WARNING

Vismodegib is a medication used to treat certain types of skin cancer, particularly advanced basal cell carcinoma (BCC). As with any medication, there are potential risks and side effects associated with Vismodegib. It’s important to note that this information is not a substitute for professional medical advice, and individuals considering or using Vismodegib should consult their healthcare provider for personalized guidance.

Some potential risks and side effects of Vismodegib may include:

• Muscle spasms: Vismodegib has been associated with muscle spasms, which can range from mild to severe.
• Alterations in taste: Changes in taste, such as loss of taste or taste distortion, have been reported by some individuals taking Vismodegib.
• Hair loss: Alopecia, or hair loss, is a common side effect of Vismodegib.
• Fatigue: Some people may experience fatigue or weakness while taking this medication.
• Nausea: Nausea and vomiting are potential side effects of Vismodegib.
• Weight loss: Unintended weight loss may occur in some individuals.
• Decreased appetite: A decrease in appetite is another possible side effect.
• Birth defects: Vismodegib has the potential to cause harm to a developing fetus, so it is important for individuals of reproductive age to use effective contraception during treatment.
• Liver function: Vismodegib may affect liver function, so regular monitoring of liver enzymes may be necessary during treatment.
• Other adverse reactions: Other less common but serious side effects can occur, and individuals should promptly report any unusual symptoms to their healthcare provider.

It’s crucial for patients to communicate openly with their healthcare team about any side effects or concerns they may have while taking Vismodegib. Additionally, healthcare providers will monitor patients regularly to assess treatment efficacy and manage potential risks. This information is a general overview, and specific recommendations and risks may vary based on individual health conditions. Always consult with a healthcare professional for personalized advice and guidance.

Why is this medication prescribed?

Vismodegib is prescribed for the treatment of advanced basal cell carcinoma (BCC), a type of skin cancer. Basal cell carcinoma is the most common form of skin cancer, and it typically arises in the basal cells, which are located in the lower part of the epidermis (the outer layer of the skin). While basal cell carcinoma is often treatable with surgery or radiation therapy, Vismodegib is specifically indicated for cases of advanced BCC where the cancer has either recurred following surgery or radiation therapy, or where the patient is not considered a candidate for these treatments.

Vismodegib works by inhibiting a signaling pathway known as the Hedgehog pathway, which plays a role in the development of basal cell carcinoma. By targeting this pathway, Vismodegib aims to suppress the growth of cancerous cells in patients with advanced basal cell carcinoma.

How should this medicine be used?

Here are some general guidelines for using Vismodegib:

• Dosage: The recommended dose of Vismodegib is usually one capsule taken orally once a day. It is important to follow the specific dosage and administration instructions provided by the prescribing healthcare professional.
• Timing: Vismodegib can be taken with or without food. However, it should be taken consistently either with food or without food.
• Swallowing the Capsule: The capsule should be swallowed whole with a glass of water. It should not be crushed, opened, or chewed.
• Consistent Use: It is important to take Vismodegib regularly and at the same time each day for the best results. Missing a dose should be addressed by taking the missed dose as soon as it is remembered, unless it is almost time for the next scheduled dose. In such cases, the missed dose should be skipped, and the regular dosing schedule should be resumed.
• Contraception: Due to the potential for Vismodegib to cause harm to a developing fetus, it is crucial for individuals of reproductive age, both males and females, to use effective contraception during treatment and for a specified period after discontinuation of the medication. Female patients should also undergo pregnancy testing before starting treatment.
• Monitoring and Follow-Up: Patients prescribed Vismodegib will typically be monitored regularly by their healthcare provider. This may involve laboratory tests to assess liver function and imaging studies to evaluate treatment response.

It’s important for individuals to strictly adhere to their prescribed dosage and follow the recommendations of their healthcare provider. Additionally, any concerns or side effects should be promptly reported to the healthcare team. This information is a general overview, and specific instructions may vary based on individual health conditions. Always consult with a healthcare professional for personalized advice and guidance regarding the use of Vismodegib.

Other uses for this medicine

Vismodegib is primarily approved for the treatment of advanced basal cell carcinoma (BCC), and its use in other conditions is limited. It specifically targets the Hedgehog signaling pathway, which is often aberrantly activated in basal cell carcinoma. Due to its specific mechanism of action, Vismodegib is not commonly prescribed for other types of cancers or conditions.

What special precautions should I follow?

Special Precautions for Vismodegib:

• Pregnancy and Contraception: Vismodegib has the potential to cause harm to a developing fetus. Therefore, it is essential for individuals of reproductive age, both males and females, to use effective contraception during treatment and for a specified period after discontinuation of the medication. Female patients should undergo pregnancy testing before starting treatment.
• Liver Function Monitoring: Regular monitoring of liver function through laboratory tests is typically recommended during Vismodegib treatment. If there are signs of abnormal liver function, the healthcare provider may adjust the dosage or discontinue the medication.
• Muscle Cramps and Spasms: Vismodegib has been associated with muscle spasms. Patients should report any unusual or severe muscle cramps or spasms to their healthcare provider.
• Dosing Schedule: It is important for patients to take Vismodegib consistently as prescribed by their healthcare provider, at the same time each day. Missing doses should be addressed according to the healthcare provider’s guidance.
• Interactions with Other Medications: Patients should inform their healthcare provider about all medications, supplements, and herbal products they are taking, as Vismodegib may interact with certain drugs.
• Sun Exposure: Patients taking Vismodegib may become more sensitive to sunlight. It is advisable to take precautions, such as using sunscreen and protective clothing, to minimize sun exposure and reduce the risk of sunburn.
• Potential for Birth Defects: Vismodegib has the potential to cause birth defects. Pregnant women should not use Vismodegib, and effective contraception should be used during treatment.
• Hormonal Contraception: Vismodegib may reduce the effectiveness of hormonal contraceptives. Alternative methods of contraception should be considered.

It’s crucial for patients to communicate openly with their healthcare team, adhere to recommended precautions, and promptly report any side effects or concerns. This information is a general overview, and specific precautions may vary based on individual health conditions. Always consult with a healthcare professional for personalized advice and guidance regarding the use of Vismodegib.

What special dietary instructions should I follow?

There are no specific dietary restrictions associated with Vismodegib. However, it’s essential to maintain a healthy and balanced diet to support overall well-being during cancer treatment.

What should I do if I forget a dose?

If you forget to take a dose of Vismodegib, you should take the missed dose as soon as you remember, unless it is almost time for your next scheduled dose. In that case, it’s generally recommended to 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?

Vismodegib, like any medication, can cause side effects. It’s important to note that not everyone will experience these side effects, and their severity can vary from person to person. Some common side effects of Vismodegib include:

• Muscle spasms
• Hair loss (alopecia)
• Disturbances in taste, such as loss of taste or taste distortion
• Fatigue
• Nausea
• Weight loss
• Decreased appetite
• Diarrhea
• Joint pain
• Vomiting
• Back pain
• Headache

It’s important to promptly inform your healthcare provider about any side effects or symptoms you may be experiencing during Vismodegib treatment. Additionally, there are some less common but more serious side effects that require immediate medical attention. These can include:

• Severe muscle spasms or cramps
• Signs of liver problems (e.g., yellowing of the eyes or skin, dark urine, persistent nausea or vomiting)
• Signs of an allergic reaction (e.g., rash, itching, swelling, severe dizziness, difficulty breathing)

Vismodegib can also cause harm to a developing fetus, so it’s crucial for individuals of reproductive age to use effective contraception during treatment and for a specified period after discontinuation of the medication.

This is not an exhaustive list of side effects, and individual responses to the medication may vary. Always consult with your healthcare provider for personalized information and guidance regarding potential side effects of Vismodegib.

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

Storage and Disposal of Vismodegib:

• Storage: Store Vismodegib at room temperature, away from excessive heat and moisture. Keep the medication in its original container, and ensure it is tightly closed.
• Keep Out of Reach of Children: Like all medications, Vismodegib should be kept out of reach of children and pets.
• Disposal: Properly dispose of any unused or expired Vismodegib. Do not flush it down the toilet or pour it down the drain unless instructed to do so. Consult with your healthcare provider or local pharmacy about the proper disposal methods for your specific location.

In case of emergency/overdose

In the case of a suspected overdose or emergency, it’s important to seek immediate medical attention. Contact your local poison control center or emergency room. If possible, have the Vismodegib container with you to provide information to healthcare professionals.

What other information should I know?

• Regular Follow-Up: Attend all scheduled appointments with your healthcare provider for regular monitoring. This may include laboratory tests to assess liver function and imaging studies to evaluate treatment response.
• Contraception: Use effective contraception during Vismodegib treatment, as the medication has the potential to cause harm to a developing fetus.
• Inform Healthcare Providers: Inform all healthcare providers involved in your care about your use of Vismodegib, including dentists and other specialists. This is important for a comprehensive understanding of your medical history and potential interactions with other treatments.
• Sun Protection: Due to the potential for increased sensitivity to sunlight, take precautions such as using sunscreen and protective clothing to minimize sun exposure and reduce the risk of sunburn.
• Adherence to Medication Schedule: Take Vismodegib consistently as prescribed by your healthcare provider. If you have questions or concerns about the medication, discuss them with your healthcare team.
• Report Side Effects: Report any side effects or concerns to your healthcare provider promptly. This includes any new or worsening symptoms that may arise during treatment.

Always follow your healthcare provider’s instructions and consult them for specific guidance on the storage, disposal, and other aspects of Vismodegib use. This information is a general guide and may not cover all individual circumstances.