Eflornithine

Eflornithine Brand Name– Vaniqa

What is Eflornithine

Eflornithine (or DFMO), is used topically to reduce unwanted facial hair in women, and parenterally to treat protozoal infections.

In the US, the drug is only commercially available as the topical cream. The intravenous formulation of eflornithine has been used to treat African trypanosomiasis (sleeping sickness) as well as Pneumocystis pneumonia (PCP).

Parenteral eflornithine is only available from the World Health Organization and the Centers for Disease Control and Prevention.

Indications

  1. African trypanosomiasis (sleeping sickness)
  2. Giardia lamblia
  3. hirsutism
  4. Pneumocystis jirovecii (formerly Pneumocystis carinii)
  5. Trichomonas vaginalis
  6. Trypanosoma brucei gambiense
  7. Trypanosoma brucei rhodesiense
  8. Trypanosoma sp.

Side Effects

  1. abdominal pain
  2. acne vulgaris
  3. alopecia
  4. anemia
  5. anorexia
  6. cheilitis
  7. contact dermatitis
  8. dizziness
  9. dyspepsia
  10. eosinophilia
  11. erythema
  12. folliculitis
  13. headache
  14. hearing loss
  15. leukopenia
  16. nausea
  17. pancytopenia
  18. pruritus
  19. rash
  20. seizures
  21. skin irritation
  22. thrombocytopenia
  23. vertigo
  24. xerosis

Monitoring Parameters

  • arterial blood gases (ABGs)
  • audiometry
  • CBC
  • cerebrospinal fluid (CSF) assessment
  • chest x-ray
  • platelet count
  • serum creatinine/BUN
  • WBC

Contraindications

  • anemia
  • bone marrow suppression
  • breast-feeding
  • children
  • hearing impairment
  • hematological disease
  • human immunodeficiency virus (HIV) infection
  • infants
  • infection
  • leukopenia
  • neonates
  • ophthalmic administration
  • pregnancy
  • renal failure
  • renal impairment
  • seizure disorder
  • thrombocytopenia
  • vaginal administration

Interactions

There are no drug interactions associated with Eflornithine products.

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