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Kisqali

Ribociclib

Treats hormone receptor-positive, HER2-negative breast cancer by inhibiting cyclin-dependent kinases 4 and 6, thereby halting cancer cell division and slowing tumour growth.

Active ingredient
Ribociclib
Route
Oral use
Form
Film-coated tablet
Strengths
200mg

You will receive a quality generic equivalent of Kisqali, depending on stock.

Prescription and consultation requirements for Kisqali vary by destination and are determined by the fulfilment partner.

Kisqali details

Therapeutic class
Protein kinase inhibitors; Cyclin-dependent kinase inhibitors
Pharmacological class
Cyclin-dependent kinase 4 inhibitor; Cyclin-dependent kinase 6 inhibitor
Dosage forms
Film-coated tablet
Administration route
Oral use
Supply category
Prescription-only medicine (POM)
Originator
Novartis Europharm Limited
Storage instructions
Store below 30°C. Keep in the original package to protect from moisture.
Contraindications

hypersensitivity to ribociclib or any excipient; hypersensitivity to peanut or soya

Precautions and warnings

neutropenia requiring regular complete blood count monitoring before and during treatment; hepatotoxicity requiring liver function test monitoring; qtc interval prolongation requiring ecg monitoring particularly with concomitant qt-prolonging medicines; interstitial lung disease and pneumonitis; severe cutaneous adverse reactions including stevens-johnson syndrome and drug reaction with eosinophilia and systemic symptoms; infections including pneumonia and sepsis; caution with strong cyp3a4 inhibitors requiring dose reduction; avoid concomitant use with strong cyp3a4 inducers; caution in patients with moderate to severe hepatic impairment; caution in patients with severe renal impairment; contains soya lecithin; embryo-foetal toxicity

Minor side effects

neutropenia; leukopenia; nausea; fatigue; diarrhoea; alopecia; vomiting; constipation; headache; back pain; rash; pruritus; decreased appetite; stomatitis; abdominal pain; dyspnoea; cough; pyrexia; dizziness; insomnia; anaemia; thrombocytopenia; urinary tract infection; peripheral oedema; arthralgia; asthenia; abnormal liver function tests; dysgeusia; epistaxis; dry skin; vertigo

Moderate side effects

febrile neutropenia; severe neutropenia; interstitial lung disease; pneumonitis; qtc prolongation; torsades de pointes; severe hepatotoxicity; hepatic failure; stevens-johnson syndrome; drug reaction with eosinophilia and systemic symptoms; pneumonia; sepsis; venous thromboembolism; acute kidney injury; tumour lysis syndrome

Serious side effects

signs of febrile neutropenia including fever, chills, sore throat, mouth ulcers, requires immediate medical attention; signs of interstitial lung disease including persistent dry cough, shortness of breath, chest pain, requires immediate medical attention; signs of hepatotoxicity including jaundice, dark urine, right upper abdominal pain, severe fatigue, requires immediate medical attention; signs of severe cutaneous reactions including widespread rash, blistering, facial swelling, fever, requires immediate medical attention; signs of qtc prolongation including palpitations, dizziness, fainting, seizures, requires immediate medical attention; signs of sepsis including high fever, confusion, rapid breathing, rapid heart rate, requires immediate medical attention

Patient summary

Treats hormone receptor-positive, HER2-negative breast cancer by inhibiting cyclin-dependent kinases 4 and 6, thereby halting cancer cell division and slowing tumour growth.

Mechanism of action

Kisqali contains ribociclib, a medicine that belongs to a group called cyclin-dependent kinase 4 and 6 inhibitors. In breast cancer cells, certain proteins called cyclin-dependent kinases 4 and 6 help the cells grow and divide. Ribociclib blocks these proteins, which slows down or stops the cancer cells from multiplying. It is used in combination with hormone therapy medicines called aromatase inhibitors or fulvestrant, which work in a different way to starve the cancer cells of the hormones they need to grow.

Drug interactions

ketoconazole; itraconazole; voriconazole; posaconazole; clarithromycin; telithromycin; ritonavir; indinavir; nelfinavir; saquinavir; rifampicin; carbamazepine; phenytoin; st. john's wort; tamoxifen; quetiapine; pimozide; ondansetron; amiodarone; disopyramide; procainamide; sotalol; chloroquine; halofantrine; grapefruit juice; midazolam; alfentanil; fentanyl; ciclosporin; tacrolimus; everolimus; sirolimus; simvastatin; atorvastatin; rosuvastatin

Age restrictions

Safety and efficacy in paediatric patients below 18 years have not been established.

Pregnancy and breastfeeding

Kisqali should not be used during pregnancy unless the clinical condition of the woman requires treatment. Women of childbearing potential must use effective contraception during treatment and for at least 21 days after the last dose. Breast-feeding should be discontinued during treatment and for at least 21 days after the last dose.

What you will receive

Kisqali is the originator brand name, made by Novartis Europharm Limited. We use it to identify the medicine and are not affiliated with Novartis Europharm Limited.

  • The fulfilment partner confirms whether the exact brand or an equivalent containing Ribociclib is offered.
  • The offered brand, manufacturer and dispatch location depend on the product, destination and partner warehouse.
  • Check the final product details at checkout before confirming an order.

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