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Tdcef
Cefixime Trihydrate
Tdcef
Indications
Urethritis
Indication detailsView
- Uncomplicated urinary tract infections caused by Escherichia coli and Proteus mirabilis.
- Otitis Media caused by Haemophilus influenzae, Moraxella catarrhalis and Streptococcus pyogenes.
- Pharyngitis and tonsillitis caused by Streptococcus pyogenes.
- Acute bronchitis and acute exacerbations of chronic bronchitis caused by Streptococcus pneumoniae and Haemophilus influenzae.
- Uncomplicated gonorrhoea (cervical/urethral) caused by Neisseria gonorrhoeae.
Therapeutic classView
PharmacologyView
DosageView
Adult and children over 12 years: The recommended adult dose is 200-400 mg (1 to 2 capsules) daily, given either as a single dose or in two divided doses. For the treatment of uncomplicated cervical/urethral gonococcal infections, a single oral dose of Cefixime 400 mg is recommended.
Children (6 month or older): Usually 8 mg/kg/day given as a single dose or in two divided doses or may be given as following
- ½-1 year: 75 mg daily.
- 1-4 years: 100 mg daily.
- 5-10 years: 200 mg daily.
- 11-12 years: 300 mg daily
- In typhoid fever, dosage should be 10 mg/kg/day for 14 days.
Side effectsView
ContraindicationsView
PrecautionsView
InteractionsView
Pregnancy & lactationView
Overdose effectsView
StorageView
Tdcef
Cefixime Trihydrate
Tdcef
Indications
Urethritis
Indication detailsView
- Uncomplicated urinary tract infections caused by Escherichia coli and Proteus mirabilis.
- Otitis Media caused by Haemophilus influenzae, Moraxella catarrhalis and Streptococcus pyogenes.
- Pharyngitis and tonsillitis caused by Streptococcus pyogenes.
- Acute bronchitis and acute exacerbations of chronic bronchitis caused by Streptococcus pneumoniae and Haemophilus influenzae.
- Uncomplicated gonorrhoea (cervical/urethral) caused by Neisseria gonorrhoeae.
Therapeutic classView
PharmacologyView
DosageView
Adult and children over 12 years: The recommended adult dose is 200-400 mg (1 to 2 capsules) daily, given either as a single dose or in two divided doses. For the treatment of uncomplicated cervical/urethral gonococcal infections, a single oral dose of Cefixime 400 mg is recommended.
Children (6 month or older): Usually 8 mg/kg/day given as a single dose or in two divided doses or may be given as following
- ½-1 year: 75 mg daily.
- 1-4 years: 100 mg daily.
- 5-10 years: 200 mg daily.
- 11-12 years: 300 mg daily
- In typhoid fever, dosage should be 10 mg/kg/day for 14 days.
Side effectsView
ContraindicationsView
PrecautionsView
InteractionsView
Pregnancy & lactationView
Overdose effectsView
StorageView
Tdcef DS
Cefixime Trihydrate
Tdcef DS
Indications
Urethritis
Indication detailsView
- Uncomplicated urinary tract infections caused by Escherichia coli and Proteus mirabilis.
- Otitis Media caused by Haemophilus influenzae, Moraxella catarrhalis and Streptococcus pyogenes.
- Pharyngitis and tonsillitis caused by Streptococcus pyogenes.
- Acute bronchitis and acute exacerbations of chronic bronchitis caused by Streptococcus pneumoniae and Haemophilus influenzae.
- Uncomplicated gonorrhoea (cervical/urethral) caused by Neisseria gonorrhoeae.
Therapeutic classView
PharmacologyView
DosageView
Adult and children over 12 years: The recommended adult dose is 200-400 mg (1 to 2 capsules) daily, given either as a single dose or in two divided doses. For the treatment of uncomplicated cervical/urethral gonococcal infections, a single oral dose of Cefixime 400 mg is recommended.
Children (6 month or older): Usually 8 mg/kg/day given as a single dose or in two divided doses or may be given as following
- ½-1 year: 75 mg daily.
- 1-4 years: 100 mg daily.
- 5-10 years: 200 mg daily.
- 11-12 years: 300 mg daily
- In typhoid fever, dosage should be 10 mg/kg/day for 14 days.
Side effectsView
ContraindicationsView
PrecautionsView
InteractionsView
Pregnancy & lactationView
Overdose effectsView
StorageView
Tealis
Tadalafil
Tealis
Indications
Pulmonary arterial hypertension
Indication detailsView
- Erectile Dysfunction (ED)
- Benign Prostatic Hyperplasia (BPH)
- Both Erectile Dysfunction and signs and symptoms of Benign Prostatic Hyperplasia
Therapeutic classView
PharmacologyView
DosageView
Erectile Dysfunction: For most patients the recommended starting dose is 10 mg. The dose may be increased to 20 mg or decreased to 5 mg based on requirement. The maximum dosing frequency is once daily. Tadalafil is effective for up to 36 hours.
Benign prostatic hyperplasia: The recommended dose is 5 mg taken at the same time every day.
Combined Erectile Dysfunction and Benign prostatic hyperplasia: The recommended dose is 5 mg at the same time every day.
Side effectsView
ContraindicationsView
- Use of Nitrates (for example, Nitroglycerine, Isosorbide): may increase hypotensive effects of Nitrates
- Hypersensitivity reactions to Tadalafil
PrecautionsView
InteractionsView
Pregnancy & lactationView
StorageView
Tealis
Tadalafil
Tealis
Indications
Pulmonary arterial hypertension
Indication detailsView
- Erectile Dysfunction (ED)
- Benign Prostatic Hyperplasia (BPH)
- Both Erectile Dysfunction and signs and symptoms of Benign Prostatic Hyperplasia
Therapeutic classView
PharmacologyView
DosageView
Erectile Dysfunction: For most patients the recommended starting dose is 10 mg. The dose may be increased to 20 mg or decreased to 5 mg based on requirement. The maximum dosing frequency is once daily. Tadalafil is effective for up to 36 hours.
Benign prostatic hyperplasia: The recommended dose is 5 mg taken at the same time every day.
Combined Erectile Dysfunction and Benign prostatic hyperplasia: The recommended dose is 5 mg at the same time every day.
Side effectsView
ContraindicationsView
- Use of Nitrates (for example, Nitroglycerine, Isosorbide): may increase hypotensive effects of Nitrates
- Hypersensitivity reactions to Tadalafil
PrecautionsView
InteractionsView
Pregnancy & lactationView
StorageView
Tealis
Tadalafil
Tealis
Indications
Pulmonary arterial hypertension
Indication detailsView
- Erectile Dysfunction (ED)
- Benign Prostatic Hyperplasia (BPH)
- Both Erectile Dysfunction and signs and symptoms of Benign Prostatic Hyperplasia
Therapeutic classView
PharmacologyView
DosageView
Erectile Dysfunction: For most patients the recommended starting dose is 10 mg. The dose may be increased to 20 mg or decreased to 5 mg based on requirement. The maximum dosing frequency is once daily. Tadalafil is effective for up to 36 hours.
Benign prostatic hyperplasia: The recommended dose is 5 mg taken at the same time every day.
Combined Erectile Dysfunction and Benign prostatic hyperplasia: The recommended dose is 5 mg at the same time every day.
Side effectsView
ContraindicationsView
- Use of Nitrates (for example, Nitroglycerine, Isosorbide): may increase hypotensive effects of Nitrates
- Hypersensitivity reactions to Tadalafil
PrecautionsView
InteractionsView
Pregnancy & lactationView
StorageView
Tear
Hypromellose
Tear
Indication detailsView
- Impaired lacrimal secretion and
- Functional disorders as a result of topical or systemic diseases or
- Caused by deficient or incomplete eyelid closure.
Therapeutic classView
PharmacologyView
DosageView
- The usual dose of 0.3% Hypromellose is 1 drop into the conjunctival sac 3 to 5 times per day or as directed by the physician.
- The dose of 0.5% Hypromellose will be different for different patients. Follow your doctor's directions.
Side effectsView
ContraindicationsView
PrecautionsView
InteractionsView
Pregnancy & lactationView
StorageView
Tearcol
Polyethylene Glycol + Propylene Glycol
Tearcol
Indications
Dry eye
Indication detailsView
Therapeutic classView
PharmacologyView
DosageView
Side effectsView
ContraindicationsView
PrecautionsView
StorageView
Tearex
Povidone Iodine
Tearex
Indications
Secondarily infected dermatoses
Indication detailsView
Therapeutically: As an adjunct to systemic therapy in the following indications-
- Primary or secondary topical infections
- Infected surgical incisions
- Infected decubitus or stasis ulcers
- Pyodermas
- Secondarily infected dermatoses
- Infected traumatic lesions
- To prevent microbial contaminations in burns, incisions and other topical lesions
- For degerming skin in hyperalimentation, the umbilical area or circumcision
- Its use for abrasions, minor cuts, and wounds prevents the development of infections and permits wound healing.
- For the prevention and treatment of surface infections as well as to degerm the skin, mucous membrane and hyperalimentation procedures
- For seborrhea
- For preoperative and postoperative scrubbing and washing of hospital operating room and equipments
- For preoperative prepping of operative site, including the vagina
- For disinfection of wounds, burns, lacerations and abrasions
- As a prophylactic anti-infective agent in house, hospital & office procedures
- Postoperative application to incisions to help prevent infection
- In oral moniliasis (thrush); bacterial and mycotic skin infections, decubitus & stasis ulcers
- As a preoperative swab in the mouth & throat
- For the treatment of acute mucosal infections of the mouth and pharynx.
- For oral hygiene prior to, during and after dental and oral surgery.
Powder: It is used for topical application in the following indications: Superficial wounds, Minor cuts, Burns, Abrasions, Lacerations, In the treatment and prevention of infections.
Ophthalmic Solution: Povidone is used for the symptomatic treatment of dry eye conditions including keratoconjunctivitis sicca. It is also given as a substitute for tear fluid in case of the unstable tear film or insufficient moistening of the eye surface.
Therapeutic classView
PharmacologyView
DosageView
- For the treatment of infection: Apply once or twice daily or at dressing changes for a maximum of 14 days.
- For the prevention of infection: Apply once or twice a week for as long as necessary. The affected skin should be cleaned and dried and can be covered with a dressing or bandage.
Gargle & Mouthwash: Adults and children over 6 years of age: Use undiluted or diluted with an equal volume of warm water. Gargle or rinse with up to 10 mL for up to 30 seconds without swallowing. Repeat up to four times daily, for up to 14 consecutive days, or as advised by the Registered Dental Surgeon/Physician.
Surgical Scrub:
- For Preoperative and Postoperative washing by Operating Personnel: Wet hands and forearms with water. Pour about 5 mL of Povidone Iodine Surgical Scrub on the palm of the hand and spread over both hands and forearms. Without adding more water, rub the Scrub thoroughly over all areas for about five minutes. Use a brush if desired. Clean thoroughly under fingernails. Add a little water and develop copious suds. Rinse thoroughly under running water. Complete the wash by scrubbing with another 5 mL of Povidone Iodine Surgical Scrub in the same way.
- For Preoperative use on Patients: After the skin area is shaved, wet it with water. Apply Povidone Iodine Surgical Scrub (1 mL is sufficient to cover an area of 20-30 square inches), develop lather and scrub thoroughly for about five minutes. Rinse off by aid of sterile gauze saturated with water.
- For use in the Physician's Office: Use for washing whenever a germicidal soap is required.
Ophthalmic Solution: 1 drop 4 times daily or as required, depending upon the severity of the disease, to be instilled into the conjunctival sac.
Side effectsView
ContraindicationsView
PrecautionsView
Solution: In preoperative prepping, avoid 'pooling' beneath the patient. Prolonged exposure to wet solution may cause irritation or rarely, severe skin reactions. In case of deep or puncture wounds or serious burns, consult Registered Physician. If redness, irritation, swelling or pain persists or increases or if infection occurs, discontinue use and consult Registered Physician.
Gargle & Mouthwash: Regular use should be avoided as prolonged use may lead to the absorption of a significant amount of iodine. Do not use for more than 14 days. If sores or ulcers in the mouth do not heal within 14 days seek dental or medical advice. It is also not for use in children under 6 years of age. Regular use should be avoided in patients on concurrent lithium therapy.
Surgical Scrub: Special caution is needed when regular applications to broken skin are made to patients with pre-existing renal insufficiency. Regular use should be avoided in patients on concurrent lithium therapy. It can permanently discolor white gold jewellery and it is recommended that this type of jewellery should be removed before using this product.
Powder: Care must be taken when used on known iodine sensitivity, although do not normally react to Povidone-Iodine. Excess powder can be washed off readily with warm water. It should be used directly from the container. Not to be administered internally.
Ophthalmic Solution: Patients, who experience blurred vision after application of the eye drops, should not drive or use machinery until their vision has cleared. Contact lenses should not be worn during the instillation of the drug. After instillation, there should be an interval of at least 30 minutes before reinsertion.
InteractionsView
Pregnancy & lactationView
There is no experience regarding the safety of the Povidone eye drops in human pregnancy or lactation. Administration during pregnancy and lactation is therefore not recommended, except for compelling reasons.
StorageView
Tearfresh Liquigel
Carboxymethylcellulose Sodium
Tearfresh Liquigel
Indication detailsView
PharmacologyView
This eye drop contains Carboxymethylcellulose Sodium similar to normal tears which acts as an ocular lubricant. It provides a lubricating and hydrating protective shield on the ocular surface.
DosageView
Side effectsView
ContraindicationsView
PrecautionsView
InteractionsView
Pregnancy & lactationView
Pediatric usageView
Geriatric use: No overall differences in safety or effectiveness have been observed between elderly and other adult patients.
StorageView
Teargen
Povidone Iodine
Teargen
Indications
Secondarily infected dermatoses
Indication detailsView
Therapeutically: As an adjunct to systemic therapy in the following indications-
- Primary or secondary topical infections
- Infected surgical incisions
- Infected decubitus or stasis ulcers
- Pyodermas
- Secondarily infected dermatoses
- Infected traumatic lesions
- To prevent microbial contaminations in burns, incisions and other topical lesions
- For degerming skin in hyperalimentation, the umbilical area or circumcision
- Its use for abrasions, minor cuts, and wounds prevents the development of infections and permits wound healing.
- For the prevention and treatment of surface infections as well as to degerm the skin, mucous membrane and hyperalimentation procedures
- For seborrhea
- For preoperative and postoperative scrubbing and washing of hospital operating room and equipments
- For preoperative prepping of operative site, including the vagina
- For disinfection of wounds, burns, lacerations and abrasions
- As a prophylactic anti-infective agent in house, hospital & office procedures
- Postoperative application to incisions to help prevent infection
- In oral moniliasis (thrush); bacterial and mycotic skin infections, decubitus & stasis ulcers
- As a preoperative swab in the mouth & throat
- For the treatment of acute mucosal infections of the mouth and pharynx.
- For oral hygiene prior to, during and after dental and oral surgery.
Powder: It is used for topical application in the following indications: Superficial wounds, Minor cuts, Burns, Abrasions, Lacerations, In the treatment and prevention of infections.
Ophthalmic Solution: Povidone is used for the symptomatic treatment of dry eye conditions including keratoconjunctivitis sicca. It is also given as a substitute for tear fluid in case of the unstable tear film or insufficient moistening of the eye surface.
Therapeutic classView
PharmacologyView
DosageView
- For the treatment of infection: Apply once or twice daily or at dressing changes for a maximum of 14 days.
- For the prevention of infection: Apply once or twice a week for as long as necessary. The affected skin should be cleaned and dried and can be covered with a dressing or bandage.
Gargle & Mouthwash: Adults and children over 6 years of age: Use undiluted or diluted with an equal volume of warm water. Gargle or rinse with up to 10 mL for up to 30 seconds without swallowing. Repeat up to four times daily, for up to 14 consecutive days, or as advised by the Registered Dental Surgeon/Physician.
Surgical Scrub:
- For Preoperative and Postoperative washing by Operating Personnel: Wet hands and forearms with water. Pour about 5 mL of Povidone Iodine Surgical Scrub on the palm of the hand and spread over both hands and forearms. Without adding more water, rub the Scrub thoroughly over all areas for about five minutes. Use a brush if desired. Clean thoroughly under fingernails. Add a little water and develop copious suds. Rinse thoroughly under running water. Complete the wash by scrubbing with another 5 mL of Povidone Iodine Surgical Scrub in the same way.
- For Preoperative use on Patients: After the skin area is shaved, wet it with water. Apply Povidone Iodine Surgical Scrub (1 mL is sufficient to cover an area of 20-30 square inches), develop lather and scrub thoroughly for about five minutes. Rinse off by aid of sterile gauze saturated with water.
- For use in the Physician's Office: Use for washing whenever a germicidal soap is required.
Ophthalmic Solution: 1 drop 4 times daily or as required, depending upon the severity of the disease, to be instilled into the conjunctival sac.
Side effectsView
ContraindicationsView
PrecautionsView
Solution: In preoperative prepping, avoid 'pooling' beneath the patient. Prolonged exposure to wet solution may cause irritation or rarely, severe skin reactions. In case of deep or puncture wounds or serious burns, consult Registered Physician. If redness, irritation, swelling or pain persists or increases or if infection occurs, discontinue use and consult Registered Physician.
Gargle & Mouthwash: Regular use should be avoided as prolonged use may lead to the absorption of a significant amount of iodine. Do not use for more than 14 days. If sores or ulcers in the mouth do not heal within 14 days seek dental or medical advice. It is also not for use in children under 6 years of age. Regular use should be avoided in patients on concurrent lithium therapy.
Surgical Scrub: Special caution is needed when regular applications to broken skin are made to patients with pre-existing renal insufficiency. Regular use should be avoided in patients on concurrent lithium therapy. It can permanently discolor white gold jewellery and it is recommended that this type of jewellery should be removed before using this product.
Powder: Care must be taken when used on known iodine sensitivity, although do not normally react to Povidone-Iodine. Excess powder can be washed off readily with warm water. It should be used directly from the container. Not to be administered internally.
Ophthalmic Solution: Patients, who experience blurred vision after application of the eye drops, should not drive or use machinery until their vision has cleared. Contact lenses should not be worn during the instillation of the drug. After instillation, there should be an interval of at least 30 minutes before reinsertion.
InteractionsView
Pregnancy & lactationView
There is no experience regarding the safety of the Povidone eye drops in human pregnancy or lactation. Administration during pregnancy and lactation is therefore not recommended, except for compelling reasons.
StorageView
Tearin
Hypromellose
Tearin
Indication detailsView
- Impaired lacrimal secretion and
- Functional disorders as a result of topical or systemic diseases or
- Caused by deficient or incomplete eyelid closure.
Therapeutic classView
PharmacologyView
DosageView
- The usual dose of 0.3% Hypromellose is 1 drop into the conjunctival sac 3 to 5 times per day or as directed by the physician.
- The dose of 0.5% Hypromellose will be different for different patients. Follow your doctor's directions.
Side effectsView
ContraindicationsView
PrecautionsView
InteractionsView
Pregnancy & lactationView
StorageView
Tearon
Polyethylene Glycol + Propylene Glycol
Tearon
Indications
Dry eye
Indication detailsView
Therapeutic classView
PharmacologyView
DosageView
Side effectsView
ContraindicationsView
PrecautionsView
StorageView
Tearon Fresh
Carboxymethylcellulose Sodium
Tearon Fresh
Indication detailsView
PharmacologyView
This eye drop contains Carboxymethylcellulose Sodium similar to normal tears which acts as an ocular lubricant. It provides a lubricating and hydrating protective shield on the ocular surface.
DosageView
Side effectsView
ContraindicationsView
PrecautionsView
InteractionsView
Pregnancy & lactationView
Pediatric usageView
Geriatric use: No overall differences in safety or effectiveness have been observed between elderly and other adult patients.
StorageView
Tearon PF
Polyethylene Glycol + Propylene Glycol
Tearon PF
Indications
Dry eye
Indication detailsView
Therapeutic classView
PharmacologyView
DosageView
Side effectsView
ContraindicationsView
PrecautionsView
StorageView
Tearsol
Hypromellose
Tearsol
Indication detailsView
- Impaired lacrimal secretion and
- Functional disorders as a result of topical or systemic diseases or
- Caused by deficient or incomplete eyelid closure.
Therapeutic classView
PharmacologyView
DosageView
- The usual dose of 0.3% Hypromellose is 1 drop into the conjunctival sac 3 to 5 times per day or as directed by the physician.
- The dose of 0.5% Hypromellose will be different for different patients. Follow your doctor's directions.
Side effectsView
ContraindicationsView
PrecautionsView
InteractionsView
Pregnancy & lactationView
StorageView
Tebast
Ebastine
Tebast
Indications
Urticaria
Indication detailsView
- Seasonal and Perennial Allergic Rhinitis.
- Chronic Idiopathic Urticaria.
Therapeutic classView
PharmacologyView
DosageView
- Adults (more than 12 years of age): 10 mg (one tablet) once daily.
- Children (6-12 years of age): 5 mg (half tablet) once daily.
- Children (2-5 years of age): 2.5 ml once daily (upto 5 ml in severe cases such as Perennial Allergic Rhinitis).
- Children (6-12 years of age): 5 ml once daily (upto 10 ml in severe cases such as Perennial Allergic Rhinitis).
Side effectsView
ContraindicationsView
InteractionsView
Overdose effectsView
StorageView
Tecavir
Entecavir
Tecavir
Indications
Chronic hepatitis B
Indication detailsView
Therapeutic classView
PharmacologyView
- Base priming,
- Reverse transcription of the negative strand from the pregenomic messenger RNA, and
- Synthesis of the positive strand of HBV DNA. Upon activation by kinases, the drug can be incorporated into the DNA which has the ultimate effect of inhibiting the HBV polymerase activity.
DosageView
Missed Dose: If it is almost time for next dose, skip the missed dose and take the next dose at the proper time. Nobody should take a double dose to make up for the missed dose.
Side effectsView
ContraindicationsView
PrecautionsView
Exacerbations of hepatitis after discontinuation of treatment: Severe acute exacerbations of hepatitis B have been reported in patients who have discontinued anti-hepatitis B therapy, including Entecavir.
InteractionsView
Pregnancy & lactationView
Pediatric usageView
Geriatric: Clinical studies of Entecavir did not include sufficient numbers of subjects aged 65 years and over to determine whether they respond differently from younger subjects. But care should be taken in dose selection, and it may be useful to monitor renal function.
Dose adjustment in renal impairment: Dose adjustment is recommended for patients with CrCl <50 ml/min including patients on hemodialysis or continuous ambulatory peritoneal dialysis (CAPD) as shown below:
- CrCl ≥50 ml/min: 0.5 mg every 24 hours
- CrCl 30 to <50 ml/min: 0.5 mg every 48 hours
- CrCl 10 to <30 ml/min: 0.5 mg every 72 hours
- CrCl <10 ml/min or Hemodialysis or CAPD: 0.5 mg every 7 days
Overdose effectsView
StorageView
Tecavir
Entecavir
Tecavir
Indications
Chronic hepatitis B
Indication detailsView
Therapeutic classView
PharmacologyView
- Base priming,
- Reverse transcription of the negative strand from the pregenomic messenger RNA, and
- Synthesis of the positive strand of HBV DNA. Upon activation by kinases, the drug can be incorporated into the DNA which has the ultimate effect of inhibiting the HBV polymerase activity.
DosageView
Missed Dose: If it is almost time for next dose, skip the missed dose and take the next dose at the proper time. Nobody should take a double dose to make up for the missed dose.
Side effectsView
ContraindicationsView
PrecautionsView
Exacerbations of hepatitis after discontinuation of treatment: Severe acute exacerbations of hepatitis B have been reported in patients who have discontinued anti-hepatitis B therapy, including Entecavir.
InteractionsView
Pregnancy & lactationView
Pediatric usageView
Geriatric: Clinical studies of Entecavir did not include sufficient numbers of subjects aged 65 years and over to determine whether they respond differently from younger subjects. But care should be taken in dose selection, and it may be useful to monitor renal function.
Dose adjustment in renal impairment: Dose adjustment is recommended for patients with CrCl <50 ml/min including patients on hemodialysis or continuous ambulatory peritoneal dialysis (CAPD) as shown below:
- CrCl ≥50 ml/min: 0.5 mg every 24 hours
- CrCl 30 to <50 ml/min: 0.5 mg every 48 hours
- CrCl 10 to <30 ml/min: 0.5 mg every 72 hours
- CrCl <10 ml/min or Hemodialysis or CAPD: 0.5 mg every 7 days
Overdose effectsView
StorageView
Tecentriq
Atezolizumab
Tecentriq
Indications
Urothelial bladder carcinoma
Indication detailsView
- After prior chemotherapy, or
- Who are considered cisplatin ineligibleand whose tumours have a PD-L1 expression ≥ 5%, or
- Who are not eligible for any platinum-containing chemotherapy regardless of level of tumor PD-L1 expression.
Therapeutic classView
PharmacologyView
Atezolizumab is an Fc-engineered humanized immunoglobulin G1 (IgG1) monoclonal antibody that directly binds to PD-L1 and blocks interactions with the PD-1 and B7.1 receptors, releasing PD-L1 / PD-1 pathway-mediated inhibition of the immune response, including reactivating the antitumor immune response. Atezolizumab leaves the PD-L2/PD-1 interaction intact. In syngeneic mouse tumor models, blocking PD-L1 activity resulted in decreased tumor growth
DosageView
- 1200 mg administered by IV infusion every 3 weeks or
- 1680 mg administered by IV infusion every 4 weeks.
ContraindicationsView
PrecautionsView
Immune-related hepatitis: Cases of hepatitis, some leading to fatal outcomes, have been observed in clinical trials with Atezolizumab. Patients should be monitored for signs and symptoms of hepatitis. Monitor aspartate aminotransferase (AST), alanine aminotransferase (ALT) and bilirubin prior to and periodically during treatment with Atezolizumab. Consider appropriate management of patients with abnormal liver function tests (LFTs) at baseline.
Immune-related colitis: Cases of diarrhea or colitis have been observed in clinical trials with Atezolizumab. Patients should be monitored for signs and symptoms of colitis.
Immune-related endocrinopathies: Hypothyroidism, hyperthyroidism, adrenal insufficiency, hypophysitis, and type 1 diabetes mellitus, including diabetic ketoacidosis, have been observed in clinical trials with Atezolizumab. Patients should be monitored for clinical signs and symptoms of endocrinopathies. Monitor thyroid function prior to and periodically during treatment with Atezolizumab. Consider appropriate management of patients with abnormal thyroid function tests at baseline. Patients with abnormal thyroid function tests who are asymptomatic may receive Atezolizumab.
Pregnancy & lactationView
It is not known whether Atezolizumab is excreted in human breast milk. No studies have been conducted to assess the impact of Atezolizumab on milk production or its presence in breast milk.Asthe potential for harm to the nursing infant is unknown,a decision must be madeto either discontinue breast-feeding ordiscontinue Atezolizumabtherapy.
Pediatric usageView
Geriatric use: Based on a population pharmacokinetic analysis, no dose adjustment of Atezolizumab is required in patients ≥ 65 years of age
Renal impairment: Based on a population pharmacokinetic analysis, no dose adjustment is required in patients with renal impairment
Hepatic impairment: Based on a population pharmacokinetic analysis, no dose adjustment is required for patients with mild hepatic impairment. There are no data in patients with moderate or severe hepatic impairment