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Cadilap 250mg - Lapatinib Tablets

Cadilap 250mg contains Lapatinib, a targeted therapy used to treat HER2-positive breast cancer. It works by blocking cancer cell growth signals, particularly in patients who have not responded to other treatments.

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General Information:
Generic Name: Lapatinib
Brand Name: Cadilap 250mg
Packing: Bottle of 30 or 60 tablets (depending on manufacturer)
Strength: 250mg
Manufacturer: Cadila Healthcare Ltd.
Form: Oral Tablet
Category: Anti-cancer, Tyrosine Kinase Inhibitor
Product Intro:
Cadilap 250mg is an oral cancer medication containing Lapatinib, a dual tyrosine kinase inhibitor. It is primarily used for the treatment of advanced or metastatic breast cancer in patients with overexpression of HER2. Often used in combination with other therapies, it slows down or stops the growth of cancerous cells.

Uses:
Cadilap 250mg is used in the treatment of:
  1. HER2-positive metastatic breast cancer
  2. Advanced-stage breast cancer after progression on prior therapy
  3. Breast cancer in combination with capecitabine
  4. Breast cancer in combination with letrozole for hormone receptor-positive tumors
  5. Investigational use in HER2-positive gastric cancer
  6. Other HER2-overexpressing solid tumors under clinical trials

Storage Instructions:
  1. Store below 30°C in a dry place
  2. Protect from light and moisture
  3. Keep out of reach of children
  4. Do not use after expiry date

How it Works (Mechanism of Action):
Lapatinib inhibits the intracellular kinase domains of both EGFR (ErbB1) and HER2 (ErbB2) receptors. This dual inhibition blocks signal transduction pathways involved in cell proliferation and survival, which are often overactive in HER2-positive breast cancer cells.

Side Effects:
Common Side Effects:
  1. Diarrhea
  2. Nausea
  3. Rash
  4. Fatigue
  5. Loss of appetite
  6. Hand-foot syndrome
Severe Side Effects:
  1. Liver toxicity (elevated liver enzymes)
  2. Cardiotoxicity (decreased left ventricular ejection fraction)
  3. Severe skin reactions
  4. Interstitial lung disease
  5. QT prolongation (irregular heart rhythm)

Dosage (Typical Recommended Dose):
  1. Standard dose: 1,250 mg (five tablets of 250mg) once daily
  2. Should be taken continuously unless advised otherwise
  3. Dose may vary when combined with other medications (e.g., Capecitabine or Letrozole)

Method of Administration:
  1. Take orally on an empty stomach, either 1 hour before or 1 hour after a meal
  2. Swallow tablets whole with water
  3. Take the dose at the same time each day

Precautions:
  1. Monitor liver function before and during treatment
  2. Cardiac monitoring in patients with heart history
  3. Avoid alcohol and grapefruit products
  4. Use reliable contraception during and for at least 1 week after treatment
  5. Not recommended during pregnancy or breastfeeding

Drug Interactions:
  1. CYP3A4 inhibitors (e.g., ketoconazole, erythromycin) may increase drug levels
  2. CYP3A4 inducers (e.g., rifampin, phenytoin) may decrease effectiveness
  3. Antacids or PPIs may interfere with absorption
  4. Caution with drugs that prolong QT interval (e.g., amiodarone, haloperidol)

Allergies:
  1. Avoid use in patients with known hypersensitivity to Lapatinib
  2. Monitor for allergic reactions like skin rash, itching, facial swelling, or difficulty breathing

Overdose Information:
  1. Overdose symptoms may include severe diarrhea, vomiting, liver dysfunction
  2. Seek immediate medical help or contact a poison control center

Missed Dose Instructions:
  1. Take the missed dose as soon as you remember, unless it's close to your next dose
  2. Do not double the dose to make up for a missed one

Additional Notes:
  1. Regular blood tests are needed to monitor liver and heart function
  2. Notify your doctor of any new symptoms during treatment
  3. Adherence to dosage schedule is crucial for optimal efficacy
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