Apit 40 mg (Tablet)

Unit Price: ৳ 35.00 (3 x 10: ৳ 1,050.00)
Strip Price: ৳ 350.00

Medicine Details

Indications

  • palliative treatment of advanced carcinoma of the breast
  • palliative treatment of advanced carcinoma of the endometrium
  • treatment of anorexia in AIDS patients
  • treatment of cachexia in AIDS patients
  • treatment of unexplained weight loss in cancer patients

Pharmacology

  • synthetic, antineoplastic and progestational drug
  • inhibition of pituitary gonadotrophin production
  • decrease in estrogen secretion
  • modifying the action of other steroid hormones
  • direct cytotoxic effect on tumor cells
  • estimates of plasma levels
  • peak plasma concentrations
  • plasma half-life
  • excretion in urine and faeces

Dosage & Administration

  • tablet dosage for breast cancer: 160 mg/day
  • tablet dosage for endometrial carcinoma: 40-320 mg/day in divided doses
  • adequate period for determining efficacy
  • oral suspension dosage: 800 mg/day (20 ml/day)

Interaction

  • lack of investigation into interactions with concomitant medications
  • potential for fluid retention with high dosages or prolonged use

Contraindications

  • history of hypersensitivity to Megestrol Acetate
  • history of hypersensitivity to any component of the formulation
  • known or suspected pregnancy

Side Effects

  • frequent side effect of weight gain
  • weight gain associated with increased appetite
  • thromboembolic phenomena including thrombophlebitis and pulmonary embolism
  • glucocorticoid effects
  • nausea
  • dyspnea
  • tumor flare
  • hyperglycemia
  • glucose intolerance
  • alopecia
  • hypertension
  • carpal tunnel syndrome
  • mood changes
  • hot flashes
  • malaise
  • asthenia
  • lethargy
  • sweating
  • rash

Pregnancy & Lactation

  • Pregnancy Category D
  • not recommended during the first four months of pregnancy
  • excretion in mother's milk
  • potential adverse effects on the newborn
  • discontinuation of nursing during treatment

Precautions & Warnings

  • close surveillance for recurrent or metastatic cancer patients
  • use with caution in patients with a history of thromboembolic disease
  • exacerbation of preexisting diabetes with increased insulin requirements

Use in Special Populations

  • safety and effectiveness not established in pediatric patients
  • insufficient data for patients 65 years and older

Overdose Effects

  • no serious unexpected side effects reported at dosages up to 1600 mg/day

Storage Conditions

  • store in a cool and dry place
  • store below 30°C
  • store away from light and moisture
  • keep out of reach of children

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