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Bleomycin Sulfate

Published: July 26, 2026Updated: August 24, 2026

Bleomycin Sulfate is a glycopeptide antibiotic and antineoplastic agent used in combination chemotherapy regimens to treat various malignancies including Hodgkin's and non-Hodgkin's lymphomas, testicular and ovarian cancers, and squamous cell carcinomas. It works by causing DNA strand breaks through free radical formation, inhibiting DNA synthesis and cell division.

Quick summary

An antineoplastic antibiotic agent used to treat certain cancers by damaging DNA and preventing cancer cell division.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy

Key facts at a glance

RxNorm
1621
Generic
Bleomycin Sulfate
Class
pin-variant
Brands
—
Availability
rx
Lactation
unknown
Routes
—
Forms
—
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity and potentially fatal pulmonary complications
Chronic overdose: Cumulative doses exceeding 400-450 units are associated with significant pulmonary toxicity risk
Immediate actions
Discontinue drug immediately, provide supportive care, monitor respiratory function, administer corticosteroids as indicated
Antidote
No specific antidote exists for bleomycin overdose(Supportive care is the primary treatment; no antidote available)
Poison Control: 1-800-222-1222

Special Populations

8 groups
✗

pregnancy

first trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks

Monitor

regular fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

second trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks

Monitor

regular fetal monitoring and growth assessments

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

third trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks

Monitor

regular fetal monitoring and assessment for preterm labor

Use of this medication in this population requires careful consideration of risks and benefits.

✗

lactation

breastfeeding
unsafe
FDA Category
N
Dose Adjustment

discontinue breastfeeding

Key Recommendations

discontinue breastfeeding during treatment and for at least 1 week after last dose

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

pediatric_age

children
caution
FDA Category
C
Dose Adjustment

use with caution, dose based on body surface area

Key Recommendations

use with caution in pediatric patients, monitor for pulmonary toxicity

Monitor

close monitoring of pulmonary function, regular blood counts

Use with caution and monitor for adverse effects.

⚠

geriatric

elderly
caution
FDA Category
C
Dose Adjustment

consider dose reduction

Key Recommendations

use with caution in elderly patients, may have increased sensitivity to pulmonary toxicity

Monitor

regular pulmonary function tests, monitor for signs of pulmonary toxicity

Use with caution and monitor for adverse effects.

⚠

renal_impairment

mild to moderate
caution
FDA Category
C
Dose Adjustment

dose reduction may be required

Key Recommendations

reduce dose in patients with renal impairment, monitor renal function

Monitor

regular monitoring of renal function and serum electrolytes

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

moderate to severe
caution
FDA Category
C
Dose Adjustment

use with caution, may require dose reduction

Key Recommendations

use with caution in patients with hepatic impairment, monitor liver function

Monitor

regular monitoring of liver function tests

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

FDA Approval Year

Value:1974

Original FDA approval year for Bleomycin Sulfate

drug_classWHO
2023

Drug class

Value:Antineoplastic antibiotic (Glycopeptide antibiotic)

Pharmacological classification of Bleomycin Sulfate

usageMedical guidelines
2023

Common uses

Value:Hodgkin's lymphoma, Testicular cancer, Cervical cancer, Squamous cell carcinomas

Approved therapeutic indications for Bleomycin Sulfate

mechanismPharmacology references
2023

Mechanism of action

Value:DNA strand breaker - induces single and double-strand breaks in DNA

Molecular mechanism of antineoplastic activity

Used to treat Hodgkin's lymphoma, non-Hodgkin's lymphoma, testicular cancer, ovarian cancer, cervical cancer, and squamous cell carcinomas of the head, neck, and skin. Also used palliatively for malignant pleural effusions.

A glycopeptide antibiotic that causes single and double-strand breaks in DNA through the generation of free radicals. This intercalates with DNA, inhibits synthesis, and leads to cell death, particularly affecting cells in the G2 and M phases of the cell cycle.

Administered by injection (IV, IM, or subcutaneous). Major toxicity concerns include pulmonary fibrosis and pneumonitis, particularly with cumulative doses exceeding 400 units. Can cause febrile reactions, skin toxicity, and hypersensitivity reactions. Requires regular pulmonary function monitoring. Contraindicated in pregnancy and in patients with pre-existing pulmonary disease.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy