Shall we talk about the cancer drug Pemigatinib? (Pemigatinib Tablets)

Shall we talk about the cancer drug Pemigatinib? (Pemigatinib Tablets)

When you or a loved one is prescribed a new cancer medication, it's normal to feel a little apprehensive and curious. There are many questions that come to mind, such as what kind of medication it is, how it works, and what to be careful about. Today, we are going to talk about one such specific anti-cancer drug, Pemigatinib. After reading this article, you will have a better understanding of this medication.

What is Pemigatinib?

Simply put, Pemigatinib is a targeted therapy . That means it specifically targets and attacks cancer cells, rather than affecting every cell in the body like older cancer drugs.

This medicine mainly treats:

  • For bile duct cancer .
  • For some types of bone marrow-related cancers (Myeloid/Lymphoid Neoplasm) .

Think of cancer cells as weeds. These weeds need a special nutrient (protein) to grow. What the drug Pemigatinib does is stop that nutrient from getting to the cancer cells. It's like turning off the water pipe to the weeds. Then the cancer cells lose or greatly reduce their ability to grow and spread throughout the body. You'll see the brand name for this drug, Pemazyre .

Things you need to tell your doctor before starting this medication

Before your doctor prescribes this medication, it is important to know your complete health history. Therefore, if you have any of the following conditions, be sure to inform your doctor.

  • High blood phosphorus levels: This medication can cause blood phosphorus levels to rise, so it is important to be aware of this.
  • Kidney disease: The kidneys are like filters in our body. They help remove medications from the body. If there is a problem with the kidneys, the doctor may have to change the dosage of the medication.
  • Liver diseases: The liver is a major organ involved in the body's drug metabolism.
  • Eye problems: This medicine may affect the eyes, so if you already have any eye problems, please inform us in advance.
  • Allergy to Pemigatinib or any other medicine, food, or dye: It is very important to tell us if you have had any allergies in the past.
  • Trying to get pregnant or currently pregnant: This medicine can be very harmful to the baby during pregnancy.
  • Breastfeeding: The medicine can pass to the baby through breast milk.

Giving your doctor accurate information about these things is very important for your safety as well as the success of your treatment.

How to use the medicine correctly?

To get the most out of your medication, it is essential to use it correctly.

  • This medicine is taken orally as a pill. Get into the habit of taking it at the same time every day .
  • Do not break, crush, or chew the tablet. Doing so may change the way the medicine works. Therefore, swallow the tablet whole with water.
  • You can take it before or after meals, but if you feel like you're having an upset stomach, it's better to take it with food.
  • Continue taking the medication until your doctor tells you to stop. Even if you experience side effects, do not stop taking the medication without consulting your doctor. He or she will adjust the dosage or advise you to stop taking the medication if necessary.
  • Important: Do not drink grapefruit juice while taking this medication. Grapefruit juice can change the way this medication works in the body.

What to do if you take too much medicine?

Imagine that you have taken more than the prescribed dose of medicine. If this happens, do not panic. Immediately call the National Poisons Information Centre at the Colombo National Hospital . Or go to the Emergency Treatment Unit (ETU) of the nearest hospital.

What if I miss my medication?

Imagine you were supposed to take your medicine at 8 a.m. You forgot to take it.

  • If you remember before 12 noon (that is, within 4 hours), take the pill as soon as you remember.
  • But if you remember after 12 noon (that is, more than 4 hours late), skip the missed pill. Take the pill again the next day at the usual time.
  • Never take two pills at once, either because you forgot to take one or because you have to take one.

What other things can interact with this medicine?

Other medications, vitamins, or herbal products you are taking may interact with Pemigatinib. Therefore, tell your doctor about all the medications you are taking (including vitamins and herbal products) . Here are some things to be especially careful of.

Type of medicine/food Examples
Some antibiotics Erythromycin, Clarithromycin
Some antivirals given for HIV or Hepatitis Ask the doctor.
Some medications for fungal infections Ketoconazole, Itraconazole
Some medications for seizures Carbamazepine, Phenobarbital, Phenytoin
Herbal products St. John's Wort
Food and drink Grapefruit juice

This list is not complete, so it's safest to tell your doctor about everything you take.

Things to keep in mind when taking medication

  • Regular medical check-ups: Don't miss your clinic dates. These check-ups are important to monitor the progress of your treatment and manage side effects. You may also be asked to have blood tests.
  • Eye changes: This medicine may cause dry eyes and blurred vision. If you wear contact lenses, you may experience discomfort. Lubricating eye drops can be used in such cases . However , if you experience any changes in your vision (blurred vision, black spots, or objects appearing as if they are moving), inform your doctor immediately.
  • Pregnancy prevention: This is a very important issue.
  • If you are a woman, avoid becoming pregnant while taking this medicine and for one week after stopping the medicine.
  • If you are a man, use a condom during sexual intercourse if your partner could become pregnant while taking this medicine and for one week after stopping the medicine.
  • Avoid breastfeeding while taking this medicine and for one week after stopping.

Side effects that may occur due to medication

Like any medicine, Pemigatinib can cause some side effects. Some of these can be serious, while others are common. It is important to be aware of these.

Serious side effects that should be reported to the doctor immediately
Allergic Reactions Skin rash, itching, swelling of the face, lips, tongue or throat.
Serious changes in eyesight Blurred vision, loss of vision, seeing things as if they are stretched, seeing black or shiny spots.
Symptoms of high blood phosphorus levels Muscle twitching or pain, bone or joint pain, numbness around the mouth.
Side effects that should be reported to the doctor if they persist or are bothersome
Common side effects
  • Change in taste in the mouth
  • Stomach ache/diarrhea
  • Dry eyes
  • Fatigue
  • Hair loss
  • Nail coming out of the fingernail
  • Nausea

How to store and dispose of medicine safely?

  • Storage: Keep the medicine bottle out of the reach of children and pets . It is best to store it at room temperature (between 20-25 degrees Celsius).
  • Disposal: Avoid throwing expired or unused medicine in the trash. To dispose of it safely, remove the pills from the bottle and mix them with something like used tea leaves, coffee grounds, or soil. Then, put the mixture in a sealable bag and throw it away with the trash. Never flush medicine down the toilet for any reason. If you have any questions, ask your doctor.

Take-Home Message

  • Take the medicine exactly as prescribed by your doctor, at the right time, and in the right dosage. Never change the dosage yourself.
  • Tell your doctor about all other medications, vitamins, and herbal products you are taking.
  • Avoid drinking grapefruit juice for any reason while taking this medication.
  • If you experience any serious side effects, such as changes in vision or severe skin damage, seek medical advice immediately.
  • Avoid getting pregnant completely while taking the pill and for one week after stopping. Use a reliable form of birth control.
  • Even if you feel uncomfortable, avoid stopping the medication without consulting your doctor. Discuss any concerns with him.

Pemigatinib, Pemazyre, cancer medicine, bile duct cancer, cancer treatment, cancer treatment Sri Lanka

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What if I miss my medication?

Imagine you were supposed to take your medicine at 8 a.m. You forgot to take it.

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