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compositionComposition:ALPELISIB-150MG
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Pivikto 150 mg Tablet is used to treat advanced or metastatic breast cancer. It contains Alpelisib. In breast cancers with a PIK3CA gene mutation, a protein called PI3K is involved in helping the cancer cells multiply and grow. By blocking the action of PI3K, Alpelisib helps stop the growth and spread of the cancer. Common side effects of this medication are rash, decreased appetite, weight loss, nausea, mouth sores, hair loss, tiredness and weakness, vomiting, allergic reactions, skin reactions, high blood sugar levels, lung problems, and diarrhoea.

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

ALPELISIB-150MG

Manufacturer/Marketer :

Sandoz Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Pivikto 150 mg Tablet

Pivikto 150 mg Tablet is a prescription tablet used to treat a specific type of advanced or metastatic breast cancer. It is designed for adults whose cancer is hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, and has a mutated 'PIK3CA' gene. This medicine is used in combination with another hormone therapy to help slow down the growth and spread of cancer cells.

You will typically take this medicine once daily at the same time each day to maintain consistent levels in your body. It is highly important to take Pivikto 150 mg Tablet with food, as this helps your body absorb the medicine properly. Making healthy dietary choices, such as monitoring your carbohydrate intake, can also support your treatment, as this medicine can affect your blood sugar levels.

While taking Pivikto 150 mg Tablet , you may experience common side effects like diarrhoea, nausea, fatigue, or hair thinning. However, you must contact your doctor immediately if you develop serious side effects, such as a severe skin rash, breathing difficulties, or signs of extremely high blood sugar like constant thirst and frequent urination.

Before starting your treatment, tell your doctor if you have a history of diabetes, severe skin rashes, or lung problems. Do not take this if you have a history of severe allergic reactions to this medicine or any of its ingredients. Women who are pregnant or planning to become pregnant must not take this medication, as it can harm an unborn baby.

This medicine can interact with other prescription drugs, over-the-counter products, and herbal supplements, which may change how it works or increase your risk of side effects. It is also advised to avoid alcohol and smoking during treatment, as they can worsen side effects like fatigue, diarrhoea, or liver strain. Always consult your doctor if you are breastfeeding or if you are an older adult, as your doctor may need to monitor your health more closely.

Uses of Pivikto 150 mg Tablet

Your doctor may prescribe Pivikto 150 mg Tablet to help manage the following condition:

  • Advanced or Metastatic Breast Cancer: Pivikto 150 mg Tablet is prescribed to treat breast cancer that has spread to other parts of the body (metastatic) or is locally advanced. It specifically targets cancer cells that are hormone receptor (HR)-positive, HER2-negative, and have an abnormal PIK3CA gene, working alongside hormone therapy to block signals that cause cancer cells to multiply.

Key Benefits

The primary benefit of Pivikto 150 mg Tablet is its ability to delay the progression of advanced breast cancer. By stopping the signals that allow cancer cells to grow, this medicine helps to keep the disease under control for a longer period.

  • Slowing Tumour Growth: It helps shrink or stop the growth of tumours, which can relieve physical discomfort, pain, or pressure caused by the spread of cancer in the body.
  • Extended Progression-Free Survival: Clinical evidence shows that combining this medicine with endocrine therapy significantly extends the time a patient lives without their cancer worsening, allowing for more stable, quality time with loved ones.
  • Targeted Treatment: Because it specifically targets the mutated PIK3CA pathway, it offers a personalised approach to therapy, focusing directly on the genetic driver of the tumour.
Side effects of Pivikto 150 mg Tablet
  • Weight loss without physical activity needs immediate medical attention.
  • Get a physical examination and blood tests done to identify factors causing weight loss that could be related to metabolism and thyroid function.
  • Avoid smoking and alcohol intake as it can alter your liver condition and increase your weight loss.
  • Practice meditation and yoga to avoid anxiety, which can be one of the leading causes of weight loss.
  • Talk to your dietician and consume food which can maintain ideal weight.
  • Eat more potassium-rich foods, like bananas, leafy greens, sweet potatoes, avocados, and nuts/seeds.
  • Choose potassium-fortified foods such as orange juice and sports beverages.
  • Limit potassium-depleting foods like caffeine, processed foods, and sugary drinks.
  • Exercise regularly, like walking or yoga, to help maintain potassium balance.
  • Inform your doctor if hypokalemia doesn't improve or worsen despite treatment.
Managing Medication-Triggered UTIs: A Comprehensive Approach:
  • Inform your doctor about the medication you're taking and the UTI symptoms you're experiencing.
  • Your doctor may adjust your medication regimen or consider alternative medications or dosages that may reduce the risk of UTIs.
  • Drink plenty of water (at least 8-10 glasses a day) to help flush out bacteria. Avoid sugary drinks and caffeine, which can exacerbate UTI symptoms.
  • Urinate when you feel the need rather than holding it in. This can help prevent bacterial growth and reduce the risk of UTIs.
  • Consider cranberry supplements: Cranberry supplements may help prevent UTIs by preventing bacterial adhesion.
  • Monitor UTI symptoms and report any changes to your doctor.
  • If antibiotics are prescribed, take them as directed and complete the full course.
  • Limit fried foods and red meat.
  • Increase your intake of whole foods such as vegetables, fruits, tree nuts and beans.
  • Avoid air pollutants and unhealthy foods.
  • Drink lots of water to detoxify your liver.
  • Exercise regularly.

Directions for Use

  • Take Pivikto 150 mg Tablet with meals, as it helps with absorption and reducing stomach upset.
  • Pivikto 150 mg Tablet is usually taken once daily at the same time. However, follow the recommended dose and timing as directed by your doctor for optimal results.
  • Swallow the tablet as a whole with water.
  • Do not crush, chew or break it.

How Pivikto 150 mg Tablet Works

Pivikto 150 mg Tablet contains alpelisib. It works as a targeted therapy known as a PI3K inhibitor. In some breast cancers, a gene called PIK3CA becomes mutated, causing an enzyme called PI3K-alpha to become overactive. This overactive enzyme acts like a stuck gas pedal, sending continuous signals that tell the cancer cells to grow, divide, and survive even when they should not. When you take Pivikto 150 mg Tablet , the active molecules bind directly to this overactive enzyme and shut down its signalling pathway. By blocking this specific pathway, the medicine cuts off the growth signals to the cancer cells. When used in combination with hormone therapy, this dual approach effectively starves the tumour of the signals and hormones it needs to grow, helping to shrink the tumour or stop it from spreading further.
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Alcohol

Caution

Avoid alcohol consumption while on treatment with Pivikto 150 mg Tablet .

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Pregnancy

Unsafe

Pivikto 150 mg Tablet should not be used during pregnancy. So, inform your doctor if you are pregnant or suspect pregnancy. You or your partner must use a reliable form of contraception to prevent pregnancy while taking these medications.

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Breast Feeding

Caution

Lactating women should not breastfeed throughout Pivikto 150 mg Tablet treatment and for one week following the final dosage.

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Driving

Caution

Pivikto 150 mg Tablet does not influence the ability to drive or use machines. However, go only if you are alert, as the Pivikto 150 mg Tablet may cause weakness or tiredness in some people.

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Liver

Caution

Limited information is available. Inform your doctor before taking the Pivikto 150 mg Tablet if you have had a liver impairment/disorder history. Your doctor will prescribe only if the benefits outweigh the risks.

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Kidney

Caution

No dose adjustment is recommended for patients with mild to moderate renal impairment (CLcr 30 to < 90 mL/min). The effect of severe renal impairment (CLcr < 30 mL/min) on alpelisib is unknown. So, inform your doctor before taking the Pivikto 150 mg Tablet if you have had a kidney impairment/disorder history. Your doctor will prescribe only if the benefits outweigh the risks.

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Children

Unsafe

Safety and effectiveness in patients below the age of 18 years have not been established. Hence, use is not recommended.

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Heart

Caution

Take Pivikto 150 mg Tablet with caution, especially if you have a history of heart diseases/conditions. The dose may be adjusted by your doctor as required.

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Geriatrics

Caution

Pivikto 150 mg Tablet should be used with caution in elderly patients. Please consult your doctor before use.

What if I have taken an overdose of Pivikto 150 mg Tablet

If you take more than your prescribed dose of Pivikto 150 mg Tablet , seek emergency medical assistance. An overdose can lead to severe complications, including dangerously high blood sugar levels or severe gastrointestinal distress.

Diet & Lifestyle Advise

  • Monitor Your Blood Sugar: Because this medicine frequently raises blood sugar, work with your doctor to monitor your glucose levels. Focus on a diet low in refined carbohydrates and simple sugars, choosing high-fibre whole grains, lean proteins, and non-starchy vegetables instead.
  • Stay Well-Hydrated: Diarrhoea is a common side effect that can cause dehydration. Drink plenty of clear fluids, such as water, broth, or electrolyte solutions, throughout the day. Avoid caffeine, highly spiced foods, and dairy products if you experience loose stools.
  • Protect Your Skin: To prevent or manage mild skin rashes, use gentle, fragrance-free soaps and moisturisers. Avoid hot showers, and always apply a broad-spectrum sunscreen (SPF 30 or higher) when going outdoors, as your skin may be more sensitive to sunlight.
  • Eat Small, Frequent Meals: If you experience nausea or a loss of appetite, try eating five or six small, nutrient-dense meals throughout the day rather than three large ones.
health query

Have a query?

How Soon It Starts Working

The time required for Pivikto 150 mg Tablet to start to work: Pivikto 150 mg Tablet ideally shows its action within 2 to 4 hours after administration. The time for which the effects of Pivikto 150 mg Tablet last: The duration of action for Pivikto 150 mg Tablet is unknown.

What if you forget to take Pivikto 150 mg Tablet

If you miss a dose of Pivikto 150 mg Tablet , take it with food as soon as you remember, provided it is within 9 hours of your scheduled time. If more than 9 hours have passed since your usual dosing time, skip the missed dose entirely and take your next dose at your regularly scheduled time. Do not take two doses at once to make up for a missed one.

Storage

• Store Pivikto 150 mg Tablet tablets in their original packaging at room temperature, between 20°C and 25°C (68°F to 77°F).

Drug Warnings

  • Check Your Packaging: Always inspect your tablet blister or bottle before use. Do not take the medication if the seal is broken, or if the tablets appear chipped, discoloured, or powdery.
  • Test Blood Sugar Regularly: Make sure you have a reliable home glucose monitor and test your blood sugar as directed by your healthcare team, especially during the first few weeks of starting treatment.
  • Report Rashes Instantly: Even a minor rash can progress quickly. Contact your clinical team at the very first sign of skin redness, itching, or peeling.
  • Use Reliable Contraception: Both male and female patients must use effective, non-hormonal birth control during treatment and for a specified time after the final dose, as this medicine can cause severe harm to a developing foetus.
  • Keep a Side Effect Log: Write down when you experience symptoms like diarrhoea, nausea, or fatigue, along with their severity, to help your doctor make informed decisions about your dose.

Drug-Drug Interactions

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  • Acid-reducing medications (such as proton pump inhibitors): May decrease the absorption of Pivikto 150 mg Tablet , making it less effective. Talk to your doctor about safe alternatives.
  • Strong CYP3A4 inducers (such as rifampin or phenytoin): Can speed up how your body processes this medicine, significantly lowering its levels in your blood and reducing its ability to fight cancer.
  • BCRP inhibitors (such as certain heart or immune medicines): May increase the amount of Pivikto 150 mg Tablet in your body, raising your risk of developing severe side effects.
No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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Drug-Food Interactions

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  • Taking without food: Consuming this medicine on an empty stomach significantly reduces how much of the drug is absorbed, which can make your treatment less effective. Always take it with a meal.
  • Grapefruit and grapefruit juice: May interfere with how your body breaks down the medicine, potentially leading to higher levels in your blood and increased side effects.
     
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[KINASE INHIBITORS]

FAQs

Pivikto 150 mg Tablet is used to treat Advanced or metastatic breast cancer.
Pivikto 150 mg Tablet contains Alpelisib. In breast cancers with a PIK3CA gene mutation, a protein called PI3K is involved in helping the cancer cells multiply and grow. By blocking the action of PI3K, Alpelisib helps stop the growth and spread of the cancer.
It is critical to understand that Alpelisib is not a traditional chemotherapy drug and functions in a different manner. It works by specifically targeting cancer cells and preventing their growth and spread.
While taking Pivikto 150 mg Tablet , make sure you visit your doctor at all the appointments to ensure that treatment works. Regular monitoring of blood and lipid tests and weight checks are required. An effective way of contraception should be used by both men and women while taking the Pivikto 150 mg Tablet .
Based on findings from animal studies, Pivikto 150 mg Tablet may impair fertility in males and females of reproductive potential. Discuss the risks of taking this medication with your doctor.
No, you should not take Pivikto 150 mg Tablet on an empty stomach. Taking this medicine with food is essential because it helps your body absorb the active ingredients properly. If taken without food, the medication may not work as effectively to fight the cancer cells. Talk to your doctor or pharmacist if you struggle with eating meals.
If you notice any skin rash, redness, itching, or peeling, you must contact your healthcare team immediately. Skin reactions can range from mild dryness to severe, life-threatening conditions. Do not attempt to treat a new rash with over-the-counter creams without guidance. Talk to your doctor for a proper evaluation.
Pivikto 150 mg Tablet can significantly increase blood sugar levels (hyperglycemia), and this can sometimes be severe. Your healthcare provider will check your blood sugar before and during treatment and may monitor it more frequently if you have diabetes or are at higher risk. Tell your healthcare provider promptly if you develop symptoms such as excessive thirst, dry mouth, frequent urination, or increased appetite with weight loss. Your doctor may prescribe or adjust diabetes medicines and may change or interrupt your Pivikto 150 mg Tablet dose if blood sugar becomes very high.
No, you must not become pregnant while taking Pivikto 150 mg Tablet , as it can cause serious harm or birth defects in an unborn baby. Both female and male patients should use highly effective, non-hormonal birth control during treatment and for a specified time after the last dose. Talk to your doctor about safe family planning options.
You should avoid grapefruit and grapefruit juice, as they can increase the levels of the medicine in your body and make side effects worse. Additionally, it is wise to limit foods high in simple sugars and refined carbohydrates to help keep your blood sugar in a healthy range. Talk to your doctor or a dietitian for personalised dietary advice.
You will typically take this medicine for as long as your cancer remains stable and you do not experience severe, unmanageable side effects. Your doctor will routinely perform scans and blood tests to monitor your progress and decide how long the treatment should continue. Talk to your doctor about your specific treatment timeline.
It is highly recommended to avoid or strictly limit alcohol while taking this medicine. Alcohol can worsen common side effects like nausea, diarrhoea, and fatigue, and it can place extra strain on your liver. Talk to your doctor about whether it is safe for you to have an occasional drink.
Diarrhoea is a common side effect of this medicine, but if it becomes severe or you have more than a few loose stools a day, you must contact your doctor right away. Severe diarrhoea can quickly lead to dangerous dehydration. Your doctor may recommend starting an over-the-counter anti-diarrhoeal medicine or temporary lifestyle changes. Talk to your doctor before taking any new medication.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

SWITZERLAND

Manufacturer/Marketer address

Sandoz House, Shiv Sagar Estate, Worli Mumbai -400 018, India
Other Info - PIV0018
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