Fulvestrant Mylan 250 mg Solution for injection.
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of oestrogen receptor positive, locally advanced or metastatic breast cancer in postmenopausal women.
Dosage (summary)
500 mg intramuscularly as two 5 ml injections, one in each buttock, at 1-month intervals with an additional 500 mg dose 2 weeks after the initial dose.
Special Populations
- Renal impairment
- Hepatic impairment
Pregnancy & Breastfeeding
Contraindicated in pregnancy and breastfeeding; use effective contraception during treatment and for 2 years after.
Key Drug Interactions
- No significant drug interactions requiring dose adjustments
Contraindications
- Hypersensitivity to fulvestrant or excipients
- Severe hepatic impairment
- Pregnancy
- Breastfeeding
Common side effects
- Injection site reactions
- Asthenia
- Nausea
- Increased hepatic enzymes
Counselling Points
- Administer slowly (1-2 mins/injection)
- Monitor for hypersensitivity reactions
- Avoid use in children and adolescents
Serious warnings
- Caution in hepatic impairment
- Risk of thromboembolic events
- Potential risk of osteoporosis
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