Capixet 500
Rx- Generic:
- Capecitabine
- Company:
- Everest Pharmaceuticals Ltd.
- Dosage form:
- Tablet
- Pack size:
- Box (14 Tablet)
৳ 192.86/unit
Pack: ৳ 2,700.04
At a glance
Capecitabine — brands, prices, indication, dosage and side effects available in Bangladesh.
Description
Capecitabine is used in the treatment of cancer of breast, colon, and rectum. It may be also used to treat other conditions, as determined by the doctor. It is used alone or in combination with some other medicine as a part of chemotherapy. Capecitabine should be taken with food within 30 minutes after eating a meal. Your doctor will decide what dose is necessary and how often you need to take it. This will depend on what you are being treated for and may change from time to time. You should take it exactly as your doctor has advised. Taking it in the wrong way or taking too much can cause very serious side effects. It may take several weeks or months for you to see or feel the benefits but do not stop taking it unless your doctor tells you to. The most common side effects of this medicine include vomiting, weakness, nausea, abdominal pain, and diarrhea. This medicine may reduce the number of blood cells (decrease white blood cells) in your blood, thereby, increasing the susceptibility to infections. Regular blood tests are required to check your blood cells along with heart, liver, and blood uric acid levels. Before taking it, tell your doctor if you have liver, or kidney problems or are taking any medicines to treat infections. Many other medicines can affect, or be affected by, this medicine so let your doctor know all medications you are using. This medicine is not recommended during pregnancy or while breastfeeding. The use of effective contraception by both males and females during treatment is important to avoid pregnancy. Capecitabine is an anticancer medication. Inside the body, this medicine gets converted into 5-fluorouracil (chemical). This chemical hampers the synthesis of genetic materials (RNA and DNA) in the cancer cells, thereby interferes with their growth. This slows down the growth of cancer cells and eventually kills them.
Indications
• Breast cancer • Cancer of colon and rectum
Mechanism of action
Capecitabine is a prodrug that is converted to fluorouracil following oral administration, which in turn inhibits thymidylate synthetase, blocking the methylation of deoxyuridylic acid to thymidylic acid, interfering with DNA, and to a lesser degree, RNA synthesis.
Dosage
Adult Dose: Oral Breast cancer; Colorectal cancer Adult: 1.25 g/m2 bid for 2 wk followed by a 1 wk rest period; therapy to be given in 3-wk cycles. Recommended treatment duration for colorectal cancer: 6 mth. May be used in combination with docetaxel at 75 mg/m2, given as a 1-hr IV infusion once every 3 wk for the treatment of breast cancer. Gastric cancer Adult: Used in combination with a platinum-based compound, 1 g/m2 bid for 14 days, followed by a 7-day rest period. 1st dose is given on the evening of day 1 and the last dose on the morning of day 15. Renal Dose: Renal impairment: CrCl (ml/min) 51-80 No adjustment needed. 30-50 Reduce dose to 950 mg/m2 bid when starting dose is 1.25 g/m2 bid. No dose adjustment is needed when starting dose is 1 g/m2. <30 Avoid use.
Administration
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Capecitabine is to be taken with food.
Side effects
Common: • Vomiting • Weakness • Nausea • Abdominal pain • Diarrhea • Blisters on fingers/feet
Precautions & warnings
[UNSAFE] Capecitabine may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur. Capecitabine is used alone or in combination with other medicines for the treatment of colon, rectum or breast cancers. It is oral chemotherapy, hence it is preferred by many patients. It should be taken within 30 minutes after eating a meal. The dose and the number of treatment cycles needed will depend on the type and stage of cancer that is being treated. It may cause dizziness and tiredness. Don't drive or do anything requiring concentration until you know how it affects you. Frequency of hair loss is much less compared to other chemotherapy drugs. Do not take it if you are pregnant or breastfeeding. Your doctor may regularly monitor your blood cells during treatment with this medicine. Inform your doctor immediately if you notice signs of infection such as fever, sore throat, rash or severe diarrhea. Inform your doctor immediately if you start to have side effects such as diarrhea, vomiting, nausea, mouth sores, chest pain or loss of appetite.
Contraindications
History of severe and unexpected reactions to fluoropyrimidine therapy; severe renal impairment; pregnancy, lactation. Hypersensitivity.
Drug interactions
Antacids containing aluminum and magnesium, leucovorin, anticoagulants, phenytoin, allopurinol.
Food interactions
[CONSULT YOUR DOCTOR] It is not known whether it is safe to consume alcohol with Capecitabine. Please consult your doctor.
Use in pregnancy
[CONSULT YOUR DOCTOR] Capecitabine is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Use in lactation
[UNSAFE] Capecitabine is unsafe to use during breastfeeding. Data suggests that the drug may cause toxicity to the baby.
Renal / hepatic impairment
[CAUTION] Capecitabine should be used with caution in patients with kidney disease. Dose adjustment of Capecitabine may be needed. Please consult your doctor. Use of Capecitabine is not recommended in patients with severe kidney disease. [CAUTION] Capecitabine should be used with caution in patients with liver disease. Dose adjustment of Capecitabine may be needed. Please consult your doctor. Use of Capecitabine is not recommended in patients with severe kidney disease.
Common questions
If any symtom of brest cancer if have whats the cure First is confirmation of breast cancerChance of cure depends on stage of cancer I am PATIENT have pain in my breastes and feel very weight before one week of my menstrual perieds date Is it any symptoms of breast cancer ? Need your advice And also having back pain during menstrual dates please give your valubel advice No it's not a symptom of breast cancer. She has breast cancer at 4 sta Dear PATIENT 4 Breast Cancer means that the cancer has spread to other parts of the body. The management of such cancers depends on the site where the cancer has spread and on the receptor status of the breast cancer. If you can share the details with me, I will be happy to let you know the potential management BREAST CANCER , PET REPORT SAYS INFECTION IN SKELETON. Metastatic breast cancer, send me previous treatment details Is ulcers curable G2 stage of cancer in rectum area Needs evaluation Please meet a Gastro surgeon I am herewith forwarding you biopsy report, please suggest further course of treatment. U have a high risk of breast cancerSend me ur Mammography reports also Colon cancer What treat many I have to give Complete reports along with the patient is need to be seen before starting the treatment