Zymib 3,5 mg Powder for solution for injection
Clinical Summary
Quick overview from the medicine insert
Indication
Treatment of multiple myeloma and relapsed mantle cell lymphoma.
Dosage (summary)
1.3 mg/mu00b2 twice weekly for 2 weeks, followed by a 10-day rest; adjust for toxicity.
Special Populations
- Elderly
- Renal impairment
- Hepatic impairment
Pregnancy & Breastfeeding
Not established; avoid breastfeeding during treatment.
Key Drug Interactions
- CYP3A4 inhibitors
- CYP3A4 inducers
- Antidiabetic medications
Contraindications
- Hypersensitivity to bortezomib
- Acute diffuse infiltrative pulmonary disease
Common side effects
- Nausea
- Diarrhoea
- Fatigue
- Thrombocytopenia
- Peripheral neuropathy
Counselling Points
- Monitor for signs of neuropathy
- Avoid pregnancy during treatment
- Report any severe side effects
Serious warnings
- Risk of intrathecal administration
- Herpes zoster reactivation
- PML risk
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