Why is this medication prescribed?

Zykadia (ceritinib) is prescribed for the treatment of a specific type of non-small cell lung cancer (NSCLC) known as ALK-positive metastatic NSCLC. NSCLC is the most common type of lung cancer, and within this category, some tumors have specific genetic mutations, such as alterations in the anaplastic lymphoma kinase (ALK) gene.

Zykadia is specifically designed to target and inhibit the activity of ALK, a protein that plays a role in the growth and survival of cancer cells. By inhibiting ALK, Zykadia helps to slow down or stop the growth of cancer cells in patients with ALK-positive NSCLC.

How should this medicine be used?

As of last update, Zykadia (ceritinib) is an oral medication used in the treatment of certain types of non-small cell lung cancer (NSCLC), specifically metastatic anaplastic lymphoma kinase (ALK)-positive NSCLC. Here are general guidelines for the use of Zykadia, but these may be subject to change:

• Dosage: The dosage of Zykadia is typically individualized based on the patient’s specific medical condition, tolerance, and response to treatment. The healthcare provider will determine the appropriate dosage.
• Administration: Zykadia is usually taken orally, with or without food. The tablets should be swallowed whole with water. It’s essential to follow the specific instructions provided by the healthcare provider or pharmacist.
• Schedule: Patients are typically instructed to take Zykadia at the same time each day to maintain a consistent level of the medication in the body.
• Interactions: Inform the healthcare provider about all other medications, including prescription and over-the-counter drugs, as well as any supplements or herbal products being taken. Certain medications may interact with Zykadia, potentially affecting its effectiveness or increasing the risk of side effects.
• Monitoring: Patients may be monitored regularly through blood tests or other assessments to evaluate the response to treatment and manage any potential side effects.
• Side Effects: Be aware of potential side effects and report any unusual or severe reactions to the healthcare provider promptly.

It is crucial for individuals prescribed Zykadia to strictly adhere to the healthcare provider’s instructions and not make any changes to the dosage or schedule without consulting them first. Additionally, it’s important to attend all scheduled medical appointments to monitor the treatment’s effectiveness and manage any potential side effects. Always consult with a healthcare professional for the most accurate and personalized guidance based on the latest information.

Other uses for this medicine

Zykadia is specifically approved for the treatment of ALK-positive metastatic NSCLC. It is not indicated for other types of cancer or conditions.

What special precautions should I follow?

Special precautions for Zykadia may include:

• Pregnancy and breastfeeding: Zykadia may cause harm to an unborn baby. Therefore, it is crucial to inform your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding.
• Liver problems: Zykadia can affect liver function. Regular monitoring of liver function tests may be necessary, and your healthcare provider should be informed if you have a history of liver disease.
• Heart problems: Zykadia may lead to QT prolongation, which is a condition that affects the heart’s electrical activity. Inform your healthcare provider if you have a history of heart problems or if you are taking medications that may affect the heart’s electrical activity.
• Lung problems: Zykadia may cause lung problems, including interstitial lung disease. Inform your healthcare provider if you experience new or worsening respiratory symptoms such as cough, difficulty breathing, or chest pain.
• Drug interactions: Zykadia can interact with other medications, potentially affecting their effectiveness or increasing the risk of side effects. Provide a complete list of all medications, supplements, and herbal products you are taking to your healthcare provider.
• Vision problems: Zykadia may cause vision problems. If you experience changes in vision or other eye-related symptoms, inform your healthcare provider.

Always take Zykadia exactly as prescribed by your healthcare provider and follow their instructions carefully. If you have any concerns or experience side effects, contact your healthcare provider promptly. It’s important to attend regular follow-up appointments for monitoring and to discuss any issues or questions you may have.

What special dietary instructions should I follow?

• Zykadia can be taken with or without food. However, certain dietary factors may affect the absorption of the medication.
• It’s generally advisable to avoid grapefruit and grapefruit juice, as they may interact with Zykadia and increase the risk of side effects.

What should I do if I forget a dose?

• If you miss a dose of Zykadia, take the missed dose as soon as you remember, unless it is within 12 hours of the next scheduled dose.
• If it is within 12 hours of the next dose, skip the missed dose and resume your regular dosing schedule.
• Do not double up on doses to make up for a missed one.

What side effects can this medication cause?

As with many medications, Zykadia can cause side effects. It’s important to note that not everyone will experience these side effects, and some individuals may experience side effects to varying degrees of severity. It’s crucial to discuss any concerns or potential side effects with your healthcare provider.

Common side effects of Zykadia may include:

• Gastrointestinal Issues: Nausea, diarrhea, vomiting, constipation, abdominal pain.
• Liver Function Abnormalities: Elevated liver enzymes.
• Fatigue: Tiredness and weakness.
• Respiratory Issues: Cough, shortness of breath.
• Cardiovascular Effects: QT prolongation (an alteration in the electrical activity of the heart), which can lead to an irregular heartbeat.
• Hyperglycemia: Elevated blood sugar levels.
• Pancreatitis: Inflammation of the pancreas.
• Vision Disorders: Blurred vision.
• Muscle Pain: Myalgia.
• Edema: Swelling, usually in the ankles or legs.
• Neurological Effects: Dizziness.
• Rash: Skin reactions.

Serious side effects may also occur, and it’s important to contact your healthcare provider immediately if you experience any of the following:

• Severe or persistent nausea, vomiting, or diarrhea
• Unexplained fatigue or weakness
• Signs of liver problems (such as yellowing of the skin or eyes, dark urine, persistent nausea or vomiting)
• Irregular heartbeat or fainting
• Severe abdominal pain
• Difficulty breathing or shortness of breath

This list is not exhaustive, and other side effects may occur. Always consult with your healthcare provider for personalized information about the potential side effects of Zykadia based on your health history and current medications. If you experience any unexpected or severe side effects, seek medical attention promptly.

What should I know about storage and disposal of this medication?

Storage and Disposal of Zykadia:

• Storage:
  • Store Zykadia at room temperature, away from moisture and heat.
  • Keep it in its original container, and protect it from light.
• Disposal:
  • Dispose of unused or expired Zykadia in accordance with local regulations.
  • Do not flush medications down the toilet or pour them into a drain unless instructed to do so.
  • Ask your pharmacist or healthcare provider about the proper disposal of the medication.

In case of emergency/overdose

• In case of an overdose or emergency, contact your local poison control center or emergency room immediately.
• Symptoms of overdose may include severe nausea, vomiting, diarrhea, and other adverse reactions. It’s important to seek medical attention promptly.

What other information should I know?

• Regular Follow-Up: Attend all scheduled appointments with your healthcare provider for monitoring and adjustments to your treatment plan.
• Lab Tests: Your healthcare provider may order regular blood tests and other monitoring procedures to check for side effects and assess the effectiveness of the medication.
• Drug Interactions: Inform your healthcare provider about all medications, supplements, and herbal products you are taking to avoid potential drug interactions.
• Avoid Grapefruit: Limit or avoid consuming grapefruit or grapefruit juice, as they may interact with Zykadia.
• Inform Healthcare Providers: Make sure all healthcare providers involved in your care are aware that you are taking Zykadia, especially if you are undergoing surgery or dental procedures.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss this with your healthcare provider. Zykadia may harm a developing fetus or a nursing infant.
• Vision Changes: Report any changes in vision or eye-related symptoms to your healthcare provider.
• Educational Resources: Your healthcare provider or pharmacist may provide educational materials about Zykadia. Read and understand this information thoroughly.
• Patient Assistance Programs: Check if there are any patient assistance programs or resources available to help with the cost of Zykadia.
• Travel Precautions: If you plan to travel, ensure that you have an adequate supply of Zykadia and any necessary documentation. Keep contact information for your healthcare provider readily available.

Always follow your healthcare provider’s instructions and guidance. If you have questions or concerns about Zykadia or its use, consult your healthcare provider for clarification and assistance.