Megenox 200 mg/5 ml (Oral Suspension)

100 ml bottle: ৳ 500.00

Medicine Details

Category Details
Generic Megestrol acetate
Company Acme laboratories ltd
Also available as

Indications

  • Palliative treatment of advanced carcinoma of the breast
  • Palliative treatment of advanced carcinoma of the endometrium
  • Treatment of anorexia
  • Treatment of cachexia
  • Treatment of unexplained significant weight loss in patients with AIDS
  • Treatment of unexplained significant weight loss in patients with cancer

Pharmacology

  • Synthetic, antineoplastic and progestational drug
  • Inhibition of pituitary gonadotrophin production
  • Decrease in estrogen secretion
  • Modification of action of other steroid hormones
  • Direct cytotoxic effect on tumor cells
  • Estrogen secretion
  • Plasma levels measurement method dependent
  • Peak plasma concentrations 2 to 3 hours after a single oral dose
  • Plasma half-life of 33 to 38 hours

Dosage & Administration

  • 160 mg/day for breast cancer
  • 40-320 mg/day in divided doses for endometrial carcinoma
  • At least 2 months of continuous treatment for efficacy determination
  • Recommended adult initial dosage of 800 mg/day (20 ml/day) for oral suspension

Interaction

  • Possible interactions with concomitant medications
  • Fluid retention caution with high dosages or prolonged periods

Contraindications

  • Hypersensitivity to Megestrol Acetate or any component of the formulation
  • Known or suspected pregnancy

Side Effects

  • Weight gain
  • Increased appetite
  • Thromboembolic phenomena including thrombophlebitis and pulmonary embolism
  • Glucocorticoid effects
  • Nausea
  • Dyspnea
  • 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
  • Small amounts excreted in mother's milk
  • Potential adverse effects on the newborn

Precautions & Warnings

  • Close surveillance for recurrent or metastatic cancer patients
  • Use 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 up to 1600 mg/day

Storage Conditions

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

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