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Osimertinib

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Molecule Summary

Uses
Non-Small Cell Lung Cancer
Therapy
Anti-Neoplastic
Side Effects
Diarrhoea, Rash, Dry Skin, Nail Changes
3 Step Quality
Assurance
Cash on delivery
available
NPPA
Regulated

Molecule Description

Osimertinib is an anticancer medicine. It is a third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI). It treats non-small cell lung cancer (NSCLC) whose tumours carry a specific EGFR gene mutation. It targets and slows cancer cell growth to help control disease spread. Osimertinib is given orally as a tablet with or without food, as prescribed by the doctor. Common side effects include low blood cell count, low platelet count, diarrhea, dry skin, decreased appetite, rash, and itching, among others. This is a prescription medicine and must be taken only on a doctor's advice. Osimertinib is a prescription-only medicine and should be used strictly under medical supervision. The treatment plan is decided by the treating doctor based on the condition being treated, your body response and the other medicines you are receiving. Do not change, stop or repeat a dose on your own. Before starting Osimertinib, tell your doctor about all your existing medical conditions, especially heart, liver or kidney problems, and about every medicine, vitamin, supplement and herbal product you take. Tell your doctor if you are pregnant, planning a pregnancy or breastfeeding. Regular blood tests and clinical check-ups are usually needed during treatment so that side effects are picked up early.

Uses

  • Osimertinib as a monotherapy is Indicated For The Adjuvant Treatment After Complete Tumour Resection In Patients With Non-Small Cell Lung Cancer (Nsclc).

Contraindications

When should one not use Osimertinib

  • If you are allergic to Osimertinib or any other ingredient of the medicine.

Side effects

Common side effects of this drug are:

  • Common side effects may include:
  • Low white blood cell counts
  • Low platelet counts
  • Diarrhoea
  • Dry skin
  • Rash
  • Stomatitis (mouth sores or inflammation inside the mouth)
  • Paronychia (inflammation around the nails)
  • Decreased appetite
  • Itching
  • Serious side effects
  • New or worsening cough, shortness of breath or fever: These may be signs of lung inflammation (interstitial lung disease or pneumonitis), which can be serious.
  • Fast or irregular heartbeat, dizziness, light-headedness or fainting: These may be signs of a heart-rhythm problem.
  • Shortness of breath, swelling of the ankles or legs, or unusual tiredness: These may be signs of reduced heart-pumping function.
  • Eye pain, redness, blurred vision, sensitivity to light or excessive watering of the eyes: These may indicate an eye problem, including keratitis.
  • Widespread rash, blistering or peeling of the skin, particularly with sores involving the mouth or eyes: Seek urgent medical attention because this may indicate a serious skin reaction.
  • Fever, unusual bruising or bleeding, unusually pale skin, infection, tiredness or weakness: These may indicate a serious blood-cell problem, including aplastic anaemia.

Precautions and Warnings

Pregnancy

Pregnancy

Osimertinib use during pregnancy should be discussed with your doctor, who will weigh the potential benefits and risks. Women who can become pregnant should discuss appropriate contraception with their doctor. Consult your doctor if you’re pregnant or planning to get pregnant.

Breast Feeding

Breast Feeding

It is not known whether Osimertinib passes in breast milk. Discuss breastfeeding with your doctor before taking Osimertinib.

Driving

Driving

Osimertinib can cause visual disturbance, dizziness, and headache, which may affect your ability to drive safely or use machinery. If you experience these symptoms after taking Osimertinib, inform your doctor and avoid driving or operating machinery until you feel well enough to do so safely.

Alcohol

Alcohol

No information is available on interactions between Osimertinib and alcohol. It is better to avoid alcohol as it may worsen the common side effects nausea, fatigue, and mouth sores.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • If you have lung or breathing problems.
  • If you have heart problems, including prolonged QTc or an abnormal heart rhythm.
  • If you have abnormal electrolyte levels, such as low potassium, calcium or magnesium.
  • If you have a history of eye problems.
  • Tell your doctor about all medicines, vitamins, supplements and herbal products you are taking, particularly medicines that may affect the heart rhythm.
  • Your doctor will arrange the appropriate EGFR mutation testing to confirm that osimertinib is suitable for your type of NSCLC before treatment.
  • If you become pregnant while taking osimertinib.
  • Report any new or worsening cough, shortness of breath or fever promptly.
  • If you develop a fast or irregular heartbeat, dizziness or fainting.
  • Report new eye pain, redness, blurred vision, sensitivity to light or excessive watering of the eyes.
  • Seek urgent medical attention for widespread rash, blistering or peeling skin.
  • Attend all blood tests and other monitoring appointments recommended by your doctor. ECG or heart-function monitoring may be required in patients with particular risk factors.

Mode of Action

How Does It Work?

Osimertinib contains osimertinib, which is a third-generation epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor (TKI). It blocks EGFR activity, which controls cancer cell growth and division.

Interactions

Interactions with other medicines

  • Avoid using osimertinib with CYP3A inducer medicines may decrease osimertinib absorption.
  • Avoid using osimertinib with breast cancer resistant protein (BCRP) or P-glycoprotein (P-gp) substrate as it can result in increased the exposure of the substrate compared to when used alone.
  • Osimertinib may interact with other medicinal products as well hence, please share complete information with your doctor of all the medicines you are taking.

Interactions with food items

No specific food interactions have been established for Osimertinib. Follow any dietary advice given by your doctor or pharmacist during treatment.

Dosage

Overdose

In the event of an overdose, report to your doctor immediately.

Missed a Dose

Report to your doctor immediately. Do not take extra doses to compensate for missed doses.

Frequently Asked Questions (FAQs)

Approximately 80% to 85% of lung cancers belong to the non-small cell lung cancer NSCLC type.

NSCLC (non-small cell lung cancer) has three main subtypes: adenocarcinoma, squamous cell carcinoma, and large cell carcinoma. Although these subtypes originate from different lung cells, they are grouped together as NSCLC because they are often treated and have similar outlooks (prognosis). These differ from another type of lung cancer called small cell lung cancer.

Osimertinib only works against NSCLC tumours that carry a specific EGFR gene mutation. Your doctor will test your tumour tissue with an approved genetic test to confirm this mutation is present before starting treatment, since the medicine is not expected to help if the mutation isn't there.

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