Important Safety Information(1) Severe (NCI Grades 3/4) lab abnormalities-including neutropenia (3%-48%), anemia (<1%-42%), thrombocytopenia (<1%-33%), and hepatotoxicity (3%-6%)-and harsh adverse submit yourself to (NCI Grades 3/4), also as severe water retention (eg, pleural effusion, pulmonary edema, and ascites) and hurried edema (1.8%-11%), hemorrhage (1%-19%) and musculoskeletal depression (2%-9%), be report among Gleevec patients. Severe fluid retention happen to be dose associated, be more comprehensive within the advanced vertebral column office (where the dosage was 600mg/day), and be more common in the elderly. Patients should be weigh and computer screen usually all for signs and symptom of edema, which can be weighty or life-threatening. There enjoy also be reports, including fatalities, of cardiac tamponade, mind edema, increased intracranial hassle, and papilledema and gastrointestinal perforation.
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Dose adjustment may be called for in the red to hepatotoxicity, other nonhematologic adverse accomplishments, or hematologic adverse events. Therapy with Gleevec was discontinue for adverse events in 3% to 5% of patients.
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Gleevec is metabolized via the CYP3A4 isoenzyme and is an inhibitor of CYP3A4, CYP2D6, and CYP2C9. Dosage of Gleevec tablets should carbon copy by at smallest 50% and clinical come back with should be attentively monitored in patients acceptance Gleevec tablets with a potent CYP3A4 inducer such by channel of rifampin or phenytoin. Examples of traditionally in ahead of time times owned drugs that may by a long way interact with Gleevec consist of acetaminophen, warfarin, erythromycin, and phenytoin. (Please see supplied prescribe statistics for other eventual linctus interactions).
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