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Faslodex

Faslodex

fulvestrant

Manufacturer:

AstraZeneca

Marketer:

AstraZeneca
Concise Prescribing Info
Contents
Fulvestrant
Indications/Uses
Postmenopausal women w/ estrogen receptor +ve, locally advanced or metastatic breast cancer for disease relapse on or after adjuvant anti-estrogen therapy or disease progression on therapy w/ anti-estrogen; estrogen receptor +ve, human epidermal growth receptor 2 (HER2) -ve locally advanced or metastatic breast cancer not previously treated w/ endocrine therapy. In combination w/ abemaciclib for hormone receptor (HR) +ve, HER2 -ve locally advanced or metastatic breast cancer in women w/ disease progression after endocrine therapy. In combination w/ ribociclib for HR +ve, HER2 -ve advanced or metastatic breast cancer in postmenopausal women as initial endocrine based therapy or after disease progression following endocrine therapy.
Dosage/Direction for Use
IM Administer as 2 consecutive 5 mL by slow inj (1-2 min/inj), 1 in each buttock (gluteal area). Monotherapy Adult female (including elderly) 500 mg at 1-mth intervals w/ additional 500 mg given 2 wk after initial dose. In combination w/ abemaciclib Faslodex 500 mg on days 1, 15, 29 & once mthly thereafter + abemaciclib 150 mg orally twice daily. In combination w/ ribociclib Faslodex 500 mg on days 1, 15, 29 & once mthly thereafter + ribociclib 600 mg orally once daily for 21 days followed by 7 days off-treatment to complete 28 days cycle.
Contraindications
Hypersensitivity. Severe hepatic impairment. Pregnancy & lactation.
Special Precautions
Patients w/ bleeding diatheses, thrombocytopenia or taking anticoagulant treatment. Thromboembolic events in women w/ advanced breast cancer. Possible inj site-related events (eg, sciatica, neuralgia, neuropathic pain & peripheral neuropathy). Administration at dorsogluteal inj site. Potential risk of osteoporosis. Contains ethanol 10% w/v & benzyl alcohol. May interfere w/ Ab based-estradiol assays & may result in falsely increased estradiol levels. May impair ability to drive or operate machinery due to asthenia. Mild to moderate hepatic impairment. Severe renal impairment (CrCl <30 mL/min). Women of childbearing potential should use effective contraception during treatment & for 2 yr after the last dose. Discontinue breastfeeding during treatment. Not recommended for use in childn & adolescents.
Adverse Reactions
Hypersensitivity reactions; hot flushes; nausea; elevated hepatic enzymes (ALT, AST, ALP); rash; joint & musculoskeletal pain; asthenia, inj site reactions. UTI; reduced platelet count; anorexia; headache; VTE; vomiting, diarrhoea; elevated bilirubin; back pain; vag haemorrhage; peripheral neuropathy, sciatica.
MIMS Class
Cancer Hormone Therapy
ATC Classification
L02BA03 - fulvestrant ; Belongs to the class of anti-estrogens. Used in treatment of neoplastic diseases.
Presentation/Packing
Form
Faslodex soln for inj 250 mg/5 mL
Packing/Price
(pre-filled syringe) 2 × 1's (Rp15,165,051/boks)
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