Land: Maleisië
Taal: Engels
Bron: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
Apalutamide
JOHNSON & JOHNSON SDN. BHD.
Apalutamide
120 Tablets
Janssen Ortho LLC
ERLEADA ® FILM-COATED TABLETS Apalutamide (60mg) 1 _CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ WHAT IS IN THIS LEAFLET 1. What ERLEADA ® is used for 2. How ERLEADA ® works 3. Before you use ERLEADA ® 4. How to use ERLEADA ® 5. While you are using it 6. Side effects 7. Storage and disposal of ERLEADA ® 8. Product description 9. Manufacturer and product registration holder 10. Date of revision WHAT ERLEADA ® IS USED FOR ERLEADA ® is used to treat adult men patients with prostate cancer that: • has spread to other parts of the body and still responds to medical or surgical treatments that lower testosterone (also called hormone-sensitive prostate cancer). • has not spread to other parts of the body and no longer responds to medical or surgical treatment that lowers testosterone (also called castration-resistant prostate cancer). HOW ERLEADA ® WORKS ERLEADA ® contains the active substance apalutamide. ERLEADA ® works by blocking the activity of hormones called androgens (such as testosterone). Androgens can cause the cancer to grow. By blocking the effect of androgens, apalutamide stops prostate cancer from growing and dividing. BEFORE YOU USE ERLEADA ® - _When you must not use it _ Do not take ERLEADA ® if you are allergic to apalutamide or any of the other ingredients of this medicine (listed in Product Description) _Woman, infants, and children_ ERLEADA ® is not for use in women and children under 18 years of age. _ _ _Pregnancy _ ERLEADA ® may harm your unborn baby. Do not take ERLEADA ® if you are pregnant or may become pregnant. _Breastfeeding_ It is unknown whether apalutamide/ metabolites are excreted in human milk. A risk to the suckling child cannot be excluded. ERLEADA ® should not be used during breastfeeding. _Fertility _ ERLEADA ® may impair fertility in males. _Contraception_ If you are having sex with a pregnant woman – use a condom to protect the unborn baby. If you are having sex with a woman who can become pregnant – use a condom and another highly effective method o Lees het volledige document
1. NAME OF THE MEDICINAL PRODUCT ERLEADA _®_ (apalutamide) 60mg Film-Coated Tablets 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Each film-coated tablet contains 60 mg of apalutamide. For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Film-coated tablet (tablet). Slightly yellowish to greyish green, oblong-shaped, film-coated tablets (16.7 mm long x 8.7 mm wide), debossed with “AR 60” on one side. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS ERLEADA _®_ is indicated: • in adult men for the treatment of non-metastatic castration-resistant prostate cancer (nmCRPC) who are at high risk of developing metastatic disease (see section 5.1). • in adult men for the treatment of metastatic hormone-sensitive prostate cancer (mHSPC) in combination with androgen deprivation therapy (ADT) (see section 5.1). 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Treatment with apalutamide should be initiated and supervised by specialist physicians experienced in the medical treatment of prostate cancer. Posology The recommended dose is 240 mg (four 60 mg tablets) as an oral single daily dose. Medical castration with gonadotropin releasing hormone analogue (GnRHa) should be continued during treatment in patients not surgically castrated. If a dose is missed, it should be taken as soon as possible on the same day with a return to the normal schedule the following day. Extra tablets should not be taken to make up the missed dose. If a ≥ Grade 3 toxicity or an intolerable adverse reaction is experienced by the patient, dosing should be held rather than permanently discontinuing treatment until symptoms improve to ≤ Grade 1 or original grade, then should be resumed at the same dose or a reduced dose (180 mg or 120 mg), if warranted. If the toxicity recurs at Grade 3 or higher, then the dose of apalutamide should be reduced to the next lower dose level (from 240 mg to 180 mg, and from 180 mg to 120 mg). A maximum of 2 dose level reductions (to 120 mg) is allowed. If further dose reductions are needed, apa Lees het volledige document