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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Non returnable*
COD available

Online payment accepted

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Composition :

NILOTINIB-200MG

Manufacturer/Marketer :

Msn Laboratories Pvt Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

About Nilocap 200 Capsule 4's

Nilocap 200 Capsule 4's belongs to the class of anticancer drugs called tyrosine kinase inhibitors used in the treatment of Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML). Ph+ CML is a type of blood cancer that causes white blood cells to behave differently.

Nilocap 200 Capsule 4's contains Nilotinib which works by blocking the action of an abnormal protein (Bcr-Abl tyrosine kinase) produced by an abnormal Philadelphia chromosome that signals abnormal white blood cells (cancerous cells) to multiply. Thereby, it stops the multiplication and inhibits the growth of cancerous cells and then causes the death of these cells.

Take Nilocap 200 Capsule 4's as prescribed. You are recommended to take Nilocap 200 Capsule 4's for as long as your doctor has advised it for you based on your medical condition. Sometimes, Nilocap 200 Capsule 4's may cause common side effects such as vomiting, nausea, diarrhoea, headache, constipation, tiredness, and muscle and joint pain. Most of these side effects of Nilocap 200 Capsule 4's do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are allergic to Nilotinib or any other medicines, please tell your doctor. Avoid taking Nilocap 200 Capsule 4's if you are pregnant or breastfeeding. You are recommended to use effective contraceptive methods while taking Nilocap 200 Capsule 4's and for two weeks after completing the course of Nilocap 200 Capsule 4's. Nilocap 200 Capsule 4's is not recommended for children below one year of age. Drive only if you are alert as Nilocap 200 Capsule 4's may cause dizziness or visual disorders as side effects in some people. If you have yellow skin and eyes, dark-coloured urine, or stomach pain while taking Nilocap 200 Capsule 4's, contact your doctor immediately, as these might be symptoms of liver problems. 

Uses of Nilocap 200 Capsule 4's

Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML)

Directions for Use

Take this medicine on an empty stomach or as advised by the doctor. Avoid eating food for at least 2 hours before taking Nilocap 200 Capsule 4's and avoid eating for at least 1 hour after taking Nilocap 200 Capsule 4's. Swallow it as a whole with a glass of water. If you are unable to swallow it, open the capsule and sprinkle the contents in 1 teaspoon of applesauce and take it right away (within 15 minutes). Do not use more than one teaspoon of apple sauce for each capsule, and do not use any food other than apple sauce.

Medicinal Benefits

Nilocap 200 Capsule 4's contains Nilotinib, an anticancer drug used to treat Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML). In chronic myeloid leukemia (CML) patients, a change in genetic material (DNA) triggers a signal that tells the body to produce more abnormal white blood cells (cancerous cells). Nilotinib works by blocking this signal and thus stops the production of cancerous cells. Nilocap 200 Capsule 4's is used in adults and children with newly diagnosed Ph+ CML in the chronic phase and in adults with Ph+ CML in the accelerated and chronic phase who did not tolerate or no longer benefit from other treatments, including Imatinib. 

Storage

Store in a cool and dry place away from sunlight

Side Effects of Nilocap 200 Capsule 4's

  • Vomiting
  • Nausea
  • Diarrhoea
  • Headache
  • Constipation
  • Tiredness
  • Muscle and joint pain

Drug Warnings

If you are allergic to Nilotinib or any other medicines, please tell your doctor. Avoid taking Nilocap 200 Capsule 4's if you are pregnant or breastfeeding. You are recommended to use effective contraceptive methods while taking Nilocap 200 Capsule 4's and for two weeks after completing the course of Nilocap 200 Capsule 4's. Nilocap 200 Capsule 4's is not recommended for children below one year of age. Nilocap 200 Capsule 4's may affect the growth and development of children with chronic phase Ph+ CML. Some children and adolescents may have slower than normal growth while taking Nilocap 200 Capsule 4's. Therefore, your doctor will monitor the growth of your child at regular visits. Drive only if you are alert as Nilocap 200 Capsule 4's may cause dizziness or visual disorders as side effects in some people. Nilocap 200 Capsule 4's may increase the risk of liver problems, especially in people with a history of liver problems. Therefore, if you have yellow skin and eyes, dark-coloured urine, or stomach pain while taking Nilocap 200 Capsule 4's, contact your doctor immediately, as these might be symptoms of liver problems. Inform your doctor if you have a severe problem with lactose (milk sugar) or other sugars as Nilocap 200 Capsule 4's may contain lactose. Most people who have mild or moderate lactose intolerance can take Nilocap 200 Capsule 4's. Avoid taking Nilocap 200 Capsule 4's if you have low levels of magnesium or potassium in the blood or long QTc syndrome. If you have had a surgical procedure involving the removal of the entire stomach (total gastrectomy), inform your doctor before taking Nilocap 200 Capsule 4's.

Drug-Drug Interactions

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NilotinibSparfloxacin
Critical
NilotinibCisapride
Critical

Drug-Drug Interactions

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NilotinibSparfloxacin
Critical
How does the drug interact with Nilocap 200 Capsule:
Coadministration of Sparfloxacin with Nilocap 200 Capsule can prolong the QT interval.

How to manage the interaction:
Taking Nilocap 200 Capsule with Sparfloxacin is not recommended, please consult your doctor before taking it. If you experience any symptoms, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
NilotinibCisapride
Critical
How does the drug interact with Nilocap 200 Capsule:
Combining Cisapride and Nilocap 200 Capsule can increase the risk or severity of irregular heart rhythms. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Cisapride and Nilocap 200 Capsule together is generally avoided as it can lead to an interaction, but it can be taken when advised by your doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, shortness of breath, heart palpitations, diarrhea, or vomiting, contact your doctor immediately. Do not discontinue any medications without consulting your doctor.
NilotinibMesoridazine
Critical
How does the drug interact with Nilocap 200 Capsule:
Combining Mesoridazine and Nilocap 200 Capsule can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Taking Mesoridazine and Nilocap 200 Capsule together is not recommended as it can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, heart palpitations, diarrhea, or vomiting, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
NilotinibBCG vaccine
Critical
How does the drug interact with Nilocap 200 Capsule:
Combining BCG vaccine with Nilocap 200 Capsule can increase the risk of infection.

How to manage the interaction:
Taking Nilocap 200 Capsule with BCG vaccine is not recommended, please consult your doctor before taking it. if you experience any symptoms , contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
NilotinibZiprasidone
Critical
How does the drug interact with Nilocap 200 Capsule:
Taking Nilocap 200 Capsule with Ziprasidone can increase the risk of abnormal heart rhythm.

How to manage the interaction:
Taking Nilocap 200 Capsule with Ziprasidone is not recommended, but it can be taken together if prescribed by a doctor. However, consult your doctor if you experience sudden dizziness, lightheadedness, fainting, shortness of breath. Do not discontinue any medications without consulting a doctor.
NilotinibSaquinavir
Critical
How does the drug interact with Nilocap 200 Capsule:
Combining Saquinavir and Nilocap 200 Capsule can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Taking Saquinavir and Nilocap 200 Capsule together is not recommended as it can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, heart palpitations, diarrhea, or vomiting, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
NilotinibLeuprorelin
Critical
How does the drug interact with Nilocap 200 Capsule:
Using Nilocap 200 Capsule together with leuprolide can increase the risk of an irregular heart rhythm that may be serious

How to manage the interaction:
Taking Leuprorelin with Nilocap 200 Capsule is not recommended, as it can result in an interaction. It can be taken if your doctor has suggested it. However, if you experience prolonged diarrhea, vomiting, dizziness, lightheadedness, fainting, or difficulty breathing, contact your doctor immediately. Do not stop using any medications without talking to your doctor.
NilotinibYellow fever vaccine
Critical
How does the drug interact with Nilocap 200 Capsule:
Combining Yellow fever vaccine with Nilocap 200 Capsule can increase the risk of infection.

How to manage the interaction:
Taking Nilocap 200 Capsule with Yellow fever vaccine is not recommended, please consult your doctor before taking it. if you experience any symptoms , contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
NilotinibGrepafloxacin
Critical
How does the drug interact with Nilocap 200 Capsule:
Coadministration of Grepafloxacin with Nilocap 200 Capsule can increase the risk or severity of irregular heart rhythms. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Nilocap 200 Capsule with Grepafloxacin is not recommended, please consult your doctor before taking it. If you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, heart palpitations, diarrhea, or vomiting, consult the doctor immediately. Do not stop using any medications without talking to your doctor.
NilotinibImipramine
Severe
How does the drug interact with Nilocap 200 Capsule:
Taking Nilocap 200 Capsule and Imipramine can increase the risk or severity of irregular heart rhythms. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Nilocap 200 Capsule and Imipramine together can result in an interaction, it can be taken if your doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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NILOTINIB-200MGGrapefruit and Grapefruit Juice
Moderate

Drug-Food Interactions

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NILOTINIB-200MGGrapefruit and Grapefruit Juice
Moderate
Common Foods to Avoid:
Grapefruit Juice, Grapefruit

How to manage the interaction:
Grapefruit juice can increase the blood levels of Nilocap 200 Capsule, and increase the risk of an irregular heart rhythm. Consumption of grape juice and grape fruit should be avoided as is causes symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations during treatment with Nilocap 200 Capsule. Food may also increase the blood levels of Nilocap 200 Capsule. Therefore, you should take Nilocap 200 Capsule on an empty stomach, meaning no food should be eaten for at least two hours before or one hour after taking Nilocap 200 Capsule.

Diet & Lifestyle Advise

  • Drink nutrient-rich liquids such as juices, shakes and soups if you have trouble swallowing solid food.
  • Eat frequently by opting for 4 to 6 smaller meals a day instead of 2 to 3 big meals.
  • Consume a variety of vegetables, including legumes.
  • Eat whole grains, whole fruits, and fat-free or low-fat dairy products.
  • Include a variety of proteins in the diet, such as lean meats, poultry, seafood, soy, beans, and eggs.
  • Use healthy oils such as olive oil.
  • Drink plenty of water to keep yourself hydrated.

Habit Forming

No

Therapeutic Class

KINASE INHIBITORS

Nilocap 200 Capsule 4's Substitute

Substitutes safety advice
  • Tasigna 200 mg Capsule 4's

    by AYUR

    1870.00per tablet
  • Nelova 200 mg Capsule 28's

    by Others

    73.93per tablet
  • Nilosure 200 Capsule 4's

    by Others

    115.42per tablet
  • Nilotirel 200 mg Capsule 28's

    by Others

    160.71per tablet
  • Myelotib 200 mg Capsule 28's

    by Others

    133.36per tablet

Author Details

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Nilocap 200 Capsule 4's contains Nilotinib, an anticancer drug. In chronic myeloid leukemia (CML) patients, a change in genetic material (DNA) triggers a signal that tells the body to produce more abnormal white blood cells (cancerous cells). Nilotinib works by blocking this signal and thus stops the production of cancerous cells.

You are not recommended to take antacids and Nilocap 200 Capsule 4's at the same time. You are advised to take antacids containing magnesium hydroxide, aluminium hydroxide, and simethicone about two hours before or two hours after taking Nilocap 200 Capsule 4's. However, please consult a doctor before taking other medicines with Nilocap 200 Capsule 4's.

You are recommended to avoid grapefruit juice, grapefruit and any supplement containing grapefruit extract while taking Nilocap 200 Capsule 4's as it may increase the amount of Nilotinib in the body and cause serious side effects.

Drug-Drug Interactions Checker List

  • DISOPYRAMIDE
  • QUINIDINE
  • AMIODARONE
  • SOTALOL
  • PROCAINAMIDE
  • CLARITHROMYCIN
  • MOXIFLOXACIN
  • CHLOROQUINE
  • HALOPERIDOL
  • PIMOZIDE
  • METHADONE
  • FENTANYL
  • ALFENTANIL
  • PHENYTOIN
  • CARBAMAZEPINE
  • PHENOBARBITAL
  • WARFARIN
  • RIFAMPICIN
  • ITRACONAZOLE
  • KETOCONAZOLE
  • VORICONAZOLE
  • CYCLOSPORINE
  • TACROLIMUS
  • SIROLIMUS

Special Advise

  • Nilocap 200 Capsule 4's can cause a possibly life-threatening heart problem called QTc prolongation (causes irregular heartbeat, which may lead to sudden death). Therefore, if you faint, feel lightheaded or have an irregular heartbeat while taking Nilocap 200 Capsule 4's, please contact your doctor immediately, as these might be symptoms of QTc prolongation.

Regular tests are recommended during treatment with Nilocap 200 Capsule 4's:

  • To monitor the number of blood cells (red blood cells, white blood cells and platelets), liver and pancreas function in the body to see how Nilocap 200 Capsule 4's is tolerated.
  • To monitor electrolytes (magnesium, potassium) in the body that are essential in the functioning of the heart.
  • To check the level of fats and sugar in the blood.
  • Also, ECG is recommended to check the heart rate.

Disease/Condition Glossary

Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML): It is a common form of chronic myeloid leukemia (CML) that occurs when specific chromosomes swap positions, causing an abnormality in the chromosomes, creating the Philadelphia chromosome. The abnormal chromosomes produce an abnormal protein called Bcr-Abl tyrosine kinase, which then triggers a signal to produce abnormal white blood cells in the bone marrow. CML is a type of blood cancer which makes the body produce too many abnormal white blood cells. Many people with Ph+ CML will not experience symptoms before their diagnosis. However, if symptoms do occur, they include weight loss, weakness, night sweats, extreme tiredness, feeling full after only small meals, bone pain, and easy bleeding.  

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