{"id":14047,"date":"2021-09-24T06:02:04","date_gmt":"2021-09-24T06:02:04","guid":{"rendered":"https:\/\/zeepedia.com\/?p=14047"},"modified":"2021-10-26T07:55:55","modified_gmt":"2021-10-26T07:55:55","slug":"ibrance","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/ibrance\/","title":{"rendered":"Ibrance &#8211; Palbociclib uses, dose and side effects"},"content":{"rendered":"\n<p>75 mg, 100 mg, 125 mg&nbsp;film-coated tablets<br>palbociclib (palbociclib.)<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What IBRANCE is and what it is used for<\/h2>\n\n\n\n<p>IBRANCE is a cancer medicine that contains the active substance palbociclib.<\/p>\n\n\n\n<p>Palbociclib works by blocking&nbsp;proteins&nbsp;called cyclin-dependent&nbsp;kinases&nbsp;4 and 6 which regulate cell growth and division.&nbsp;When these&nbsp;proteins&nbsp;are blocked, the growth of cancer cells can be slowed down so that the disease develops more slowly.<\/p>\n\n\n\n<p>IBRANCE is used to treat patients with a certain type of breast cancer<\/p>\n\n\n\n<p>(hormone receptor-positive,&nbsp;human&nbsp;epidermal&nbsp;growth&nbsp;factor&nbsp;receptor 2 \u2011 negative) which has spread outside the original&nbsp;tumor&nbsp;one and\/or to other organs.&nbsp;It is given together with aromatase inhibitors or fulvestrant, which are hormone treatments for cancer.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before using IBRANCE<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take IBRANCE<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to palbociclib or any of the other ingredients of this medicine (listed in section 6).<\/li><li>The use of&nbsp;St. John&#8217;s wort&nbsp;products&nbsp;, an herbal medicine used for mild depression and anxiety, should be avoided while taking IBRANCE.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor, pharmacist, or nurse before taking IBRANCE.<\/p>\n\n\n\n<p>IBRANCE can reduce the number of&nbsp;white blood cells&nbsp;and weaken your immune system.&nbsp;Therefore, the risk of getting an&nbsp;infection&nbsp;while taking IBRANCE may increase.<\/p>\n\n\n\n<p>Tell your doctor, pharmacist, or nurse if you get any signs or symptoms of an&nbsp;infection, such as chills or fever.<\/p>\n\n\n\n<p>Blood samples are taken regularly during treatment to see if IBRANCE affects your&nbsp;blood cells&nbsp;(white and&nbsp;red blood cells&nbsp;and&nbsp;platelets&nbsp;).<\/p>\n\n\n\n<p>IBRANCE can cause severe or life-threatening&nbsp;inflammation&nbsp;of the lungs during treatment, which can lead to death.&nbsp;Tell your healthcare provider immediately if you experience new or worsening symptoms that include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>difficulty breathing or shortness of breath<\/li><li>dry cough<\/li><li>chest pain<\/li><\/ul>\n\n\n\n<p><strong>Children and young people<\/strong><\/p>\n\n\n\n<p>IBRANCE should not be used in children or adolescents (under 18 years of age).<\/p>\n\n\n\n<p><strong>Other medicines and IBRANCE<\/strong><\/p>\n\n\n\n<p>Tell your doctor or pharmacist if you have recently taken or might take any other medicines.&nbsp;IBRANCE may affect the way other medicines work.<\/p>\n\n\n\n<p>In particular, the following medicines may increase the risk of&nbsp;side effects&nbsp;of IBRANCE:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Lopinavir, indinavir, nelfinavir, ritonavir, telaprevir and saquvinavir, used to treat&nbsp;HIV&nbsp;infection \/ AIDS.<\/li><li>Clarithromycin and telithromycin, which are&nbsp;antibiotics&nbsp;for bacterial infections.<\/li><li>Voriconazole, itraconazole,&nbsp;ketoconazole&nbsp;and posaconazole, used to treat fungal infections.<\/li><li>Nefazodone used to treat depression.<\/li><\/ul>\n\n\n\n<p>The following medicines may increase the risk of&nbsp;side effects&nbsp;if taken with IBRANCE:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Quinidine&nbsp;which is often used to treat heart rhythm problems.<\/li><li>Colchicine used to treat&nbsp;gout&nbsp;.<\/li><li>Pravastatin and rosuvastatin, which are used to treat high cholesterol levels.<\/li><li>Sulfasalazine used to treat&nbsp;rheumatoid arthritis&nbsp;.<\/li><li>Alfentanil used in anesthesia.&nbsp;Fentanyl&nbsp;which is used as pain relief before surgery and also as an anesthetic.<\/li><li>Ciclosporin, everolimus, tacrolimus and sirolimus, used in organ transplants to prevent rejection.<\/li><li>Dihydroergotamine and&nbsp;ergotamine&nbsp;, which are used to treat&nbsp;migraines&nbsp;.<\/li><li>Pimozide used to treat schizophrenia and&nbsp;chronic&nbsp;psychosis&nbsp;.<\/li><\/ul>\n\n\n\n<p>The following medicines may reduce the effect of IBRANCE:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Carbamazepine and&nbsp;phenytoin&nbsp;, which are used to relieve seizures.<\/li><li>Enzalutamide used to treat prostate cancer.<\/li><li>Rifampin used to treat&nbsp;tuberculosis&nbsp;.<\/li><li>St. John&#8217;s wort&nbsp;, herbal medicine or herbal product, used for mild depression and mild anxiety.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">IBRANCE with food, drink and alcohol<\/h2>\n\n\n\n<p>IBRANCE tablets can be taken with or without food.<\/p>\n\n\n\n<p>Avoid grapefruit and grapefruit juice while taking IBRANCE as it may increase the&nbsp;side effects&nbsp;of IBRANCE.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding and fertility<\/h2>\n\n\n\n<p>You should not use IBRANCE if you are pregnant.<\/p>\n\n\n\n<p>You should avoid getting pregnant while taking IBRANCE.<\/p>\n\n\n\n<p>Discuss contraception with your doctor if there is a risk that you or your partner may become pregnant.<\/p>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n<p>Women of&nbsp;childbearing potential&nbsp;receiving this medicine, or their male partner, should use appropriate contraception (eg two&nbsp;barrier methods&nbsp;such as condoms and&nbsp;diaphragms&nbsp;).&nbsp;These contraceptives should be used during treatment and for at least 3 weeks after the end of treatment for women and 14 weeks for men.<\/p>\n\n\n\n<p>Breast-feeding<br>You should not breastfeed while taking IBRANCE.&nbsp;It is not known whether IBRANCE is excreted in human milk.<\/p>\n\n\n\n<p>Fertility<br>Palbociclib may reduce&nbsp;male fertility.<\/p>\n\n\n\n<p>Men should therefore consider sperm storage before taking IBRANCE.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Fatigue is a very common&nbsp;side effect&nbsp;of IBRANCE.&nbsp;If you feel unusually tired, take special care when driving or using machines<strong>.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to take IBRANCE<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor or pharmacist has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p>The recommended&nbsp;dose&nbsp;of IBRANCE is 125 mg once daily for 3 weeks, followed by 1 week when you are not taking IBRANCE.&nbsp;Your doctor will tell you how many IBRANCE tablets to take.<\/p>\n\n\n\n<p>If you get some&nbsp;side effect&nbsp;is when you take IBRANCE (see section 4 &#8220;Possible side effects&#8221;) may be the physician lower the&nbsp;dose of&nbsp;one or stop treatment, either temporarily or completely.&nbsp;Dose&nbsp;one can be reduced to one of the other available strengths, 100 mg or 75 mg.<\/p>\n\n\n\n<p>Take IBRANCE once a day, at about the same time each day, with or without food.<\/p>\n\n\n\n<p>Swallow the tablet whole with a glass of water.&nbsp;The tablets should not be chewed or crushed.&nbsp;Do not divide the tablets before swallowing them.&nbsp;Do not take a tablet that is broken, cracked, or otherwise intact.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more IBRANCE than you should<\/h2>\n\n\n\n<p>If you have taken too much IBRANCE, see a doctor or go to the hospital immediately.&nbsp;You may need emergency treatment.<\/p>\n\n\n\n<p>Take the carton and this leaflet with you so that your doctor knows what you have taken.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take IBRANCE<\/h2>\n\n\n\n<p>If you miss a&nbsp;dose&nbsp;or vomit it up, take the next&nbsp;dose&nbsp;as planned.&nbsp;Do not take a double&nbsp;dose&nbsp;to make up for a forgotten tablet.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop taking IBRANCE<\/h2>\n\n\n\n<p>Do not stop taking IBRANCE unless your doctor tells you to.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects, although not everybody gets them.<\/p>\n\n\n\n<p>Contact your doctor immediately if you get any of the following symptoms:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>fever, chills, weakness, shortness of breath, bleeding or tendency to bruise easily, which may be a sign of a serious blood disease<\/li><li>difficulty breathing, dry cough or chest pain, which may be signs of&nbsp;inflammation&nbsp;in the lungs.<\/li><\/ul>\n\n\n\n<p>Other&nbsp;side effects&nbsp;of IBRANCE can be:<\/p>\n\n\n\n<p><strong>Very&nbsp;<\/strong><strong>common&nbsp;side effects&nbsp;(may affect more than 1 user in 10):<\/strong><\/p>\n\n\n\n<p>Infection&nbsp;is.<\/p>\n\n\n\n<p>Decreased number of&nbsp;white blood cells,&nbsp;red blood cells,&nbsp;and&nbsp;platelets.<\/p>\n\n\n\n<p>Fatigue.<\/p>\n\n\n\n<p>Decreased appetite.<\/p>\n\n\n\n<p>Inflammation&nbsp;of the mouth and lips (&nbsp;stomatitis&nbsp;), nausea, vomiting, diarrhea.<\/p>\n\n\n\n<p>Rash.<\/p>\n\n\n\n<p>Hair loss.<\/p>\n\n\n\n<p>Weakness.<\/p>\n\n\n\n<p>Fever.<\/p>\n\n\n\n<p>Abnormal liver function values \u200b\u200bin blood samples.<\/p>\n\n\n\n<p>Dry skin.<\/p>\n\n\n\n<p><strong>Common&nbsp;side effects&nbsp;(may affect up to 1 in 10 people):<\/strong><\/p>\n\n\n\n<p>Fever with decreased&nbsp;white blood cell count&nbsp;(febrile&nbsp;neutropenia&nbsp;)<\/p>\n\n\n\n<p>Blurred vision, watery eyes, dry eyes.<\/p>\n\n\n\n<p>Taste change (&nbsp;dysgeusia&nbsp;).<\/p>\n\n\n\n<p>Nasal blood<\/p>\n\n\n\n<p><strong>Uncommon&nbsp;side effects&nbsp;(may affect up to 1 in 100 people):<\/strong><\/p>\n\n\n\n<p>Inflammation of the skin causes red, scaly patches and which may occur together with pain in joints and fever (&nbsp;cutaneous&nbsp;lupus erythematosus [CLE]).<\/p>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>If you get any side effects, talk to your doctor, pharmacist, or nurse.&nbsp;This also applies to any side effects not mentioned in this information.&nbsp;You can also report side effects directly to the Medical Products Agency. By reporting side effects, you can help increase drug safety information.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store IBRANCE<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the blister and carton after \u201cEXP\u201d.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>No special temperature instructions.&nbsp;Store in the original blister.&nbsp;Moisture sensitive.<\/p>\n\n\n\n<p>Do not use this medicine if you notice that the packaging is damaged or appears to have been tampered with.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is palbociclib.&nbsp;IBRANCE film-coated tablets are available in different strengths:<ul><li>IBRANCE 75 mg film-coated tablets: each tablet contains 75 mg palbociclib.<\/li><li>IBRANCE 100 mg film-coated tablets: each tablet contains 100 mg palbociclib.<\/li><li>IBRANCE 125 mg film-coated tablets: each tablet contains 125 mg palbociclib.<\/li><\/ul><\/li><li>The other ingredients are:<br>Tablet core: microcrystalline cellulose,&nbsp;colloidal&nbsp;silica, crospovidone, magnesium stearate, succinic acid.<\/li><\/ul>\n\n\n\n<p>Film coating: hypromellose (E464), titanium dioxide (E171), triacetin, indigo carmine aluminum lacquer (E132), red iron oxide (E172) (only 75 mg and 125 mg tablets), yellow iron oxide (E172) (only 100 mg tablets).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>IBRANCE 75 mg tablets are round, light purple film-coated tablets marked with \u201cPfizer\u201d on one side and \u201cPBC 75\u201d on the other.<\/li><li>IBRANCE 100 mg tablets are oval, green, film-coated tablets marked \u201cPfizer\u201d on one side and \u201cPBC 100\u201d on the other.<\/li><li>IBRANCE 125 mg tablets are oval, light purple film-coated tablets marked with \u201cPfizer\u201d on one side and \u201cPBC 125\u201d on the other.<\/li><\/ul>\n\n\n\n<p>IBRANCE 75 mg, 100 mg, and 125 mg are available in blister packs containing 21 or 63 tablets in a carton.<\/p>\n\n\n\n<p>IBRANCE 75 mg, 100 mg, and 125 mg are supplied in blister cards of 7 tablets (1 tablet per cell) in a wallet pack.&nbsp;Each carton contains 21 tablets (3 wallet packs per carton).<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>Pfizer Europe MA EEIG<\/p>\n\n\n\n<p>Boulevard de la Plaine 17<\/p>\n\n\n\n<p>1050 Brussels<\/p>\n\n\n\n<p>Belgium<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Pfizer Manufacturing Deutschland GmbH<\/p>\n\n\n\n<p>Establishment Freiburg<\/p>\n\n\n\n<p>Mooswaldallee 1<\/p>\n\n\n\n<p>Germany<\/p>\n\n\n\n<p>Contact the representative of the marketing authorization holder to find out more about this medicine:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Belgique \/ Belgi\u00eb \/ Belgien<\/strong>Pfizer SA \/ NVTel: +32 (0) 2 554 62 11<\/td><td><strong>Lithuania<\/strong>Pfizer Luxembourg SARL branches in LithuaniaTel.&nbsp;+ 370 52 51 4000<\/td><\/tr><tr><td><strong>Bulgaria<\/strong>Pfizer Luxembourg SAR, Clone of BulgariaTel: +359 2 970 4333<\/td><td><strong>Luxembourg \/ Luxemburg<\/strong>Pfizer SATel: +32 (0) 2 554 62 11<\/td><\/tr><tr><td><strong>Czech Republic<\/strong>Pfizer, spol.&nbsp;s roTel .: + 420-283-004-111<\/td><td><strong>Hungary<\/strong>Pfizer Kft.Tel .: + 36-1-488-37-00<\/td><\/tr><tr><td><strong>Denmark<\/strong>Pfizer ApSTel: +45 44 20 11 00<\/td><td><strong>Malta<\/strong>Vivian Corporation Ltd.Tel: +356 21344610<\/td><\/tr><tr><td><strong>Germany<\/strong>Pfizer Pharma GmbHTel: +49 (0) 30 550055 51000<\/td><td><strong>The Netherlands<\/strong>Pfizer BVTel: +31 (0) 10 406 43 01<\/td><\/tr><tr><td><strong>Eesti<\/strong>Pfizer Luxembourg SARL Eesti subsidiaryTel: +372 666 7500<\/td><td><strong>Norway<\/strong>Pfizer ASTel: +47 67 52 61 00<\/td><\/tr><tr><td><strong>Greece<\/strong>Pfizer A\u03bb\u03bb\u03ac\u03c2 AE:\u0397\u03bb: +30 210 6785 800<\/td><td><strong>Austria<\/strong>Pfizer Corporation Austria Ges.mbHTel: +43 (0) 1 521 15-0<\/td><\/tr><tr><td><strong>Spain<\/strong>Pfizer, SLTel: +34 91 490 99 00<\/td><td><strong>Poland<\/strong>Pfizer Polska Sp.&nbsp;z ooTel .: +48 22 335 61 00<\/td><\/tr><tr><td><strong>France<\/strong>PfizerTel: +33 (0) 1 58 07 34 40<\/td><td><strong>Portugal<\/strong>Pfizer Laboratories, Lda.Tel: +351 21 423 5500<\/td><\/tr><tr><td><strong>Croatia<\/strong>Pfizer Croatia dooTel: + 385 1 3908 777<\/td><td><strong>Romania<\/strong>Pfizer Romania SRLTel: +40 (0) 21 207 28 00<\/td><\/tr><tr><td><strong>Ireland<\/strong>Pfizer Healthcare IrelandTel: 1800 633 363 (toll free)+44 (0) 1304 616161<\/td><td><strong>Slovenia<\/strong>Pfizer Luxembourg SARLPfizer, a company in the field of pharmaceuticals, LjubljanaTel .: + 386 (0) 1 52 11 400<\/td><\/tr><tr><td><strong>Iceland<\/strong>Icepharma hf.Phone: +354 540 8000<\/td><td><strong>Slovak Republic<\/strong>Pfizer Luxembourg SARL, organizerTel .: + 421 2 3355 5500<\/td><\/tr><tr><td><strong>Italy<\/strong>Pfizer SrlTel: +39 06 33 18 21<\/td><td><strong>Finland \/ Finland<\/strong>Pfizer OyPuh.\/Tel: +358 (0) 9 43 00 40<\/td><\/tr><tr><td><strong>\u038e\u03c0\u03c1\u03bf\u03c2<\/strong>Pfizer \u0391\u03bb\u03bb\u03ac\u03c2 \u0391.\u0395.&nbsp;(Cyprus Branch)T\u03b7\u03bb + 357 22 817690<\/td><td><strong>Sweden<\/strong>Pfizer ABTel: +46 (0) 8 550 520 00<\/td><\/tr><tr><td><strong>Latvia<\/strong>Pfizer Luxembourg SARL subsidiary Latvij\u0101Tel .: + 371 670 35 775<\/td><td><strong>United Kingdom (Northern Ireland)<\/strong>Pfizer LimitedTel: +44 (0) 1304 616161<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>IBRANCE is a cancer medicine that contains the active substance palbociclib.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,12116],"tags":[13403,13396,13398,13401,13392,13397,13395,13402,13400,13399,13393,13394],"class_list":["post-14047","post","type-post","status-publish","format-standard","hentry","category-medicines","category-i","tag-benefits-of-ibrance","tag-benefits-of-palbociclib","tag-ibrance","tag-ibrance-tablet","tag-palbociclib","tag-palbociclib-side-effects","tag-palbociclib-tablet","tag-side-effects-of-ibrance","tag-what-ibrance-is-used-for","tag-what-is-ibrance","tag-what-is-palbociclib","tag-what-palbociclib-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/14047","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=14047"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/14047\/revisions"}],"predecessor-version":[{"id":15141,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/14047\/revisions\/15141"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=14047"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=14047"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=14047"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}