Riferimento farmaci
Givinostat
Givinostat is a medicine in the class miscellaneous. It is used for duchenne muscular dystrophy.
- Classe del farmaco: Miscellaneous
- Indicato per: Duchenne Muscular Dystrophy
Ultimo aggiornamento Fonti: US FDA label
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In breve
- Classe del farmaco
- Miscellaneous
- Codice ATC
- M09AX14
- Forme farmaceutiche comuni
- sospensione orale
- Dosaggi comuni
- 8.86 mg/ml
- Interazioni note
- 104 (Maggiore: 45 · Moderata: 36 · Minore: 23)
- Nomi commerciali
- 1
- Paesi e mercati
- 2
Per cosa si usa
Come agisce
Givinostat is a histone deacetylase inhibitor. The precise mechanism by which it acts in DMD is unknown.
Gravidanza e allattamento
- Gravidanza
- Unsafe Used for Duchenne muscular dystrophy, which affects almost only boys, so there are no pregnancy data. In rats and rabbits it lowered fetal weight and raised fetal and pup deaths and behaviour changes, some below human exposure.
- Allattamento
- Unknown No human or animal data on milk. LactMed: highly protein-bound, so milk levels are likely very low; not a reason to stop breastfeeding, but use with caution and watch the infant for diarrhoea, vomiting, bruising or bleeding.
Effetti indesiderati segnalati
- Diarrhea
- Abdominal pain
- Thrombocytopenia
- Nausea/vomiting
- Hypertriglyceridemia
- Pyrexia
Chi deve prestare attenzione
- Dose-related thrombocytopenia and myelosuppression (anemia, neutropenia); monitor blood counts every 2 weeks for first 2 months, at month 3, then every 3 months.
- Increased triglycerides; monitor at 1 month, 3 months, 6 months, then every 6 months. Discontinue if they remain elevated despite diet and dose adjustment.
- Gastrointestinal disturbances (diarrhea, nausea/vomiting, abdominal pain); consider antiemetics or antidiarrheals and replace fluids and electrolytes.
Informare il farmacista o il medico di gravidanza o allattamento, malattie renali o epatiche, allergie e di ogni altro farmaco o integratore assunto.
Interazioni principali (104)
- Abiraterone + Givinostat Major
- Amiodarone + Givinostat Major
- Amisulpride + Givinostat Major
- Amitriptyline + Givinostat Major
- Anagrelide + Givinostat Major
- Asenapine + Givinostat Major
- Chlorpromazine + Givinostat Major
- Citalopram + Givinostat Major
- Clomipramine + Givinostat Major
- Clozapine + Givinostat Major
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- Dosing by age, kidney and liver function, and further dose lines
- Renal and hepatic dose adjustments
- Paediatric dosing
- How to give it
- Pharmacokinetics
- Patient counselling points
- Food interactions
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Domande frequenti
What is Givinostat used for?
Givinostat is a medicine in the class miscellaneous. It is used for Duchenne Muscular Dystrophy.
What side effects have been reported with Givinostat?
Diarrhea, Abdominal pain, Thrombocytopenia, Nausea/vomiting, Hypertriglyceridemia, Pyrexia.
Can Givinostat be taken in pregnancy or while breastfeeding?
Pregnancy: Unsafe. Used for Duchenne muscular dystrophy, which affects almost only boys, so there are no pregnancy data. In rats and rabbits it lowered fetal weight and raised fetal and pup deaths and behaviour changes, some below human exposure. Breastfeeding: Unknown. No human or animal data on milk. LactMed: highly protein-bound, so milk levels are likely very low; not a reason to stop breastfeeding, but use with caution and watch the infant for diarrhoea, vomiting, bruising or bleeding.
What does Givinostat interact with?
MediHelp lists 104 known interactions for Givinostat. Major: 45 · Moderate: 36 · Minor: 23. The most serious include Abiraterone, Amiodarone, Amisulpride.
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