G-Lomustin Capsule

Lomustine
10mg
Gonoshasthaya Pharmaceuticals Ltd.
Pack size 10mg x 18's pack
Unite Price 70.00 BDT

Indications

G-Lomustin Capsule is used for: Brain tumours, Hodgkin's disease, Lung cancer, Malignant melanoma

Adult Dose

Oral Brain tumours; Hodgkin's disease, resistant or relapsed; Malignant melanoma; Lung cancer Adult: 100-130 mg/m2 as a single dose every 6 wk. Adjust dose according to platelet and leukocyte counts. Compromised marrow function: 100 mg/m2 as a single dose every 6 wk.

Child Dose

Oral Brain tumours; Hodgkin's disease, resistant or relapsed; Malignant melanoma; Lung cancer Child: 75-150 mg/m2 as a single dose every 6 wk. Readjust dose according to platelet and leukocyte counts.

Renal Dose

Renal impairment: CrCl (ml/min) Dosage Recommendation 10-50 Admin 75% of normal dose. <10 Admin 25-50% of normal dose.

Administration

Should be taken on an empty stomach. Take on an empty stomach. May be taken at bedtime to reduce occurrence of nausea.

Contra Indications

Pregnancy and lactation.

Precautions

Monitor CBC with differential platelet count wkly for at least 6 wk after a dose. Periodically perform pulmonary function studies and LFTs. Lactation: Unknown if metabolites present in breast milk; avoid nursing during treatment and for 2 weeks after final dose

Pregnancy-Lactation

Interactions

Increased levels/effects with CYP2D6 inhibitors.

Side Effects

Side effects of Lomustine : >10% Nausea (54%), Vomiting (54%) 1-10% Neurotoxicity, Myelosuppression (delayed 4-5 weeks) Frequency Not Defined Ataxia, Lethargy, Disorientation, Stomatitis, Mucositis, Pulmonary fibrosis (rare), Pulmonary toxicity, Elevated LFTs, Leukemia, Renal toxicity, Hepatic toxicity, Infertility, Alopecia, Optic atrophy (rare) Potentially Fatal: Delayed bone marrow suppression and permanent marrow damage following prolonged use.

Mode of Action

Lomustine inhibits the synthesis of DNA and RNA via alkylation although carbamoylation and modification of cellular proteins may also be involved.

Note

G-Lomustin 10mg Capsule generic name is Lomustine. G-Lomustin 10mg Capsule is manufactured by Gonoshasthaya Pharmaceuticals Ltd.G-Lomustin is availble in all over Bangladesh. Mes BD drug index information on G-Lomustin Capsule is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.

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