{"id":53408,"date":"2023-09-20T09:46:09","date_gmt":"2023-09-20T09:46:09","guid":{"rendered":"https:\/\/medsname.com\/oxitan-injection\/"},"modified":"2026-04-30T16:30:25","modified_gmt":"2026-04-30T16:30:25","slug":"oxitan-injection","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/oxitan-injection\/","title":{"rendered":"Injectie Oxitan"},"content":{"rendered":"<div class=\"medsbase-tldr-answer\" style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">R\u0103spuns rapid<\/h3>\n<p style=\"margin-bottom:0;\"><strong>Injectie Oxitan<\/strong> \u2014 Oxaliplatin (Celon Laboratories). Chimioterapie bazat\u0103 pe platina care induce leg\u0103turi transversale ADN. Platina de genera\u021bia a treia pentru cancerul colorectal (FOLFOX, CAPEOX). Mai pu\u021bin nefrotoxic dec\u00e2t cisplatina; neuropatia periferic\u0103 cumulativ\u0103 este factorul limitator de doz\u0103. Administrare intravenoas\u0103 \u00een spital. Protocol strict de premedica\u021bie, hidratare \u0219i antiemetic.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f7f7f7;border-left:4px solid #2c7cb0;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0 0 6px 0;\"><strong>Ce beneficii ofer\u0103 MedsBase:<\/strong><\/p>\n<ul style=\"margin:6px 0 0 22px;padding:0;list-style:disc;\">\n<li>produc\u0103tor certificat WHO-GMP<\/li>\n<li>Ambalaj discret \u00een plic simplu<\/li>\n<li>Livrare \u00een toat\u0103 lumea<\/li>\n<li>Evaluat de peste 1.400 de clien\u021bi (<a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">cite\u0219te recenziile<\/a>)<\/li>\n<\/ul>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"background:#eef7ee;border-left:4px solid #4caf50;padding:10px 14px;margin:14px 0;border-radius:3px;\">\ud83d\udce6 <strong>Garan\u021bia de retransmitere:<\/strong> dac\u0103 comanda dvs. nu a ajuns \u00een 20 de zile lucr\u0103toare de la expediere, o retransmitem f\u0103r\u0103 costuri suplimentare. <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Cite\u0219te politica<\/a>.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Injectia Oxitan este expediat\u0103 de la un produc\u0103tor certificat WHO-GMP \u00een ambalaj neutru, facturarea se face prin intermediul unui procesor de pl\u0103\u021bi reglementat (descrierea tranzac\u021biei indic\u0103 un procesor de pl\u0103\u021bi reglementat \u2014 niciodat\u0103 MedsBase sau numele medicamentului). Fiecare comand\u0103 beneficiaz\u0103 de Garan\u021bia noastr\u0103 de Reshipment pe 20 de zile lucr\u0103toare.<\/p>\n<div class=\"medsbase-specialist-strip\" style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<p style=\"margin:0;\"><strong>\u26a0\ufe0f Terapie oncologic\u0103 supravegheat\u0103 de specialist<\/strong> \u2014 acest medicament este ini\u021biat, monitorizat \u0219i \u00eentrerupt de un oncolog sau hematolog. Dozarea depinde de tipul tumorii, stadiul, suprafa\u021ba corporal\u0103, func\u021bia organelor \u0219i terapia concomitant\u0103. Autotratamentul nu este adecvat; informa\u021biile de mai jos au scop educa\u021bional \u0219i sus\u021bin conversa\u021biile informate cu specialistul dumneavoastr\u0103.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>Chimioterapie intravenoas\u0103 doar \u00een spital<\/strong><br \/>To\u021bi agen\u021bii pe baz\u0103 de platin\u0103 sunt administra\u021bi intravenos \u00een spital sub supraveghere specializat\u0103. Auto-administrarea nu este potrivit\u0103. Pre-medica\u021bia, hidratarea, regimurile antiemetice \u0219i monitorizarea fac parte din protocol.<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:14px 0;border-radius:3px;\"><strong>Toxicit\u0103\u021bi de clas\u0103<\/strong><br \/>Cisplatin: nefrotoxicitate (hiperhidratare obligatorie), grea\u021b\u0103\/v\u0103rs\u0103turi severe, ototoxicitate (\u00een special la copii \u2014 audiometrie pre\/post), neuropatie periferic\u0103, pierdere de electroli\u021bi (Mg, K). Oxaliplatin: neuropatie periferic\u0103 cumulativ\u0103 (neuropatia acut\u0103 declan\u0219at\u0103 de frig este distinctiv\u0103), mai pu\u021bin nefrotoxic, mai pu\u021bin emetogen. Carboplatin: mielosupresie limitant\u0103 de doz\u0103, dozare bazat\u0103 pe AUC (formula Calvert).<\/div>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>C\u00e2nd se utilizeaz\u0103 chimioterapia cu platin\u0103?<\/h3>\n<p>Cisplatin: cancer testicular, ovarian, pulmonar, vezical, cap \u0219i g\u00e2t, cervical. Oxaliplatin: cancer colorectal (FOLFOX, CAPEOX). Carboplatin: ovarian, pulmonar, s\u00e2n, cap \u0219i g\u00e2t \u2014 de obicei c\u00e2nd profilul de toxicitate al cisplatinului este inacceptabil.<\/p>\n<h3>Cum se administreaz\u0103?<\/h3>\n<p>Perfuzie intravenoas\u0103 \u00eentr-o unitate de zi de chimioterapie. Pre-medica\u021bia include antiemetice (antagonist 5-HT3 + dexametazon\u0103 + antagonist NK1), fluide intravenoase (cisplatinul necesit\u0103 hidratare agresiv\u0103). Fiecare ciclu dureaz\u0103 2-4 s\u0103pt\u0103m\u00e2ni \u00een func\u021bie de regim.<\/p>\n<h3>Efecte secundare de a\u0219teptat?<\/h3>\n<p>Grea\u021b\u0103\/v\u0103rs\u0103turi (controlate cu antiemetice), oboseal\u0103, neutropenie, trombocitopenie, neuropatie (\u00een special oxaliplatin), tinnitus\/pierdere auz (cisplatin), disfunc\u021bie renal\u0103 (cisplatin).<\/p>\n<h3>Pre-medica\u021bie?<\/h3>\n<p>Antiemetice: ondansetron + dexametazon\u0103 + (pentru regimuri foarte emetogene) aprepitant. Hidratare: 1-3 L de solu\u021bie salin\u0103 \u00eenainte\/dup\u0103 cisplatin.<\/p>\n<h3>Monitorizare renal\u0103?<\/h3>\n<p>Cisplatin: evaluare ini\u021bial\u0103 + \u00eenainte de fiecare ciclu + s\u0103pt\u0103m\u00e2nal \u00een timpul terapiei. \u00centrerupe\u021bi sau schimba\u021bi dac\u0103 creatinina cre\u0219te &gt;25% fa\u021b\u0103 de valoarea ini\u021bial\u0103. \u00cenlocuirea magneziului \u0219i potasiului este frecvent\u0103.<\/p>\n<h3>Test auditiv?<\/h3>\n<p>Audiometrie ini\u021bial\u0103 \u0219i dup\u0103 indica\u021bii clinice pentru cisplatin (\u00een special la pacien\u021bii pediatri, cicluri repetate sau pierdere preexistent\u0103 a auzului).<\/p>\n<h3>Sarcin\u0103?<\/h3>\n<p>Contraindica\u021bie puternic\u0103 \u2014 teratogen \u0219i avortiv. Contraceptie eficient\u0103 \u00een timpul \u0219i pentru \u22656 luni dup\u0103 tratament pentru ambii parteneri.<\/p>\n<h3>Interac\u021biuni medicamentoase?<\/h3>\n<p>Aminoglicozide + cisplatin\u0103: nefrotoxicitate masiv\u0103. AINS + cisplatin\u0103: nefrotoxicitate. Nivelurile de fenitoin\u0103 pot sc\u0103dea la chimioterapia cu platina. Declara\u021bi \u00eentotdeauna toate medicamentele.<\/p>\n<h3>Limite de doz\u0103 cumulativ\u0103?<\/h3>\n<p>Cisplatin\u0103: \u00eentrerupe\u021bi sau schimba\u021bi la apari\u021bia neurotoxicit\u0103\u021bii cumulative, ototoxicit\u0103\u021bii sau a insuficien\u021bei renale persistente. Oxaliplatin\u0103: doza total\u0103 de 850 mg\/m\u00b2 este asociat\u0103 cu neuropatie cumulativ\u0103 \u2014 protocoalele includ de obicei pauze planificate (FOLFOX 4-6, apoi reintroducere).<\/p>\n<h3>C\u00e2nd se \u00eentrerupe tratamentul?<\/h3>\n<p>R\u0103spunsul tumorii\/progresia bolii dicteaz\u0103 durata. Decizie specializat\u0103 bazat\u0103 pe criteriile de evaluare a r\u0103spunsului (RECIST), toxicitate \u0219i obiectivele pacientului.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2>Alte Medicamente Anticanceroase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/xeloda\/\">Xeloda<\/a> \u2014 capecitabin\u0103 500 mg \u2014 prodrog oral de 5-FU pentru cancerul de s\u00e2n\/colorectal\/gastric<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/altraz\/\">Altraz<\/a> \u2014 anastrozol 1 mg \u2014 inhibitor de aromataz\u0103 pentru cancerul de s\u00e2n la femei postmenopauzale<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/xbira\/\">Xbira<\/a> \u2014 abirateron\u0103 250 mg \u2014 inhibitor CYP17 pentru cancerul metastatic de prostat\u0103<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/zoldria\/\">Zoldria<\/a> \u2014 acid zoledronic IV \u2014 pentru metastaze osoase \u0219i hipercalcemie<\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/actorise\/\">Actorise<\/a> \u2014 darbepoetin alfa \u2014 pentru anemie indus\u0103 de chimioterapie<\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:12px 16px;margin:18px 0;border-radius:3px;font-size:.95em;\"><strong>Disclaimer medical:<\/strong> Tratamentul cancerului este foarte individualizat. Medicamentul specific, doza, programul, monitorizarea \u0219i \u00eengrijirea de sus\u021binere trebuie stabilite de un oncolog sau hematolog calificat, pe baza biologiei tumorii, stadializ\u0103rii, comorbidit\u0103\u021bilor \u0219i obiectivelor terapiei. Aceast\u0103 informa\u021bie are caracter educa\u021bional; nu \u00eenlocuie\u0219te sfatul medical profesionist.<\/div>","protected":false},"excerpt":{"rendered":"<p>Injectie Oxitan (Oxaliplatin) \u2014 platina de genera\u021bia a treia de la Celon Labs pentru cancerul colorectal (FOLFOX, CAPEOX). Neuropatia periferic\u0103 cumulativ\u0103 este factorul limitator de doz\u0103.<\/p>","protected":false},"featured_media":53409,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3595,3141,3223],"product_tag":[3606,3607,3608],"class_list":{"0":"post-53408","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-anti-cancer-medication","7":"product_cat-category-overview","8":"product_cat-chronic-conditions","9":"product_tag-oxaliplatin","10":"product_tag-oxaliplatin-injection","11":"product_tag-oxitan","13":"first","14":"outofstock","15":"shipping-taxable","16":"purchasable","17":"product-type-variable","18":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/53408","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=53408"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/53409"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=53408"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=53408"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=53408"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=53408"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}