Palbokin | Palbociclib 125 | ePharma
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Palbokin 125mg Capsule 7pcs

Generic: Palbociclib

Type: Capsule

Pack Size: 7pcs

Palbociclib inhibits Cyclin-dependent kinases (CDK) 4 and 6, which are key regulators of cellular proliferation. It works by:

  • Blocking the transition from the G1 phase to the S phase in the cell cycle reduces the proliferation of estrogen receptor (ER)-positive breast cancer cells.
  • Decreasing retinoblastoma (RB) protein phosphorylation, leads to reduced E2F signaling and enhanced cell growth arrest when combined with antiestrogens.
  • Inducing sustained cell senescence when used alongside antiestrogens, greater effects were observed when antiestrogen treatment continued after Palbokin discontinuation.
  • Demonstrating stronger tumor growth inhibition in combination with letrozole compared to either drug alone in patient-derived ER-positive breast cancer models.

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✅ Description:

Palbokin is a kinase inhibitor used to treat hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced or metastatic breast cancer. It is prescribed in combination with:

  • An aromatase inhibitor was the first endocrine-based therapy for postmenopausal women.
  • Fulvestrant for women whose disease has progressed after prior endocrine therapy.

Relevant Products / প্রাসঙ্গিক পণ্য

✔️ Uses of Palbokin 125
  • Treatment of Breast cancer
✔️ How does Palbokin 125 work?

Palbociclib selectively and reversibly inhibits cyclin-dependent kinases (CDK) 4 and 6. These kinases, along with cyclin D1, play a role in cell proliferation by regulating the cell cycle progression from the G1 to S phase. Inhibiting CDK4/6 slows the proliferation of breast cancer cells.

✔️ Common Side Effects: Palbokin 125
  • Decreased white blood cell (WBC) and neutrophil counts
  • Neutropenia, thrombocytopenia, and anemia
  • Nausea, vomiting, diarrhea, and fatigue
  • Hair loss, rash, and dry skin
  • Mouth and lip inflammation
  • Increased AST and ALT levels
✔️ Serious Side Effects: Palbokin 125
  • Neutropenia: Occurs in up to 80% of patients, with febrile neutropenia reported in 1.8%. Regular blood monitoring is essential.
  • Interstitial Lung Disease (ILD)/Pneumonitis: Severe or life-threatening cases have been observed. Patients should report symptoms like cough or shortness of breath immediately.
  • Embryo-Fetal Toxicity: Can harm a developing fetus. Women of reproductive age should use effective contraception during treatment and for 3 weeks after stopping Palbokin.
✔️ Dosage & Administration of Palbokin 125
  • Recommended Dose: 125 mg capsule, taken orally once daily for 21 consecutive days, followed by a 7-day break (28-day cycle).
  • Administration Instructions:
    • Take with food at the same time each day.
    • For men undergoing Palbokin with an aromatase inhibitor, treatment with an LHRH agonist may be considered based on clinical guidelines.
  • Dose Adjustments for Adverse Reactions:
    • Starting Dose: 125 mg/day.
    • First Reduction: 100 mg/day.
    • Second Reduction: 75 mg/day.
    • Discontinue treatment if further dose reduction is required.

Note: Not approved for use in children.

✔️ Renal Dose Adjustments: Palbokin 125
  • Mild, moderate, or severe renal impairment (CrCl >15 mL/min): No dose adjustment required.
  • Hemodialysis: Not studied.
✔️ Drug Interactions: Palbokin 125

Agents That Increase Palbokin Plasma Levels:

  • Strong CYP3A inhibitors (e.g., Itraconazole, Ketoconazole, Ritonavir) can increase Palbokin levels by 87%.
    • Avoid concomitant use or reduce Palbokin dosage.
    • Avoid grapefruit or grapefruit juice.

Agents That Decrease Palbokin Plasma Levels:

  • Strong CYP3A inducers (e.g., Rifampin, Carbamazepine, Phenytoin) can reduce Palbokin levels by 85%.
    • Avoid concomitant use.

Drugs Affected by Palbokin:

  • Palbokin increases the plasma concentration of CYP3A substrates (e.g., Midazolam, Fentanyl, Tacrolimus).
    • Dose adjustments of these drugs may be necessary.
✔️ Pregnancy & Lactation
  • Palbokin can harm a fetus if administered during pregnancy. Pregnant women should be advised of this risk.
  • The drug’s excretion in breast milk is unknown. Use during breastfeeding should be avoided unless necessary.
✔️ Warnings & Precautions
  1. Neutropenia: Monitor blood counts before treatment, at the start of each cycle, and during the second cycle. Adjust the dose or delay treatment if severe neutropenia occurs.
  2. ILD/Pneumonitis: Interrupt treatment immediately if symptoms develop, and discontinue permanently for severe cases.
  3. Contraception: Women should use effective birth control during treatment and for 3 weeks post-treatment.
✔️ Storage:

Keep below 30°C temperature, away from light & moisture. Keep out of the reach of children.

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Check our pricing section for Palbokin 125mg Capsule 7pcs price in Bangladesh. After Submitting Order, You will receive a phone call for verification, price and delivery confirmation. We deliver inside/outside Dhaka (Delivery all over Bangladesh). We offer express/urgent medicine delivery inside Dhaka. Do not forget to check discount/cashback offers if you are eligible to avail any.

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