Lorbrexen 100 mg (Tablet)
Unit Price: ৳ 3,200.00 (1 x 30: ৳ 96,000.00)
Strip Price: ৳ 96,000.00
Medicine Details
Category | Details |
---|---|
Generic | Lorlatinib |
Company | Everest pharmaceuticals ltd |
Indications
- Treatment of adult patients with ALK-positive advanced non-small cell lung cancer
- Treatment after progression on other ALK inhibitor therapies
- Monotherapy for adult patients
Pharmacology
- Kinase inhibitor targeting ALK and ROS1
- Inhibitor of TYK1, FER, FPS, TRK family, FAK, FAK2, and ACK
- Activity against multiple mutant forms of the ALK enzyme
- In vitro and in vivo antitumor activity
Dosage & Administration
- Recommended dose of 100mg orally once daily
- Dosing interruption or dose reduction may be required based on safety and tolerability
Interaction
- CYP3A4/5 time-dependent inhibitor and inducer
- Potential to inhibit CYP2C9 and induce CYP2B6
- Inhibition of drug transporters such as P-gp and BCRP
Contraindications
- Hypersensitivity to Lorlatinib
- Concomitant use of strong CYP3A4/5 inducers
Side Effects
- Hypercholesterolaemia
- Hypertriglyceridaemia
- Peripheral neuropathy
- Cognitive effects
- Fatigue
- Weight increased
- Mood effects
Pregnancy & Lactation
- Contraception requirements for women of childbearing potential
- Embryo-fetal toxicity in animal studies
- Unknown excretion in human milk
- Potential impact on male fertility
Precautions & Warnings
- Hyperlipidaemia monitoring and management
- Central nervous system effects
- Atrioventricular block monitoring
- Left ventricular ejection fraction decrease risk
- Lipase and amylase increase monitoring
- Interstitial lung disease/pneumonitis risk
- Drug-drug interaction precautions
Use in Special Populations
- No dose recommendation for elderly (≥65 years)
- No dose adjustment needed for mild or moderate renal impairment
- Not recommended in severe renal impairment or moderate to severe hepatic impairment
- Safety and efficacy not established in pediatric patients
Overdose Effects
- Treatment with general supportive measures
- ECG monitoring recommended
Therapeutic Class
- Cytotoxic Chemotherapy
Storage Conditions
- Store below 30°C
- Protect from moisture and light
- Keep out of reach of children