USES
Calquence is usually administered orally in capsule form. The usual dose varies from 100 mg per day to twice a day, but this may depend upon the medical condition of the patient and how the patient responds to the treatment. It has to be taken according to the prescription given by the healthcare professional.
Steps to administer:
Take Calquence exactly as your doctor has prescribed. Do not take more or less dose without consulting your doctor.
Take with or without food: Calquence can be taken along with or without food. It is advisable to take along with food if you develop gastrointestinal discomfort in order to reduce irritation.
Swallow capsules whole: Never try to open, crush or chew the capsules. Always swallow them whole with a glass of water.
Take Calquence at roughly the same time every day. This helps to keep a regular rhythm, so you do not forget doses. Take the missed dose when you remember it if it has not almost been time for your next dose. Never take two doses together for one you missed.
WORKING
Calquence is a Bruton’s tyrosine kinase inhibitor, which is an important enzyme in the signaling pathway of B-cells. Inhibiting BTK leads to the disruption of activation of B-cells involved in the immune response. In CLL and MCL, these B-cells become malignant and begin multiplying uncontrollably.
This action not only stops the proliferation of cancerous B-cells but also prevents them from metastasizing or developing new tumors. Calquence is a highly selective BTK inhibitor, meaning it selectively targets cancerous B-cells and spares most normal cells, which would result in a more focused treatment approach with potentially fewer side effects.
SIDE EFFECTS
Similar to all drugs, Calquence may cause adverse effects, though not everyone is likely to experience them. Common adverse effects of Calquence include:
Low Blood Cell Counts: Calquence can cause a reduction of red blood cells, white blood cells, or platelets, and thereby increase infections, anemia, or even bleeding.
Infections: Being an immune system drug, the patient will have a chance of developing infections, either respiratory infection, urinary infection, among others.
Diarrhea: Gastrointestinal side effects such as diarrhea are observed in a patient who is undergoing treatment using Calquence.
Headache: A few patients with Calquence can develop a headache.
Fatigue: You might feel much more tired or weak, which is another side effect.
WARNINGS
Bleeding Risk: Calquence may increase the risk of bleeding, including serious bleeding events. Inform your healthcare provider if you have a history of bleeding disorders or if you are taking other medications that affect bleeding.
Infections: Calquence can increase the risk of serious infections, including opportunistic infections. Monitor patients for signs of infections and advise them to avoid exposure to people with contagious illnesses.
Liver Function: Calquence may cause liver enzyme abnormalities in some patients, and your doctor might monitor your liver function.
Heart Problems: As Calquence can affect heart rhythms, patients with heart conditions such as arrhythmia must inform their doctor about heart problems before starting this drug.
Pregnancy and Lactation: There are no contraindications on pregnancy use. However, there may be a hazard to the fetus. It is not known if Calquence crosses into human milk. Therefore, breast-feeding is not recommended for women.
INTERACTIONS
CYP3A Inhibitors & Inducers – Strong CYP3A inhibitors (like ketoconazole) can increase Calquence levels, raising the risk of side effects, while CYP3A inducers (like rifampin) can reduce its effectiveness.
Antacids & PPIs – Proton pump inhibitors (PPIs) like omeprazole may reduce Calquence absorption, lowering its efficacy.
Blood Thinners – Combining Calquence with anticoagulants (like warfarin) increases bleeding risk.
Immunosuppressants – Drugs like corticosteroids may alter Calquence’s effects, impacting immune response.
DOSAGE
The typical recommended dose of Calquence is 100 mg twice a day. However, the actual dose may vary depending on a patient’s individual factors, including the type of cancer being treated, the patient’s health condition, and how they react to the medication.
Your doctor may adjust your dose if you experience side effects or if you have other medical conditions that may require a dose adjustment.
PRESCRIPTION
Calquence is an antineoplastic, so it is prescribed; one needs to see a healthcare provider before administering this medicine. To ensure it’s the right treatment for you, a doctor will check up on your medical history, conduct necessary tests, and prescribe Calquence to fit your needs.
Follow-up visits and constant monitoring are essential to observe whether or not the treatment is working as well as being watched out for potential side effects.
FAQ's
What is Calquence?
- Calquence (acalbrutinib) is a medication used for treating certain types of blood cancers, specifically chronic lymphocytic leukemia (CLL) and mantle cell lymphoma (MCL).
How does Calquence work?
- Calquence works as a Bruton’s tyrosine kinase (BTK) inhibitor, blocking a protein that helps cancer cells grow and survive.
What conditions is Calquence used to treat?
- It is primarily used for the treatment of adult patients with chronic lymphocytic leukemia (CLL) and relapsed or refractory mantle cell lymphoma (MCL).
Who should not take Calquence?
- Calquence is not recommended for individuals with a known hypersensitivity to acalbrutinib or any of its inactive ingredients.
What is the typical dosage of Calquence?
- The standard dosage is usually 100 mg taken orally twice daily with or without food, but dosages can vary based on the individual case.
What are the possible side effects of Calquence?
- Common side effects include headache, diarrhea, fatigue, nausea, and infections. Serious side effects may include bleeding complications or heart rhythm problems.
Can I take Calquence if I am pregnant or breastfeeding?
- No, Calquence should not be used during pregnancy due to potential harm to the fetus, and breastfeeding should be avoided while on this medication.
How is Calquence taken?
- Calquence is taken orally in the form of a tablet, and it’s important to follow your healthcare provider’s instructions regarding dosage and timing.
Are there any drug interactions with Calquence?
- Yes, Calquence can interact with other medications, especially those that affect liver enzymes. Always inform your healthcare provider about all medications you are taking.
How should Calquence be stored?
- Store Calquence at room temperature, away from moisture and direct light, and keep it out of reach of children.
What should I do if I miss a dose of Calquence?
- If you miss a dose, take it as soon as you remember unless it’s almost time for the next dose. Do not double up on doses.
Can Calquence be taken with food?
- Yes, Calquence can be taken with or without food, but it’s best to take it consistently in the same way to maintain even drug levels in the body.
Is Calquence a chemotherapy drug?
- While Calquence is used to treat cancer, it is not a traditional chemotherapy drug; it specifically targets cancer cell growth pathways.
What should I do if I experience severe side effects?
- Contact your healthcare provider immediately if you experience severe side effects such as unusual bleeding, severe headache, or signs of an allergic reaction.
Are there any dietary restrictions while taking Calquence?
- There are no specific dietary restrictions while taking Calquence; however, discuss any dietary changes with your healthcare provider.
How effective is Calquence in treating CLL and MCL?
- Clinical studies have shown Calquence to be effective for many patients with CLL and MCL, often leading to improved outcomes and survival rates.
Do I need regular monitoring while taking Calquence?
- Yes, regular follow-up appointments and monitoring of blood counts and overall health are important while on Calquence.
What if I am undergoing other cancer treatments?
- Discuss with your healthcare provider any ongoing cancer treatments, as they may adjust your treatment plan based on interactions and effectiveness.
Can Calquence be used in combination with other therapies?
- Calquence can sometimes be used in conjunction with other cancer therapies; however, your healthcare provider will determine the best approach for you.
Where can I obtain Calquence?
- Calquence is available by prescription at pharmacies; discuss with your healthcare provider about obtaining the medication.