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In your practice, what premedications do you use for subcutaneous daratumumab?

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What pre-medications do you administer with subcutaneous daratumumab?

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2 Answers
Mednet Member
Mednet MemberInvited Expert
Medical Oncology · University of Chicago
Answered on

We administer the following pre-infusion medications 1 hour to 3 hours before the first 4 SQ infusions, and then we drop all premedications (except for dexamethasone) thereafter:

  • Dexamethasone 20-40 mg
  • Acetaminophen 650 mg
  • Diphenhydramine 25 mg
  • Montelukast 10 mg [this is not in the package insert b...

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Mednet Member
Mednet MemberInvited Expert
Medical Oncology · University of Washington, Fred Hutchinson Cancer Research Center
Answered on

I agree 99.9% with @Dr. First Last's excellent answer, with the exception of how long the dexamethasone is truly required; nothing new since we've discussed this before via Twitter. His group has published on their experience (see my comment on his answer), which has been very helpful here!

As a rati...

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