Drug reference directory
Drug reference

amifostine

Cytoprotectant (Organic thiophosphate) · Chemoprotectant

Cytoprotectant (Organic thiophosphate)Chemoprotectant
CDSCO approved
EXCRETION
—
not curated
INTERACTIONS
1 major
SEVERE in our sources
PREGNANCY
—
not curated
Top interactionssee all 2 →
  • EtelcalcetideSevereDatabaseDDInter

Mechanism

Amifostine is an organic thiophosphate that, upon activation by alkaline phosphatase, acts as a cytoprotective agent against cancer chemotherapy and radiotherapy-induced damage.

Indications

Prophylaxis of cisplatin-induced neurotoxicityProphylaxis of cisplatin-induced nephrotoxicityRadiotherapy-related xerostomia

Side effects

Common
NauseaVomitingHypotensionInfusion-related reaction
Serious
  • Hypocalcaemia

Drug interactions

Etelcalcetide
Severe
Database

Clinical effect not specified

Source: DDInter

Losartan
Moderate
Database

Increased risk of hypotension

Monitor blood pressure closely. Consider holding losartan for 24 hours before amifostine administration if possible, or reduce amifostine dose.

Source: DDInter

10 additional unreviewed or low-confidence interactions hidden because their provenance or source detail is insufficient.

Related guidelines

Ask House about amifostine

Continue into a citation-backed clinical answer with the drug context already attached.

Textbook-sourced·Sources: KD Tripathi 7e·Updated: 2026-05-10