Accord Paclitaxel Injection
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of various types of cancer including breast cancer, ovarian cancer, and non-small cell lung cancer.
Dosage (summary)
Administered as an intravenous infusion; typical doses range from 135 mg/m² to 175 mg/m² every 3 weeks, depending on the specific cancer type and treatment regimen.
Onset of Action / Duration
Onset of action varies; effects may be observed within days to weeks after administration, depending on the tumor type and individual response.
Special Populations
- Elderly patients
- Patients with hepatic impairment
- Patients with renal impairment
Pregnancy & Breastfeeding
Paclitaxel is contraindicated in pregnancy and breastfeeding due to potential harm to the fetus or infant.
Key Drug Interactions
- CYP2C8 inhibitors (e.g., gemfibrozil) may increase paclitaxel levels.
- CYP3A4 inducers (e.g., rifampicin) may decrease paclitaxel levels.
- Concurrent use with other myelosuppressive agents may increase the risk of neutropenia.
Contraindications
- Hypersensitivity to paclitaxel or any component of the formulation.
- Severe bone marrow suppression.
- Pregnancy and lactation.
Common side effects
- Neutropenia
- Peripheral neuropathy
- Nausea and vomiting
- Alopecia
- Fatigue
- Hypersensitivity reactions
Counselling Points
- Inform patients about the potential side effects and the importance of reporting any unusual symptoms.
- Advise on the need for regular blood tests to monitor blood cell counts.
- Discuss the importance of contraception during treatment and for a period after treatment.
Serious warnings
- Monitor for signs of hypersensitivity reactions during infusion.
- Use caution in patients with pre-existing liver or kidney conditions.
- Risk of secondary malignancies with long-term use.
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