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

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