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Asciminib(Scemblix)阿西米尼有哪些注意事项和副作用

发布时间:2024-03-30 08:43:13 阅读:1127 来源:问药网
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Scemblix(asciminib)阿西米尼

Scemblix(asciminib)阿西米尼 生产厂家:瑞士诺华制药 功能主治:适用于治疗先前接受过两种或多种酪氨酸激酶抑制剂(TKI) 治疗、处于慢性期(CP) 的费城染色体阳性慢性粒细胞白血病(Ph+ CML)。 用法用量:       用法用量  1、先前接受过两次或多次tki治疗的Ph+ CML-CP患者的推荐剂量  Scemblix(asciminib)的推荐剂量为80 mg口服,每日一次,每天服药时间大致相同,或40 mg口服,每日两次,间隔约12小时。推荐剂量的SCEMBLIX可在不进食的情况下口服。至少在服用SCEMBLIX前2小时和服用SCEMBLIX后1小时内避免进食。  只要观察到临床获益或直到出现不可接受的毒性,就继续使用SCEMBLIX治疗。  2、2T315I突变的Ph+ CML-CP患者的推荐剂量  Scemblix(asciminib)的推荐剂量为200 mg,口服,每日两次,间隔约12小时。推荐剂量的Scemblix(asciminib)可在不进食的情况下口服。至少在服用SCEMBLIX前2小时和服用Scemblix(asciminib)后1小时内避免进食。
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Asciminib(Scemblix)阿西米尼有哪些注意事项和副作用,Asciminib(Asciminib)最常见的副作用包括:1、鼻子、喉咙或鼻窦、血小板计数、白细胞感染计数和红细胞计数下降;2、肌肉、骨骼或关节疼痛、血脂水平升高;3、头痛、血肌酸激酶水平升高;4、疲倦、血肝酶水平升高;5、恶心、血胰酶;7、腹泻、血尿酸水平升高。

Title: Understanding Asciminib (Scemblix): Precautions and Side Effects in Leukemia Treatment

Asciminib, also known by its trade name Scemblix, is a targeted therapy used in the treatment of leukemia. As with any medication, it is crucial to be aware of the precautions and potential side effects associated with Asciminib to ensure its safe and effective use.

1. Understanding Asciminib (Scemblix)

Asciminib is a tyrosine kinase inhibitor specifically designed to target and inhibit the activity of the BCR-ABL1 fusion protein, which plays a crucial role in the development of certain types of leukemia, such as chronic myeloid leukemia (CML). By targeting this protein, Asciminib helps to interrupt the abnormal cell signaling that leads to the uncontrolled growth of leukemia cells.

2. Precautions Before Taking Asciminib

Before initiating treatment with Asciminib, it is essential for healthcare providers and patients to consider certain precautions:

Medical History: Patients should inform their healthcare providers about their complete medical history, including pre-existing conditions, allergies, and current medications. This information helps in assessing the suitability of Asciminib for individual cases.

Pregnancy and Breastfeeding: Asciminib may have potential risks during pregnancy, and its use should be discussed thoroughly with healthcare providers. Similarly, the impact on breastfeeding should be evaluated, and alternative options may be considered.

Liver and Kidney Function: Asciminib is metabolized by the liver, and its dosage may need adjustment in individuals with impaired liver function. Regular monitoring of liver and kidney function is advisable during treatment.

3. Common Side Effects of Asciminib

While Asciminib is generally well-tolerated, it may cause some side effects. It is crucial for patients to be aware of these potential adverse reactions:

Gastrointestinal Issues: Common side effects may include nausea, diarrhea, and abdominal pain. Patients experiencing severe or persistent symptoms should promptly inform their healthcare providers.

Fatigue: Some individuals may experience fatigue or weakness during Asciminib treatment. Adequate rest and communication with healthcare providers can help manage these symptoms.

Hematologic Effects: Asciminib may affect blood cell counts, leading to issues such as anemia, thrombocytopenia, or neutropenia. Regular blood tests are necessary to monitor these changes.

4. Rare but Serious Side Effects

While uncommon, some individuals may experience more severe side effects that require immediate medical attention:

Cardiovascular Issues: Asciminib may have an impact on the cardiovascular system, leading to conditions such as hypertension or QT interval prolongation. Regular cardiac monitoring is essential.

Hepatic Dysfunction: In rare cases, Asciminib may cause severe liver problems. Patients should report any signs of jaundice, abdominal pain, or unusual fatigue promptly.

Conclusion: Safe and Informed Use of Asciminib

In conclusion, Asciminib represents a valuable addition to leukemia treatment, particularly in cases of BCR-ABL1-positive malignancies. However, its use requires careful consideration of precautions and potential side effects. Patients and healthcare providers working collaboratively can ensure the safe and effective integration of Asciminib into leukemia management plans. Regular monitoring and open communication play pivotal roles in optimizing treatment outcomes while minimizing risks.