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

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Whats That

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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
Here are the few steps for dealing with itching caused by drug use:
  • Report the itching to your doctor immediately; they may need to change your medication or dosage.
  • Use a cool, damp cloth on the itchy area to help soothe and calm the skin, reducing itching and inflammation.
  • Keep your skin hydrated and healthy with gentle, fragrance-free moisturizers.
  • Try not to scratch, as this can worsen the itching and irritate your skin.
  • If your doctor prescribes, you can take oral medications or apply topical creams or ointments to help relieve itching.
  • Track your itching symptoms and follow your doctor's guidance to adjust your treatment plan if needed. If the itching persists, consult your doctor for further advice.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.

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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NilotinibBCG vaccine
Critical
NilotinibLeuprorelin
Critical

Drug-Drug Interactions

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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.
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.
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.
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.
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.
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.
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.
NilotinibTizanidine
Severe
How does the drug interact with Nilocap 200 Capsule:
Combining Tizanidine and Nilocap 200 Capsule can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Taking Tizanidine and Nilocap 200 Capsule together can lead to an interaction, but it can be taken if your doctor advises. However, contact your doctor immediately if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, heart palpitations, diarrhoea, or vomiting. Do not discontinue any medications without consulting your 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
  • Knilonat 200 Capsule 10's

    by Others

    108.00per tablet
  • Kylonib 200 mg Capsule 4's

    by Others

    135.72per 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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