Imatinib

ایماتینیب

⚠ Unverified

🎗️ Antineoplastic And Immunomodulating AgentsBCR-ABL tyrosine kinase inhibitor

Market / country: 🇺🇸 USA

Gleevec (US)

🧮 Dose calculator

Chronic myeloid leukaemia (CML) and GIST · Regimen source: FDA Imatinib · 2.2

  • • Only under an oncologist; dose is adjusted by response and toxicity. FDA Imatinib · 2
  • • With a meal and a large glass of water. 400 and 600 mg once daily; 800 mg as 400 mg twice daily. With strong CYP3A4 inducers increase by at least 50%. FDA Imatinib · 2.1FDA Imatinib · 2.12

Enter age (weight is optional for this regimen).

🛡️ Safety & information

Warnings

  • • Fluid retention and oedema; myelosuppression (weekly CBC in month 1); hepatotoxicity; heart failure; embryo-fetal toxicity. FDA Imatinib · 5

Formulations

👥 Special populations

  • 🤰 PregnancyDangerous / avoid

    Label: can cause fetal harm. Dangerous in pregnancy. FDA Imatinib · 8.1

    “Risk Summary Imatinib mesylate can cause fetal harm when administered to a pregnant woman based on human and animal data.”
  • 🤱 BreastfeedingDangerous / avoid

    Label: breastfeeding not recommended, or choose between the drug and breastfeeding. FDA Imatinib · 8.2

    “Because of the potential for serious adverse reactions in breastfed infants from imatinib mesylate, advise a lactating woman not to breastfeed during treatment and for 1 month after the last dose.”
  • 👶 ChildrenUse with caution

    The label has conditions, age limits or notes for children; the label sentence is quoted below. FDA Imatinib · 8.4

    “The safety and effectiveness of imatinib mesylate have been demonstrated in pediatric patients with newly diagnosed Ph+ chronic phase CML and Ph+ ALL [see Clinical Studies ( 14.2 , 14.4 ) ] .”
  • 👴 Older adultsUse with caution

    Label: use with caution in older adults, usually starting at the low end of the dose range. FDA Imatinib · 8.5

    “The frequency of edema was higher in patients older than 65 years as compared to younger patients; no other difference in the safety profile was observed [see Warnings and Precautions ( 5.1 )] .”
  • ⚥ Females & males of reproductive potentialUse with caution

    Label has advice on pregnancy testing, contraception or fertility for females and males. FDA Imatinib · 8.3

    “Contraception Females Advise female patients of reproductive potential to use effective contraception (methods that result in less than 1% pregnancy rates) when using imatinib mesylate during treatment and for fourteen days after stopping treatment with imatinib mesylate [see Specific Populations ( 8 )] .”

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