EVERMIL 5MG TABLET | EVEROLIMUS | MHP - PowerPoint PPT Presentation

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EVERMIL 5MG TABLET | EVEROLIMUS | MHP

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Evermil 5mg is a derivative of Rapamycin (sirolimus) and works similarly to Rapamycin as an mTOR (mammalian target of rapamycin) inhibitor. – PowerPoint PPT presentation

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Title: EVERMIL 5MG TABLET | EVEROLIMUS | MHP


1
EVERMIL 5MG TABLET EVEROLIMUS MHP
  • Million Health Pharmaceuticals

2
DESCRIPTION
  • Evermil 5mg is a derivative of Rapamycin
    (sirolimus) and works similarly to Rapamycin as
    an mTOR (mammalian target of rapamycin)
    inhibitor.It is normally used as an
    immunosuppressant to prevent rejection of organ
    transplants. In a similar fashion to other mTOR
    inhibitors Everolimus' effect is solely on the
    mTORC1 protein and not on the mTORC2 protein.

3
PRESCRIBING INFORMATION
  • Evermil 5mg tablet are mainly indicated for the
    treatment of Renal carcinom
  • Evermil 5mg  are mainly indicated for the
    treatment of Breast carcinoma.
  • Evermil 5mg tablet are mainly indicated for the
    treatment of Brain carcinoma.
  • Evermil 5mg is also used in various advanced
    stage cancer in stomach, intestines or pancreas.

4

 Renal carcinoma
5
MECHANISM OF ACTION
  • Everolimus is an mTOR prohibitor, joints at high
    compatibility to FK506 binding protein 12, via
    producing drug complex which inhibits the
    specific of mTOR.This inhibition decreases the
    activity of effectors downstream, that may cause
    blockage of cell progression from G1 into S
    phase, subsequently causes cell growth arrest and
    apoptosis

6
PRODUCT  DETAILS
  • Brand Evermil Ingredients Everolimus Strengt
    h 5mgManufactured Glenmark
    pharmaceuticals Package 10 tablets 

7
PHARMACOKINETICS
  • ABSORPTION
  • The high plasma concentration time of Everolimus
    is 1 to 2 hours.The effect of food with Evermil
    5mg that with heavy meal Reduction of systemic
    exposure to Evermil 5mg, and the high blood
    plasma concentration by 54.DISTRIBUTION
  • Evermil 5mg human plasma protein bound with the
    range of 74.METABOLISM
  • The metabolism of Everolimus is occurred in
    liver, which is a substrate of CYP3A4.The
    metabolites of Everolimus

8
DOSAGE MANAGEMENT
  • In breast cancer, renal cell cancer, pancreatic
    cancer, Neuro endocrine cancerThe prescribed
    dosage is 10mg should be taken as a single
    dose.In Brain or intracranial cancerThe
    prescribed dosage of Evermil  5mg is 4.5mg/m2
    orally as a single dose.In pediatricThe usual
    pediatric dosage of Evermil 5mg tablet in brain
    or intracranial tumor is 4.5mg/m2 should be taken
    orally as a single dose. Evermil 5mg
    tablet should be administered with or without
    food.

9
PRECAUTIONS
  • Lymphomas
  • Increased exposure of skin cancers, patient may
    protect from UV lightSerious infections
  • Patients receiving Evermil 5mg have high risk of
    acquiring various infections related to bacteria,
    virus, and fungi. Anti-microbial agents are
    preferred for the suspected patients.Hepatic
    artery thrombosis
  • In liver transplant patients, Evermil 5mg therapy
    should not be recommended. 

10
Nephrotoxicity
  • Renal function should be monitored frequently
    caution should be taken while using Evermil 5mg
    in renal impaired patients. Angioedema
  • This may have occurred in the patients receiving
    concomitantly Evermil 5mg with Angiotensin
    converting enzyme agentsHyperlipidemia
  • Patient getting Evermil 5mg with lipid lowering
    drugs causes increasing in plasma concentration
    of these drugs causes hyperlipidemiaInterstitial
    lung disease 
  • Occurred in Evermil 5mg tablet  therapy

11
SIDE EFFECTS
  • Hypersensitivity reactions Lymphomas other
    malignancy Serious infections Kidney graft
    thrombosis Hepatic artery thrombosis
    Nephrotoxicity Hyperlipemia Angioedema
    Interstitial lung disease Thrombocytopenia
    Male infertility Proteinuria New commencement
    of diabetes .

12
DRUG INTERACTION
  •  Evermil 5mg interaction with strong inhibitor
    of CYP3A4, or P-gp, leads to cause decreasing the
    efflux of Everolimus and increase the plasma
    concentration of Everolimus. Combination
    of Evermil 5mg tablet with verapamil leads to
    increasing the plasma concentration of
    Everolimus. Combination of Evermil 5mg with
    Atorvastatin or pravastatin causes
    rhabdomyolysis, due to increasing concentration
    of lipid lowering agents. Evermil 5mg
    tablet combination with strong CYP3A4 inducers,
    causes increasing the exposure of Everolimus.
    Concomitant use of Evermil 5mg with cyclosporine
    causes increasing the AUC level of Everolimus
    frequently. Evermil 5mg tablet is interaction
    with ketoconazole or other CYP3A4 inhibitors
    causes increasing the plasma concentration and
    AUC of Everolimus.

13
CONTRAINDICATIONS
  • Some anaphylactic reaction occurs, if patients
    are contraindicated to the components present in
    the Evermil 5mg tablet.

14
PREGNANCY
  • Pregnancy category C Evermil 5mg is needed only
    by the patients after knowing the benefits to the
    mother outweighs the risk to fetus.

15
PREGNANCY
  • Pregnancy category C Evermil 5mg is needed only
    by the patients after knowing the benefits to the
    mother outweighs the risk to fetus.

16
STORAGE
  • Evermil 5mg tablet should be kept at 25CKeep
    the tablet away from moisture, heat and
    lightDispense only in original container.

17
MISSED DOSE
  • If patient failed to take a single dose, patients
    must consult with medical practitioner and follow
    the instructions given by them. Or the missed
    dose should be avoiding and follow the regular
    dosing schedule.

18
OVERDOSAGE
  • The over dosage of Everolimus is rarely occur, in
    case of over dosage patient must be provide with
    supportive measures. The acute toxicity of
    Everolimus over dosage should be monitored.

19
CONTACT US
  • PHONE NO91-9940472902
  • E-MAILmillionhealthpharmaceuticals_at_gmail.com
  • WEBSITE URLhttps//millionpharma.com/evermil-5-mg
    .php
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