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Arsenic Trioxide

Arsenic Trioxide Dosage

Allison Baxley, PharmD, BCOPDaisy Chau, PharmD
Reviewed by Allison Baxley, PharmD, BCOP, Daisy Chau, PharmD
Last reviewed on July 16, 2024

Typical dosage for Arsenic Trioxide

The recommended dose depends on the treatment phase (induction or consolidation).

  • Refractory or relapsed APL

    • Induction: The typical dose is 0.15 mg/kg of bodyweight, injected into a vein once a day until bone marrow remission or for up to 60 days.
    • Consolidation: The typical dose is 0.15 mg/kg of bodyweight, injected into a vein once a day for 25 doses over 5 weeks Consolidation begins 3-6 weeks after completing induction
  • Newly diagnosed, low-risk APL

    • Induction: The typical dose is 0.15 mg/kg of bodyweight, injected into a vein once a day with tretinoin (ATRA) until bone marrow remission or for up to 60 days.
    • Consolidation: The typical dose is 0.15 mg/kg of bodyweight, injected into a vein once a day with tretinoin (ATRA) for 5 days during weeks 1-4. After that, there is a 4-week break with no medication.
      • This dosing schedule is repeated for a total of 4 cycles.
      • You won’t receive any tretinoin (ATRA) during weeks 5-6 of the last cycle.

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