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Purine analogue

Fludarabine phosphate (Specialist drug)

Brand names: Fludara

Adult dose

Dose: Specialist initiation only — refer to BNF/SmPC
Route: IV/PO
Frequency: per protocol

Clinical pearls

  • CLL, indolent NHL
  • PCP and HSV/VZV prophylaxis often required

Contraindications

  • Severe renal impairment
  • Decompensated haemolytic anaemia
  • Pregnancy

Side effects

  • Severe myelosuppression
  • Profound prolonged lymphopenia
  • Increased opportunistic infection risk
  • Tumour lysis syndrome
  • Autoimmune haemolysis
  • Neurotoxicity at high doses

Interactions

  • Pentostatin (avoid — fatal pulmonary toxicity)
  • Live vaccines
  • CMV reactivation risk

Monitoring

  • FBC
  • U&E
  • LFTs
  • Direct Coombs
  • Lymphocyte subsets

Reference: BNF; SmPC; https://bnf.nice.org.uk/drugs/fludarabine-phosphate-specialist-drug/. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.