotectant known as zinecard is being evaluated in many settings to try to mitigate this. Being topoisomerase inhibitors, anthracyclines carry a risk of secondary leukemia. Cytoxan also has this risk, but it tends to develop later. Hemorrhagic cystitis and SIADH are also Cytoxan ses. There are others tho.

Answered 9/17/2018

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