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Fulevex

Fulevex

fulvestrant

Manufacturer:

Intas Pharmaceuticals

Distributor:

DKSH

Marketer:

DKSH
Concise Prescribing Info
Contents
Fulvestrant
Indications/Uses
Monotherapy for treatment of estrogen receptor +ve locally advanced or metastatic breast cancer in postmenopausal women not previously treated w/ endocrine therapy or w/ disease relapse on or after adjuvant anti-estrogen therapy or disease progression. In combination w/ palbociclib for treatment of hormone receptor (HR)+ve human epidermal growth factor receptor 2 (HER2)-ve locally advanced or metastatic breast cancer in women who have received prior endocrine therapy. Combination treatment w/ palbociclib + luteinizing hormone releasing hormone (LHRH) agonist in pre- or perimenopausal women.
Dosage/Direction for Use
IM Administer as 2 consecutive 5 mL inj by slow IM (1-2 min/inj), 1 in each buttock (gluteal area). Adult female (including elderly) 500 mg at 1 mth intervals w/ additional 500 mg given 2 wk after initial dose. Pre-/perimenopausal women Administer w/ LHRH agonists prior starting treatment w/ palbociclib.
Contraindications
Hypersensitivity. Severe hepatic impairment. Pregnancy & lactation.
Special Precautions
Patients w/ bleeding diatheses, thrombocytopenia or those taking anticoagulant treatment. Inj site related events including sciatica, neuralgia, neuropathic pain & peripheral neuropathy. Thromboembolic events. Potential risk of osteoporosis. Administration at dorsogluteal inj site due to proximity of underlying sciatic nerve. May affect ability to drive & use machines due to asthenia. Mild to moderate hepatic impairment. Severe renal impairment (CrCl <30 mL/min). Advise women of childbearing potential to use effective contraception during treatment. Not recommended for use in childn or adolescents.
Adverse Reactions
GI effects (eg, nausea, vomiting, constipation, diarrhea, abdominal pain), headache, back pain, vasodilation (hot flushes), & pharyngitis.
Drug Interactions
May interfere w/ Ab-based oestradiol assay resulting in falsely increased oestradiol levels.
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
Fulevex soln for inj 250 mg/5 mL
Packing/Price
1's
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