Function and indication: This product is used for cancerous pleural and abdominal effusions; malignant lymphoma, lung cancer, seminoma, multiple myeloma, nasopharyngeal carcinoma and esophageal cancer.
Usage and dosage: The dosage and dosage of different dosage forms and specifications of this product may vary. Please read the specific drug instructions for use, or follow the doctor's advice. Nitrocarbone for injection: 20-40 mg each time, add 0.9% sodium chloride injection or 5% glucose injection 40 ml intravenous injection, or add 5% glucose injection intravenous drip, 1-2 times a week, for 2 consecutive weeks, and rest for 1-2 weeks as a cycle. Thoracic and abdominal injection, 40-60 mg each time, add 0.9% sodium chloride injection 30 ml, once a week, adjust the treatment cycle according to blood count, liver and kidney function and condition.
Adverse reactions:
1. Gastrointestinal reactions: lack of appetite, nausea, vomiting. 2. Bone marrow suppression, hair loss, fatigue. Occasionally thrombophlebitis.
Effects and efficacy:
Cisplatin is generally used to treat small cell and non-small cell lung cancer, testicular cancer, ovarian cancer, cervical cancer, endometrial cancer, prostate cancer, bladder cancer, melanoma, sarcoma, head and neck tumors, various squamous cell carcinomas and malignant lymphomas.
Usage and dosage:
Cisplatin can only be administered intravenously, intraarterially or intracavitary. It is usually administered by intravenous drip. Adequate hydration therapy is required 2 to 16 hours before administration and at least 6 hours after administration. Cisplatin needs to be diluted with normal saline or 5% glucose solution and then dripped intravenously. The dosage depends on the chemotherapy effect and individual response. The following dosage is for reference (for adults and children): The course of treatment depends on the clinical efficacy and is repeated every 3-4 weeks. Cisplatin can be used in combination with other anticancer drugs or alone. When used in combination, the dosage needs to be adjusted appropriately with the course of treatment.
Adverse reactions:
Nephrotoxicity After a single medium or high dose of medication, mild, reversible renal dysfunction may occasionally occur, and trace hematuria may occur. Repeated high-dose and short-term repeated use of the drug can cause irreversible renal dysfunction. In severe cases, renal tubular necrosis can lead to anuria and uremia. Digestive system symptoms include nausea, vomiting, loss of appetite, and diarrhea. The reactions usually occur within 1 to 6 hours after administration, and the longest does not exceed 24 to 48 hours. Occasionally, liver dysfunction and increased serum transaminases can be seen, which can be restored after drug withdrawal. The hematopoietic system is manifested by a decrease in white blood cells and (or) platelets, which is generally related to the dosage of the drug. Bone marrow suppression generally reaches a peak in about 3 weeks and recovers in 4 to 6 weeks. Ototoxicity can cause tinnitus and high-frequency hearing loss, which are mostly reversible and do not require special treatment. Neurotoxicity is more common in patients with a total amount of more than 300 mg/m2. Peripheral nerve damage is common, manifested as ataxia, myalgia, and paresthesia of the upper and lower limbs. A small number of patients may experience brain dysfunction, and epilepsy and retrobulbar neuritis may also occur. Allergic reactions such as increased heart rate, decreased blood pressure, dyspnea, facial edema, and allergic fever reactions may all occur. Other hyperuricemia: Leg swelling and joint pain are common. Plasma electrolyte disorders: hypomagnesemia, hypocalcemia, muscle cramps. Cardiac toxicity: Rare arrhythmias, electrocardiogram changes, bradycardia or tachycardia, heart failure, etc. Immune system: Immunosuppressive reactions may occur. Gingival changes: Platinum metal deposits may appear on the gums. Patients may experience local swelling of the limbs where arterial or intravenous injections are given. Pain, erythema and skin ulcers, local phlebitis, etc. are rare. Hair loss, sperm and egg formation disorders, and male breast feminization may also occur. The occurrence of secondary non-lymphocytic leukemia is related to the use of cisplatin chemotherapy. Vascular lesions, such as cerebral ischemia, coronary artery ischemia, peripheral vascular disorders similar to Ravnaud syndrome, and other side effects are rare, but may be related to the use of cisplatin.
Drug contraindications:
Contraindicated during lactation, contraindicated during pregnancy, and contraindicated for allergies to this product
Darolutamide Tablets.Daroltamide tablets are a Western medicine. They are clinically used to treat adult patients with non-metastatic castration-resistant prostate cancer (NM-CRPC) who have a high risk of metastasis.
The main ingredient of Daroltamide tablets is daroltamide, an androgen receptor (AR) inhibitor that competitively inhibits the binding of androgens to AR, thereby inhibiting AR nuclear translocation and AR-mediated transcription.
Doxifluridine is an organic compound with the chemical formula C9H11FN2O5. It is a white crystalline powder and is mainly used as an anti-tumor drug. It is mainly used clinically to treat breast and gastrointestinal malignancies and other solid tumors.
Enhertu (Fam-trastuzumab deruxtecan-nxki) هو مُقترن دواء-جسم مضاد (ADC) لعلاج الأورام الإيجابية لـ HER2، طُوّر بالتعاون بين شركتي أسترازينيكا ودايتشي سانكيو. آلية عمله هي إيصال الأدوية السامة للخلايا إلى الخلايا السرطانية من خلال استهداف HER2 المُفرط التعبير عنه على سطح الخلايا السرطانية، مما يُحقق علاجًا دقيقًا.
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الدواعي
سرطان الثدي : يُستخدَم للمرضى المصابين بسرطان الثدي الإيجابي لـ HER2 غير القابل للاستئصال أو النقيلي، والذين تلقوا جرعتين أو أكثر من العلاجات المضادة لـ HER2 في الحالات النقيلية.
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سرطان المعدة : يُستخدَم لعلاج المرضى المصابين بسرطان غدي في الوصلة المعدية أو المريئية، إيجابي لـ HER2، متقدم موضعيًا أو نقيلي. ٣
سرطان الرئة: يُعطى لمرضى سرطان الرئة النقيلي غير صغير الخلايا الحامل لطفرات HER2 والذين يعانون من تطور المرض أثناء أو بعد العلاج بالبلاتين.
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سرطان القولون والمستقيم: يُعطى لمرضى سرطان القولون والمستقيم النقيلي الحامل لطفرات HER2.
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طريقة الإعطاء
الجرعة: ٥.٤ ملغم/كغم، عن طريق التسريب الوريدي مرة كل ٣ أسابيع (دورة ٢١ يومًا) حتى تطور المرض أو حدوث سمية لا تُطاق.
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التسريب الأول: يُنصح بألا تقل مدة التسريب عن ٩٠ دقيقة؛ ويمكن تقصير مدة التسريبات اللاحقة إلى أكثر من ٣٠ دقيقة إذا كان المريض يتحملها جيدًا.
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الاحتياطات: في حال ظهور أعراض مرتبطة بالتسريب، يجب إبطاء معدل التسريب أو إيقافه مؤقتًا؛ وفي حال حدوث ردود فعل شديدة، يجب إيقاف الدواء نهائيًا.
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التجارب السريرية والفعالية
في تجربة [DESTINY-Breast09]، أدى دمج Enhertu مع Pertuzumab إلى خفض خطر تطور المرض أو الوفاة بنسبة 44%، وبلغ متوسط البقاء على قيد الحياة دون تطور المرض 40.7 شهرًا (26.9 شهرًا في المجموعة الضابطة)، وبلغ معدل الاستجابة الموضوعية 85.1%. يُعد هذا النظام العلاجي أول علاج ثوري منذ أكثر من عقد يُحسّن فعالية أنظمة العلاج الأولية.
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تحذيرات السلامة
تشمل المخاطر الرئيسية مرض الرئة الخلالي (ILD) والتسمم الجنيني، ويجب مراقبة الأعراض المرتبطة به عن كثب.
يستخدم Fuxit في مرحلة ما بعد انقطاع الطمث (بما في ذلك انقطاع الطمث الطبيعي وانقطاع الطمث الاصطناعي) لمستقبلات هرمون الاستروجين الإيجابية محليًا أو المرض النقيلي الذي ينتكس بعد أو أثناء العلاج المساعد المضاد للاستروجين، أو يتقدم أثناء العلاج المضاد للاستروجين. علاج سرطان الثدي
Treated patients with non-metastatic castration-resistant prostate cancer (nmCRPC) demonstrate robust prostate-specific antigen (PSA) responses and high medication compliance rates
Effects and efficacy: Erlotinib is an anti-tumor drug mainly used for non-small cell cancer. Erlotinib is used as a single agent for the first-line treatment, maintenance treatment or second-line or higher treatment of locally advanced or metastatic non-small cell lung cancer (NSCLC) with sensitive mutations in the epidermal growth factor receptor (EGFR) gene after at least one chemotherapy progression. It is used alone for the maintenance treatment of locally advanced or metastatic NSCLC with stable disease after 4 cycles of first-line chemotherapy based on platinum drugs. The results of two multicenter, randomized, placebo-controlled Phase III trials showed that erlotinib combined with platinum-containing chemotherapy (carboplatin + paclitaxel; or gemcitabine + cisplatin) as a first-line treatment for patients with locally advanced or metastatic NSCLC did not increase clinical benefits compared to platinum-containing chemotherapy alone, so it is not recommended for first-line treatment in the above situation. Usage and Dosage: Single-agent for non-small cell lung cancer: The recommended dose is 150 mg per day, and the medication is continued until the disease progresses or intolerable toxic reactions occur. If the dose needs to be reduced, it should be reduced by 50 mg each time under the guidance of a doctor. Please follow the doctor's advice for details. The same medicine produced by different manufacturers may have inconsistent instructions. If you find inconsistencies in the instructions before taking the medicine, please consult a doctor or pharmacist in time.
Drug contraindications:
Allergic to this product is prohibited. Use with caution during pregnancy and lactation.
Related dosage forms:
Tablets