Name: Cytogem - IV Infusion 1gm vial/pcs
Brand: Drug International Ltd
SKU: Cytogem - IV Infusion 1gm vial
Price: 4500.00 BDT
Availability: InStock

Indications

Ovarian Cancer: Gemcitabine in combination with carboplatin is indicated for the treatment of patients with advanced ovarian cancer that has relapsed at least 6 months after completion of platinum-based therapy.

Breast Cancer: Gemcitabine in combination with paclitaxel is indicated for the first-line treatment of patients with metastatic breast cancer after failure of prior anthracycline-containing adjuvant chemotherapy, unless anthracyclines were clinically contraindicated.

Non-Small Cell Lung Cancer: Gemcitabine is indicated in combination with cisplatin for the first-line treatment of patients with inoperable, locally advanced (Stage IIIA or IIIB), or metastatic (Stage IV) non-small cell lung cancer.

Pancreatic Cancer: Gemcitabine is indicated as first-line treatment for patients with locally advanced (nonresectable Stage II or Stage III) or metastatic (Stage IV) adenocarcinoma of the pancreas. Gemcitabine is indicated for patients previously treated with 5-FU.

Dosage & Administration

Intravenous (Adult)-

Advanced non-small cell lung cancer: 1000 mg/m² on days 1, 8 and 15 of each 28-day cycle; or 1250 mg/m² on days 1 and 8 of each 21-day cycle.
Pancreatic carcinoma: 1000 mg/m² once wkly for up to 7 wk followed by 1 wk of rest. Continue thereafter with once wkly infusions for 3 consecutive wk out of 4.
Ovarian carcinoma: To be given before carboplatin: 1000 mg/m² on days 1 and 8 of each 21-day cycle.
Breast cancer: Usually in combination with a taxane such as paclitaxel: 1250 mg/m² on days 1 and 8 of each 21-day cycle.
Bladder cancer: To be given before cisplatin. 1000 mg/m² on days 1, 8 and 15 of each 28-day cycle.

Side Effects

Bone marrow suppression as manifested by leukopenia, thrombocytopenia, anaemia and myelosuppression. Mild GI effects; rashes; renal impairment, pulmonary toxicity, influenza-like symptoms; interstitial pneumonia, pulmonary oedema. Proteinuria, haematuria and haemolytic uraemic syndrome. Elevation of serum transaminase.

Pregnancy & Lactation

Category D: There is positive evidence of human foetal risk, but the benefits from use in pregnant women may be acceptable despite the risk (e.g., if the drug is needed in a life-threatening situation or for a serious disease for which safer drugs cannot be used or are ineffective).

Precautions & Warnings

Children, hepatic and renal impairment. May impair ability to drive or operate machinery. Discontinue on 1st sign of microangiopathic haemolytic anaemia. Prolonged infusion time (>60 minutes) and more frequent than wkly dosing may increase toxicity. Monitor CBC before every dose. Increased risk of haemolytic uraemic syndrome and/or thrombocytcpenic purpura which may lead to irreversible renal failure.