Erloren 100 mg (Tablet)
Unit Price: ৳ 600.00 (1 x 7: ৳ 4,200.00)
Strip Price: ৳ 4,200.00
Medicine Details
Category | Details |
---|---|
Generic | Erlotinib |
Company | Renata limited |
Also available as |
Therapeutic Class
- Targeted Cancer Therapy
Indications
- First-line treatment of metastatic Non-Small Cell Lung cancer (NSCLC) with EGFR exon 19 deletions or exon 21 substitution mutations
- Maintenance treatment of locally advanced or metastatic NSCLC after platinum based first-line chemotherapy
- Treatment of locally advanced or metastatic NSCLC after failure of at least one prior chemotherapy regimen
- First-line treatment of locally advanced, unresectable or metastatic pancreatic cancer in combination with gemcitabine
Description
- Chemical name: N-(3-ethynylphenyl)-6,7-bis(2-methoxyethoxy)4-quinazolinamine
- Reversibly inhibits EGFR kinase activity
- Prevents autophosphorylation of tyrosine residues associated with the receptor
- Higher affinity for EGFR exon 19 deletion or exon 21 (L858R) mutations than the wild-type receptor
- Inhibition of other tyrosine kinase receptors not fully characterized
Dosage & Administration
- Recommended daily dose for NSCLC: 150 mg taken on an empty stomach
- Recommended daily dose for pancreatic cancer: 100 mg taken once daily in combination with gemcitabine
- Dose reduction with severe reactions from CYP3A4 inhibitors
- Dose increase with CYP3A4 inducers or concurrent cigarette smoking
Interaction
- Interaction with coumarin-derived anticoagulants leading to increased INR and bleeding adverse reactions
- Metabolized predominantly by CYP3A4
- Co-treatment with CYP3A4 inhibitors increases AUC and Cmax
- Pre-treatment with CYP3A4 inducers decreases AUC
- Co-administration with drugs affecting gastric pH alters AUC
Side Effects
- Most common adverse reactions (20%): rash, diarrhea, anorexia, fatigue, dyspnea, cough, nausea, vomiting
- Serious adverse reactions may include interstitial lung disease, renal failure, hepatotoxicity, gastrointestinal perforation, bullous and exfoliative skin disorders, myocardial infarction/ischemia, cerebrovascular accident, ocular disorders, hemorrhage in patients taking warfarin
Pregnancy & Lactation
- Pregnancy category D
- Can cause fetal harm
- Unknown presence in human milk
- Consideration for discontinuation of nursing
Precautions & Warnings
- Occurrences of interstitial lung disease, renal failure, hepatotoxicity, gastrointestinal perforations, and bullous and exfoliative skin disorders
- Increased risk of myocardial infarction in patients with pancreatic cancer
Use in Special Populations
- Safety and effectiveness not established in pediatric patients
- No overall differences in safety or efficacy observed in subjects 65 years and older
Overdose Effects
- Single oral doses up to 1,000 mg in healthy subjects and weekly doses up to 1,600 mg in cancer patients tolerated
- Repeated doses above recommended may lead to severe adverse reactions
- In case of suspected overdose, withhold and institute symptomatic treatment
Storage Conditions
- Store at a temperature not exceeding 30°C
- Protect from light and moisture