Classification table of vesicants

Cytotoxic and non-cytotoxic drugs with potential for tissue damage

Cytotoxic drugs

Hyperosmolar agents

Potentially damaging acid and alkaline agents

*Actinomycin D

* Amsacrine

* Carmustine

* Dacarbazine

*Daunorubicin

*Doxorubicin

*Epirubicin

*Idarubicin

*Mitomycin C

Paclitaxel

*Streptozocin

Treosulfan

Ψ Vinblastine

Ψ Vincristine

Ψ Vindesine

Ψ Vinorelbine

 

Ψ Calcium chloride

Ψ Calcium gluconate 10%

Hypertonic glucose (10% or >) Hypertonic sodium chloride

(10% or >) Magnesium sulphate 20% Mannitol 10% & 20%

Ψ Parenteral nutrition

Sodium bicarbonate

Ψ X-ray Contrast media

Vascular regulators Adrenaline Dobutamine Dopamine

Noradrenaline (Norepinephrine) Prostaglandins

Vasopressin

Aciclovir

Ψ Aminophylline

Amiodarone

Amphotericin B

Co-trimoxazole

Diazepam

Erythromycin

Foscarnet sodium

Ganciclovir

GTN infusion

Methylene Blue

Ψ Phenytoin

Vancomycin

 

*BLUE = apply cold compress to affected area for 20 minutes to localise and neutralise 4x daily for 24-48 hours.

 

ψ RED = apply warm compress to affected area for 20 minutes to spread and dilute 4x daily for 24-48 hours

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