Ibrutinib

Imbruvica®


Uses


What is Ibrutinib for?

Ibrutinib is a targeted medication used to treat chronic lymphocytic leukemia, Waldenström’s macroglobulinemia and mantle cell lymphoma.

How should I take or use Ibrutinib?

 It is a capsule, taken by mouth once daily and swallowed whole with water. Take at around the same time each day, with or without food. Take the exact number of capsules instructed by your doctor.

What should I do if I forget to take or use Ibrutinib?

If you miss a dose of Ibrutinib, take it as soon as you can on the same day and return to your usual dosing time the next day. Do not double dose to make up for a missed dose.  


Precaution


What precautions should I take when taking or using Ibrutinib?

  • Inform your doctor or pharmacist if you:
    • Have any other medical conditions e.g. heart problems, liver problems.
    • Are taking any other medication or supplements e.g. warfarin, fish oil or vitamin E.
  • Use effective birth control during treatment and for 3 months after stopping Ibrutinib. Inform your doctor if you or your partner plan for or suspect pregnancy.

What food or medication should I avoid when I take or use Ibrutinib?

Avoid taking grapefruit and its juice while you are on Ibrutinib.


Side Effects


What are some common side effects of Ibrutinib?

  • Nausea and vomiting
  • Diarrhea and/or stomach pain
  • Decreased appetite
  • Tiredness and lack of energy
  • Bone pain or muscle ache
  • Mild swelling of the hands or feet
  • Skin rash
  • Increased risk of bruising or bleeding
    Inform your doctor if you had a recent surgery or if any surgery is planned for you.
  • Increased risk of infections
    To minimise risk, avoid crowds or being near people with infection.

Inform your doctor if any of the following occurs:

  • Rapid heartbeat, chest discomfort or shortness of breath
  • Unusual light-headedness, giddiness or weakness
  • Signs of infection – fever of of 38°C or higher, chills, cough, sore throat, pain or difficulty urinating
  • Unusual bruising, bleeding or black sticky stools
  • Severe diarrhea
  • Severe muscle pain or weakness

Handling


How should I store Ibrutinib?

  • Keep away from children
  • Keep in a cool, dry place, away from direct sunlight
  • Store at room temperature

How should I handle Ibrutinib safely?

Do not chew, open or break the capsule.


For more information


What should I do if I overdose?

If you overdose on this medication, inform your doctor immediately.

Disclaimers

Please take note that the above is not a complete list of all possible side effects. If you have any concerns about your medication or if you have other side effects that you think are caused by this medication, please consult your doctor or pharmacist.

If you take more than the recommended dose, please seek medical advice immediately. The information provided on this page does not replace information from your healthcare professional. Please consult your healthcare professional for more information.

This article is jointly developed by members of the National Medication Information workgroup. The workgroup consists of cluster partners (National Healthcare Group, National University Health System, and SingHealth), community pharmacies (Guardian, Unity, and Watsons), and the Pharmaceutical Society of Singapore. The content does not reflect drug availability and supply information in pharmacies and healthcare institutions. You are advised to check with the respective institutions for such information.

Last Updated on February 2019



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