البلد: إسرائيل
اللغة: الإنجليزية
المصدر: Ministry of Health
NETUPITANT; PALONOSETRON AS HYDROCHLORIDE
RAFA LABORATORIES LTD
A04AA55
CAPSULES
NETUPITANT 300 MG; PALONOSETRON AS HYDROCHLORIDE 0.50 MG
PER OS
Required
HELSINN BIREX PHARMACEUTICALS, LTD., IRELAND
PALONOSETRON, COMBINATIONS
Prevention of Acute and delayed nausea and vomiting associated with initial and repeat courses of cancer chemotherapy, including, but not limited to, highly emetogenic chemotherapy.
2021-03-31
PATIENT LEAFLET ACCORDING TO THE PHARMACISTS' REGULATIONS (PREPARATIONS) - 1986 This medicine is sold with a doctor's prescription only. AKYNZEO CAPSULES ACTIVE INGREDIENTS: Each capsule contains 300 mg of netupitant and 0.5 mg of palonosetron as hydrochloride salt. For the list of the other ingredients, see section 6. See also 'Important information about some of the medicine's ingredients' in section 2. READ THIS ENTIRE LEAFLET CAREFULLY BEFORE USING THE MEDICINE. This leaflet contains concise information about the medicine. If you have any further questions, please refer to your doctor or pharmacist. This medicine was prescribed for treating your condition. Do not pass it on to others. It may harm them, even if you think their medical condition is similar to yours. 1. WHAT IS THE MEDICINE INTENDED FOR? The medicine is intended for prevention of nausea and vomiting as an immediate or delayed result of chemotherapy. THERAPEUTIC GROUP: Anti-nausea and vomiting agents: Netupitant – blocks substance P from binding to neurokinin 1 (NK-1) receptor, Palonosetron – blocking serotonin (5-HT 3 ) receptor. By blocking the activity of substance P and serotonin, the medicine prevents stimulation of the vomiting center and as a result, also the feeling of nausea. 2. BEFORE USING THE MEDICINE DO NOT USE THE MEDICINE IF: • You are sensitive (allergic) to the active ingredients or to any of the other ingredients the medicine contains (for a list of the other ingredients, see section 6). • You are pregnant. SPECIAL WARNINGS REGARDING THE USE OF THIS MEDICINE: BEFORE TREATMENT WITH THE MEDICINE TELL YOUR DOCTOR IF: • You suffer from liver problems. • You suffer from bowel obstruction or have suffered in the past from constipation. • You or someone in your family suffer or have suffered in the past from a heart problem called QT interval prolongation, or if you suffer from any other heart problem. • You suffer from imbalance of salts (electrolytes) in your blood (e.g. potassium or magnesium). USE IN CHILDREN: There اقرأ الوثيقة كاملة
1 1. NAME OF THE MEDICINAL PRODUCT Akynzeo 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Each capsule contains 300 mg of netupitant, and 0.56 mg palonosetron hydrochloride equivalent to 0.5 mg of palonosetron. Excipients with known effect: Each capsule contains 7 mg of sorbitol and 20 mg of sucrose. For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Hard capsule. Opaque gelatin capsule with white body and caramel cap with “HE1” printed on the body. The hard capsule is filled with three tablets and one soft capsule. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Akynzeo is indicated for the prevention of acute and delayed nausea and vomiting associated with initial and repeat courses of cancer chemotherapy, including, but not limited to, highly emetogenic chemotherapy. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Posology _Adults _ One 300 mg / 0.5 mg capsule should be administered approximately one hour prior to the start of each chemotherapy cycle. The recommended oral dexamethasone dose should be reduced by approximately 50 % when co- administered with netupitant/palonosetron capsules (see section 4.5 and clinical studies administration schedule in section 5.1). Special populations _Elderly people_ No dosage adjustment is necessary for elderly patients. Caution should be exercised when using this medicinal product in patients over 75 years, due to the long half-life of the active substances and the limited experience in this population. _ _ _ _ _ _ 2 _ _ _Renal impairment _ Dosage adjustment is not considered necessary in patients with mild to severe renal impairment. Renal excretion for netupitant is negligible. Mild to moderate renal impairment does not significantly affect palonosetron pharmacokinetic parameters. Total systemic exposure to intravenous palonosetron increased by approximately 28% in severe renal impairment relative to healthy subjects. The pharmacokinetics of palonosetron or netupitant has not been studied in subjects with end-stage renal disease requiring hemodialysi اقرأ الوثيقة كاملة