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Molecule

Lomustine

Alkylating Drug
Available on requestOncology
Presentations
6
Brands
1
Manufacturers
1
Available from stock
0

Lomustine is an alkylating drug indicated for the treatment of patients with brain tumors, primary and metastatic, following appropriate surgical and/or radiotherapeutic procedures, among other approved uses. It is available as capsules for oral use. MedsAcross supplies Lomustine for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Alkylating Drug, Alkylating Activity
ATC classification
L01AD02 Lomustine · Nitrosourea compound
US FDA first approval
4 August 1976
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Capsule
Identifiers
UNII 7BRF0Z81KGRxCUI 6466CAS 13010-47-4DrugBank DB01206Q415378

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

Lomustine is an alkylating drug indicated for the treatment of patients with: Brain tumors, primary and metastatic, following appropriate surgical and/or radiotherapeutic procedures. Hodgkin's lymphoma in combination with other chemotherapies, following disease progression with initial chemotherapy.

Source: US FDA prescribing information

How it works

Lomustine alkylates DNA and RNA. As with other nitrosoureas, it may also inhibit several key enzymatic processes by carbamoylation of amino acids in proteins.

Source: US FDA prescribing information

Dosing overview

Recommended dose in adult and pediatric patients is 130 mg/m 2 orally every 6 weeks. Round dose to nearest 10 mg. Give as a single oral dose and do not repeat for at least 6 weeks.

Source: US FDA prescribing information

Warnings and precautions

Boxed warning (delayed myelosuppression and risk of overdosage delayed myelosuppression): Lomustine causes myelosuppression including fatal myelosuppression. Myelosuppression is delayed, dose-related, and cumulative, occurring 4 to 6 weeks after drug administration and persisting for 1 to 2 weeks. Thrombocytopenia is generally more severe than leukopenia. Pulmonary toxicity: Pulmonary infiltrates and/or fibrosis occurs with lomustine. Perform pulmonary function tests prior to treatment and repeat frequently. Permanently discontinue lomustine in patients diagnosed with pulmonary fibrosis. Secondary malignancies: Acute leukemia and myelodysplasia can occur with long-term use. Hepatotoxicity: Increased levels of transaminases, alkaline phosphatase and bilirubin can occur with lomustine. Monitor liver function. Nephrotoxicity: Can cause renal failure. Monitor renal function.

Source: US FDA prescribing information

Side effects

The following serious adverse reactions are discussed in greater detail in other sections of the labeling: Delayed myelosuppression Risks of overdosage Pulmonary toxicity Secondary malignancies Hepatotoxicity Nephrotoxicity The following adverse reactions associated with the use of lomustine were identified in clinical trials or postmarketing reports. Because these reactions were reported from a population of uncertain size, it is not possible to estimate their frequency, reliability, or establish a causal relationship to drug exposure. Gastrointestinal disorders: nausea, vomiting, and stomatitis Ocular disorders: optic atrophy, visual disturbances, and blindness Neurologic disorders: disorientation, lethargy, ataxia, and dysarthria Other: alopecia Common adverse reactions include delayed myelosupression, nausea, vomiting, stomatitis, and alopecia.

Source: US FDA prescribing information

Storage

Store at 25°C (77°F), excursions permitted to 15°C to 30°C (59°F to 86°F). Avoid temperatures over 40°C (104°F).

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

6 presentations of Lomustine, sorted by availability.

MedicineManufacturerRegisterAvailability
Gleostine 10 mg capsuleOralAzurity PharmaceuticalsUS FDAAvailable on request
Gleostine 100 mg capsuleOralAzurity PharmaceuticalsUS FDAAvailable on request
Gleostine 40 mg capsuleOralAzurity PharmaceuticalsUS FDAAvailable on request
Lomustine 10 mg capsuleOralGeneric name—US FDAAvailable on request
Lomustine 100 mg capsuleOralGeneric name—US FDAAvailable on request
Lomustine 40 mg capsuleOralGeneric name—US FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 4 August 1976Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Lomustine in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Lomustine available for export from India?

Yes, on request. MedsAcross lists 6 presentations of Lomustine and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Lomustine have?

The catalogue lists 1 brand names for Lomustine, including Gleostine.

Is Lomustine approved by the US FDA?

Yes. The US FDA first approved Lomustine on 4 August 1976, according to Drugs@FDA.

Does Lomustine need cold chain shipping?

No listed presentation of Lomustine is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Lomustine in?

Lomustine is classified under ATC code L01AD02 (Lomustine).

References

  1. Lomustine prescribing information (Wilshire Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 12 February 2026

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