A case of accidental vincristine overdose and effective use of therapeutic plasma exchange in its management

Vincristine is a common drug used in hematological malignancy with a maximum per dose limited to 2 mg mainly to limit neurotoxicity. Vincristine overdose and wrong route of administration, though has been reported in world literature, but its appropriate management is still undefined. We report a ca...

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Main Authors: Hari Goyal, Anil Khetarpal, Amit Kumar Jain
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2020-01-01
Series:Indian Journal of Medical and Paediatric Oncology
Subjects:
Online Access:http://www.ijmpo.org/article.asp?issn=0971-5851;year=2020;volume=41;issue=5;spage=770;epage=772;aulast=Goyal
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author Hari Goyal
Anil Khetarpal
Amit Kumar Jain
author_facet Hari Goyal
Anil Khetarpal
Amit Kumar Jain
author_sort Hari Goyal
collection DOAJ
description Vincristine is a common drug used in hematological malignancy with a maximum per dose limited to 2 mg mainly to limit neurotoxicity. Vincristine overdose and wrong route of administration, though has been reported in world literature, but its appropriate management is still undefined. We report a case of Hodgkin lymphoma being treated with adriamycin, bleomycin, vinblastine and dacarbazine protocol, where vincristine was accidently administrated instead of vinblastine due to its “look-alike, sound-alike” nature. The patient developed severe toxicity due to the same, which was effectively managed by therapeutic plasma exchange.
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spelling doaj-art-9d63eb8bf7744cdaaa184576b7afce572025-08-20T03:19:46ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Medical and Paediatric Oncology0971-58510975-21292020-01-0141577077210.4103/ijmpo.ijmpo_116_20A case of accidental vincristine overdose and effective use of therapeutic plasma exchange in its managementHari GoyalAnil KhetarpalAmit Kumar JainVincristine is a common drug used in hematological malignancy with a maximum per dose limited to 2 mg mainly to limit neurotoxicity. Vincristine overdose and wrong route of administration, though has been reported in world literature, but its appropriate management is still undefined. We report a case of Hodgkin lymphoma being treated with adriamycin, bleomycin, vinblastine and dacarbazine protocol, where vincristine was accidently administrated instead of vinblastine due to its “look-alike, sound-alike” nature. The patient developed severe toxicity due to the same, which was effectively managed by therapeutic plasma exchange.http://www.ijmpo.org/article.asp?issn=0971-5851;year=2020;volume=41;issue=5;spage=770;epage=772;aulast=Goyallook-alikesound-alike drugsmedication erroroverdosetherapeutic plasma exchangevincristine
spellingShingle Hari Goyal
Anil Khetarpal
Amit Kumar Jain
A case of accidental vincristine overdose and effective use of therapeutic plasma exchange in its management
Indian Journal of Medical and Paediatric Oncology
look-alike
sound-alike drugs
medication error
overdose
therapeutic plasma exchange
vincristine
title A case of accidental vincristine overdose and effective use of therapeutic plasma exchange in its management
title_full A case of accidental vincristine overdose and effective use of therapeutic plasma exchange in its management
title_fullStr A case of accidental vincristine overdose and effective use of therapeutic plasma exchange in its management
title_full_unstemmed A case of accidental vincristine overdose and effective use of therapeutic plasma exchange in its management
title_short A case of accidental vincristine overdose and effective use of therapeutic plasma exchange in its management
title_sort case of accidental vincristine overdose and effective use of therapeutic plasma exchange in its management
topic look-alike
sound-alike drugs
medication error
overdose
therapeutic plasma exchange
vincristine
url http://www.ijmpo.org/article.asp?issn=0971-5851;year=2020;volume=41;issue=5;spage=770;epage=772;aulast=Goyal
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