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Ibrunat 140mg - Ibrutinib Capsule

Ibrunat 140mg is an oral targeted therapy used to treat various blood cancers such as CLL, SLL, and MCL. It works by blocking Bruton's tyrosine kinase (BTK), a protein essential for cancer cell survival.

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General Information:
Generic Name: Ibrutinib
Brand Name: Ibrunat
Packing: Bottle of 30 capsules
Strength: 140 mg
Manufacturer: Natco Pharma Ltd.
Form: Oral capsule
Category: Anticancer, BTK Inhibitor
Product Intro:
Ibrunat 140mg, manufactured by Natco Pharma, contains Ibrutinib, a Bruton's Tyrosine Kinase (BTK) inhibitor. This capsule is prescribed for treating B-cell malignancies such as mantle cell lymphoma (MCL), chronic lymphocytic leukemia (CLL), and Waldenström's macroglobulinemia (WM). It is a first-in-class targeted therapy that significantly slows cancer progression and improves survival.

Uses:
  1. Chronic Lymphocytic Leukemia (CLL)
  2. Small Lymphocytic Lymphoma (SLL)
  3. Mantle Cell Lymphoma (MCL)
  4. Waldenström's Macroglobulinemia (WM)
  5. Marginal Zone Lymphoma (MZL)
  6. Chronic Graft versus Host Disease (cGVHD) in select cases

Storage Instructions:
  1. Store at 20°C–25°C (68°F–77°F)
  2. Protect from light and moisture
  3. Keep in original container
  4. Keep out of reach of children

How it Works (Mechanism of Action):
Ibrutinib selectively and irreversibly binds to Bruton's tyrosine kinase (BTK), an enzyme vital for B-cell receptor signaling.
  1. Inhibition of BTK prevents survival and proliferation of malignant B-cells
  2. Disrupts signaling needed for cancer cell migration and adhesion
  3. Leads to cancer cell apoptosis (programmed cell death) and slows disease progression

Side Effects:
Common Side Effects:
  1. Diarrhea
  2. Fatigue
  3. Nausea
  4. Muscle pain
  5. Bruising or bleeding
  6. Upper respiratory tract infections
Serious Side Effects:
  1. Atrial fibrillation or heart rhythm problems
  2. Hypertension (high blood pressure)
  3. Bleeding events (serious or fatal)
  4. Infections (bacterial, viral, fungal)
  5. Tumor lysis syndrome
  6. Secondary cancers (rare)

Dosage (Typical Recommended Dose):
  1. MCL: 560 mg once daily (usually 4 capsules of 140 mg)
  2. CLL, SLL, WM: 420 mg once daily (3 capsules of 140 mg)
  3. Doses may be modified based on tolerance and side effects
  4. Take daily until disease progression or unacceptable toxicity

Method of Administration:
  1. Take the capsule orally once daily with a full glass of water
  2. Do not open, crush, or chew the capsules
  3. Can be taken with or without food
  4. Take at the same time every day for best results

Precautions:
  1. Monitor for bleeding, heart rhythm changes, and infection
  2. Not recommended during pregnancy or breastfeeding
  3. Use effective contraception during and at least 1 month after treatment
  4. Regular blood tests and ECGs may be required
  5. Caution in patients with cardiac disorders or hypertension

Drug Interactions:
  1. Strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir) increase Ibrutinib levels
  2. Strong CYP3A4 inducers (e.g., rifampin, phenytoin) may reduce effectiveness
  3. Increased bleeding risk with anticoagulants and antiplatelets
  4. Avoid grapefruit and Seville oranges – they can increase drug levels

Allergies:
  1. Avoid use in patients with known hypersensitivity to Ibrutinib
  2. Signs of allergic reactions include:
    1. Swelling of lips or throat
    2. Difficulty breathing
    3. Severe skin rash

Overdose Information:
  1. Symptoms: Severe diarrhea, vomiting, bleeding, infections
  2. No specific antidote; treat with supportive measures
  3. In case of overdose, seek immediate emergency care

Missed Dose Instructions:
  1. If missed by less than 12 hours, take it as soon as remembered
  2. If missed by more than 12 hours, skip the dose
  3. Do not double the dose to catch up

Additional Notes:
  1. Patients should report any unusual bruising, infections, or heart symptoms
  2. Blood pressure and ECG monitoring is advised during treatment
  3. Avoid live vaccines while on treatment
  4. Must be used only under medical supervision
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