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Geftinat 250mg - Gefitinib Tablets

Geftinat 250mg is an oral anticancer medication used to treat non-small cell lung cancer (NSCLC) with EGFR mutations. It works by blocking signals that promote the growth of cancer cells.

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General Information:
Generic Name: Gefitinib
Brand Name: Geftinat
Packing: Strip of tablets
Strength: 250 mg
Manufacturer: Natco Pharma Ltd.
Form: Oral tablet
Category: Anticancer drug, EGFR Tyrosine Kinase Inhibitor (TKI)
Product Intro:
Geftinat 250mg, manufactured by Natco Pharma Ltd., contains Gefitinib, a targeted therapy that inhibits EGFR tyrosine kinase. It is commonly prescribed as a first-line treatment in advanced EGFR-mutated NSCLC, helping manage tumor growth and improve survival.

Uses:
  1. Advanced or metastatic non-small cell lung cancer (NSCLC)
  2. EGFR mutation-positive lung tumors
  3. First-line therapy in eligible NSCLC patients
  4. Maintenance therapy after initial treatment response
  5. Second-line treatment in case of chemotherapy resistance
  6. Off-label research use in other EGFR-dependent tumors

Storage Instructions:
  1. Store at 15°C–30°C (room temperature)
  2. Keep in a cool, dry place, protected from moisture and sunlight
  3. Do not freeze or refrigerate
  4. Keep out of reach of children and pets

How it Works (Mechanism of Action):
Gefitinib selectively inhibits the epidermal growth factor receptor (EGFR) tyrosine kinase.
  1. EGFR is involved in cellular signaling pathways that regulate proliferation and survival
  2. Gefitinib blocks ATP binding to EGFR, preventing phosphorylation and signal transduction
  3. This inhibition slows down or halts the growth of cancer cells, particularly in tumors with EGFR gene mutations

Side Effects:
Common Side Effects:
  1. Acneiform rash
  2. Diarrhea
  3. Nausea and vomiting
  4. Fatigue
  5. Anorexia
  6. Dry skin and itching
Serious Side Effects:
  1. Interstitial lung disease (rare but potentially fatal)
  2. Elevated liver enzymes
  3. Severe skin reactions
  4. Eye problems (e.g., conjunctivitis, keratitis)
  5. Gastrointestinal bleeding (rare)

Dosage (Typical Recommended Dose):
  1. Recommended dose: 250 mg orally once daily
  2. No evidence that higher doses improve outcomes
  3. Continue as long as clinical benefit is observed
  4. Dosage may be adjusted in case of adverse effects

Method of Administration:
  1. Take the tablet once daily, preferably at the same time each day
  2. Swallow whole with water
  3. Can be taken with or without food
  4. If unable to swallow, the tablet can be dispersed in a glass of water and taken immediately

Precautions:
  1. Confirm EGFR mutation status before starting therapy
  2. Use with caution in patients with impaired liver or lung function
  3. Avoid during pregnancy and breastfeeding
  4. Use effective contraception during and for at least 2 weeks after treatment
  5. Monitor liver function, pulmonary function, and dermatologic symptoms regularly

Drug Interactions:
  1. CYP3A4 inducers (e.g., phenytoin, rifampicin) may reduce effectiveness
  2. CYP3A4 inhibitors (e.g., itraconazole) may increase drug levels
  3. Proton pump inhibitors and antacids can reduce absorption
  4. May enhance the effects of anticoagulants like warfarin
  5. Avoid herbal supplements such as St. John’s Wort

Allergies:
  1. Contraindicated in patients with known hypersensitivity to Gefitinib
  2. Signs of allergic reactions include:
    1. Rash or itching
    2. Swelling of lips or face
    3. Trouble breathing

Overdose Information:
  1. Symptoms of overdose:
    1. Severe diarrhea
    2. Rash
    3. Liver toxicity
  2. No specific antidote available
  3. Treat supportively and monitor patient closely
  4. Seek emergency medical attention immediately

Missed Dose Instructions:
  1. Take the missed dose as soon as possible
  2. If it's near the time for the next dose, skip the missed dose
  3. Do not take double the dose to compensate

Additional Notes:
  1. Periodic tumor response evaluations are important
  2. Sun protection is advised due to risk of photosensitivity
  3. Educate patients on managing mild side effects at home (e.g., skin care, hydration)
  4. Avoid alcohol or smoking during treatment
  5. Geftinat is a prescription-only medicine and should be used under medical supervision
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