Cabometyx 20mg Tablets | Cabozantinib | MHP
CABOMETYX 20MG
DESCRIPTION:
Cabometyx 20mg is a prescription medicine required to treat people with medullary thyroid cancer (MTC) which has spread to other parts of the body known as metastatic MTC.Cabometyx 20mg is highly protein bound and there is a hypothetical risk that it will displace combination withwarfarin, so INR monitoring is recommended.
Cabometyx 20mg is not known if using in childrensafe and effective.
INDICATION:
Cabometyx 20mg is Indicated for following conditions;The treatment of Metastatic medullary thyroid cancer
The treatment of Advanced renal cell carcinoma (RCC) who have getting before anti-angiogenic therapy.
The treatment of Hepatocellular cancer who have previously received sorafenib.
MECHANISM OF ACTION:
Cabozantinib is also known as targeted therapy whichaims and attach to the tyrosine kinase receptors and prohibits the activity of multiple tyrosine kinases, contains RET, MET, and VEGF on the surface of the cell.By connecting to these receptors, Cabozantinib stops important pathways whichdevelop cell division.
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| CABOMETYX 20MG |
PRODUCT DETAILS:
Brand :Cabometyx
Ingredients : Cabozantinib
Strength : 20mg
Manufactured : Exelixis.Inc
Package : 30 tablets
ADME:
Maximum plasma concentration is observed in 2-5 hoursHuman serum protein bounding of Cabometyx is ≥ 99.7%
Mostly metabolized by CYP3A4 and minorly by CYP2C9.
The drug excreted mostly via feces 54 % and in urine 27% and half-life is 55 hours.
DOSAGE MANAGEMENT:
Do not substitute Cabometyx tablets with Cabozantinib capsules.The prescribed dose of Cabometyx is 60 mg.
Administration Cabometyx is without food.
Tell the patients don’t not havefood for at least 2 hours before and 1 hour after taking cabometyx.
Continue the treatment until patient no longer experiences clinical benefit or experiences unacceptable toxicity.
Swallow Cabometyx tablets whole. Do not crush Cabometyx tablets.
PRECAUTIONS:
• Interrupt the Cabometyx 20mg in patients who develop an acute myocardial infarction, cerebral infarction, or any other clinically significant arterial thromboembolic complication.• Interrupt the Cabometyx 20mg for patient if have severe hypertension that cannot be controlled with anti-hypertensive therapy.
• Checkthe patients for symptoms of perforations and fistulas, included abscess. discontinueCabometyx 20mg in patients who experience a perforation or a fistula.
• Avoid administrationCabometyx 20mg to patients with a present history of patients with haemorrhage or haemoptysis.
• Advice pregnant women aboutpossible risk to a foetus. Hence inform females of reproductive possible to use effective contraception during treatment with Cabometyx 20mg and for 4 months after the last dose.
SIDE EFFECTS:
The following side effects ofcabometyx 20mg :• GI perforations and fistulas
• Thrombotic events
• Hypertension and hypertensive crisis
• Diarrhea
• Palmar-plantar erythrodysesthesia
• Haemorrhage
• Reversible posterior leukoencephalopathy syndrome
• Weight loss
• Decreased appetite
• Nausea
• Fatigue
• Oral pain
• Neutropenia
• Low platelets
• Taste changes
• Hair colour changes
• High blood pressure
• Low potassium
• Hair loss
• Dizziness
• Joint pain
• Swallowing trouble
• Muscle spasms
• Dyspepsia (indigestion)
• Skin redness
• Reduced sodium
DRUG INTERACTION:
Concurrent use of cabometyx with strong CYP3A4 inhibitor will have high the single dose plasma Cabometyx 20mg exposure by 38%.Co administration of cabometyx with strong CYP3A4 inducers will decreased the single dose plasma Cabometyx 20mg exposure by 77%
Interaction of cabometyx with MRP2 inhibitors may increase the exposure toCabometyx 20mg.
CONTAINDICATION:
The drug cabometyx 20mg is contraindicated to Hypersensitivity reaction in patientsPREGNANCY:
Pregnancy Category is D: Based on studies of animal and mechanism of action, Cabometyx 20mg will cause risk to fetus when given to pregnant women.Avoid pregnancy while on treatment with Cabometyx 20mg.
LACTATION:
Advise the women not to breastfed to infants while on treatment with Cabometyx 20mg drugs because of possible risk to the fetus.STORAGE:
Store the drug at 20°C to 25°CKeep away from the children resistances
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