Spexib 150 mg Capsule 10's

Spexib Capsule is used to manage or treat a type of lung cancer called non-small cell lung cancer that is ALK-positive, and you have already had treatment with a drug. Non-small cell lung cancer is a condition in which malignant (cancer) cells develop in the lung tissues. Non-small cell lung cancer is classified into numerous categories. The most important risk factor for non-small cell lung cancer is smoking.

Spexib Capsule contains Ceritinib, which works by blocking a protein that causes cancer cells to grow and multiply. This helps to slow or stop the spread of cancer cells.

Take Spexib Capsule as prescribed. Follow your doctor's instructions to get the maximum benefit. Sometimes, you may experience certain common side effects, such as diarrhoea, feeling or being sick, abdominal pain, vomiting, fatigue (feeling overtired), decreased appetite, and weight loss. You are advised to talk to your doctor if you persistently experience any of these side effects.

Before taking the Spexib Capsule, inform your doctor about all your allergic or hypersensitivity reactions to medicines or food. Spexib Capsule can cause fetal harm when in pregnancy. Contact your doctor immediately if you or your partner becomes pregnant while you are on treatment. Breastfeeding is not recommended during the treatment. Do not consume alcohol during treatment with this medicine. The safety and effectiveness of Spexib Capsule in children have not been established.

Spexib Capsule contains Ceritinib, which belongs to a class of protein kinase inhibitors primarily used to manage or treat Non-small cell lung cancer (NSCLC) that is ALK-positive, and you have already had treatment with a drug. Ceritinib blocks proteins in cancer cells that encourage the cancer to grow. In some cases, if you have advanced NSCLC and have not received any other treatments, you may be prescribed Ceritinib.  If you haven't had any prior therapies, you may have Ceritinib.

• Diarrhea
• Feeling or being sick
• Abdominal pain
• Vomiting
• Fatigue (feeling overtired)
• Decreased appetite
• Weight loss
• Diarrhea
• Constipation
• Loss of appetite
• Abdominal pain
• Indigestion
• Skin changes
• Anaemia (few or abnormal red blood cells)

Before taking the Spexib Capsule, let your doctor know about all your medical conditions (especially liver disease, heart problems, QT interval prolongation, hyperglycemia, bradycardia, stomach problems and/or pancreatitis), sensitivities or allergic conditions, and all medications you are using. Exposure of an unborn child to this medication could cause birth defects, so you should not become pregnant or father a child while on this medication. Effective birth control is required throughout treatment and at least six months after treatment for women and at least three months after treatment for males. You should not breastfeed while taking this medication for two weeks after your last dose. Unless the doctor suggests, do not use any other medicine, including herbal or vitamin supplements.

Drug-Drug Interactions: Spexib Capsule may interact with medicines used to treat high blood pressure (e.g. diltiazem, metoprolol), medicines used to treat manic-depressive disorder (e.g. Lithium), antibiotics (e.g. azithromycin, erythromycin), antidepressants (e.g. escitalopram), HIV infection (e.g. amprenavir, atazanavir, efavirenz), immunomodulating medication (e.g. fingolimod), anaesthetics (e.g. halothane), CYP3A4/P-gp inhibitor (ketoconazole), strong CYP3A4/P-gp inducer (rifampin), a sensitive CYP3A substrate (midazolam), a CYP2C9 substrate (warfarin), and antiarrhythmic agent (e.g. quinidine).

Drug-Food Interactions: Avoid the consumption of alcoholic beverages.

Drug-Disease Interactions: Spexib Capsule interacts with disease conditions, including Long QT Syndrome, Electrolyte Abnormalities, pancreatitis (pancreas inflammation), hyperglycemia (diabetes Mellitus), lung toxicity, and renal or hepatic impairment.

• DILTIAZEM
• METOPROLOL
• LITHIUM
• AZITHROMYCIN
• ERYTHROMYCIN
• ESCITALOPRAM
• AMPRENAVIR
• ATAZANAVIR
• EFAVIRENZ
• FINGOLIMOD
• HALOTHANE
• QUINIDINE
• KETOCONAZOLE
• RIFAMPICIN
• MIDAZOLAM
• WARFARIN

• After your treatment begins, several dietary adjustments can help you control side effects.
• Anyone suffering from a chronic illness, including cancer, should consume foods high in protein, healthy fats, whole grains, and vitamins and minerals.
• Plant-based proteins are among the greatest meals during chemotherapy or other cancer treatments. They have the highest concentrations of vitamins and minerals, such as nuts, seeds, beans and legumes.
• Eat a healthy diet and exercise regularly to maintain proper weight.
• Include leafy vegetables, citrus fruits, fatty fish, berries, yoghurt, apples, peaches, cauliflower, cabbage, broccoli, beans, and herbs.
• De-stress yourself by meditating, reading books, taking a warm bubble bath or listening to soothing music.
• Performing yoga may also help in improving both physical and mental health.
• Maintain a healthy weight by performing regular low-strain exercises and eating healthy food.
• Get optimal sleep; rest well.
• Avoid smoking and alcohol consumption.
• Avoid fast food, fried food, processed meats, refined carbs and added sugars.

• Keep all appointments with your doctor and the laboratory. Your doctor will order certain tests to check your body's response to Spexib Capsule.
• Pregnancy testing is recommended before starting treatment with Spexib Capsule.
• Do not donate sperm while on medication or within three months following completion of therapy.

Non-small cell lung cancer (NSCLC): Non-small cell lung cancer is a condition in which malignant (cancer) cells develop in the lung tissues. Non-small cell lung cancer is classified into numerous categories. The most important risk factor for non-small cell lung cancer is smoking. There are various forms of non-small cell lung cancer. Different types of cancer cells are found in non-small cell lung cancer. Cancer cells of different types grow and spread in different ways. The several types of non-small cell lung cancer are called after the types of cells found in cancer and how the cells appear under a microscope.