Lenva 10 mg (Capsule)

Unit Price: ৳ 1,750.00 (2 x 6: ৳ 21,000.00)
Strip Price: ৳ 10,500.00

Medicine Details

Category Details
Generic Lenvatinib mesylate
Company Beacon pharmaceuticals plc
Also available as

Indications

  • Differentiated Thyroid Cancer
  • Renal Cell Carcinoma
  • Hepatocellular Carcinoma
  • Endometrial Carcinoma

Pharmacology

  • Kinase inhibitor
  • VEGFR inhibition
  • FGFR inhibition
  • PDGFR inhibition
  • Antiproliferative activity

Absorption

Time to peak plasma concentration (Tmax) is 1 to 4 hours post-dose. Administration with a high-fat meal does not affect the extent of absorption.

Distribution

  • In vitro binding to human plasma proteins
  • Blood-to-plasma concentration ratio

Metabolism

  • Enzymatic and non-enzymatic processes
  • Identified metabolic pathways (CYP3A and aldehyde oxidase)

Elimination

Approximately 64% eliminated in the feces and 25% in the urine after a single administration

Dosage

  • Dose reduction for certain patients
  • Different recommended dosages for specific indications

Administration

  • Capsules can be swallowed whole or dissolved in liquid
  • Instructions for dissolving in liquid

Interaction

Lenva prolongs the QT/QTc interval. Avoid coadministration with drugs that prolong the QT interval

Contraindications

Contraindicated in patients with known hypersensitivity to Lenvatinib or any component of the formulation

Side Effects

  • Hypertension
  • Cardiac dysfunction
  • Arterial thromboembolic events
  • Hepatotoxicity
  • Renal failure and impairment
  • Diarrhea
  • Fistula formation and gastrointestinal perforation
  • QT Interval Prolongation
  • Hypocalcemia
  • Reversible posterior leukoencephalopathy syndrome
  • Hemorrhagic events
  • Impairment of thyroid stimulating hormone suppression/thyroid dysfunction
  • Wound healing complications

Pregnancy & Lactation

  • Potential embryo-fetal harm during pregnancy
  • Recommendation to use effective contraception
  • Discontinuation of breastfeeding during treatment with Lenvatinib

Precautions & Warnings

  • Hypertension monitoring and control
  • Monitoring for cardiac dysfunction
  • Monitoring for arterial thromboembolic events
  • Monitoring of liver function
  • Monitoring for renal failure or impairment
  • Monitoring for proteinuria
  • Management of diarrhea
  • Management of fistula formation and gastrointestinal perforation
  • Electrolyte abnormalities monitoring
  • Treatment of hypothyroidism
  • Wound healing precautions

Use in Special Populations

  • Dosage modifications for severe renal impairment
  • Dosage modifications for severe hepatic impairment
  • Pediatric use disclaimer

Overdose Effects

Not expected to be dialyzable due to high plasma protein binding. Death due to multiorgan dysfunction reported with a single dose of 120 mg orally

Storage Conditions

Store below 30°C in a dry place. Protect from light and keep out of the reach of children

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