Paribac 100 mg (Capsule)

Medicine Details

Category Details
Generic Niraparib
Company Ziska pharmaceuticals ltd
Also available as

Indications

  • Maintenance treatment
  • Recurrent epithelial ovarian cancer
  • Fallopian tube cancer
  • Primary peritoneal cancer
  • Platinum-based chemotherapy response

Pharmacology

  • PARP-1 enzyme inhibitor
  • PARP-2 enzyme inhibitor
  • DNA repair
  • Cytotoxicity induction
  • BRCA1/2 deficiency sensitivity
  • Metabolism by carboxylesterases
  • Glucuronidation
  • Bioavailability
  • Plasma protein binding
  • Volume of distribution
  • Half-life
  • Clearance
  • Excretion in urine and feces

Dosage & Administration

  • Recommended daily dose of 300mg
  • Oral administration
  • Three 100mg capsules
  • Same time daily dosing
  • Swallow whole
  • With or without food
  • Start within 8 weeks after platinum-based regimen
  • Continue until disease progression or unacceptable toxicity

Interaction

  • CYP enzyme inhibition
  • CYP3A4 caution
  • CYP1A2 induction caution

Contraindications

  • Hypersensitivity to active substance or excipients
  • Breastfeeding

Side Effects

  • Nausea
  • Thrombocytopenia
  • Fatigue/asthenia
  • Anemia
  • Constipation
  • Vomiting
  • Abdominal pain
  • Neutropenia
  • Insomnia
  • Headache
  • Decreased appetite
  • Nasopharyngitis
  • Diarrhea
  • Dyspnea
  • Hypertension
  • Dyspepsia
  • Back pain
  • Dizziness
  • Cough
  • Urinary tract infection
  • Arthralgia
  • Palpitations
  • Dysgeusia

Pregnancy & Lactation

  • Pregnancy test before treatment
  • Contraception during therapy
  • Not for use during pregnancy
  • Breastfeeding contraindicated
  • Potential embryonic/fetal harm
  • Reversible reduction of spermatogenesis

Precautions & Warnings

  • Myelodysplastic syndrome/acute myeloid leukemia risk
  • Hypertension risk
  • Pregnancy/contraception precautions
  • Lactose intolerance caution
  • Tartrazine allergy caution

Use in Special Populations

  • No dose adjustment for elderly patients
  • Limited data for patients over 75 years old
  • Not established for children and adolescents
  • No data for patients with severe renal impairment or end-stage renal disease undergoing hemodialysis
  • Caution in patients with severe hepatic impairment

Overdose Effects

  • No specific treatment
  • Supportive and symptomatic treatment

Therapeutic Class

  • Cytotoxic Chemotherapy

Storage Conditions

  • Store in cool and dry place
  • Do not expose to temperatures above 30°C or 86°F
  • Keep out of reach of children

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