Varigestrol 160 mg (Tablet)

Unit Price: ৳ 60.00 (3 x 10: ৳ 1,800.00)
Strip Price: ৳ 600.00

Medicine Details

Indications

  • Palliative treatment of advanced carcinoma of the breast
  • Palliative treatment of advanced carcinoma of the endometrium
  • Treatment of anorexia in patients with a diagnosis of Acquired Immunodeficiency Syndrome (AIDS) & cancer
  • Treatment of cachexia in patients with a diagnosis of Acquired Immunodeficiency Syndrome (AIDS) & cancer
  • Treatment of unexplained, significant weight loss in patients with a diagnosis of Acquired Immunodeficiency Syndrome (AIDS) & cancer

Pharmacology

  • Synthetic, antineoplastic and progestational drug
  • Mechanism of action against endometrial carcinoma is not fully known
  • Inhibition of pituitary gonadotrophin production
  • Decrease in estrogen secretion
  • Antineoplastic action on breast carcinoma by modifying the action of other steroid hormones
  • Direct cytotoxic effect on tumor cells
  • Estrogen receptor mechanism
  • Plasma half-life of 33 to 38 hours

Dosage & Administration

  • Tablet dosage for breast cancer: 160 mg/day
  • Tablet dosage for endometrial carcinoma: 40-320 mg/day in divided doses
  • At least 2 months of continuous treatment is considered adequate for determining efficacy
  • Oral suspension initial adult dosage: 800 mg/day (20 ml/day)

Interaction

  • Possible interactions with concomitant medications not investigated
  • Estrogens and progestogens may cause fluid retention
  • Therapy with these agents should be administered cautiously in patients with preexisting problems with excess fluid

Contraindications

  • History of hypersensitivity to Megestrol Acetate or any component of the formulation
  • Known or suspected pregnancy

Side Effects

  • Weight gain
  • Thromboembolic phenomena including thrombophlebitis and pulmonary embolism
  • Glucocorticoid effects
  • Nausea
  • Dyspnea
  • Tumor flare
  • Hyperglycemia
  • Glucose intolerance
  • Alopecia
  • Hypertension
  • Carpal tunnel syndrome
  • Mood changes
  • Hot flashes
  • Malaise
  • Asthenia
  • Lethargy
  • Sweating
  • Rash

Pregnancy & Lactation

  • Pregnancy Category D
  • Use during the first four months of pregnancy not recommended
  • Very small amounts excreted in mother's milk
  • Harmful effect on the newborn not known
  • Nursing should be discontinued during treatment with Megestrol Acetate

Precautions & Warnings

  • Close surveillance for recurrent or metastatic cancer patients
  • Use with caution in patients with a history of thromboembolic disease
  • Exacerbation of preexisting diabetes with increased insulin requirements

Use in Special Populations

  • Safety and effectiveness in pediatric patients not established
  • Insufficient data from clinical studies available for patients 65 years of age and older

Overdose Effects

  • No serious unexpected side effects reported from dosages as high as 1600 mg/day

Storage Conditions

  • Store in a cool place (below 30°C)
  • Store in a dry place
  • Store away from light & moisture
  • Keep out of reach of children

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