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nilotinib

   Also found in: Wikipedia 0.01 sec.
nilotinib,
a miscellaneous antineoplastic.
indications This drug is used to treat chronic- and accelerated-phase Philadelphia chromosome-positive chronic myelogenous leukemia that is resistant to or intolerant of imatinib.
contraindications Known hypersensitivity to this drug, pregnancy, breastfeeding, hypokalemia, hypomagnesemia, and QT prolongation prohibit its use. This drug should not be used simultaneously with grapefruit products.
adverse effects Adverse effects of this drug include headache, dizziness, fatigue, fever, flushing, paresthesia, palpitations, constipation, diarrhea, alopecia, erythemia, hyperamylasemia, hyperbilirubinemia, hyperglycemia, hyperkalemia, hypocalcemia, hyponatremia, hypomagnesemia, diaphoresis, arthralgia, myalgia, back and bone pain, muscle cramps, cough, and dyspnea. Life-threatening side effects include QT prolongation, torsades de pointes, hepatotoxicity, vomiting dyspepsia, pancreatitis, neutropenia, thrombocytopenia, anemia, pancytopenia, and bleeding. Common side effects include nausea, anorexia, abdominal pain, and rash.


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Implications for Nursing Nurses caring for patients who receive imatinib, dasatinib, or nilotinib (in clinical trials) should be aware of the agents' adverse events (see Table 1).
Like imatinib, both nilotinib and dasatinib bind to Bcr-Abl, thereby killing the cancerous cells that harbor it.
Nilotinib, an imatinib analog, which requires less stringent binding, and dasatinib, a combined src-abl TKI are active in imatinib resistance.
 
 
 
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