Lulizol Cream
Leuprolide acetate
1%w/w
klm laboratories Pvt Ltd.
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| Retail Price | 408.79 NPR |
Indications
Lulizol Cream is used for:
Uterine fibroids, Endometriosis, Prostate cancer
Adult Dose
Advanced Prostate Cancer
Recommended Dose: 1 mg (0.2 mL) administered as a single daily SC injection.
Endometriosis
3.75 mg IM monthly for up to 6 months or 11.25 mg IM every 3 months for 2 doses (6 months total)
Recommended duration of treatment is 6 months; may treat again for additional 6 months, but with concomitant administration of norethindrone
Uterine Leiomyomata (Fibroids)
3.75 mg IM monthly for up to 3 months or 11.25 mg IM once
Use concomitant iron treatment
Child Dose
Central Precocious Puberty
Indicated when signs of sexual maturity begin to develop in girls <8 years old and boys <9 years old; may be discontinued at appropriate age of onset of puberty (eg, 11 years in females and 12 years in males), at physician's discretion
50 mcg/kg/day SC; may be titrated upward by 10 mcg/kg/day if downregulation not achieved
<2 years old: Safety and efficacy not established
Renal Dose
Administration
Contra Indications
Pregnancy, lactation; hypersensitivity to GnRH, GnRH agonist analogs or product excipients; undiagnosed abnormal vaginal bleeding.
Precautions
Vary inj site periodically. May cause transient elevation of testosterone levels during the first 1-2 wk, which may lead to worsening or onset of new symptoms (e.g. bone pain, neuropathy, haematuria) in prostate cancer patients. Ureteral obstruction and spinal cord compression have been reported; closely monitor patients with urinary obstruction and/or metastatic vertebral lesion. Leuprorelin is associated with increased risk of diabetes and certain CV diseases (heart attack, sudden cardiac death, stroke) when used in men for treatment of prostate cancer. For prostate cancer, monitor response by testosterone and prostate-specific antigen (PSA) levels.
For precocious puberty in children, monitor response by GnRH stimulation test sex steroid levels 1-2 month after treatment initiation. Leuprorelin usually inhibits ovulation and stops menstruation in women, but does not incur contraception, non-hormonal contraception should be used as pregnancy is contraindicated. May cause adverse reactions associated with hypoestrogenism and loss in bone density.
Lactation: Contraindicated; not known if drug is excreted in breast milk; make decision to either discontinue nursing or discontinue drug, taking into account risk and benefits to the mother
Pregnancy-Lactation
Interactions
Adverse Effects
Side effects of Leuprolide acetate :
>10%
Hot flashes (57%),Cardiovascular changes or ischemia (19%),Fatigue (18%),Pain (13%),Peripheral edema (12%)
1-10%
Asthenia (10%),Gynocomastia (7%),Headache (7%),Testicular atrophy (7%),Anorexia (6%),Anemia (5%),Bone pain (5%),Constipation (7%),Urinary frequency (6%),Dermatitis (5%),Dizziness (5%),Nausea and vomiting (5%),Gastroenteritis (3%),Myalgia (3%),UTI (3%),Dyspnea (2%)
Frequency Not Defined
Convulsion,Depression,Neuropathy,Decreased bone density,Hematuria,Obstruction of ureter or bladder,Impotence,Sweating,Implant site reactions (pain, bruising, edema),Spinal cord compression (rare)
Mechanism of Action
Leuprorelin is a gonadotropin-releasing hormone (GnRH) analogue. Following an initial stimulation of gonadotrophins, continuous admin of Leuprorelin leads to down regulation of GnRH receptors and subsequently reduces pituitary gonadotrophin secretion. Reduced gonadotrophin levels lead to inhibition of sex hormone (testosterone and oestrogen) production. Within 2-4 wk after treatment initiation, testosterone levels in male may be reduced to below castrate threshold.
Note
Lulizol 1%w/w Cream manufactured by klm laboratories Pvt Ltd.. Its generic name is Leuprolide acetate. Lulizol is availble in Nepal.
Farmaco Nepal drug index information on Lulizol Cream is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.