Medication Dispensary Hazardous Drugs Within the VTH
Medication Dispensary Hazardous Drugs Within the VTH
* This item is not routinely stocked in the Medication Dispensary and will be procured upon request.
Table 1 (Group 1): Drugs that have MSHI in the package insert and/or meet the NIOSH definition of a hazardous drug and one or more of the following criteria: are classified by the NTP as “known to be a human carcinogen”, or are classified by IARC as Group 1, “carcinogenic to humans” or Group 2A, “probably carcinogenic to humans.
|
Azathioprine |
|
Carboplatin |
|
*Chlorambucil |
|
Chloramphenicol |
|
*Cisplatin |
|
Cyclophosphamide |
|
Cyclosporine (Cyclavance/Atopica) (Optimmune Ophthalmic Ointment) |
|
Cytarabine (Cytosar) |
|
Dacarbazine |
|
Daunorubicin |
|
Dexrazoxane |
|
Doxorubicin |
|
Epirubicin |
|
*Fluorouracil |
|
Gemcitabine |
|
Imatinib (Gleevec) |
|
Lomustine (CCNU) |
|
Mitomycin |
|
Mitoxantrone |
|
Mycophenolate mofetil |
|
Procarbazine |
|
Rabacfosadine (Tanovea) |
|
Temozolomide |
|
Toceranib (Palladia) |
|
Vinblastine |
|
Vincristine |
|
Vinorelbine |
Table 2 (Group 2): Drugs that meet the NIOSH definition of a hazardous drug and do not have MSHI, are not classified by NTP as “known to be a human carcinogen,” and are not classified by IARC as Group 1, “carcinogenic to humans,” or Group 2A, “probably carcinogenic to humans.” (Some may also have adverse developmental and/or reproductive effects.)
|
Altrenogest (Regu-Mate) |
|
Apomorphine |
|
*Chorionic Gonadotropin |
|
DMSO (Dimethyl Sulfoxide) |
|
*Estradiol |
|
Fluconazole |
|
Fluocinolone acetonide (Synotic) Otic Solution |
|
Fosphenytoin |
|
*Histrelin |
|
Leflunomide |
|
Lutalyse (Dinoprost Tromethamine) |
|
Methimazole |
|
Misoprostol |
|
Oclacitinib (Apoquel) |
|
*Olaparib |
|
Oxytocin |
|
Pergolide |
|
*Sirolimus |
|
Spironolactone |
|
Tacrolimus (Ophthalmic Solution/Suspension) |
|
Trilostane (Vetoryl) |
|
Voriconazole |
|
Tylosin |
|
Zoledronic Acid (Zometa) |
|
Zonisamide |
Reference: NIOSH List of Hazardous Drugs in Healthcare Settings, 2024
Definitions (if applicable)
- IARC: International Agency for Research on Cancer
- MSHI: Manufacturer’s Special Handling Information
- NIOSH: National Institute for Occupational Safety and Health
- NTP: National Toxicology Program