Ponatinib tablets
Iclusig
נבדק על ידי Sid Dajaniעודכן לאחרונה על ידי Michael Stewart, MRPharmSLast updated 4 Jul 2023
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Ponatinib is usually taken once daily. It can be taken before or after meals.
You will need to have regular check-ups. It is important that you keep the regular appointments with your doctor or hospital.
At a glance
Ponatinib is an anti-cancer medicine used to treat certain types of leukaemia.
It works by blocking chemical messengers that tell cancer cells to grow.
You will be prescribed ponatinib by a specialist doctor.
Take tablets whole, with water, at the same time each day, with or without food.
Do not get pregnant or father a child while taking this medicine.
Common side-effects include feeling sick, headache, and fatigue.
Regularly check in with your doctor as ponatinib can lower your white blood cell count.
במאמר זה:
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המשך לקרוא למטה
About ponatinib
סוג התרופה | תרופה נגד סרטן |
שימוש עבור | Treatment of leukaemia |
נקרא גם | Iclusig® |
זמין כ | טבליות |
Ponatinib is a medicine which is given to treat some types of לוקמיה. Leukaemia is cancer of cells in the bone marrow - these are the cells which develop into blood cells. Ponatinib is given for the types of leukaemia called chronic myeloid leukaemia (CML) ו acute lymphoblastic leukaemia (ALL).
In cancer, certain cells in the body grow and multiply in a way that is 'out of control'. Chemotherapy (anti-cancer) medicines work by inhibiting the way cells grow and increase in number. Ponatinib belongs to a group of anti-cancer medicines which work by blocking the chemical messengers which send signals to cells to grow. This stops the production of cancer cells.
Before taking ponatinib
חזרה לתוכןSome medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking ponatinib it is important that your doctor knows:
If you have an infection or feel particularly unwell.
If you have any problems with the way your liver works or if you have ever had hepatitis B infection.
If you have ever had a disorder of your pancreas, called pancreatitis.
If you drink large amounts of alcohol.
If you have been told you have high levels of fats called triglycerides in your blood.
If you have a heart condition or blood vessel disease.
אם את בהריון או מניקה.
אם אתה נוטל או משתמש בתרופות אחרות כלשהן. זה כולל כל תרופה שאתה נוטל שניתן לרכוש ללא מרשם, כמו גם תרופות צמחיות ומשלימות.
אם אי פעם הייתה לך תגובה אלרגית לתרופה.
המשך לקרוא למטה
How to take ponatinib tablets
חזרה לתוכןBefore you start the treatment, read any printed information you have been given by your doctor and the printed manufacturer's leaflet from inside the pack of tablets. These will give you more information about ponatinib and will provide a full list of the side-effects which you may experience from taking it.
Ponatinib will be prescribed for you by a specialist doctor who is experienced in treating your condition. It is important that you take the tablets exactly as you are told to. It is usual to take one 45 mg tablet daily, although your dose may be different to this. The directions for taking the tablets will be printed on the label of the pack to remind you what your doctor has told you to do, but if you have any concerns or questions, you should contact your doctor or hospital clinic for further advice.
You can take ponatinib tablets before or after meals. Swallow the tablet whole with a drink of water - do not crush or chew the tablet.
If you forget to take a dose, make sure that you remember to take your next dose when it is due. Do not take two doses on the same day to make up for a forgotten dose.
להפיק את המרב מהטיפול שלך
חזרה לתוכןYou must try to keep your regular appointments with your doctor or hospital. This is so your doctor can check on your progress. You will need to have regular check-ups during treatment.
Ponatinib can lower the number of white cells in your blood and this increases the chance that you may get an infection. You should take precautions to reduce the risk of infection whenever you can. So, if possible, avoid other people with infections and let your doctor know straightaway if you think you are getting a sore throat or if you have a high temperature.
If you buy or take any other medicines, check with a pharmacist that they are suitable to take alongside ponatinib.
If you are having an operation or dental treatment, always tell the person carrying out the treatment which medicines you are taking.
It is important that you do not get pregnant or father a child while you are taking ponatinib. If this could be a possibility for you, make sure you discuss with your doctor which types of contraception are suitable for you and your partner.
המשך לקרוא למטה
Can ponatinib cause problems?
חזרה לתוכןAlong with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with ponatinib. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Very common ponatinib side-effects (these affect more than 1 in 10 people) | מה אני יכול לעשות אם אני חווה את זה? |
Feeling sick (nausea) or being sick (vomiting), diarrhoea or constipation, abdominal (tummy) pain | Stick to simple foods - avoid rich or spicy foods |
Headache, muscle and joint aches, backache | Ask your doctor or pharmacist to recommend a suitable painkiller |
High temperature, infections | Let your doctor know straightaway so that this can be investigated |
Feeling tired or dizzy | Do not drive and do not use tools or machines unless you feel well enough. Do not drink alcohol |
Loss of appetite, cough, feeling short of breath, itchy rash, dry skin, swollen hands or feet | אם אחד מאלה הופך לבעייתי, התייעץ עם הרופא שלך לקבלת עצה |
Anaemia, high blood pressure, changes to blood tests | Your doctor will regularly check for these |
If you experience any other symptoms which you think may be due to the tablets, speak with your doctor or pharmacist.
How to store ponatinib
חזרה לתוכןשמור את כל התרופות מחוץ להישג ידם וראייתם של ילדים.
יש לאחסן במקום קריר ויבש, הרחק מחום ואור ישיר.
Please return any unused or unwanted tablets to your clinic or pharmacy to destroy.
מידע חשוב על כל התרופות
חזרה לתוכןמידע חשוב על כל התרופות
לעולם אל תיקח יותר מהמינון שנקבע. אם אתה חושד שאתה או מישהו אחר אולי לקח מנת יתר של תרופה זו, פנה למחלקת תאונות וחירום בבית החולים המקומי שלך. קח את המיכל איתך, אפילו אם הוא ריק.
תרופה זו מיועדת עבורך. לעולם אל תיתן אותה לאנשים אחרים, גם אם מצבם נראה דומה לשלך.
אל תשמרו תרופות שפג תוקפן או שאינן רצויות. קחו אותן לבית המרקחת המקומי שלכם שיטפל בהן עבורכם.
אם יש לך שאלות לגבי התרופה הזו, שאל את הרוקח שלך.
דווח על תופעות לוואי לתרופה או חיסון
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שאלות נפוצות
What is the purpose of ponatinib treatment in leukaemia?
Ponatinib is an anti-cancer medicine used to treat specific types of leukaemia, namely chronic myeloid leukaemia (CML) and acute lymphoblastic leukaemia (ALL). It works by blocking chemical messengers that signal cancer cells to grow, thereby stopping their production.
Are there any specific medical conditions that might prevent me from taking ponatinib?
Yes, your doctor needs to know if you have certain conditions, such as an infection, liver problems (including past hepatitis B), a history of pancreatitis, heart conditions, or blood vessel disease. High levels of fats called triglycerides in your blood, heavy alcohol consumption, pregnancy, or breastfeeding are also important for your doctor to know.
Can I take ponatinib tablets at any time of day?
You can take ponatinib tablets either before or after meals. The important thing is to swallow the tablet whole with water and not to crush or chew it. Your doctor will specify the exact daily dose and time, which will be printed on the label.
What should I do if I accidentally miss a dose of ponatinib?
If you forget to take a dose, you should just take your next dose as scheduled. Do not take two doses on the same day to compensate for the skipped dose.
How will I know if ponatinib is working, or if I need adjustments to my treatment plan?
You will have regular appointments with your doctor or hospital for check-ups during your treatment. These check-ups are important for your doctor to monitor your progress and make any necessary adjustments.
Should I be concerned about infections while taking ponatinib?
Yes, ponatinib can reduce your white blood cell count, which increases your risk of infection. You should try to avoid people with infections and immediately tell your doctor if you develop symptoms like a sore throat or a high temperature.
Are there any precautions I need to take regarding contraception while on ponatinib?
It is very important to avoid getting pregnant or fathering a child while taking ponatinib. If there's a possibility of this, you should discuss suitable contraception methods with your doctor.
קריאה נוספת והפניות
- Manufacturer's PIL, Iclusig® 15 mg, 30 mg and 45 mg Film-coated Tablets; Incyte Biosciences UK Ltd, The electronic Medicines Compendium. Dated November 2022.
- תרופות מלאות BNF מהדורה 89; האגודה הרפואית הבריטית והחברה המלכותית לפרמקולוגיה של בריטניה הגדולה, לונדון.
המשך לקרוא למטה
About the authorView full bio

מייקל סטיוארט, MRPharmS
Medicine Leaflet Review Manager – Contractor, Pharmacist
BPharm (Hons), MRPharmS
Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.
About the reviewer

סיד דג'אני
Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.
היסטוריית המאמר
המידע בעמוד זה נכתב ונבדק על ידי קלינאים מוסמכים.
Next review due: 3 Jul 2026
4 Jul 2023 | הגרסה האחרונה

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