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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Nelova 200 mg Capsule is used to treat Philadelphia chromosome-positive chronic myeloid leukaemia (a type of blood cancer). It contains Nilotinib, which works by blocking the action of an abnormal protein produced by an abnormal Philadelphia chromosome that signals abnormal white blood cells (cancerous cells) to multiply. Thus, it stops the multiplication, inhibits the growth of cancerous cells, and then causes their death.

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Composition :

NILOTINIB-200MG

Manufacturer/Marketer :

Sun Pharmaceutical Industries Ltd

Consume Type :

ORAL

Return Policy :

3 Days Returnable

Expires on or after :

Jan-27

About Nelova 200 mg Capsule

Nelova 200 mg Capsule belongs to the class of anticancer drugs called tyrosine kinase inhibitors used in the treatment of Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML). Ph+ CML is a type of blood cancer that causes white blood cells to behave differently.

Nelova 200 mg Capsule contains Nilotinib which works by blocking the action of an abnormal protein (Bcr-Abl tyrosine kinase) produced by an abnormal Philadelphia chromosome that signals abnormal white blood cells (cancerous cells) to multiply. Thereby, it stops the multiplication and inhibits the growth of cancerous cells and then causes the death of these cells.

Take Nelova 200 mg Capsule as prescribed. You are recommended to take Nelova 200 mg Capsule for as long as your doctor has advised it for you based on your medical condition. Sometimes, Nelova 200 mg Capsule may cause common side effects such as vomiting, nausea, diarrhoea, headache, constipation, tiredness, and muscle and joint pain. Most of these side effects of Nelova 200 mg Capsule do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are allergic to Nilotinib or any other medicines, please tell your doctor. Avoid taking Nelova 200 mg Capsule if you are pregnant or breastfeeding. You are recommended to use effective contraceptive methods while taking Nelova 200 mg Capsule and for two weeks after completing the course of Nelova 200 mg Capsule . Nelova 200 mg Capsule is not recommended for children below one year of age. Drive only if you are alert as Nelova 200 mg Capsule may cause dizziness or visual disorders as side effects in some people. If you have yellow skin and eyes, dark-coloured urine, or stomach pain while taking Nelova 200 mg Capsule , contact your doctor immediately, as these might be symptoms of liver problems. 

Uses of Nelova 200 mg Capsule

Treatment of Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML)

Directions for Use

Take this medicine on an empty stomach or as advised by the doctor. Avoid eating food for at least 2 hours before taking Nelova 200 mg Capsule and avoid eating for at least 1 hour after taking Nelova 200 mg Capsule . Swallow it as a whole with a glass of water. If you are unable to swallow it, open the capsule and sprinkle the contents in 1 teaspoon of applesauce and take it right away (within 15 minutes). Do not use more than one teaspoon of apple sauce for each capsule, and do not use any food other than apple sauce.

Medicinal Benefits

Nelova 200 mg Capsule contains Nilotinib, an anticancer drug used to treat Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML). In chronic myeloid leukemia (CML) patients, a change in genetic material (DNA) triggers a signal that tells the body to produce more abnormal white blood cells (cancerous cells). Nilotinib works by blocking this signal and thus stops the production of cancerous cells. Nelova 200 mg Capsule is used in adults and children with newly diagnosed Ph+ CML in the chronic phase and in adults with Ph+ CML in the accelerated and chronic phase who did not tolerate or no longer benefit from other treatments, including Imatinib. 

How Nelova 200 mg Capsule Works

Nelova 200 mg Capsule contains Nilotinib which works by blocking the action of an abnormal protein (Bcr-Abl tyrosine kinase) produced by an abnormal Philadelphia chromosome that signals abnormal white blood cells (cancerous cells) to multiply. Thereby, it stops the multiplication and inhibits the growth of cancerous cells and then causes the death of these cells.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Nelova 200 mg Capsule

  • Vomiting
  • Nausea
  • Diarrhoea
  • Headache
  • Constipation
  • Tiredness
  • Muscle and joint pain

What if I have taken an overdose of Nelova 200 mg Capsule

Please do not exceed the recommended dose, as it might cause an overdose. Signs and symptoms of an overdose of Nelova 200 mg Capsule may include drowsiness and vomiting. Seek immediate medical attention if you observe any symptoms or think you have taken too much. Do this even if there are no signs of discomfort or poisoning.

Drug Warnings

If you are allergic to Nilotinib or any other medicines, please tell your doctor. Avoid taking Nelova 200 mg Capsule if you are pregnant or breastfeeding. You are recommended to use effective contraceptive methods while taking Nelova 200 mg Capsule and for two weeks after completing the course of Nelova 200 mg Capsule . Nelova 200 mg Capsule is not recommended for children below one year of age. Nelova 200 mg Capsule may affect the growth and development of children with chronic phase Ph+ CML. Some children and adolescents may have slower than normal growth while taking Nelova 200 mg Capsule . Therefore, your doctor will monitor the growth of your child at regular visits. Drive only if you are alert as Nelova 200 mg Capsule may cause dizziness or visual disorders as side effects in some people. Nelova 200 mg Capsule may increase the risk of liver problems, especially in people with a history of liver problems. Therefore, if you have yellow skin and eyes, dark-coloured urine, or stomach pain while taking Nelova 200 mg Capsule , contact your doctor immediately, as these might be symptoms of liver problems. Inform your doctor if you have a severe problem with lactose (milk sugar) or other sugars as Nelova 200 mg Capsule may contain lactose. Most people who have mild or moderate lactose intolerance can take Nelova 200 mg Capsule . Avoid taking Nelova 200 mg Capsule if you have low levels of magnesium or potassium in the blood or long QTc syndrome. If you have had a surgical procedure involving the removal of the entire stomach (total gastrectomy), inform your doctor before taking Nelova 200 mg Capsule .

Drug-Drug Interactions

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NilotinibCisapride
Critical
NilotinibGrepafloxacin
Critical

Drug-Drug Interactions

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NilotinibCisapride
Critical
How does the drug interact with Nelova 200 mg Capsule 28's:
Combining Cisapride and Nelova 200 mg Capsule 28's can increase the risk or severity of irregular heart rhythms. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Cisapride and Nelova 200 mg Capsule 28's together is generally avoided as it can lead to an interaction, but it can be taken when advised by your doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, shortness of breath, heart palpitations, diarrhea, or vomiting, contact your doctor immediately. Do not discontinue any medications without consulting your doctor.
NilotinibGrepafloxacin
Critical
How does the drug interact with Nelova 200 mg Capsule 28's:
Coadministration of Grepafloxacin with Nelova 200 mg Capsule 28's can increase the risk or severity of irregular heart rhythms. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Nelova 200 mg Capsule 28's with Grepafloxacin is not recommended, please consult your doctor before taking it. If you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, heart palpitations, diarrhea, or vomiting, consult the doctor immediately. Do not stop using any medications without talking to your doctor.
NilotinibZiprasidone
Critical
How does the drug interact with Nelova 200 mg Capsule 28's:
Taking Nelova 200 mg Capsule 28's with Ziprasidone can increase the risk of abnormal heart rhythm.

How to manage the interaction:
Taking Nelova 200 mg Capsule 28's with Ziprasidone is not recommended, but it can be taken together if prescribed by a doctor. However, consult your doctor if you experience sudden dizziness, lightheadedness, fainting, shortness of breath. Do not discontinue any medications without consulting a doctor.
NilotinibSparfloxacin
Critical
How does the drug interact with Nelova 200 mg Capsule 28's:
Coadministration of Sparfloxacin with Nelova 200 mg Capsule 28's can prolong the QT interval.

How to manage the interaction:
Taking Nelova 200 mg Capsule 28's with Sparfloxacin is not recommended, please consult your doctor before taking it. If you experience any symptoms, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
NilotinibMesoridazine
Critical
How does the drug interact with Nelova 200 mg Capsule 28's:
Combining Mesoridazine and Nelova 200 mg Capsule 28's can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Taking Mesoridazine and Nelova 200 mg Capsule 28's together is not recommended as it can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, heart palpitations, diarrhea, or vomiting, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
NilotinibLeuprorelin
Critical
How does the drug interact with Nelova 200 mg Capsule 28's:
Using Nelova 200 mg Capsule 28's together with leuprolide can increase the risk of an irregular heart rhythm that may be serious

How to manage the interaction:
Taking Leuprorelin with Nelova 200 mg Capsule 28's is not recommended, as it can result in an interaction. It can be taken if your doctor has suggested it. However, if you experience prolonged diarrhea, vomiting, dizziness, lightheadedness, fainting, or difficulty breathing, contact your doctor immediately. Do not stop using any medications without talking to your doctor.
NilotinibYellow fever vaccine
Critical
How does the drug interact with Nelova 200 mg Capsule 28's:
Combining Yellow fever vaccine with Nelova 200 mg Capsule 28's can increase the risk of infection.

How to manage the interaction:
Taking Nelova 200 mg Capsule 28's with Yellow fever vaccine is not recommended, please consult your doctor before taking it. if you experience any symptoms , contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
NilotinibBCG vaccine
Critical
How does the drug interact with Nelova 200 mg Capsule 28's:
Combining BCG vaccine with Nelova 200 mg Capsule 28's can increase the risk of infection.

How to manage the interaction:
Taking Nelova 200 mg Capsule 28's with BCG vaccine is not recommended, please consult your doctor before taking it. if you experience any symptoms , contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
NilotinibSaquinavir
Critical
How does the drug interact with Nelova 200 mg Capsule 28's:
Combining Saquinavir and Nelova 200 mg Capsule 28's can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Taking Saquinavir and Nelova 200 mg Capsule 28's together is not recommended as it can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, heart palpitations, diarrhea, or vomiting, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
NilotinibDaunorubicin
Severe
How does the drug interact with Nelova 200 mg Capsule 28's:
Coadministration of Daunorubicin and Nelova 200 mg Capsule 28's can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Taking Daunorubicin and Nelova 200 mg Capsule 28's together can lead to an interaction, but it can be taken when advised by your doctor. However, if you experience any symptoms like sudden dizziness, shortness of breath, diarrhea, or vomiting, contact your doctor immediately. Do not discontinue any medications without consulting your doctor.

Drug-Food Interactions

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NILOTINIB-200MGGrapefruit and Grapefruit Juice
Moderate

Drug-Food Interactions

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NILOTINIB-200MGGrapefruit and Grapefruit Juice
Moderate
Common Foods to Avoid:
Grapefruit Juice, Grapefruit

How to manage the interaction:
Grapefruit juice can increase the blood levels of Nelova 200 mg Capsule 28's, and increase the risk of an irregular heart rhythm. Consumption of grape juice and grape fruit should be avoided as is causes symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with Nelova 200 mg Capsule 28's. Food may also increase the blood levels of Nelova 200 mg Capsule 28's. Therefore, you should take Nelova 200 mg Capsule 28's on an empty stomach, meaning no food should be eaten for at least two hours before or one hour after taking Nelova 200 mg Capsule 28's.

Diet & Lifestyle Advise

  • Drink nutrient-rich liquids such as juices, shakes and soups if you have trouble swallowing solid food.
  • Eat frequently by opting for 4 to 6 smaller meals a day instead of 2 to 3 big meals.
  • Consume a variety of vegetables, including legumes.
  • Eat whole grains, whole fruits, and fat-free or low-fat dairy products.
  • Include a variety of proteins in the diet, such as lean meats, poultry, seafood, soy, beans, and eggs.
  • Use healthy oils such as olive oil.
  • Drink plenty of water to keep yourself hydrated.

Habit Forming

No

Therapeutic Class

KINASE INHIBITORS

Nelova 200 mg Capsule Substitute

Substitutes safety advice
  • Tasigna 200 mg Capsule 4's

    by AYUR

    2054.80per tablet
  • Nilocap 200 Capsule 4's

    33.30per tablet
  • Nilosure 200 Capsule 4's

    115.42per tablet
  • Ninlib 200 mg Capsule 30's

    109.33per tablet
  • Knilonat 200 Capsule 10's

    108.00per tablet
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Alcohol

Consult your doctor

The interaction of Nelova 200 mg Capsule with alcohol is unknown. Please discuss with your doctor if you have any concerns regarding this.

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Pregnancy

Unsafe

Nelova 200 mg Capsule is not recommended for use during pregnancy as it may harm the unborn baby. Therefore, inform your doctor if you are pregnant or planning for pregnancy before taking Nelova 200 mg Capsule . Also, you are advised to use effective birth control measures during treatment with Nelova 200 mg Capsule and for up to 2 weeks after the last dose of Nelova 200 mg Capsule .

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Breast Feeding

Unsafe

You are recommended to avoid breastfeeding during treatment with Nelova 200 mg Capsule and for two weeks after the final dose. Inform your doctor if you are breastfeeding.

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Driving

Caution

If you experience side effects such as dizziness or visual disorders, avoid driving or operating machinery until you are alert.

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Liver

Caution

Inform your doctor if you have liver problems before taking Nelova 200 mg Capsule . Your doctor may adjust the dose if necessary based on your condition.

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Kidney

Consult your doctor

Limited information is available on the use of Nelova 200 mg Capsule in patients with impaired kidney function. Therefore, if you have kidney problems, inform your doctor before taking Nelova 200 mg Capsule .

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Children

Caution

Nelova 200 mg Capsule is not recommended for children below 1 year of age as the safety and effectiveness were not established.

FAQs

Nelova 200 mg Capsule is used to treat Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML).
Nelova 200 mg Capsule contains Nilotinib, an anticancer drug. In chronic myeloid leukemia (CML) patients, a change in genetic material (DNA) triggers a signal that tells the body to produce more abnormal white blood cells (cancerous cells). Nilotinib works by blocking this signal and thus stops the production of cancerous cells.
You are not recommended to take antacids and Nelova 200 mg Capsule at the same time. You are advised to take antacids containing magnesium hydroxide, aluminium hydroxide, and simethicone about two hours before or two hours after taking Nelova 200 mg Capsule . However, please consult a doctor before taking other medicines with Nelova 200 mg Capsule .
You are recommended to avoid grapefruit juice, grapefruit and any supplement containing grapefruit extract while taking Nelova 200 mg Capsule as it may increase the amount of Nilotinib in the body and cause serious side effects.

Country of origin

India

Manufacturer/Marketer address

Plot No 107/108,Namli Block , Ranipool, East Sikkim 737135
Other Info - NEL0091

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