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Dextrorphan

Updated: 2026-07-22

Overview

Dexrazoxane, known in Chinese as 右雷佐, is a synthetic compound developed as a cardioprotective agent. It is primarily used in oncology to mitigate the cardiotoxic effects of anthracycline chemotherapy drugs, such as doxorubicin. Dexrazoxane works by chelating free iron, thereby reducing the formation of harmful free radicals that damage cardiac tissue. Approved by the FDA in the 1990s, dexrazoxane has become an essential adjunct in cancer treatment protocols. Its ability to protect the heart without interfering with the antitumor activity of chemotherapy makes it a valuable tool in improving patient outcomes. The compound is typically administered intravenously, often under clinical supervision.

Physical and Chemical Properties

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Dexrazoxane is a white to off-white crystalline powder with a molecular weight of 268.27 g/mol. It is soluble in water and slightly soluble in ethanol, making it suitable for intravenous formulations. The compound exhibits stability under recommended storage conditions but degrades upon prolonged exposure to light or heat. Its melting point ranges between 190-194°C, reflecting its stable crystalline structure. Dexrazoxane's chelating properties are central to its mechanism of action, as it binds iron ions to prevent oxidative stress. These properties are critical for its efficacy in preventing anthracycline-induced cardiac damage.

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Main Applications

The primary application of dexrazoxane is in oncology, where it is used to protect the heart from the toxic effects of anthracycline chemotherapy. Anthracyclines, while effective against cancer, can cause irreversible heart damage due to iron-mediated oxidative stress. Dexrazoxane mitigates this risk by chelating free iron and neutralizing reactive oxygen species. In addition to its use in adult patients, dexrazoxane is also approved for pediatric oncology. Its application is particularly critical in high-dose anthracycline regimens or for patients with pre-existing cardiac conditions. The compound is often administered 30 minutes before chemotherapy to maximize its protective effects.

Safety and Storage

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Dexrazoxane should be handled with care, using gloves and protective equipment to avoid skin contact or inhalation. While it is generally well-tolerated, improper handling can lead to irritation or allergic reactions. The compound should be stored in a cool, dry place at 2-8°C, protected from light to maintain stability. In clinical settings, dexrazoxane is reconstituted with sterile water for injection. Proper disposal of unused material is essential to prevent environmental contamination. Regulatory guidelines, such as those from the FDA or EMA, should be followed to ensure safe usage and storage practices.

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B2B Procurement Guide

When procuring dexrazoxane, B2B buyers should prioritize suppliers with pharmaceutical-grade certifications and regulatory approvals. Quality assurance is critical, as impurities or substandard formulations can compromise patient safety. Buyers should verify CAS numbers (24584-09-6) and request certificates of analysis (CoA) for each batch. Pricing varies depending on quantity and supplier, so obtaining multiple quotes is advisable. Long-term contracts with reliable manufacturers can ensure consistent supply and cost stability. Additionally, buyers should confirm storage and shipping conditions to prevent degradation during transit.

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