Xofigo 1100 kBq/mL Solution for injection
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of castration-resistant prostate cancer with bone metastases.
Dosage (summary)
55 kBq/kg body weight every 4 weeks for 6 injections.
Special Populations
- Elderly
- Hepatic impairment
- Renal impairment
- Paediatric patients
Pregnancy & Breastfeeding
Not indicated for women; contraindicated in pregnancy and breastfeeding.
Key Drug Interactions
- Concomitant chemotherapy may increase bone marrow suppression.
- Not recommended with abiraterone plus prednisone/prednisolone.
Contraindications
- Hypersensitivity to radium-223 dichloride.
- Children and adolescents under 18.
Common side effects
- Diarrhoea
- Nausea
- Vomiting
- Thrombocytopenia
Counselling Points
- Use condoms and effective contraception during and up to 6 months post-treatment.
- Monitor blood counts before each dose.
- Handle with care due to radiation safety.
Serious warnings
- Bone marrow suppression.
- Potential effects on spermatogenesis.
- Risk of secondary malignant neoplasms.
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