Rizonib 250 mg (Capsule)
Unit Price: ৳ 750.00 (3 x 10: ৳ 22,500.00)
Strip Price: ৳ 7,500.00
Medicine Details
Category | Details |
---|---|
Generic | Crizotinib |
Company | Drug international ltd |
Indications
- Metastatic non-small cell lung cancer (NSCLC) with ALK-positive tumors
- Metastatic NSCLC with ROS1-positive tumors
Description
First FDA-approved biomarker-driven therapy for both ALK-positive and ROS1-positive metastatic NSCLC. Only FDA-approved drug for ROS1-positive NSCLC.
Pharmacology
- Mode of Action:
- Inhibitor of receptor tyrosine kinases including ALK, c-Met, ROS1, and RON
- Absorption: Median time to achieve peak concentration: 4 to 6 hours
- Distribution: Extensive distribution into tissues from plasma
- Metabolism: Predominantly metabolized by CYP3A4/5
- Elimination: Mean apparent plasma terminal half-life: 42 hours
Dosage & Administration
- Recommended Dose: 250 mg orally, twice daily
- Geriatric Use: No observed differences in safety or efficacy compared to younger patients
- Pediatric Dose: Safety and effectiveness not established
- Renal Impairment: 250 mg orally, once daily in severe renal impairment
- Hepatic Impairment: Caution advised in patients with hepatic impairment
Interaction
- CYP3A Inhibitors: Concurrent use should be avoided with strong CYP3A inhibitors
- CYP3A Inducers: Concurrent use should be avoided with strong CYP3A inducers
- CYP3A Substrates: Concurrent use should be avoided with CYP3A substrates with narrow therapeutic indices
Side Effects
- Vision disorders
- Nausea
- Diarrhea
- Vomiting
- Edema
- Constipation
- Elevated transaminases
- Fatigue
- Decreased appetite
- Upper respiratory infection
- Dizziness
- Neuropathy
Pregnancy & Lactation
- Pregnancy: Can cause fetal harm, effective contraception advised
- Lactation: Patients should not breastfeed during treatment and for 45 days after the final dose
Precautions & Warnings
- Hepatotoxicity monitoring
- Discontinue in patients with ILD/Pneumonitis
- Monitor for QT interval prolongation
- Regular monitoring for bradycardia
- Ophthalmological evaluation for severe visual loss
- Females of reproductive potential should be advised about the potential risk to a fetus
Therapeutic Class
- Targeted Cancer Therapy
Storage Conditions
Keep below 30°C temperature, away from light & moisture. Keep out of the reach of children