Ibakin 100 mg (Tablet)

Unit Price: ৳ 100.00 (3 x 10: ৳ 3,000.00)
Strip Price: ৳ 1,000.00

Medicine Details

Category Details
Generic Imatinib mesylate
Company Genvio pharma ltd
Also available as

Indications

  • Treats newly diagnosed Philadelphia chromosome positive chronic myeloid leukemia in adults and pediatric patients
  • Effective for Philadelphia chromosome positive chronic myeloid leukemia in blast crisis, accelerated phase, or in chronic phase after interferon-alpha therapy failure
  • Used for relapsed or refractory Philadelphia chromosome positive acute lymphoblastic leukemia in adults
  • Treatment for hypereosinophilic syndrome and/or chronic eosinophilic leukemia with FIP1L1-PDGFR a fusion kinase
  • Indicated for unresectable, recurrent, and/or metastatic dermatofibrosarcoma protuberans
  • Appropriate for patients with aggressive systemic mastocytosis without the D816V c-Kit mutation
  • Adjuvant treatment post-complete gross resection of Kit positive gastrointestinal stromal tumors
  • Suitable for pediatric patients with newly diagnosed Philadelphia chromosome positive acute lymphoblastic leukemia
  • Treats myelodysplastic/myeloproliferative diseases associated with platelet-derived growth factor receptor gene rearrangements
  • Effective for patients with Kit positive unresectable and/or metastatic malignant gastrointestinal stromal tumors

Pharmacology

  • A small molecule protein-tyrosine kinase inhibitor
  • Potently inhibits the activity of the Bcr-Abl tyrosine kinase and several receptor tyrosine kinases
  • Inhibits cellular events mediated by activation of receptor kinases
  • Well absorbed after oral administration with Cmax achieved within 2-4 hours post-dose
  • Mean absolute bioavailability is 98%
  • Metabolized by CYP3A4 with minor role played by other cytochrome P450 enzymes
  • Predominantly excreted in feces, mostly as metabolites
  • Elimination half-lives of Imatinib and its major active metabolite are approximately 18 and 40 hours, respectively

Dosage & Administration

  • 400 mg/day for adults with Philadelphia chromosome positive chronic myeloid leukemia in chronic phase
  • 600 mg/day for adults with Philadelphia chromosome positive chronic myeloid leukemia in accelerated phase or blast crisis
  • 340 mg/m2/day for pediatrics with Philadelphia chromosome positive chronic myeloid leukemia in chronic phase
  • 600 mg/day for adults with Philadelphia chromosome positive acute lymphoblastic leukemia
  • 340 mg/m2/day for pediatrics with Philadelphia chromosome positive acute lymphoblastic leukemia
  • 400 mg/day for adults with myelodysplastic/myeloproliferative diseases
  • 100 mg/day or 400 mg/day for adults with aggressive systemic mastocytosis
  • 100 mg/day or 400 mg/day for adults with hypereosinophilic syndrome and/or chronic eosinophilic leukemia
  • 800 mg/day for adults with unresectable, recurrent, and/or metastatic dermatofibrosarcoma protuberans
  • 400 mg/day for patients with Kit positive unresectable and/or metastatic malignant gastrointestinal stromal tumors
  • 400 mg/day for adjuvant treatment of adults following complete gross resection of Kit positive gastrointestinal stromal tumors
  • Doses should be taken with food and a large glass of water

Interaction

  • Concomitant administration with CYP3A4 inducers may reduce total exposure of imatinib
  • Concomitant administration with CYP3A4 inhibitors may result in significant imatinib exposure increase
  • Potential increase in plasma concentrations of drugs metabolized by CYP3A4
  • Use caution when administering with CYP3A4 substrates that have a narrow therapeutic window
  • Use caution when administering with CYP2D6 substrates that have a narrow therapeutic window

Side Effects

  • Fluid retention and edema
  • Hematologic toxicity
  • Congestive heart failure and left ventricular dysfunction
  • Hepatotoxicity
  • Hemorrhage
  • Gastrointestinal disorders
  • Hypothyroidism
  • Growth retardation in children and adolescents
  • Tumor lysis syndrome
  • Impairments related to driving and using machinery
  • Renal toxicity

Pregnancy & Lactation

  • Women of childbearing potential must use effective contraception during treatment and for at least 15 days after stopping treatment
  • Limited data on the use of imatinib in pregnant women, with potential risk to the fetus
  • Limited information on imatinib distribution in human milk, caution advised for breastfeeding
  • Effects on fertility and gametogenesis have not been fully studied

Precautions & Warnings

  • Edema and severe fluid retention
  • Cytopenias, particularly anemia, neutropenia, and thrombocytopenia
  • Severe congestive heart failure and left ventricular dysfunction
  • Severe hepatotoxicity
  • Grade 3/4 hemorrhage and gastrointestinal perforations
  • Cardiogenic shock/left ventricular dysfunction
  • Bullous dermatologic reactions
  • Hypothyroidism
  • Fetal harm, growth retardation in children and pre-adolescents
  • Tumor lysis syndrome, impairments related to driving and using machinery
  • Renal toxicity

Overdose Effects

  • Experience with doses higher than the recommended therapeutic dose is limited
  • Symptomatic treatment may be given in the event of overdose
  • Reported events include nausea, vomiting, diarrhea, rash, edema, and more
  • Appropriate supportive treatment should be given in case of overdose

Therapeutic Class

  • Targeted Cancer Therapy
  • Tyrosine Kinase Inhibitor

Storage Conditions

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

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