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Recombinant interleukin-2

Aldesleukin [Specialist drug]

Brand names: Proleukin

Adult dose

Dose: Specialist; SC or IV per protocol
Route: SC/IV
Frequency: Per SACT/SmPC

Clinical pearls

  • Metastatic RCC/melanoma in selected centres; defer dosing to BNF/SmPC

Contraindications

  • Significant cardiac/pulmonary/renal/hepatic dysfunction
  • Active infection

Side effects

  • Capillary leak syndrome
  • Hypotension
  • Arrhythmias
  • Pulmonary oedema

Interactions

  • Nephrotoxins
  • Corticosteroids reduce efficacy

Monitoring

  • BP, weight, U&E
  • ICU support if high-dose

Reference: BNF; ESMO; SmPC Proleukin. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.