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Lupron Depot-Ped 6 Month
leuprolide
Adult Dosing .
Adult dosing is currently unavailable or not applicable for this drug.
Peds Dosing .
- Dosage forms: INJ (pre-filled syringe): 45 mg
central precocious puberty
- [1 yo and older]
- Dose: 45 mg IM q6mo; Info: D/C at appropriate age of puberty onset
renal dosing
- [not defined]
- renal impairment: not defined
- HD/PD: not defined
hepatic dosing
- [not defined]
Contraindications / Cautions .
- hypersensitivity to drug or ingredient
- hypersensitivity to GnRH
- hypersensitivity to GnRH agonists
- pregnancy
- electrolyte abnormalities, uncorrected
- caution: female pts of reproductive potential
- caution: long QT syndrome, congenital
- caution: QT prolongation
- caution: QT prolongation family hx
- caution: torsades de pointes hx
- caution: ventricular arrhythmia
- caution: bradycardia
- caution: MI, recent
- caution: CHF
- caution: psychiatric disorder
- caution: seizure hx
- caution: cerebrovascular dz
- caution: CNS dz
- caution: CNS tumor
Drug Interactions .
Overview
leuprolide
GnRH agonist
- GnRH receptor agonist
- hyperglycemic effects
- lowers seizure threshold
- prolongs QT interval (known)
- pseudotumor cerebri
Contraindicated
- cisapride
- domperidone
- dronedarone
- levoketoconazole
- pimozide
- thioridazine
Avoid/Use Alternative
- adagrasib
- aldesleukin
- amifampridine
- amiodarone
- anagrelide
- apomorphine
- arsenic trioxide
- artemether/lumefantrine
- asenapine
- azithromycin
- bedaquiline
- cabozantinib
- ceritinib
- chloroquine
- citalopram
- clarithromycin
- clofazimine
- crizotinib
- desflurane
- desipramine
- dexmedetomidine
- dexmedetomidine injection
- disopyramide
- dofetilide
- donepezil
- droperidol
- efavirenz
- encorafenib
- entrectinib
- ephedra
- epirubicin
- eribulin
- erythromycin
- etrasimod
- fexinidazole
- flecainide
- fluorouracil
- fluoxetine
- foscarnet
- gilteritinib
- givinostat
- glasdegib
- goserelin
- grapefruit
- haloperidol
- hydroxychloroquine
- hydroxyzine
- ibutilide
- iloperidone
- inotuzumab ozogamicin
- iohexol
- isoflurane
- ivabradine
- ivosidenib
- lefamulin
- levofloxacin
- lofexidine
- lonafarnib
- loperamide
- lopinavir/ritonavir
- macimorelin
- methadone
- mifepristone
- mobocertinib
- moxifloxacin
- nilotinib
- oliceridine
- ondansetron
- osimertinib
- oxaliplatin
- ozanimod
- pacritinib
- paliperidone
- palonosetron
- panobinostat
- pasireotide
- pazopanib
- pentamidine
- phenobarbital
- pimavanserin
- pitolisant
- ponesimod
- procainamide
- propafenone
- quetiapine
- quinidine (antiarrhythmic)
- quinidine (CYP2D6 inhibitor)
- quinine
- quizartinib
- revumenib
- ribociclib
- rilpivirine
- romidepsin
- rucaparib
- selpercatinib
- sertraline
- sevoflurane
- siponimod
- solifenacin
- sorafenib
- sotalol
- telavancin
- tetrabenazine
- toremifene
- tramadol
- trazodone
- tretinoin
- triclabendazole
- trifluridine
- vandetanib
- vemurafenib
- ziprasidone
Monitor/Modify Tx
- acarbose
- albuterol
- albuterol inhaled
- alfuzosin
- alogliptin
- amisulpride
- amitriptyline
- apalutamide
- arformoterol inhaled
- asciminib
- berotralstat
- bexagliflozin
- bromocriptine
- buprenorphine
- bupropion
- canagliflozin
- chlorpromazine
- ciprofloxacin
- clomipramine
- clozapine
- colesevelam
- cyclosporine
- cysteamine
- dapagliflozin
- dasatinib
- demeclocycline
- deutetrabenazine
- doxycycline
- dulaglutide
- eliglustat
- empagliflozin
- eravacycline
- ertugliflozin
- escitalopram
- exenatide
- fingolimod
- fluconazole
- formoterol inhaled
- fostemsavir
- gemtuzumab ozogamicin
- gepirone
- glimepiride
- glipizide
- glyburide
- granisetron
- hydrocodone
- insulin
- iopamidol
- lapatinib
- lenvatinib
- levalbuterol inhaled
- linagliptin
- liraglutide
- lumateperone
- lurasidone
- mavorixafor
- mefloquine
- meperidine
- metformin
- metronidazole
- midostaurin
- miglitol
- minocycline
- mirtazapine
- nateglinide
- ofloxacin
- olodaterol inhaled
- omadacycline
- osilodrostat
- palovarotene
- pioglitazone
- posaconazole
- pralsetinib
- pramlintide
- primaquine
- promethazine
- ranolazine
- relugolix
- repaglinide
- rosiglitazone
- sacituzumab govitecan
- salmeterol inhaled
- sarecycline
- saxagliptin
- semaglutide
- sitagliptin
- sunitinib
- tacrolimus
- tazemetostat
- terbutaline
- tetracycline
- tigecycline
- tirzepatide
- tolterodine
- valbenazine
- vardenafil
- venlafaxine
- vilanterol inhaled
- voclosporin
- voriconazole
Caution Advised
- acetazolamide
- brivaracetam
- busulfan
- cannabidiol
- carbamazepine
- cenobamate
- chlorambucil
- clobazam
- clonazepam
- clorazepate
- diazepam
- eslicarbazepine acetate
- ethosuximide
- felbamate
- fenfluramine
- fluphenazine
- fluvoxamine
- fosphenytoin
- gabapentin
- ganaxolone
- lacosamide
- lamotrigine
- levetiracetam
- lindane topical
- lorazepam
- loxapine
- magnesium citrate
- methsuximide
- metoclopramide
- midazolam
- molindone
- olanzapine
- oxcarbazepine
- paroxetine
- perampanel
- perphenazine
- phenytoin
- polyethylene glycol
- polyethylene glycol/electrolytes
- pregabalin
- primidone
- prochlorperazine
- risperidone
- rufinamide
- sodium picosulfate
- stiripentol
- sulfate bowel prep
- thiothixene
- tiagabine
- topiramate
- treosulfan
- trifluoperazine
- valproic acid
- verapamil
- vigabatrin
- zonisamide
Adverse Reactions .
Serious Reactions
- hypersensitivity rxn
- anaphylaxis
- cutaneous rxn, severe
- Stevens-Johnson syndrome
- toxic epidermal necrolysis
- drug rxn w/ eosinophilia and systemic sx
- acute generalized exanthematous pustulosis
- erythema multiforme
- seizures
- pseudotumor cerebri
- growth suppression
- bone density loss
- diabetes mellitus
- suicidality
- QT prolongation
- HTN
Common Reactions
- injection site rxn
- hormonal flare, transient
- headache
- psychiatric disturbance
- nasopharyngitis
- abdominal pain
- fever
- diarrhea
- hemorrhage
- nausea
- vomiting
- cough
- pruritus
- generalized pain
- rash
- weight gain
- constipation
- URI
- bronchospasm
- hot flashes
- fractures
- breast tenderness
- insomnia
- chest pain
- hyperhidrosis
- acne
- seborrhea
- vaginal bleeding
- vaginal discharge
- vaginitis
- vasodilation
- depression
Safety/Monitoring .
Monitoring Parameters
pregnancy test at baseline; electrolytes incl. Ca, Mg; ECG
Look/Sound-Alike Drug Names
Lupron Depot-Ped confused with: Lupron Depot-3 Month
Pregnancy/Lactation .
Pregnancy
Clinical Summary
contraindicated during pregnancy; no known risk of teratogenicity, though possible risk of spontaneous abortion based on limited human data and drug's mechanism of action
Individuals of Reproductive Potential
obtain pregnancy test before tx start; avoid pregnancy by using effective non-hormonal contraception during tx in female pts
Lactation
Clinical Summary
weigh risk/benefit while breastfeeding; no human data available to assess risk of infant harm; possible decr. milk production, esp. during early postpartum, based on drug's mechanism of action
Pharmacology .
Metabolism: other; CYP450: unknown
Excretion: urine <5%; Half-life: 3h
Subclass: GnRH Agonists
Mechanism of Action
inhibits gonadotropin release, suppressing ovarian and testicular steroidogenesis
Formulary .
No Formulary Selected
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