Included in the formulation
АТХ:L.01.X.X Other antineoplastic agents
L.01.X.X.46 Olaparib
Pharmacodynamics:Inhibits poly (ADP-ribose) -polymerase (PARP), which leads to the death of cancer cells. Effective with hereditary BRCA1 or BRCA2 mutations in the ovaries, breast and prostate.
Pharmacokinetics:After oral administration, fasted to 60% is absorbed in the gastrointestinal tract. The maximum concentration in blood plasma is reached after 1-3 hours. The connection with plasma proteins is 82%.
Therapeutic effect develops after the reception. Metabolism in the liver.
The half-life is 11.9 hours. Elimination with feces and kidneys.
Indications:It is used for the treatment of ovarian cancer and fallopian tubes, primary peritoneal cancer of high degree of malignancy with a mutation of the BRCA gene.
II.C60-C63.C61 Malignant neoplasm of prostate
II.C50.C50 Malignant neoplasm of breast
II.C51-C58.C56 Malignant neoplasm of ovary
Contraindications:Severe renal and hepatic insufficiency, simultaneous administration with inhibitors or inductors of CYP3A isoenzyme, pregnancy and lactation, age under 18, individual intolerance.
Carefully:Hypersensitivity.
Pregnancy and lactation:Recommendations for FDA - Category X. Contraindicated in pregnancy and lactation.
Dosing and Administration:Inside, 400 mg 2 times a day.
The highest daily dose: 800 mg.
The highest single dose: 400 mg.
Side effects:Respiratory system: interstitial pneumonitis.
Hemopoietic system: hemolytic anemia, rarely - myeloblastic leukemia.
The cardiovascular system: vasculitis, myocarditis, angiopathy, cardiomyopathy.
Digestive system: nausea, vomiting, diarrhea.
Dermatological reactions: leukocytoclastic vasculitis, psoriasis, photosensitivity.
Allergic reactions.
Overdose:Increased side effects.
Treatment is symptomatic.
Interaction:Clinically significant interactions are not described.
Special instructions:Monitoring of liver and kidney function.
During treatment and within 3 months after its termination it is recommended to use reliable methods of contraception.
In the treatment and within 6 months after its end It is not recommended to vaccinate with live vaccines.
When taking the drug is not recommended driving and working with moving machinery.