Apemeg 160

Apemeg 160160mg

Type:6 Tablets

Generic Name:Megestrol Acetate

Manufacturer:Renata Limited

Price:450.00

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Indication

Contraception, Breast carcinoma, Endometrial carcinoma, Anorexia and Cachexia

Administration

Should be taken with food.

Adult Dose

Oral Palliative treatment of breast carcinoma Adult: 40 mg 4 times daily or 160 mg once daily. Palliative treatment of endometrial carcinoma Adult: 40-320 mg daily in divided doses. evaluate efficacy after 2 months of treatment; up to 800 mg/day may be used Anorexia and cachexia in patients with cancer or AIDS Adult: Initial: 800 mg daily. Usual range: 400-800 mg daily.

Renal Dose

Renal impairment: Use with caution; in normal renal function, 57-78% is excreted in urine within 10 days

Contraindication

Pregnancy and lactation. Severe hepatic impairment.

Mode of Action

Megestrol is a progestogen used as an antineplastic and appetite stimulant. The mechanism of it's antineoplastic effects is not known but may be due to inhibition of oestrogen synthesis, modulation of other steroid hormones and/or a direct cytotoxic effect on tumour cells.

Precaution

History of thrombophlebitis, mild to moderate hepatic impairment, risk of fluid retention, history of depression, diabetes, hypertension, renal or cardiac dysfunction. Lactation: Not safe; do not nurse

Side Effect

Common Hypertension,Insomnia, mood swings Rash, sweating,Amenorrhea, breakthrough bleeding, change in menstrual flow, hot sweats, impotence, spotting Diarrhea, flatulence, indigestion, nausea, vomiting, weight gain Serious Deep vein thrombosis (DVT),Pulmonary embolism,Thrombophlebitis,Anemia,Adrenal insufficiency

Interaction

Concentrations of indinavir may be reduced. Possible reduced efficacy of cisplatin. Warfarin half life may be increased. Megestrol concentration may be decreased by aminoglutethimide and enzyme-inducing drugs.

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