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Erleada

Erleada

apalutamide

Manufacturer:

Janssen Ortho

Distributor:

Johnson & Johnson
Concise Prescribing Info
Contents
Apalutamide
Indications/Uses
Metastatic castration-sensitive prostate cancer. Non-metastatic, castration-resistant prostate cancer.
Dosage/Direction for Use
Administration
May be taken with or without food.
Contraindications
Women who are or may become pregnant.
Special Precautions
Discontinue use if seizure or signs or symptoms of severe cutaneous adverse reactions (including DRESS & SJS/TEN) develop. Evaluate patients for fracture & fall risk. Monitor for signs & symptoms of ischemic heart disease & cerebrovascular disorders. Patients w/ severe renal impairment or ESRD (eGFR ≤29 mL/min/1.73 m2) or severe hepatic impairment (Child-Pugh class C). Patients w/ female partners of reproductive potential should use a condom along w/ another highly effective contraception during treatment & for 3 mth after last dose. May impair fertility in males of reproductive potential.
Adverse Reactions
Fatigue; arthralgia; skin rash; HTN, hot flush; diarrhea; fall, fracture; decreased wt. Muscle spasm; pruritus; dysgeusia, ischemic cerebrovascular disorders; hypercholesterolemia, hypertriglyceridemia; ischemic heart disease; hypothyroidism.
Drug Interactions
Steady-state Cmax & AUC may be increased w/ gemfibrozil (strong CYP2C8 inhibitor) & ketoconazole (strong CYP3A4 inhibitor). Steady-state Cmax & AUC may be decreased w/ rifampin (strong CYP3A4 & moderate CYP2C8 inducer). Lowered exposure of CYP3A4, CYP2C19, or CYP2C9 substrates; UDP-glucuronosyl transferase substrates; P-gp, BCRP, or OATP1B1 substrates. Monitor INR in concomitant use w/ warfarin.
MIMS Class
Cancer Hormone Therapy
ATC Classification
L02BB05 - apalutamide ; Belongs to the class of anti-androgens. Used in treatment of neoplastic diseases.
Presentation/Packing
Form
Erleada FC tab 60 mg
Packing/Price
120's
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