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Olaparib(奥拉帕利)奥拉帕尼的作用与副作用

发布时间:2025-06-02 17:00:26 阅读:1273 来源:问药网
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奥拉帕尼 Olaparib OLADX

奥拉帕尼 Olaparib OLADX 生产厂家:老挝大熊制药有限公司 功能主治:适用于BRCA晚期卵巢癌和转移性乳腺癌的治疗 用法用量:  本品不同剂型、不同规格的用法用量可能存在差异,请阅读具体药物说明书使用,或遵医嘱。  奥拉帕尼:  1、本品应在有抗肿瘤药物使用经验的医生的指导下使用。  2、推荐剂量:每次300mg(2片150mg片剂),每日2次,相当于每日总剂量为600mg。100mg片剂在剂量减少时使用。  3、患者应在含铂化疗结束后的8周内开始本品治疗,持续治疗直至疾病进展或发生不可接受的毒性反应。  4、给药方法:口服给药。本品应整片吞服,不应咀嚼、压碎、溶解或掰断药片。本品在进餐或空腹时均可服用。  5、漏服:如果患者漏服一剂药物,应按计划时间正常服用下一剂量。  剂量调整  (1)针对不良事件  为处理不良事件,比如恶心、呕吐、腹泻、贫血等,可考虑中断治疗或减量。  如果需要减量,推荐剂量减至250mg(1片150mg片剂,1片100mg片剂),每日服用2次(相当于每日总剂量为500mg)。  如果需要进一步减量,则推荐剂量减至200mg(2片100mg片剂),每日服用2次(相当于每日总剂量为400mg)。  (2)合并使用细胞色素P450(CYP)3A抑制剂  在使用本品时,不推荐合并使用强效或中效CYP3A抑制剂,应考虑其他替代药物。如果必须合并使用强效CYP3A抑制剂,推荐将本品剂量减至100mg(1片100mg片剂),每日2次(相当于每日总剂量为200mg)。如果必须合并使用中效CYP3A抑制剂,推荐将本品剂量减至150mg(1片150mg片剂),每日2次(相当于每日总剂量为300mg)。
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Olaparib(奥拉帕利)奥拉帕尼的作用与副作用,Olaparib(Olaparib)常见副作用包括恶心、呕吐、疲劳、贫血、咳嗽、腹泻、头痛、食欲减少、关节痛、味觉改变和皮疹。患者在使用过程中应接受适当的监测。Olaparib(Olaparib)是一种用于治疗特定类型的癌症的药物,属于一类被称为PARP(聚合酶-腺苷酸二磷酸核糖酶)抑制剂的药物。它的主要疗效包括:1、治疗卵巢癌;2、治疗乳腺癌;3、治疗其他癌症如胰腺癌、前列腺癌和肺癌等。目前还处于临床试验阶段。该药品在治疗相关疾病方面表现出色,疗效显著、安全性高,极大地提高了患者的生活质量。

Title: The Role and Side Effects of Olaparib in the Treatment of Ovarian Cancer, Breast Cancer, Pancreatic Cancer, Prostate Cancer, and Primary Peritoneal Cancer

Introduction:

Olaparib, also known as Olaparib or Olaparibni, is a targeted therapy that has shown promising results in the treatment of various types of cancers, including ovarian cancer, breast cancer, pancreatic cancer, prostate cancer, and primary peritoneal cancer. This article aims to explore the role of Olaparib in these cancer types and discuss its potential side effects.

1. Olaparib: Mechanism of Action

Olaparib belongs to a class of drugs called poly(ADP-ribose) polymerase (PARP) inhibitors. PARP enzymes play an essential role in repairing damaged DNA in cells. By inhibiting PARP, Olaparib prevents cancer cells from repairing DNA damage, leading to their death. This mechanism of action makes Olaparib particularly effective in cancers with defects in DNA repair pathways, such as those caused by BRCA1 or BRCA2 gene mutations.

2. Ovarian Cancer

Olaparib has demonstrated significant efficacy in the treatment of ovarian cancer, particularly in patients with BRCA mutations. Clinical studies have shown that Olaparib can improve progression-free survival and overall survival in patients with advanced ovarian cancer. It is approved by regulatory authorities as a maintenance treatment for patients with platinum-sensitive relapsed ovarian cancer who have a BRCA mutation.

3. Breast Cancer

In patients with metastatic breast cancer and BRCA mutations, Olaparib has shown promising results. Clinical trials have indicated that Olaparib can help control the disease and extend the time until progression. It is now approved as a treatment option for certain patients with HER2-negative, BRCA-mutated advanced breast cancer.

4. Pancreatic Cancer

Olaparib has shown potential as a treatment option for pancreatic cancer patients with BRCA mutations. Clinical trials have demonstrated improved response rates and progression-free survival in this patient population. However, further research is needed to establish Olaparib's role in the management of pancreatic cancer.

5. Prostate Cancer

For patients with metastatic castration-resistant prostate cancer and specific gene alterations such as BRCA or ATM mutations, Olaparib has been approved as a treatment option. Clinical studies have shown that Olaparib can delay disease progression and improve overall survival in this patient population.

6. Primary Peritoneal Cancer

Primary peritoneal cancer is a rare cancer that shares similarities with ovarian cancer. Olaparib has been studied in patients with primary peritoneal cancer, demonstrating clinical benefits for those with BRCA mutations. However, more research is needed to establish its efficacy and optimal use in this cancer type.

Side Effects of Olaparib:

While Olaparib has shown promising therapeutic effects, it can also cause side effects. The most common side effects observed in clinical trials include nausea, fatigue, anemia, vomiting, diarrhea, and decreased appetite. Some patients may also experience more severe side effects, such as bone marrow suppression or an increased risk of developing certain types of cancers, particularly hematologic malignancies.

Conclusion:

Olaparib represents a significant advancement in cancer treatment, specifically for patients with BRCA mutations in ovarian, breast, pancreatic, prostate, and primary peritoneal cancers. Its targeted mechanism of action has shown improved clinical outcomes in various clinical trials. However, healthcare professionals should carefully monitor and manage the potential side effects associated with Olaparib therapy. Further research is needed to optimize its usage and explore its potential in treating other cancer types.