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藥品參考

Cobimetinib

Cobimetinib is a medicine in the class oncology. It is used for melanoma.

最後更新 來源: US FDA label

僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。

本頁的臨床內容僅提供英文版。

重點資訊

藥物類別
Oncology
ATC 代碼
L01XE38
常見劑型
錠劑
常見規格
20 mg
已知交互作用
49 (禁忌併用: 2 · 嚴重: 30 · 中度: 10 · 輕微: 7)
商品名
3
國家與市場
3

劑型、規格與商品名稱會因國家而異。請核對您手上的產品。

用途

作用方式

Cobimetinib is a reversible inhibitor of MEK1 and MEK2, upstream regulators of the ERK pathway that promotes cellular proliferation.

成人常用劑量(仿單摘要)

Unresectable or metastatic melanoma with BRAF V600E or V600K mutation (with vemurafenib) and histiocytic neoplasms: 60 mg (three 20 mg tablets) orally once daily for the first 21 days of each 28-day cycle until disease progression or unacceptable toxicity

僅摘錄仿單中第一行劑量說明;完整的劑量內容請見 App。

懷孕與哺乳

懷孕
Unsafe Can cause fetal harm: teratogenic and embryotoxic in rats at exposures similar to human doses; no human data. Avoid in pregnancy; use effective contraception during treatment and for 2 weeks after the last dose (US label; UK label: 3 months).
哺乳
Unsafe No human milk data. Because of possible serious reactions in the infant, do not breastfeed during treatment and for 2 weeks after the last dose.

已通報的副作用

  • Diarrhea
  • Photosensitivity reaction
  • Nausea
  • Pyrexia
  • Vomiting

哪些人需要特別留意

  • New primary malignancies (cutaneous and non-cutaneous): monitor before, during and for up to 6 months after the last dose.
  • Hemorrhage, including major hemorrhage, can occur; monitor for bleeding.
  • Cardiomyopathy: evaluate LVEF before treatment, after one month, then every 3 months; safety not established with decreased LVEF.

請告知藥師或醫師您是否懷孕或哺乳、是否患有腎臟或肝臟疾病、是否有過敏,以及您正在使用的所有其他藥物或保健品。

重要交互作用 (49)

All 49 interactions, with severity and what to do

Pro+ 會員專屬

解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可開啟 Cobimetinib 的完整藥品專論:劑量、懷孕與哺乳、副作用、警示及所有交互作用。

  • Dosing by age, kidney and liver function, and further dose lines
  • Renal and hepatic dose adjustments
  • How to give it
  • Pharmacokinetics
  • Patient counselling points
  • Food interactions

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同類別的其他藥品

常見問題

What is Cobimetinib used for?

Cobimetinib is a medicine in the class oncology. It is used for Melanoma.

What side effects have been reported with Cobimetinib?

Diarrhea, Photosensitivity reaction, Nausea, Pyrexia, Vomiting.

Can Cobimetinib be taken in pregnancy or while breastfeeding?

Pregnancy: Unsafe. Can cause fetal harm: teratogenic and embryotoxic in rats at exposures similar to human doses; no human data. Avoid in pregnancy; use effective contraception during treatment and for 2 weeks after the last dose (US label; UK label: 3 months). Breastfeeding: Unsafe. No human milk data. Because of possible serious reactions in the infant, do not breastfeed during treatment and for 2 weeks after the last dose.

What does Cobimetinib interact with?

MediHelp lists 49 known interactions for Cobimetinib. Contraindicated: 2 · Major: 30 · Moderate: 10 · Minor: 7. The most serious include Efavirenz, Posaconazole, Amobarbital.

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