Patient safety

Vincristine Sulphate

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Vincristine, a widely used chemotherapeutic agent, should only be administered intravenously, and never by any other route. Many patients receiving intravenous vincristine also receive other medication via a spinal route as part of their treatment protocol. This has led to errors where vincristine has been administered via a spinal route.

Following a death due to intrathecal vincristine in July 2007, WHO issued the following alert:



WHO Recommendations

The WHO World Alliance for Patient Safety has consulted expert opinion widely and recommends the following actions be taken:

  • The labelling of vincristine should include a clear warning label that reads: ‘FOR INTRAVENOUS USE ONLY - FATAL IF GIVEN BY OTHER ROUTES’.
  • Syringes should not be used for vincristine administration.
  • Vincristine should where possible be prepared by dilution in small volume intravenous bags (the ‘minibag’ technique), rather than in a syringe, to protect against accidental administration via a spinal route.
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