Description
Odomzo (sonidegib) is a medication used to treat basal cell carcinoma (BCC), a type of skin cancer. The drug belongs to a class of medications known as Hedgehog pathway inhibitors, which work by blocking the action of a protein involved in the growth and proliferation of cancer cells. It is taken orally in capsule form.
Uses:
Odomzo is used to treat symptomatic and non-symptomatic, locally advanced basal cell carcinoma (BCC) in patients who are not candidates for surgery or radiation therapy, or whose disease has recurred following such treatment.
Storage Conditions:
Odomzo capsules should be stored at room temperature below 25°C (77°F), protected from moisture, and out of reach of children.
Mechanism of Action:
Odomzo inhibits the action of Smoothened, a protein involved in the Hedgehog signaling pathway. This pathway plays an important role in the development of basal cell carcinoma. By blocking Smoothened, Odomzo prevents the Hedgehog pathway from functioning correctly, which leads to reduced cell survival and proliferation.
HOW TO USE:
Odomzo should be taken orally with food as prescribed by a healthcare provider. The medication is typically taken once daily at approximately the same time each day. It is important to take the medication at the same time every day to ensure consistent levels of the drug in the body.
Precautions:
Odomzo has been associated with severe teratogenicity, the potential to cause birth defects when administered to pregnant women. Women of reproductive potential should have a negative pregnancy test before starting Odomzo and use effective contraception while taking the medication and for at least 20 months after the last dose. Additionally, patients with severe liver or kidney dysfunction should use Odomzo with caution.
Drug Interactions:
Odomzo may interact with other medications, particularly those that are substrates of CYP3A4. Therefore, patients taking any medications that inhibit or induce CYP3A4 should inform their medical provider before taking Odomzo.
Contraindications:
Odomzo is contraindicated in pregnant women or women of childbearing potential who are not using effective contraception. It is also not recommended for use with strong CYP3A4 inhibitors and inducers.
Overdose:
There is currently no established protocol for Odomzo overdose. Medical attention should be sought immediately if an overdose is suspected.
Adverse Reactions:
Common side effects of Odomzo include muscle spasms, hair loss, altered taste, muscle pain, weight loss, and nausea. Additionally, it may cause low blood sodium levels, skin reactions, and increased risk of musculoskeletal adverse events, including fractures. Patients should inform their medical provider of any abnormal and persistent symptoms during treatment.
In conclusion, Odomzo (sonidegib) is an oral medication used to treat locally advanced basal cell carcinoma in patients who cannot undergo surgery or radiation, or whose disease has recurred following such treatment. It works by inhibiting the Hedgehog signaling pathway. Odomzo should be taken with food. Pregnant women should avoid Odomzo due to the risk of teratogenicity. Patients taking Odomzo should use caution when taking drugs that affect liver or kidney function, and avoid strong CYP3A4 inhibitors and inducers. Common side effects include muscle spasms, hair loss, altered taste, muscle pain, and weight loss.
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