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eflornithine

Ornithine Decarboxylase Inhibitor · Dermatologic

Ornithine Decarboxylase InhibitorDermatologic
CDSCO approved
EXCRETION
not curated
INTERACTIONS
none in our sources
PREGNANCY
X
FDA category + note

Mechanism

Not yet extracted

Indications

decrease rate of facial hair growthLate-stage West African (Gambian) trypanosomiasis (in combination with nifurtimox)Second-stage T. b. gambiense HAT (in combination with nifurtimox)

Dosing

Adult
200 mg/kg bid for 7 days (IV) in combination therapy
Pediatric
200 mg/kg bid for 7 days (IV) in combination therapy

Pharmacokinetics

Half-life
3 to 4 h
Excretion
Renal clearance is rapid, with more than 80% cleared by the kidney in unchanged form.

Side effects

Common
Abdominal painHeadachepancytopeniaGastrointestinal disturbances (nausea, vomiting, abdominal pain)Anorexia
Serious
  • Injection site reactions
  • Tissue infections
  • Pneumonia
  • Fever peaks (6%)
  • Seizures (4%)
  • Diarrhea (2%)
  • Fluid overload (in susceptible patients)
  • diarrhea
  • seizures
  • transient hearing loss
  • Reversible bone marrow toxicity (anemia, leukopenia)
  • Convulsions (<5%)
  • Psychosis (<5%)

Pregnancy & lactation

Pregnancy

X

Related guidelines

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Sources: Goodman & Gilman 14e, Harrison 22e·Verified: 2026-05-10 · House clinical team