Extravasation GuideTissue injury risk of antineoplastic extravasation

Irritant antineoplastic drugs

Drugs classified as “Irritant” in at least one of the three guidelines. Each guideline column shows the class it assigns.

ONS/ASCO 2025ESMO-EONS 2012JSCN/JSMO/JASPO 2024
Bleomycin—NonvesicantIrritant
CarboplatinIrritant with vesicant propertiesIrritantIrritant
CarmustineIrritant with vesicant propertiesIrritant—
CisplatinIrritant with vesicant propertiesIrritant—
Cyclophosphamide—NonvesicantIrritant
Dacarbazine—Irritant—
Daunorubicin (liposomal)—Irritant—
Doxorubicin (liposomal)—IrritantIrritant
EtoposideIrritant with vesicant propertiesIrritant—
Fluorouracil—IrritantIrritant
Gemtuzumab ozogamicin——Irritant
Ifosfamide—IrritantIrritant
Irinotecan—IrritantIrritant
Ixabepilone—Irritant—
Melphalan—Irritant—
MitoxantroneIrritant with vesicant propertiesVesicantIrritantVesicant
OxaliplatinIrritant with vesicant propertiesIrritantVesicant
Streptozocin—Irritant—
Teniposide—Irritant—
Topotecan—IrritantIrritant