Avastin Single Dose Vials 100mg IV Injection (Bevacizumab Single Dose Vials 100mg IV Injection) | ApoThera – Concierge Specialty Pharmacy

$995.00

– Prescription Required
– Free Next Day Delivery to Anywhere in CA and NY
– Free Same Day Delivery within 50-Mile Radius of ApoThera
– Annual Concierge Pharmacy Membership Fee: $300/year
–  Same-Day Physician Appointments
–  Generic Medicines: Just $2 per Tablet/Capsule
– Accept Credit Cards, Apple Pay and Zelle
– Concierge Pharmacy; Do NOT Accept Insurance
– Do NOT accept manufacturer coupons
 
 
1) Physicians may send E-Prescriptions (E-Scripts) to:
ApoThera
45 Post, 2nd Floor
Irvine, CA 92618
Phone: (949)387-7711
Fax:     (949)387-7712
2) Alternatively, you may schedule an appointment with one of the physicians in the ApoThera Concierge Medicine Network.
– Same-Day Physician Appointments: On-demand access to licensed physicians in the ApoThera Concierge Network.
 
 
 
Endometrial Cancer
Recurrent or Persistent
– 15 mg/kg every 3 weeks (as monotherapy) until disease progression or unacceptable toxicity
Cervical Cancer
Persistent/Recurrent/Metastatic
– 15 mg/kg IV every 3 weeks (in combination with paclitaxel and either cisplatin or topotecan) until disease progression or unacceptable toxicity
Manufacturer: Genentech
NDC: 50242-0060-01 Categories: ,

1 Vial = 1 Unit

Description

Drug Info: ApoThera Drug Disease Clinical Support App

IV Administration
– Infuse the initial dose over 90 minutes.
– The second infusion may be shortened to 60 minutes if the initial infusion is well tolerated.
– The third and subsequent infusions may be shortened to 30 minutes if the 60-minute infusion is well tolerated.
– After tolerance at the 90-, 60-, and 30-minute infusion rates has been established, some institutions use an off-label 10-minute infusion rate (0.5 mg/kg/minute) in adults for bevacizumab dosed at 5 mg/kg
– In a study evaluating the safety of the 0.5 mg/kg/minute infusion rate, proteinuria, and hypertension incidences were not increased with the shorter infusion time.
– Monitor closely during the infusion for signs/symptoms of an infusion reaction.
– Do not administer IV push or bolus.
– Do not administer with dextrose solutions.
– Temporarily withhold bevacizumab for 4 weeks prior to elective surgery and for at least 4 weeks (and until the surgical incision is fully healed) after surgery.
IV Reconstitution 
– Dilute in 100 mL NS prior to infusion (the manufacturer recommends a total volume of 100 mL).
– Do not mix with dextrose-containing solutions
 
Storage
Intact Vials
– Store intact vials at 2°C to 8°C (36°F to 46°F) in original carton
– Do not freeze.
– Protect from light
– Do not shake.
IV Infusion Solutions
– Solutions diluted in NS are stable for up to 8 hours under refrigeration.
– Discard unused portion of vial.
 
Monitoring
– Monitor closely during the infusion for signs/symptoms of an infusion reaction
– Monitor CBC with differential
– Signs/symptoms of gastrointestinal perforation, fistula, or abscess (including abdominal pain, constipation, vomiting, and fever)
– Signs/symptoms of bleeding, including hemoptysis, gastrointestinal, and/or CNS bleeding, and/or epistaxis
– Monitor blood pressure every 2 to 3 weeks; more frequently if hypertension develops during therapy. Continue to monitor blood pressure after discontinuing due to bevacizumab-induced hypertension
– Monitor for proteinuria/nephrotic syndrome with urine dipstick; collect 24-hour urine in patients with ≥2+ reading. Monitor for signs/symptoms of thromboembolism (arterial and venous).
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