Erlomy 150mg (Erlotinib)

Erlotinib
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Erlomy 150mg (Erlotinib)

ManufacturerMylanBrand nameErlomyActive substanceErlotinibStrength150mgCategoryAnti CancerManufacturerMylan

Description  of  Erlomy 150mg (Erlotinib 150mg)

Erlomy 150mg (Erlotinib 150mg) tablets consist of active ingredients known as Erlotinib (Generic Tarceva), that is considered as quinazoline derivative and anti-cancer agents that responses as a protein kinase prohibitors for EGFR related to tyrosine kinase. Erlomy 150mg (Erlotinib 150mg) is majorly used in the treatment of non-small cell lung cancer and pancreatic carcinoma and also involved to treat various cancers. Erlomy 150mg (Erlotinib 150mg) is especially aimed the epidermal growth factor receptor tyrosine kinase.

INDICATIONS of  Erlomy 150mg (Erlotinib 150mg)

Non small cell lung cancer:
Erlomy 150mg (Erlotinib 150mg) is indicated as continuance therapy, in patients with long lasting or metastasis non small cell lung carcinoma, whose disease has not get advance after four cycles with platinum based first line therapy. Erlomy 150mg (Erlotinib 150mg) is used in this condition only after the failure of one prior chemotherapy regimen. No clinical advantages occur while using Erlomy 150mg (Erlotinib 150mg) with platinum based compounds like Carboplatin, gemcitabine or cisplatin.
Pancreatic cancer:
Erlomy 150mg (Erlotinib 150mg) (Erlotinib Hydrochloride) tablet is indicated for the treatment concurrently with gemcitabine, gemcitabine is a chemotherapy drug used to treat the cancer of ovary, breast, pancreas, bladder and non small cell lung cancer. Cisplatin is also a chemotherapic drug used for the treatment of various types of cancer.

MECHANISM OF ACTION  of  Erlomy 150mg (Erlotinib 150mg)

Erlomy 150mg (Erlotinib 150mg) has pharmacological effects like anti-neoplastic activity, which exhibits its action by inhibiting the intracellular phosphorylation of tyrosine kinase related with epidermal growth factor receptor. This EGFR is present on the surface of the tumor cells. Thus results as inhibition causes interfere with signal transduction and lead to cell lyses.

ADME of  Erlomy 150mg (Erlotinib 150mg)

The peak plasma concentration time reaches at 4 hours after drug intake After an oral administration of Erlomy 150mg (Erlotinib 150mg), causes 60% of oral bioavailability. Increased by meals to 100%. The solubility of Erlotinib is depends upon pH level. If solubility decreases then leads to increasing pH levels. Smoking should be avoided during the treatment with Erlomy 150mg (Erlotinib 150mg), causes decreasing the exposure of Erlotinib. The apparent volume of distribution of Erlotinib is 232L Human protein binding to Erlotinib is occurs as 93%. The metabolism of Erlotinib is occurs by CYP3A4 The route of elimination of Erlotinib metabolites occurs via; Feces: 83%; urine: 8% half life period of Erlotinib is 36.2 hours.

 SIDE EFFECTS  of  Erlomy 150mg (Erlotinib 150mg)

During the therapy, some undesirable effects like; Paronychia, Bullous, blistering and expoliative skin conditions like Stevens Johnson’s syndrome. Gastrointestinal perforation Hepatic failure occurs during monotherapy or combination with other chemotherapy agents Some common side effects: Diarrhea, Fatigue, Anorexia, Pruritus, Acne, Dermatitis, Dry skin, Loss of weight, Paronychia, Cough, Vomiting, Conjunctivitis, Keratoconjuctivities sicca, Abdominal pain, Stomatits, Infection, nausea, Bone pain, Alopecia, Anxiety, Neuropathy, Renal disorders, hepatic disorders, ocular disorders, skin, hair and nail disorders.          

 

PRECAUTIONS  of  Erlomy 150mg (Erlotinib 150mg)

 

Pulmonary toxicity: Interstitial lung disease and other pulmonary toxicity conditions, Avoid the treatment with Erlomy 150mg (Erlotinib 150mg) Renal failure: Frequent monitoring of renal function or serum electrolytes occurs or avoids the treatment. Bullous & exfoliative skin disorders Myocardial infarction or Ischemia Cerebrovascular accident Ocular disorder Elevation of bleeding while concurrent use with warfarin Hemolytic anemia or thrombocytopenia In pregnancy condition In all these condition, treatment using with Erlomy 150mg (Erlotinib 150mg) should be avoided. Hepatic failure: Hepatic function should be periodically monitored, or otherwise discontinue the therapy with Erlomy 150mg (Erlotinib 150mg). Gastro intestinal perforation: In this condition, discontinue the Erlomy 150mg (Erlotinib 150mg) therapy permanently. This condition is occurs due to concurrent use of Erlomy 150mg (Erlotinib 150mg) with NSAIDS, anti-angiogenic drugs, corticosteroids, taxane based chemotherapy or other drugs etc.

DRUG INTERACTION  of  Erlomy 150mg (Erlotinib 150mg)

Co administration of Erlomy 150mg (Erlotinib 150mg) with midazolam causes decreasing the AUC of CYP3A4 substrate. Drugs involved in alteration of pH levels causes variation in solubility of Erlotinib. Avoid concomitant use of gastric regulators with Erlomy 150mg (Erlotinib 150mg). Avoid concomitant use of warfarin with Erlomy 150mg (Erlotinib 150mg), causes increasing the bleeding condition. Co administration of Erlomy 150mg (Erlotinib 150mg) with CYP3A4 strong inhibitors like ketaconazole causes increasing Erlotinib exposure. Erlomy 150mg (Erlotinib 150mg) concomitant with statins drugs (lipid lowering drug), causes increasing the concentration of these drugs (rosuvastatin, simvastatin or atorvastatin). Erlomy 150mg (Erlotinib 150mg) concurrently used with ciprofloxacin, CYP3A4 & CYP1A2 inhibitor causes elevation of exposure of Erlotinib tablets. CYP3A4 strong inhibitors like itraconazole, grape fruit juice, rotonavir, indinavir etc CYP3A4 inducers concurrently used with Erlomy 150mg (Erlotinib 150mg) tablets causes decreasing the exposure of Erlotinib. CYP3A4inducers like, rifampin, rifampicin, carbamazepine, phenytoin etc Cigarette smoking is decreasing the AUC of Erlotinib.

OVERDOSAGE  of  Erlomy 150mg (Erlotinib 150mg)

In case of over dosage, Erlomy 150mg (Erlotinib 150mg) therapy should be postponed and symptomatic treatment should be recommended.

PREGNANCY  of Erlomy 150mg (Erlotinib 150mg)

 

Pregnancy category: D

Erlomy 150mg (Erlotinib 150mg) should not be used in pregnancy condition

LACTATION  of Erlomy 150mg (Erlotinib 150mg)

Breast feeding should not be suggested

DOSAGE of  Erlomy 150mg (Erlotinib 150mg)

The usual recommended dosage of Erlomy 150mg (Erlotinib 150mg) is 150mg should be administered as a single dose by taking in an empty stomach for at least one hour earlier or two hours after intake of food. Therapy with Erlomy 150mg (Erlotinib 150mg) should be continued until the disease advanced or undesirable toxicity occurs. It is not confirmed that the advancement after the therapy is beneficial or not.
In pancreatic cancer:
The daily usual recommended dosage of Erlomy 150mg (Erlotinib 150mg) in pancreatic carcinoma is 100mg should be taken on an empty stomach as a single dose. In this condition Erlomy 150mg (Erlotinib 150mg) is combined with gemcitabine.
Dosage adjustment:
In case of patients suffered with pulmonary symptoms like dyspnea, fever, cough, or any other conditions, Erlomy 150mg (Erlotinib 150mg) treatment should be discontinued. In interstitial lung disease: To avoid the Erlomy 150mg (Erlotinib 150mg) therapy. In case of gastrointestinal perforation or hepatic failure: Post pone or discontinue the Erlomy 150mg (Erlotinib 150mg) treatment. If diarrhea occurs during the therapy, substitute with loperamide for managing this condition. If dosage reduction is necessary then the dose of Erlomy 150mg (Erlotinib 150mg) reduced into 50mg. Dose reduction is essential in the condition, while concomitant of Erlomy 150mg (Erlotinib 150mg) with strong CYP3A4 inhibitors like atazanavir, clarithromycin, indinavir, itraconazole, ketaconazole, voriconazole, grape fruit juice etc. Dosage elevation occurs in case of concurrent use of Erlomy 150mg (Erlotinib 150mg) with strong CYP3A4 inducers like rifampin, rifampicin, anti-convulsants etc. The dosage should be increased by 50mg. In chain smoking conditions, increase the dose of Erlotinib into 50mg at two intervals to higher dose of 300mg. Then the dose is suddenly reduced to 100mg or 150mg in discontinuation of smoking. Erlomy 150mg (Erlotinib 150mg) should not be administered with gastric regulators drug, like proton pump inhibitors or H2 receptor antagonist. In H2 receptors antagonist: Administer Erlomy 150mg (Erlotinib 150mg) at least 10 hours after or 2 hours before H2 receptors antagonist. In proton pump inhibitors: Do not use concurrently if possible.


STORAGE  of  Erlomy 150mg (Erlotinib 150mg)

Erlomy 150mg (Erlotinib 150mg) tablets should be stored at 25℃ (77℉). Protect from light, heat & moisture


MISSED DOSE of  Erlomy 150mg (Erlotinib 150mg)

In case of missed dose, patients must consult with medical oncologist and follow the regular dosing schedule.

Brand name:
Erlomy
Active substance:
Erlotinib
Strength:
150mg
Category:
Anti Cancer
Manufacturer:
Mylan
Packaging:
30 Tablet
Product form:
Tablet

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