Extravasation GuideTissue injury risk of antineoplastic extravasation

Amrubicin

Amrubicina

Risk class

  • Vesicant

If it extravasates

None of the guidelines names a specific antidote or compress for this drug. See the general recommendations.

References

Risk class: VesicantJSCN/JSMO/JASPO 2024 (Table 2)

Not classified in: ONS/ASCO 2025, ESMO-EONS 2012

Details by guideline

Risk class in extravasation

  • JSCN/JSMO/JASPO 2024Vesicant
    Classification according to the systematic review by JSMO/JASPO/JSCN.
    Table 2

Not classified in: ONS/ASCO 2025, ESMO-EONS 2012

General recommendations of the guidelines

  • ONS/ASCO 2025Recommendation 1 · Strong; very low

    Use antidotes, when one exists, for vesicants and irritants with vesicant properties, rather than no antidote.

    Table 3, p. 388
  • ONS/ASCO 2025Recommendation 3 · Conditional; very low

    Thermal compress (cold or warm depending on the agent) rather than no compress.

    Table 3, p. 388
  • ONS/ASCO 2025Recommendation 4 · Conditional; very low

    Compress for more than 24 hours rather than 24 hours or less.

    Table 3, p. 388
  • ONS/ASCO 2025Recommendation 5 · Conditional; very low

    Central line extravasation: surgical referral or escalation of care in addition to conservative management.

    Table 3, p. 388
  • JSCN/JSMO/JASPO 2024CQ10a · Recommend (weak)

    Cold compression (weak recommendation).

    Table 1, CQ10a
  • JSCN/JSMO/JASPO 2024CQ10b · Not recommend (weak); D

    Non-use of warm compresses (weak recommendation).

    Table 1, CQ10b

Vesicant antineoplastic drugs

BendamustineBusulfanCisplatin (≥0.5 mg/ml)DactinomycinDaunorubicinDocetaxelDoxorubicinEpirubicinIdarubicinLurbinectedinMechlorethamineMitomycin CMitoxantroneOxaliplatinPaclitaxelRanimustineTrabectedinVinblastineVincristineVindesineVinorelbine

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