Nchi: Malesia
Lugha: Kiingereza
Chanzo: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
Gefitinib
CIPLA MALAYSIA SDN BHD
Gefitinib
3 x 10 Tablets
CIPLA LTD
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP) _ GEFTICIP 250 (GEFITINIB TABLETS 250 MG) GEFITINIB (250MG)_ _ 1 WHAT IS IN THIS LEAFLET 1. What Gefticip is used for 2. How Gefticip works 3. Before you use Gefticip 4. How to use Gefticip 5. While you are using it 6. Side effects 7. Storage & Disposal of Gefticip 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of Revision 11. Serial Number WHAT GEFTICIP IS USED FOR Gefticip is used to treat advanced non-small cell lung cancer, which is one type of lung cancer. HOW GEFTICIP WORKS Gefticip contains the active substance gefitinib which blocks a protein called ‘epidermal growth factor receptor’ (EGFR). This protein is involved in the growth and spread of cancer cells. BEFORE YOU USE GEFTICIP - _When you must not use it _ Do not take Gefticip if you are allergic to gefitinib or any of the other ingredients of Gefticip, listed at the end of this leaflet. If you think you may be allergic, ask your doctor for advice. Gefticip is not recommended for use in children or adolescents. - _Before you start to use it _ Before taking Gefticip: • Tell your doctor if you have or have had any other lung diseases, other than your lung cancer. Some of them may worsen during treatment with Gefticip. • Tell your doctor if you are pregnant or trying to become pregnant. You should avoid becoming pregnant during treatment with Gefticip. • Tell your doctor if you are breast- feeding. For the safety of your baby, you should discontinue breast- feeding during treatment with Gefticip. - _Taking other medicines _ PLEASE INFORM YOUR DOCTOR if you are taking or have taken any medicines (including medicines taken some time ago), even those not prescribed. Your doctor especially needs to know: • if you take any of the following medicines: phenytoin, carbamazepine, rifampicin, barbiturates, St John’s Wort or itraconazole, or any medicines that reduce the acidity on your stomach, such as ranitidine. These medicines may affect the way Gefticip works. • i Soma hati kamili
_For the use of a Registered Medical Practitioner or a Hospital or a Laboratory only _ _OR_ _for Specialist Use _ _only_ GEFTICIP 250 Gefitinib Tablets 250 mg COMPOSITION Each film coated tablet contains: Gefitinib BP/Ph. Eur …250 mg Colour – Titanium dioxide, Iron Oxide Red and Iron oxide Yellow Excipient with known effect: Lactose DOSAGE FORM Tablet PRODUCT DESCRIPTION Round, biconvex, brown, film coated tablets debossed with “C” on one side and plain on the other side. PHARMACOLOGY _PHARMACODYNAMICS _ ATC Classification _ _ L01XE02 - gefitinib; Belongs to the class of protein kinase inhibitors, other antineoplastic agents. Used in the treatment of cancer. Gefitinib is a selective inhibitor of the epidermal growth factor receptor (EGFR) tyrosine kinase, commonly expressed in solid human tumours of epithelial origin. Inhibition of EGFR tyrosine kinase activity inhibits tumour growth, metastasis and angiogenesis and increases tumour cell apoptosis. Patients that have never smoked, have adenocarcinoma histology, are female gender or are of Asian ethnicity, are more like to benefit from treatment with gefitinib. These clinical characteristics are also associated with a higher rate of EGFR mutation positive tumours. _PHARMACOKINETICS_ Following intravenous administration, gefitinib is rapidly cleared, extensively distributed and has a mean elimination half-life of 48 hours. Following oral dosing in cancer patients, absorption is moderately slow and the mean terminal half-life is 41 hours. Administration of gefitinib once daily results in 2 to 8-fold accumulation with steady state exposures achieved after 7 to 10 doses. At steady state, circulating plasma concentrations are typically maintained within a 2 to 3- fold range over the 24-hour dosing interval. Absorption Following oral administration of gefitinib, peak plasma concentrations of gefitinib typically occur at 3 to 7 hours after dosing. Mean absolute bioavailability is 59% in cancer patients. Exposure to gefitinib is not significantly altered by food. Soma hati kamili