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

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