ExoticRx · exoticrx.com/drugs/dactinomycin
US brand names:Cosmegen
Intercalates into DNA between guanine-cytosine base pairs, blocking RNA polymerase and inhibiting transcription. Also causes topoisomerase II-mediated DNA breaks.
Severe vesicant — extravasation causes tissue necrosis. Potent myelosuppression and GI toxicity. Radiosensitizer — avoid concurrent radiation. Very limited veterinary use.
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View PlansSource citations and evidence levels available on the live page. Reference only — verify against current literature before clinical use.