Description of Xbira
Generic of the medicine: Abiraterone acetate
Trade name of the medicine: X bira 250mg
Container: 120 tablets
X bira Description:
Xbira is a one of the leading brand of Abiraterone. It is manufactured by cipla pvt ltd.
X bira is exists under anti neoplastic drugs; it is act by depleting the androgen production in the body. Androgen is a male hormone which regulates the tumors cell in prostate glands.
Generally this tablet is used by combining with prednisolone, a steroid which reduces the exposure of side effects produced by Abiraterone.
Pharmacology of Xbira
Mechanism of action:
Androgens are responsible for production of tumors in prostate.
X bira is an anti androgen medication, which leads to eradicate the enzyme 17α-hydroxylase C 17, 20-lyase (CYP17), it is involved in androgen synthesis.
Reduce the serum testosterone level.
Depletion of tumor cell occurred.
Absorption of tablet Xbira:
The median plasma concentration of tablet Xbira takes 12 hours.
Distribution of Xbira tablets
Tablet Xbira is highly bound to the plasma protein like albumin and alpha-1 acid glycoprotein.
Metabolism of Xbira tablets
The metabolites of Abiraterone in human plasma are Abiraterone sulphate and N-oxide Abiraterone sulphate.
Excretion of Xbira
The mean terminal half life of tablet Xbira is 12 ± 5 hours. It is mainly excreted in 88% faeces and 5% in urine.
Indication of Xbira
Xbira is used in the treatment of patients with metastatic castration resistant prostate cancer who are previously received docetaxel with prednisolone.
Xbira should be given with prednisolone to reduce the adverse effects which are produced by Xbira.
Dose & Dosage's of Xbira
The dose of Abiraterone is usually endorsed as 4 tablets orally once daily with 5mg prednisolone twice daily in empty stomach.
If patient missed the dose of Abiraterone, that missed dose will be skipped and follow the regular dosing schedule.
Side Effects of Xbira
• Nausea, edema,
• Diarrhea, vomiting,
• Cough, headache,
• Glucocorticoid deficiency,
• Mineral corticoid deficiency
Hypertension, hypokalemia, fluid retention occurred due to mineral corticoid excess.
Musculo skeletal and Connective tissue disorders:
Joint swelling, discomfort, muscle discomfort
Hot flush, hypertension, arrhythmias, chest pain, cardiac failure
Infections and Infestation:
Urinary frequency, nocturia
Contraindication of Xbira
Generally Xbira causes harm to the unborn babies.
Xbira is contraindicated to the pregnant women or women who are become pregnant.
Hypersensitivity reaction to the patient getting Xbira
Drug Interaction of Xbira
Avoid combination of Abiraterone acetate with strong CYP3A4 inducers, because it leads to increase Xbira dosing frequency
Concomitant of ketaconazole with Xbira (strong CYP3A4 inhibitor) cause decrease the pharmacokinetic property of Xbira
Precaution of Xbira
Xbira tablet should be discontinued if patient having any allergy, severe liver problem, or pregnant.
Care should be taken in case of;
Hypertension, hypokalemia, fluid retention due to mineralocorticoid excess, adrenocortical insufficiency
Usage & Safety profile of Xbira Pregnancy & Lactation
Xbira tablet comes under pregnancy category X (leads to fetal death).
Storage of Xbira
Xbira is stored between 15oC-30oC in a dry place