Cetuximab 100mg/20mL (5mg/mL) Infusion

Cetuximab 100mg/20mL (5mg/mL) is an EGFR-directed monoclonal antibody for selected head-and-neck and colorectal cancers. In colorectal cancer, tumour RAS testing helps determine whether treatment is appropriate.
Administer by controlled intravenous infusion with antihistamine premedication and monitoring for reactions. It is not an intravenous bolus. Electrolytes and the skin are monitored through the treatment course.
Cetuximab binds the extracellular domain of EGFR and blocks growth-factor signalling. It can also help immune cells recognise tumour cells.
An acne-like rash, dry skin, nail-fold inflammation, diarrhoea and low magnesium can occur. Severe infusion reactions and lung inflammation are important serious risks.
Severe allergy can occur during the first infusion. Previous tick bites, red-meat allergy or alpha-gal sensitisation may be relevant. Magnesium, potassium and calcium can remain low after treatment ends.
Blocking EGFR can improve control of a susceptible tumour when biomarkers and the treatment setting match.
No. RAS mutations can make treatment ineffective, so molecular selection is essential.
It is an EGFR-related skin reaction and may need a different skin-care or antibiotic plan from conventional acne.
Renal magnesium loss can persist for several weeks, affecting potassium and calcium balance as well.
Limit direct sun exposure and use sunscreen, protective clothing and a hat. Continue this protection for two months after treatment ends because cetuximab-related skin sensitivity can persist.
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Cetuximab 100mg/20mL (5mg/mL) Infusion