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     Indian Health Manual
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Part 3, Chapter 27:  Manual Exhibit 3-27-A

List of Hazardous Drugs

The following drugs are considered "hazardous drugs" and should be handled with care.  Drugs purchased and used by a facility may have entered the marketplace after the list below was assembled.  This list may not be all-inclusive.

Aldesleukin
Alemtuzumab
Aliteretinoin
Altretamine
Amsacrine
Anastrozole
Arsenic trioxide1 footnote
Asparaginase
Azacitidine
Azathioprine
Bacillus Calmette-Geurin
Bexarotene
Bicalutamide
Bleomycin
Busulfan
Capecitabine
Carboplatin
Carmustine
Cetrorelix acetate
Chlorambucil
Chloramphenicol
Choriogonadotropin alfa
Cidofovir
Cisplatin
Cladribine
Colchicine
Cyclophosphamide
Cytarbine and Cyclosporin
Dacarbazine
Dactinomycin
Daunorubicin HCI
Deneleukim
Dienestrol
Diethylstilbesterol
Dinoprostrone
Docetaxel
Doxorubicin
Dutasteride
Epirubicin
Ergonovine/methylergonovine
Estradiol
Estramustine phosphate sodium
Estrogen - progestin combinations
Estrogens, conjugated
Estrogens, esterfied
Estrone
Estropipate
Etoposide
Exemestane
Finasteride
Floxuridine
Fludarabine
Fluorourcil
Fluoxymesterone
Flutamide
Fulvestrant
Ganciclovir
Ganirelix acetate
Gemcitabine
Gemtuzumab ozoganmicin
Gosereline
Gonadotropin, Chrionic
Hydroxyurea
Ibritumomab tiuxetan
Idarubicin
Ifosfamide
Imatinib mesylate
Interferon alfa-2a
Interferon alfa-2b
Interferon alfa-n1
Interferon alfa-n3
Itrinotecan HCL
Leflunomide
Letrozole
Leuprolide acetate
Lomustine
Mechlorethamine
Megestrol
Melphalan
Menotropins
Mercaptopurine
Methotrexate
Methyletestosterone
Mifepristone
Mitomycin
Mitotane
Mitoxantrone HCI
Mycophenolate mofetil
Narafelin
Nilutamide
Oxaliplatin
Oxytocin
Paclitaxel
Pegaspargase
Pentamidine isethionate
Pentostatin
Perphosphamide
Pipobroman
Piritrexim isethionate
Plicamycin
Podoflilox
Podophyllum resin
Prednimustine
Procarbazine
Progesterone
Progesterins
Raloxifene
Raltitrexed
Ribavirin
Streptozocin
Tacrolimus
Tamoxifen
Temozolomide
Teniposide
Testolactone
Testosterone
Thalidomide
Thioguanine
Thiotepa
Topotecan
Toremifene citrate
Tositumomab
Tretinoin
Trifluridine
Trimetrexate glucuronate
Triptorelin
Uracil mustard
Valganciclovir
Valrubicin
Vidarabine
Vinblastine sulfate
Vincristine sulfate
Vindesine
Vinorelbine tartate
Zidovudine

*This list is compiled from the NIOSH Alert:  Preventing Occupational Exposures to Antineoplastic and Other Hazardous Drugs in Health Care Settings, 2004.

1/This drug is a P-listed RCRA hazardous waste and d of waste product and all preparation materials requires special disposal procedures.


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