Mabic 20 mg (Tablet)

Unit Price: ৳ 80.00 (3 x 10: ৳ 2,400.00)
Strip Price: ৳ 800.00

Medicine Details

Category Details
Generic Dasatinib
Company Genvio pharma ltd
Also available as

Indications

  • Treatment of newly diagnosed Philadelphia chromosome-positive (Ph+) chronic myeloid leukemia (CML) in chronic phase
  • Treatment of chronic, accelerated, or myeloid or lymphoid blast phase Ph+ CML with resistance or intolerance to prior therapy including Imatinib
  • Treatment of Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph+ ALL) with resistance or intolerance to prior therapy
  • Treatment of pediatric patients 1 year of age and older with Ph+ CML in chronic phase
  • Treatment of newly diagnosed Ph+ ALL in combination with chemotherapy

Pharmacology

  • Inhibition of BCR-ABL, SRC family (SRC, LCK, YES, FYN), c-KIT, EPHA2, and PDGFRβ kinases
  • Ability to bind to multiple conformations of the ABL kinase
  • Activity in leukemic cell lines representing variants of imatinib mesylate-sensitive and resistant disease
  • Inhibition of the growth of chronic myeloid leukemia (CML) and acute lymphoblastic leukemia (ALL) cell lines overexpressing BCR-ABL
  • Predicted absorption pattern with maximum plasma concentrations observed between 0.5 to 6 hours following oral administration
  • Apparent volume of distribution of 2505 with 96% binding to human plasma proteins
  • Metabolism primarily by CYP3A4 with active metabolite representing approximately 5% of the AUC of Dasatinib
  • Excretion primarily via the feces, with 4% of administered radioactivity recovered in the urine

Dosage & Administration

  • Recommended starting dosage of 100 mg for chronic phase CML in adults, and 140 mg for accelerated phase CML, myeloid or lymphoid blast phase CML, or Ph+ ALL in adults
  • Dosage based on body weight for pediatric patients, with recommended doses of 40 mg to 100 mg
  • Administration with or without food, either in the morning or in the evening
  • Tablets should not be crushed, cut, or chewed; they should be swallowed whole

Interaction

  • Coadministration with strong CYP3A inhibitors may increase Mabic concentrations
  • Coadministration with strong CYP3A4 inducers may decrease Mabic concentrations
  • Coadministration with gastric acid reducing agents may decrease the concentrations of Mabic

Contraindications

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

Side Effects

  • Myelosuppression
  • Bleeding-related events
  • Fluid retention
  • Cardiovascular events
  • Pulmonary arterial hypertension
  • QT prolongation
  • Severe dermatologic reactions
  • Tumor lysis syndrome
  • Effects on growth and development in pediatric patients

Pregnancy & Lactation

  • Potential to cause fetal harm when administered to a pregnant woman
  • Females of reproductive potential advised to avoid pregnancy during treatment with Dasatinib
  • Breastfeeding not recommended during treatment with Dasatinib and for 2 weeks after the final dose

Precautions & Warnings

  • Severe (NCT CTCAE Grade 3 or 4) thrombocytopenia, neutropenia, and anemia
  • Bleeding-related events
  • Fluid retention
  • Cardiovascular events
  • Pulmonary arterial hypertension
  • QT prolongation
  • Severe dermatologic reactions
  • Tumor lysis syndrome

Overdose Effects

  • Limited experience with overdose, severe myelosuppression and bleeding reported in isolated cases

Therapeutic Class

  • Targeted Cancer Therapy

Storage Conditions

  • Store below 30°C in a dry place
  • Protect from light
  • Keep out of the reach of children

Related Brands