How much does Tarceva 150mg Erlotinib cost? Where to buy Tarceva? | ThuocLP Vietnamese Health
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What is Tarceva?
Tarceva containing the active ingredient Erlotinib 150 mg is used to treat cancer, which interferes with the growth of cancer cells and slows their spread in the body. It is used to treat cancer of the non-small cell lung or pancreatic cancer that has spread to other parts of the body (metastasis).
Tarceva is usually taken after other cancer drugs have been tried without success. Medication may also be used for purposes not listed in this medication guide.
Tarceva 150 mg Erlotinib for end-stage lung cancer
Tarceva Drug Prices: COMMENTS below for prices OR Click on the link: https://thuoclp.com/chatFB type “Tarceva”
Erlotinib drug has the following forms and contents: Tablets, oral form: 25 mg, 100 mg, 150 mg.
Tarceva 150mg tablet Erlotinib for treatment of cheese cancer (2)
Indications and dosage of the drug tarceva 150 mg
Tarceva is indicated for the first-step treatment of patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with EGFR activation mutations.
Tarceva is indicated for maintenance therapy in patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) that has not responded to stable first step chemotherapy after 4 cycles of chemotherapy. Step one uses a platinum derivative.
Tarceva is indicated for the treatment of patients with locally advanced or metastatic non-small cell lung cancer following failure with at least one previous chemotherapy regimen.
Tarceva in combination with gemcitabine is indicated for the first-step treatment of patients with locally advanced, inoperable or metastatic pancreatic cancer.
Contraindications to the drug Tarceva
The drug Tarceva is contraindicated in patients with severe hypersensitivity to erlotinib or to any ingredient of the drug.
Dosage drug Tarceva
Usual Adult Dose for Large Lung Cell Cancer: 150 mg orally once daily.
Usual adult dose for pancreatic cancer: 100 mg orally once a day.
Special dosage instructions
Dose adjustment may be required when used with substrates and regulators for the CYP3A4 system.
When it is necessary to adjust the dose, it should be reduced by 50 mg each time.
Hepatic impairment: Erlotinib is eliminated by hepatic metabolism and bile excretion. Although erlotinib levels are similar in patients with moderate hepatic impairment (Child-Pugh score 7-9) compared with patients with normal liver function, caution should be exercised when using Tarceva for those conditions. people with liver failure.
Dose reduction or discontinuation of Tarceva 150 mg should be considered if severe adverse reactions occur. The safety and efficacy of the drug have not been studied in patients with severe hepatic impairment.
Renal impairment: The safety and efficacy of the drug have not been studied in patients with renal impairment.
Smokers: Smoking cigarettes can reduce the distribution of erlotinib by 50-60%. The maximum tolerated dose of Tarceva in non-small cell and smokers is 300 mg. Long-term efficacy and safety at doses higher than the recommended starting dose has not been established in continued smoking patients.
How to take Tarceva 150mg
Use this medication exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.
Take the medicine on an empty stomach, at least 1 hour before or 2 hours after eating.
If you have diarrhea while taking the medication: start an anti-diarrhea medicine like loperamide (Imodium) to quickly treat the diarrhea. Drink more fluids and call your doctor if you have severe diarrhea.
Be sure to take tarceva regularly and at the same time every day. Dosage is based on your medical condition and response to therapy.
You do not arbitrarily change the dose without a prescription from your doctor. Your condition will not get better and your risk of side effects may increase.
Since this drug can be absorbed through the skin, pregnant or possibly pregnant women should not handle or break tarceva 150 tablets.
Advice from a specialist at Hanoi University of Medicine and Pharmacy
Avoid smoking it can make Tarceva less effective.
Grapefruit can interact with erlotinib and lead to undesirable side effects. Avoid using grapefruit products.
Avoid taking antacids within a few hours before or after you take Tarceva150mg. Ask a doctor or pharmacist before taking any medicine to lower stomach acid, such as cimetidine (Tagamet).
Avoid herbal supplements that contain St. John's wort.
Avoid exposure to sunlight. Erlotinib can cause a rash, dry skin, or other irritation. Wear protective clothing and use sunscreen (SPF 30 or higher) when you are outdoors.
Avoid using skin products that can cause dryness or irritation, such as acne medications, harsh soaps or skin cleansers, or alcohol based skin products.
What to do in case of overdose of Tarceva 150?
Call 911 or go to the nearest local Medical Station right away.
Of course, you need to keep a record and bring a list of all medications you have taken, including prescription and over-the-counter.
What to do if I miss a dose?
If you miss a dose of tarceva 150, take it as soon as possible.
But if it is almost like the next dose, skip the missed dose and take your next dose at the time as planned.
Do not take double the prescribed dose.
Tarceva 150mg tablet Erlotinib for treatment of cheese cancer (3)
Drug side effects Tarceva
Seek emergency medical help if patient has any of these signs of an allergic reaction to Tarceva: hives; shortness of breath; swelling of your face, lips, tongue, or throat.
Stop using Tarceva and call your doctor at once if you:
Sudden chest pain or discomfort, wheezing, dry cough, itchy breathing;
Severe stomach pain, fever, chills, coughing up blood;
Severe nausea, vomiting, or diarrhea;
Eye pain or irritation, vision problems;
Heart attack symptoms - chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating;
Signs of stroke - sudden numbness or weakness (especially on one side of the body), sudden headache, lethargy, problems with vision or balance;
Kidney or liver problems - little or no urinating; swelling, rapid weight gain (especially in the face and abdomen); confusion, nausea, vomiting, dark urine, or jaundice (yellowing of the skin or eyes); or
Severe skin reaction - fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering skin.
Common Tarceva 150mg side effects may include:
Nausea, vomiting, diarrhea, loss of appetite;
Dry eyes;
Cough, trouble breathing;
Rash; or
Feeling weak, tired feeling.
Warnings when taking the drug Tarceva erlotinib 150 mg
For pregnant & lactating women
Pregnant
There are no adequate or well controlled studies in pregnant women taking Tarceva. Animal studies have revealed some reproductive toxicity (see section Reduced fertility and teratogenicity).
The potential danger to an unknown person. Pregnant women should be advised to avoid pregnancy while taking Tarceva. Appropriate contraception should be used during treatment, and for at least 2 weeks after the end of treatment.
Treatment should only continue in pregnant women if the benefit to the mother outweighs the risk to the fetus.
Breastfeeding women
It is not known whether erlotinib is secreted in breast milk. Due to the potential harm to an infant, the mother should not breast-feed while taking the drug.
Health status
Your medical condition may affect your use of this medicine. Tell your doctor if you have any other health problems, especially:
Hemorrhagic problems (such as hemolytic anemia, thrombocytopenia);
Dehydration;
Eye or vision problems (such as corneal perforation or ulcer);
Have or have a history of heart attack;
Have or have a history of stomach or intestinal problems (such as diverticulosis, peptic ulcer);
Have or have a history of lung or respiratory problems (such as interstitial lung disease);
Have a history of stroke - use with caution as medication may make the condition worse;
Liver disease - use with caution because the effects may be increased due to a slower elimination from the body.
Drug interactions Tarceva 150 mg
Some drugs may interact with erlotinib. You need to let your doctor know if you are taking any other medicines, especially the following:
Azole antifungal drugs (such as itraconazole, ketoconazole, voriconazole), certain calcium channel blockers (such as diltiazem, verapamil), fluoroquinolone antibiotics (such as ciprofloxacin), HIV protease inhibitors (such as atazanavir, indinavir, nelfinavir , ritonavir, saquinavir), macrolide antibiotics (such as clarithromycin), nefazodone, telithromycin, or troleandomycin - these can increase your risk of side effects from erlotinib.
Barbiturates (such as phenobarbital), carbamazepine, efavirenz, hydantoins (such as phenytoin), nevirapine, pioglitazone, PPIs (such as omeprazole), rifamycins (such as rifabutin, rifampin, rifapentine) or St. herbs John's wort - these drugs may decrease the effectiveness of the drug erlotinib.
Corticosteroids (such as prednisone), nonsteroidal anti-inflammatory drugs (NSAIDs) (such as ibuprofen) or certain drugs - these drugs can increase your risk of stool problems.
Anticoagulants (such as warfarin) - this can increase the risk of bleeding.
HMG-CoA reductase (statins) reductase inhibitors (such as simvastatin) - these drugs increase the risk of muscle problems.
Medicines that can harm the kidneys (such as the antibiotics aminoglycosides [such as gentamicin], amphotericin B, cyclosporine, NSAIDs [such as ibuprofen], tacrolimus, vancomycin) or to the liver (such as acetaminophen, certain HIV medications, isoniazid, ketoconazole, methotrexate) - the risk of liver or kidney side effects may be increased. Consult your doctor if you are concerned about any medicine that may harm your liver or kidneys.
This is not a complete list of all side effects and other possible side effects. If you have any questions about side effects, consult your doctor or pharmacist. You should check with your healthcare provider before you start, stop or change the dosage of any medicine.
Attention when using Tarceva to increase absorption, avoid overdose
In the early days, I constantly searched for therapies to do later to prevent the deterioration of the old lady's health, so I found that whatever method was reasonable to apply. After that, I will gradually eliminate methods that are either harmful or not as good as other methods.
In the early days, the first goal should be to eat well, sleep well, not to kill cancer because I have at least 10 ~ 13 months that the grandmother can be healthy to take a certain drug. A period of 10 ~ 13 months is the time when Tarceva 150 mg becomes less responsive.
For body purification, Papaya leaves and Magnesium VitC are two methods that I apply simultaneously. After reaching my appetite goal (after about 1 week), I removed Magnesium VitC for the reason that it would affect the main drug as it reduces the acidity in the stomach and risk doing reduced absorption of the drug Tarceva.
There are two main notes that patients using Tarceva 150mg Erlotinib always keep in mind. Both absorption and breakdown of this drug can be changed easily, and this will affect the drug's availability on the tumor.
First: the solubility of Erlotinib varies significantly with the pH concentration. As pH increases, the drug becomes difficult to dissolve and becomes poorly absorbed. Therefore, for this drug, the acidity in the stomach will greatly affect the absorption of the drug. In an acid-rich stomach environment, the drug is more easily absorbed. Only about 60% of this drug is absorbed if the stomach does not secrete acid.
Second: Eroltinib is metabolized in the liver through two enzymes CYP3A4 and CYP1A2. If these two enzymes are more, the shelf life of the drug is shorter (less effective) and if these two enzymes are inhibited, the drug will stay in the body longer (increase effects) and lead to an overdose, effect. side effects. Smoking cigarettes while using tarceva erlotinib 150 mg will decrease the effectiveness of the drug while eating grapefruit while taking Tarceva will make side effects of the drug more difficult to control. The papaya leaves also inhibited the CYP3A4 enzyme in the liver but to a lesser extent, and I used the papaya leaves to decrease later. In the treatment of this incurable disease, there is no perfect solution. In Western medicine, to achieve the goal of killing tumors, it is necessary to dissect, burn with radiation and chemicals that poison the whole body cells; In folklore, there are patients in Quang Nam who even swallow up to 10 bile toads every day.
About how to evaluate the excess or lack of latic acid in the body, it must be tested. Since I cannot afford this test, I don't have any further information. You can read more articles Getting tumors 'fasting' to kill cancer that talks about latic acid and cancer cells for more information.
Why not use continuously and not kind VITC high dose (apparently this category only sell prescription? Pictures drugs VITC time to use is already used to the highest dose by the first day of taking 1 gram (2 ~ 4 times ) and the next day is 0.5gram higher than the previous day until the body can tolerate (going out), stop and return to the previous day's dose.
7 steps to effectively treat lung cancer are as follows
Step 1: Starve cancer cells (reduce or abstain from sugar or sugary grains).
Step 2: Absorb more oxygen for the body (cancer cells hate oxygen).
Step 3: Avoid improper impregnation.
Step 4: Supplement special nutrients with antioxidants.
Step 5: Balance the environment and internal pH of the body with enzyme and fiber foods.
Step 6: Eliminate harmful substances accumulated for many years in the body.
Step 7: Hormonal Balance of the Body.
Tarceva 150mg tablet Erlotinib for treatment of cheese cancer (4)
How to store the drug Tarceva
You should store this drug at room temperature, dry, avoid direct sunlight exposure.
You should not store the medicine in the refrigerator.
Keep medicine out of reach of children.
You do not throw medications in the toilet or plumbing pipes.
Note: The information in the above article about Tarceva related to the effects of the drug and its use with the purpose of sharing knowledge, introducing information about the drug for medical staff and patients to refer. Depending on the situation and the location, there will be a separate prescription and treatment. Patients are not allowed to arbitrarily use drugs, all information on drug use must be prescribed by professional doctors.
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