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

Related Brands