Binecap
Indonesia • Ferron Par Pharmaceuticals
Indication
Breast Cancer
- Capecitabine in combination with docetaxel is indicated for the treatment of patients with locally advanced or metastatic breast cancer after failure of cytotoxic chemotherapy. Previous therapy should have included an anthracycline.
- As monotherapy for the treatment of patients with locally advanced or metastatic breast cancer after failure of a taxane and an anthracycline-containing chemotherapy regimen or for whom further anthracycline therapy is not indicated.
Colorectal Cancer
- As adjuvant treatment of patients following surgery of stage III (Dukes Stage C) colon cancer.
- As first-line treatment of patients with metastatic colorectal carcinoma.
Gastric Cancer
- Capecitabine is indicated for treatment of advanced gastric cancer.
Composition
Capecitabine 500 mg
Package
Dosage Forms
TabletATC Classification
Warning
Dosage
18 Years Old and Above
Colon and colorectal cancer:
The recommended dose of capecitabine in the adjuvant treatment of colon cancer or in the treatment of metastatic colorectal cancer is 1250 mg/m² administered twice daily (morning and evening; equivalent to 2500 mg/m² total daily dose) for 14 days followed by a 7-day rest period. Adjuvant treatment in patients stage III colon cancer is recommended for a total of 6 months, i.e. capecitabine 1250 mg/m² administered twice daily for 14 days followed by a 7-day rest period, given as 3-week cycles total for a total of 8 cycles (24 weeks).
Advanced gastric cancer:
In combination with a platinum-based compound the recommended dose of capecitabine for the treatment of advanced gastric cancer is 1000 mg/m² administered twice daily for 14 days followed by a 7-days rest period. The first dose of capecitabine should be given on the evening of day 1 and the last dose should be given on the morning of day 15.
Premedication to maintain adequate hydration and anti-emesis according to the cisplatin SPC should be started prior to cisplatin administration for patients receiving the capecitabine plus cisplatin combination.
Breast cancer:
Given as a single agent, the recommended dose of capecitabine in the treatment of locally advanced or metastatic breast cancer is 1250 mg/m² twice daily for 14 days followed by a 7-day rest period.
In combination with docetaxel, the recommended dose of capecitabine in the treatment of metastatic breast cancer is 1250 mg/m² twice daily for 14 days followed by a 7-day rest period, combined with docetaxel at 75 mg/m² as 1 hour intravenous infusion every 3 weeks.
Premedication with an oral corticosteroid such as dexamethasone according to the docetaxel summary of product characteristics (SPC) should be started prior to docetaxel administration for patients receiving the capecitabine plus docetaxel combination.
Capecitabine should only be prescribed by a qualified physician experienced in utilization of antineoplastic agents. Capecitabine tablets should be swallowed with water within 30 minutes after a meal. Treatment should be discontinued if progressive disease or intolerable toxicity is observed.