Tyrokin 100 mg (Tablet)

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

Medicine Details

Category Details
Generic Imatinib mesylate
Company Renata limited
Also available as

Indications

  • Treatment for Philadelphia chromosome positive chronic myeloid leukemia (Ph+CML)
  • Treatment for Philadelphia chromosome positive acute lymphoblastic leukemia (Ph+ALL)
  • Treatment for myelodysplastic/myeloproliferative diseases
  • Treatment for aggressive systemic mastocytosis
  • Treatment for hypereosinophilic syndrome and chronic eosinophilic leukemia
  • Treatment for dermatofibrosarcoma protuberans
  • Adjuvant treatment for GIST after resection
  • Adjuvant treatment for unresectable GIST
  • Reduction of fluid retention and edema
  • Management of hemorrhage and gastrointestinal disorders

Pharmacology

  • Inhibition of Bcr-Abl tyrosine kinase
  • Inhibition of receptor tyrosine kinases: Kit, PDGFR-alpha, PDGFR-beta, DDR1 and DDR2
  • High oral bioavailability
  • Metabolism by CYP3A4 enzyme
  • Predominant elimination in feces
  • Plasma protein binding

Dosage & Administration

  • Dosage for adults with Ph+ CML CP, AP, BC, ALL, MDS/MPD, ASM, HES/CEL, DFSP, and GIST
  • Dosing with a meal and large glass of water
  • Dissolving in water or apple juice for patients with swallowing difficulties
  • Administration with a reduced iron exposure

Interaction

  • Interaction with agents inducing or inhibiting CYP3A metabolism
  • Interaction with drugs metabolized by CYP3A4 and CYP2D6
  • Caution with CYP3A4 substrates with narrow therapeutic window

Side Effects

  • Fluid retention and edema
  • Hematologic toxicity
  • Cardiac toxicities
  • Hepatotoxicity
  • Hemorrhage and gastrointestinal disorders
  • Dermatologic toxicities
  • Hypothyroidism
  • Growth retardation in children and adolescents

Pregnancy & Lactation

  • Necessity of effective contraception during treatment
  • Limited data on use in pregnant women
  • Reproductive toxicity in animal studies
  • Distribution into human milk
  • Unknown effects on infant from low-dose exposure

Precautions & Warnings

  • Regular weighing for edema management
  • Monitoring of cytopenias
  • Monitoring of cardiac function and risk factors
  • Assessment of liver function
  • Management of hemorrhage and cardiogenic shock
  • Monitoring of growth in children and pre-adolescents
  • Caution with driving and machinery operation

Overdose Effects

  • Reported symptoms in adult and pediatric populations
  • Observation and symptomatic treatment in case of overdose

Therapeutic Class

  • Targeted Cancer Therapy
  • Tyrosine Kinase Inhibitor

Storage Conditions

  • Storage temperature below 30°C
  • Storage in a cool, dry place
  • Protection from light
  • Keep out of the reach of children

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