Xpovio selinexo Selinexor is used together with bortezomib and Dexamethasone to treat Multiple Myeloma. Xpovio Selinexor Cost and Price Best at Yourmedikart
Brand Name: Xpovio
Generic name: Selinexor
Drug class: Miscellaneous Antineoplastics
What is Xpovio?
Xpovio is used together with bortezomib and/or Selinexo Dexamethasone to treat Multiple Myeloma in adults. It is use:
- In combination with the medicines bortezomib and dexamethasone to treat adults with multiple myeloma who have received at least one prior treatment for their disease.
- In combination with dexamethasone to treat adults with multiple myeloma (MM) that has come back (relapsed) or that did not respond to previous treatment Selinexo, and
- Who have received at least 4 prior therapies, and
- Whose disease did not respond to (refractory) to at least 2 proteasome inhibitor medicines, at least 2 immunomodulatory agents, and an anti-CD38 monoclonal antibody medicine.
- Xpovio is also used in adults to treat certain types of diffuse large B-cell lymphoma that has come back (relapsed) or that did not respond to previous treatment (refractory) and who have received at least 2 prior therapies.
- Xpovio was approved by the US Food and Drug Administration (FDA) on an “accelerated” basis. Selinexo in clinical studies, some people responded to this medicine, but further studies are needed.
Xpovio is approved based on patient Selinexo response rate. There are ongoing studies to confirm the clinical benefit of Xpovio for the following use:
- To treat adults with certain types of diffuse large B-cell Selinexo lymphoma that has come back (relapsed) or that did not respond to previous treatment (refractory) and who have received at least 2 prior systemic therapies.
- Xpovio in combination with Bortezomib and Dexamethasone is indicated for the treatment of adult patients with multiple myeloma who have received at least one prior therapy.
- Xpovio in combination with dexamethasone is indicated for the treatment of adult patients with relapsed or refractory multiple myeloma who have received at least four prior therapies and whose disease is refractory to at least two proteasome inhibitors, at least two immunomodulatory agents, and an anti-CD38 monoclonal antibody.
Diffuse Large B-Cell Lymphoma
Xpovio is indicated for the treatment of adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL), not otherwise specified, Selinexo including DLBCL arising from follicular lymphoma, after at least 2 lines of systemic therapy.
This indication is approved under accelerated approval based on response rate [see Clinical Studies]. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial(s).
DOSAGE AND ADMINISTRATION
Recommended Dosage For Multiple Myeloma
In Combination with Bortezomib and Dexamethasone
The recommended dosage of Xpovio is 100 mg taken orally once weekly on Day 1 of each week until disease progression or unacceptable toxicity in combination with:
- Bortezomib 1.3 mg/m2 administered subcutaneously once weekly on Day 1 of each week for 4 weeks followed by 1 week off.
- Dexamethasone 20 mg taken orally twice weekly on Days 1 and 2 of each week.
Refer to Clinical Studies and the prescribing information of bortezomib and dexamethasone for additional dosing information.
In Combination with Dexamethasone
The recommend dosage of Xpovio is 80 mg taken orally on Days 1 and 3 of each week until disease progression or unacceptable toxicity in combination with dexamethasone 20 mg taken orally with each dose of Xpovio on Days 1 and 3 of each week.
For additional information regarding the administration of dexamethasone, refer to its prescribing information.
Recommended Dosage For Diffuse Large B-Cell Lymphoma
The recommended dosage of Xpovio is 60 mg taken orally on Days 1 and 3 of each week until disease progression or unacceptable toxicity.
Recommended Monitoring For Safety
Monitor complete blood count (CBC) with differential, standard blood chemistries, body weight, nutritional status, and volume status at baseline and during treatment as clinically indicated. Monitor more frequently during the first three months of treatment. Assess the need for dosage modifications of XPOVIO for adverse reactions.
Recommended Concomitant Treatments
Advise patients to maintain adequate fluid and caloric intake throughout treatment. Consider intravenous hydration for patients at risk of dehydration.
Provide prophylactic antiemetics. Administer a 5-HT3 receptor antagonist and other anti-nausea agents prior to and during treatment with Xpovio.
- Instruct patients to take Xpovio exactly as prescribed.
- Advise patients to swallow the tablet whole with water. The tablet should not broke, chewed, crushed, or divided.
- If a patient misses a dose, advise them to take their next dose at its regularly scheduled time. If a patient vomits or misses a dose of Xpovio, advise them to take the next dose on the next regularly scheduled day.
- Advise patients that Xpovio comes in a child-resistant blister pack.
- Advise patients to take their prescribed dexamethasone Selinexor price (if applicable) and prophylactic anti-nausea medications as directed.
- Advise patients that blood tests and body weight will be monitor at baseline and Xpovio price during treatment as clinically indicated, with more frequent monitoring during the first three months of treatment.
- Advise patients to maintain appropriate fluid and caloric intake throughout their treatment.
How should I take Xpovio?
- Take Xpovio exactly as prescribed by your doctor. Your doctor will perform tests to make sure this medicine is the right treatment for you.
- Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose.
- Xpovio is usually take only on specific days, once or twice per week. Follow your doctor’s instructions very carefully about when and how to take Xpovio with dexamethasone and/or bortezomib.
- Your doctor will determine how long to treat you with this medicine.
- Take Xpovio with a full glass of water. Swallow the tablet whole and do not crush, chew, or break it.
- If you vomit shortly after taking Xpovio, do not take another dose. Take your next dose as scheduled.
- You may be give other medications to help prevent nausea, Selinexor price vomiting, or infections. Keep taking these medicines for as long as your doctor has prescribed.
- You may get infections more easily, even serious or fatal infections. You will need frequent medical Xpovio price tests. You may need a transfusion if your blood platelets get too low.
- Your blood Sodium levels will need to be test. If the levels get too low, your doctor may prescribe salt tablets or Intravenous (IV) fluids to keep you from getting dehydrate.
Drink plenty of liquids to prevent Dehydration and eat enough calories to prevent weight loss.
- Selinexor can affect your Appetite or ability to eat. You will be weigh before and during treatment to make sure you are not losing weight while taking Xpovio.
- Store at room Temperature away from moisture and heat. Keep each Xpovio tablet in the blister pack until you are ready to take your dose.
Xpovio affects your immune system. You may get infections more easily, even serious or fatal infections. Call your doctor if you have a fever, chills, flu symptoms, cough, mouth ulcers, or trouble breathing,
Xpovio can also cause low Platelet counts in your blood. Selinexor price Tell your doctor right away if you have unusual Xpovio price Bruising or bleeding.
Before taking this medicine
To make sure Xpovio is safe for you, tell your doctor if you have:
- Bleeding problems
- An Active or recent infection
You may need to have a negative Pregnancy test before starting this treatment.
- Both mens and Womens using this medicine should use Effective birth control to prevent Pregnancy. Selinexor can harm an unborn baby if the mother or father is using this medicine.
- Keep using birth control for at least 1 week after your last dose. Xpovio price Tell your doctor right away if a Pregnancy occurs while either the mother or the father is using Xpovio.
- This medicine may affect Fertility. However, it is important to use birth control to prevent Pregnancy because Xpovio cost Selinexor can harm an unborn baby.
Do not Breastfeed while using this medicine, and for at least 1 week after your last dose. Xpovio Selinexor is use together with bortezomib and Dexamethasone to treat Multiple Myeloma. Xpovio Selinexor Cost and Price Best at Yourmedikart
and Xpovio is not Approve for use by anyone younger than 18 years old.
Xpovio side effects
Get emergency medical help if you have signs of an allergic reaction to Xpovio: hives; difficult breathing; Xpovio cost swelling of your face, lips, tongue, or throat.
Xpovio can cause serious or fatal side effects. Some side effects may not occur until you have been taking this medicine for several days or weeks.
Call your doctor at once if you have:
- Firstly Blurred vision, tunnel vision, eye pain, Xpovio cost or seeing halos around lights.
- Severe ongoing nausea, vomiting, or diarrhea.
- Loss of appetite that prevents you from eating and causes weight loss.
- Confusion, dizziness, fainting, or changes in mental status.
- Symptoms of sepsis – Fever or Chills, Cevere Drowsiness, Xpovio price Fast Heartbeats, rapid breathing, Feeling very ill.
- Signs of infection – Fever, Chills, flu symptoms, cough with mucus, Selinexor price mouth and throat ulcers. Feeling short of breath, tingly or painful blistering rash on one side of your body; or
- Low sodium level – headache, slurred speech, severe weakness, vomiting, loss of coordination, feeling unsteady.
- Xpovio Selinexor is use together with bortezomib Xpovio Selinexo cost and Dexamethasone to treat Multiple Myeloma. Xpovio Selinexor Cost and Price Best at Yourmedikart
So Your treatments may be delay or permanently discontinue if you have certain side effects.
Common Xpovio side effects may include:
- Double Vision, Blurred Vision, Sensitivity to light or Glare.
- Numbness, Tingling, or Burning pain in your hands or feet.
- Anemia, Bruising or Bleeding.
- Increased Blood sugar.
- Fever, Infections, Cold or Flu Symptoms.
- Changes in Sodium and Mineral levels.
- Abnormal liver or Kidney Function tests.
- Nausea, Vomiting, loss of Appetite.
- Diarrhea, Constipation.
- Weight loss
- Shortness of breath.
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