Teratogenic effects in animal studies. Not recommended during breast-feeding.
Unlabeled use
Contraindications
Hypersensitivity. Severe bone marrow suppression. Severe neurologic toxicity. Pregnancy.
Warnings and precautions
Hazardous agent. Bone marrow suppression is common (use with caution in patients previously treated with other myelosuppressive drugs). Neurotoxicity is common (use with caution in pre-existing neurotoxicity). Use with caution in hepatic or renal impairment.