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ABARELIX
Generic Name: ABARELIX
ABSTRACT -
Abarelix is a synthetic decapeptide gonadotropin-releasing hormone (GnRH) receptor antagonist. It suppresses luteinizing hormone and follicle-stimulating hormone release, reducing testosterone production in advanced prostate cancer.
DOSAGE –
Historical adult regimen for Plenaxis: 100 mg intramuscular injection on day 1, day 15, day 29, then every 4 weeks, with specialist monitoring. Availability and approved use vary by country.
SIDE EFFECTS –
- Hot flashes
- Fatigue
- Injection-site pain or reaction
- Gynecomastia or breast tenderness
- Dizziness
- Nausea
- Edema
ALLRGIC REACTIONS–
(These symptoms may indicate an allergic reaction and require medical attention.)
- Immediate systemic allergic reaction
- Hypotension or syncope
- Wheezing or difficulty breathing
- Urticaria or angioedema
DRUG INTERACTIONS -
- Concomitant androgen-deprivation or hormonal agents require specialist review
- QT-risk drugs require caution due to hormonal changes
- No routine over-the-counter interactions should be assumed safe without clinician review
PRECAUTIONS –
- Administer in settings prepared to manage anaphylaxis
- Monitor testosterone response and prostate cancer status
- Assess cardiovascular and QT-related risk
- Use only in appropriate male patients with advanced symptomatic prostate cancer
WARNINGS –
- Severe immediate-onset systemic allergic reactions have been reported
- Use was restricted/withdrawn in some markets because of safety and commercial factors
- Requires risk-management and specialist administration



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