Substance / Medication

Busulphan

Overview

Active Ingredient
busulfan
RxNorm CUI
1828

Indications

BUSULFEX is indicated for use in combination with cyclophosphamide as a conditioning regimen prior to allogeneic hematopoietic progenitor cell transplantation for chronic myelogenous leukemia.

Labeler: Otsuka America Pharmaceutical, Inc.Updated: 2025-10-20T00:00:00.000ZFull label on DailyMed

Boxed Warning

FDA Black Box Warning

Warnings and Precautions (5.1) [see]. BUSULFEX (busulfan) Injection causes severe and prolonged myelosuppression at the recommended dosage. Hematopoietic progenitor cell transplantation is required to prevent potentially fatal complications of the prolonged myelosuppression

Contraindications

When this intervention should not be used

BUSULFEX is contraindicated in patients with a history of hypersensitivity to any of its components.

Indications & Related Conditions

Conditions associated via SNOMED clinical relationships

Administration & Protocol

Dosing, route, and treatment protocol

Detailed dosage and administration information is available in the full FDA drug label.

View full prescribing information on DailyMed

Monitoring & Follow-Up

Biomarkers relevant to this intervention via related conditions

No monitoring biomarkers have been mapped yet. Biomarker-intervention linkages are derived through related conditions and will expand as the knowledge graph grows.

Research Evidence

Published studies and systematic reviews

Sort:
[Comparison of total body irradiation-cyclophosphamide versus busulphan-cyclophosphamide as conditioning regimens for myelogenous leukemia: a meta-analysis].
Xu Shi-Xia, Tang Xian-Hua, Chen Hai-Qing et al. · Zhongguo Shi Yan Xue Ye Xue Za Zhi · 2008
PMID: 19099643Meta-Analysis
Vitamin D levels and busulphan kinetics in patients undergoing hematopoietic stem cell transplantation, a multicenter study.
El-Serafi Ahmed, He Rui, Zheng Wenyi et al. · Bone Marrow Transplant · 2021
PMID: 33087877Observational
Comparison of algorithms for oral busulphan area under the concentration-time curve limited sampling estimate.
Sjöö Fredrik, El-Serafi Ibrahim, Enestig Jon et al. · Clin Drug Investig · 2014
PMID: 24178237Observational
High-dose chemotherapy with BEAM or Busulphan/Melphalan and Thiotepa followed by hematopoietic cell transplantation in malignant lymphoma.
Zaucha Renata, Gooley Ted, Holmberg Leona et al. · Leuk Lymphoma · 2008
PMID: 18949614Observational
Variability in the pharmacokinetics of intravenous busulphan given as a single daily dose to paediatric blood or marrow transplant recipients.
Nath Christa E, Earl John W, Pati Nalini et al. · Br J Clin Pharmacol · 2008
PMID: 18341668ObservationalFull text (PMC)

Research data from MEDLINE/PubMed

Benefits & Expected Outcomes

Benefits, expected outcomes, efficacy data, and NNT (Number Needed to Treat) are pending physician authorship and evidence review.

Risks & Side Effects

Adverse reaction and safety data for this drug is sourced from the FDA-approved label.

View adverse reactions & drug interactions on DailyMed

Related Symptoms

Symptoms associated with conditions this intervention addresses

No related symptoms have been mapped yet. Symptom linkages are derived through associated conditions.

Alternatives & Comparisons

Alternative treatments, comparison data, and clinical decision support are pending physician authorship.

Medical Disclaimer

This information is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider regarding any medical condition or treatment plan.

Do not start, stop, or change any treatment without consulting your healthcare provider.

Quick Facts

Type
Substance / Medication
Fully Specified Name
Busulfan (substance)
SNOMED CT
387138002
UMLS CUI
C0006463
RxNorm CUI
1828
Labeler
Otsuka America Pharmaceutical, Inc.

Clinical Data

This intervention maps to 2 entities in the Healos knowledge graph.

2
Conditions
0
Biomarkers
0
Specialists
0
Symptoms

Data is sourced from SNOMED CT, UMLS, and the Healos clinical knowledge graph. Content sections marked as pending require physician authorship. Consult a healthcare provider before starting any treatment.