LONSURF
TRIFLURIDINE AND TIPIRACIL HCl · by SERVIER
Composition
Tab 15mg/6.14mg: Trifluridine 15 mg and Tipiracil HCl 6.14 mg, Tab 20mg/8.19mg: Trifluridine 20 mg and Tipiracil HCl 8.19 mg
Indications & Dosage
Metastatic gastric cancer, Metastatic colorectal cancer (specialist use only): Adult: Initially 35 mg/m2 twice daily (max. per dose 80 mg), given on days 1 to 5 and days 8 to 12 of each 28-day cycle, consult product literature.
Contraindications
Last stage of renal disease, patients undergoing dialysis, severe hepatic impairment.
Precautions
Avoid in moderate hepatic impairment, caution in moderate to severe renal impairment; monitor haematological toxicities, dose reduction in severe impairment (consult product literature). Use effective contraception in women of child-bearing potential, during treatment and for 6 months after stopping treatment. Check baseline blood cell counts before and during treatment; monitor closely for myelosuppression. Monitor for proteinuria before and during treatment.
Pregnancy
Avoid unless essential
Lactation
Avoid
Side Effects
Alopecia, thrombocytopenia, anaemia, headache, malaise, asthenia, appetite decreased, constipation, diarrhoea, decreased leucocytes, hypoalbuminaemia, dyspnoea, fever, IG disorders, hyperbilirubinaemia, increased risk of infection, mucositis, nausea, neutropenia, oedema, peripheral neuropathy, skin reactions, taste altered, urine abnormalities, vomiting, pain, weight decreased, angina pectoris, anxiety, arrhythmia, ascites, bile duct disorders, cataract, conjunctivitis, cough, cystitis, dizziness, dysphonia, electrolyte imbalance, embolism, erythropenia, flushing, gout, haemorrhage, hepatotoxicity, hyperglycaemia, hyperhidrosis, hypertension, hypotension, increased leucocytes, insomnia, joint disorders, lethargy, menstrual disorder, muscle complaints, muscle weakness, neurotoxicity, neutropenic sepsis, palpitations, pancreatitis acute, pancytopenia, photosensitivity reaction, pulmonary embolism, QT interval prolongation, renal failure, respiratory disorders, rhinorrhoea, septic shock, syncope, urinary disorder, vertigo, vision disorders.