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

2 Answers
Mednet Member
Mednet Member
Medical Oncology · University of Chicago

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 Member
Medical Oncology · University of Washington, Fred Hutchinson Cancer Research Center

I agree 99.9% with @Ben Derman 's excellent answer, with the exception of how long the dexamethasone is truly required for; 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 ra...

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