Netupitant and Palonosetron Hydrochloride capsule

About Netupitant and Palonosetron Hydrochloride capsule

1. Technical Specifications

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2. Product Description

Akynzeo Capsule is a fixed-dose oral antiemetic combining Netupitant (NK1 receptor antagonist) and Palonosetron (5-HT3 receptor antagonist).

It works by blocking substance P at NK1 receptors and serotonin at 5-HT3 receptors, offering broad protection against both acute and delayed chemotherapy-induced nausea and vomiting (CINV).

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3. Product Highlights

• Palonosetron: High-affinity, long half-life 5-HT3 antagonist blocks serotonin signaling in GI tract & CNS prevents acute nausea/vomiting
  Administration | 1 capsule orally about 1 hour before chemotherapy, with or without food (usually combined with dexamethasone)
  Storage Conditions | Store below 30 C, protect from moisture, keep in original packaging

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4. Therapeutic Uses

• Acute CINV prevention: within 24 hrs of chemotherapy

• Delayed CINV prevention: up to 5 days post-chemotherapy

• Recommended for highly emetogenic regimens (e.g., cisplatin-based) and moderately emetogenic regimens

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5. Side Effects

Common:

• Headache

• Constipation

• Fatigue

• Dyspepsia (indigestion)

• Hiccups

Serious / Severe:

• Hypersensitivity or allergic reactions (rare, but possible)

• Hepatic enzyme elevation (AST/ALT increase)

• Rare QT prolongation / cardiac rhythm disturbances

• Severe constipation or bowel obstruction (rare)

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6. Precautions

• Hepatic Monitoring: Use cautiously in patients with liver impairment.

• Drug Interactions:

  • Netupitant is a CYP3A4 inhibitor increases plasma levels of dexamethasone, docetaxel, etoposide, vincristine, etc. (dose adjustments required).

  • Avoid strong CYP3A4 inducers (rifampicin, phenytoin, carbamazepine) and inhibitors (ketoconazole, clarithromycin).

• Cardiac Caution: Monitor ECG in patients with risk factors or on QT-prolonging drugs.

• Pregnancy & Breastfeeding: Contraindicated; safety not established.

• Repeat Dosing: Should not be repeated within 2 weeks; used once per chemotherapy cycle.

Dual Action for Powerful Nausea Control

Combining Netupitant and Palonosetron Hydrochloride, these capsules provide a dual mechanism that targets both acute and delayed phases of chemotherapy-induced nausea and vomiting. This synergy results in improved patient comfort and minimizes interruptions during chemotherapy cycles.


Simple and Effective Dosing

A single oral dose of the capsule is taken approximately one hour prior to starting your chemotherapy session, as prescribed by your doctor. This straightforward dosing regimen helps eliminate the complexity of repeated antiemetic administrations throughout the cycle.


Safety and Regulatory Approval

This medicine meets stringent standards and is approved by relevant regulatory authorities, ensuring its quality and safety for adults. It is distributed and supplied under strict guidelines across India by trusted wholesalers and exporters, offering both reliability and peace of mind.