Why is this medication prescribed?

Piqray (alpelisib) is a prescription medication used in the treatment of certain types of breast cancer. It is specifically indicated for use in combination with fulvestrant in postmenopausal women, and in men, with hormone receptor-positive, human epidermal growth factor receptor 2-negative (HR+/HER2-) advanced or metastatic breast cancer that has progressed after endocrine therapy.

Piqray belongs to a class of drugs known as PI3K inhibitors. The PI3K pathway is involved in cell growth, survival, and metabolism. In some breast cancers, mutations in the PIK3CA gene can lead to overactivity in this pathway, contributing to the growth of cancer cells. Piqray works by inhibiting this pathway, helping to slow down or stop the growth of cancer cells.

How should this medicine be used?

The information provided here is based on knowledge, and it’s important to note that prescribing guidelines may change. Always follow the specific instructions given by your healthcare provider and refer to the most up-to-date information available. Piqray (alpelisib) is typically used in combination with fulvestrant for the treatment of certain types of advanced or metastatic breast cancer.

Here are general guidelines for the use of Piqray:

• Prescription by a Healthcare Provider: Piqray is a prescription medication, and it should only be prescribed by a qualified healthcare professional with experience in the treatment of breast cancer.
• Combination Therapy: Piqray is often used in combination with fulvestrant, which is a hormone therapy.
• Dosage: The specific dosage of Piqray can vary based on individual patient factors and the healthcare provider’s recommendation. It is typically taken orally.
• Administration: Piqray is usually taken once daily with food, at the same time each day.
• Follow Healthcare Provider’s Instructions: Patients should follow their healthcare provider’s instructions carefully regarding the dosage, schedule, and any specific guidelines for taking Piqray.
• Regular Monitoring: During treatment with Piqray, healthcare providers may monitor patients for any potential side effects and assess the treatment’s effectiveness. This may involve regular check-ups, blood tests, or other monitoring measures.
• Adverse Effects: Piqray, like any medication, may cause side effects. Common side effects can include hyperglycemia (high blood sugar), rash, diarrhea, and others. It’s important for patients to report any side effects to their healthcare provider promptly.
• Contraindications and Precautions: Before starting Piqray, healthcare providers will assess the patient’s medical history and any potential contraindications or precautions. For example, individuals with a history of certain skin conditions or diabetes may need special consideration.

It’s essential for individuals prescribed Piqray to have open and regular communication with their healthcare team. Any questions or concerns about the medication, its side effects, or the treatment plan should be discussed with the healthcare provider for personalized advice. Additionally, individuals should inform their healthcare provider of all medications and supplements they are taking to avoid potential drug interactions.

Other uses for this medicine

• Piqray is primarily used for the treatment of advanced breast cancer as described above.
• Its use should be under the supervision of an oncologist or healthcare professional with experience in the treatment of cancer.

What special precautions should I follow?

Regarding special precautions, here are some general considerations for the use of Piqray:

• Contraindications: Piqray may be contraindicated in certain individuals. Before starting Piqray, healthcare providers will assess the patient’s medical history and determine if there are any contraindications.
• Baseline Assessments: Healthcare providers may conduct baseline assessments, including blood tests, to evaluate the patient’s overall health before initiating Piqray treatment.
• Monitoring: Regular monitoring during treatment is crucial. This may include blood tests to assess liver function, blood glucose levels, and other relevant parameters. It helps to detect and manage potential side effects.
• Hyperglycemia (High Blood Sugar): Piqray can cause an increase in blood sugar levels. Patients with diabetes or those at risk for hyperglycemia may need close monitoring and appropriate management of blood sugar levels.
• Rash: Skin rash is a common side effect of Piqray. Patients should report any rash to their healthcare provider promptly.
• Gastrointestinal Effects: Diarrhea is another common side effect. Patients should be advised on managing and reporting diarrhea to their healthcare provider.
• Lung Inflammation (Pneumonitis): Piqray may cause inflammation of the lungs. Patients should seek medical attention if they experience new or worsening respiratory symptoms.
• Interactions with Other Medications: Patients should inform their healthcare provider about all medications, including over-the-counter drugs, supplements, and herbal products, as Piqray may interact with other substances.
• Pregnancy and Breastfeeding: Piqray may cause harm to the developing fetus, so it is generally not recommended during pregnancy. Patients should use effective contraception during treatment and discuss family planning with their healthcare provider. It is not known whether Piqray passes into breast milk, so breastfeeding is generally not recommended during treatment.

These precautions are general guidelines, and individual circumstances may vary. Patients should always follow their healthcare provider’s advice and report any side effects or concerns promptly. Additionally, since medical information can change, it’s advisable to consult with healthcare professionals and refer to the most recent prescribing information for Piqray for the latest guidance and precautions.

What special dietary instructions should I follow?

As of last update, there were no specific dietary instructions provided for Piqray. However, it’s generally advisable to follow a balanced and healthy diet unless your healthcare provider advises otherwise. If you have specific dietary concerns or restrictions, discuss them with your healthcare team.

What should I do if I forget a dose?

If you forget to take a dose of Piqray, it’s important to follow the guidance provided by your healthcare provider or the prescribing information. In general, if you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

What side effects can this medication cause?

Piqray (alpelisib) may cause various side effects, and it’s important for individuals taking this medication to be aware of potential adverse reactions. Keep in mind that the information provided here is based on knowledge, and side effect profiles can be updated over time. Always consult with your healthcare provider and refer to the most recent prescribing information for the latest details. Some common side effects of Piqray may include:

• Hyperglycemia (High Blood Sugar): Piqray can lead to an increase in blood sugar levels. Individuals with diabetes or those at risk for hyperglycemia may experience worsening of their condition.
• Skin Rash: Skin rash is a common side effect. It can vary in severity and may require medical attention. It’s important to report any rash to your healthcare provider.
• Diarrhea: Diarrhea is another frequently reported side effect. Your healthcare provider may provide guidance on managing diarrhea and may adjust the treatment plan if necessary.
• Nausea: Some individuals may experience nausea as a side effect of Piqray.
• Fatigue: Fatigue or weakness may occur during treatment.
• Stomatitis (Inflammation of the Mouth and Lips): Piqray may cause irritation or inflammation in the mouth and lips.
• Decreased Appetite: Some individuals may experience a decrease in appetite.
• Nail Disorders: Changes in the nails, such as brittleness or discoloration, have been reported.
• Muscle Pain: Piqray may cause muscle pain or myalgia.
• Infections: Infections, including respiratory and urinary tract infections, have been reported.

It’s crucial to note that the above list is not exhaustive, and individual responses to medications can vary. Additionally, more serious side effects can occur, and individuals should promptly report any unusual or severe symptoms to their healthcare provider. Piqray may also have specific precautions and potential interactions with other medications, so it’s important to inform your healthcare provider about all the medications, supplements, and herbal products you are taking.

If you are prescribed Piqray or any other medication, work closely with your healthcare team, attend regular check-ups, and communicate openly about any concerns or side effects you may be experiencing.

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

Storage and Disposal of Piqray:

• Storage:
  • Store Piqray at room temperature, typically between 68°F to 77°F (20°C to 25°C).
  • Keep the medication in its original packaging to protect it from light and moisture.
  • Do not store Piqray in the bathroom or in the kitchen near the sink.
• Disposal:
  • Dispose of unused or expired Piqray according to local regulations and guidelines.
  • Do not flush medications down the toilet unless instructed to do so.
  • Consult with your healthcare provider, pharmacist, or local waste disposal facility for guidance on proper disposal.

In case of emergency/overdose

In case of an emergency or suspected overdose, it’s important to seek medical attention immediately. Contact your local poison control center or emergency room. Provide them with as much information as possible, including the name of the medication (Piqray), the dosage, and any other relevant details.

What other information should I know?

• Follow Healthcare Provider’s Instructions: Always take Piqray exactly as prescribed by your healthcare provider. Do not alter the dosage or stop taking the medication without consulting your healthcare team.
• Regular Monitoring: Your healthcare provider may conduct regular monitoring, including blood tests, to assess the medication’s effectiveness and detect any potential side effects.
• Inform Healthcare Provider: Keep your healthcare provider informed about any other medications, supplements, or herbal products you are taking, as there may be potential interactions.
• Follow-Up Appointments: Attend all scheduled follow-up appointments with your healthcare provider to discuss your progress, any side effects, and adjustments to your treatment plan if needed.
• Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, inform your healthcare provider. Piqray may cause harm to a developing fetus, and its safety during breastfeeding is not established.
• Allergies: Inform your healthcare provider of any allergies you may have, especially if you have had allergic reactions to medications in the past.
• Driving and Activities: Piqray may cause dizziness or fatigue. Be cautious when engaging in activities that require alertness until you know how the medication affects you.
• Financial Assistance Programs: Check with your healthcare provider or the pharmaceutical company that manufactures Piqray for information about financial assistance programs or patient support services.

Always consult with your healthcare provider or pharmacist for the most accurate and up-to-date information regarding the use, storage, and disposal of Piqray. They can provide personalized guidance based on your specific medical condition and needs.