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Transcript
Glivec® Active ingredient: Imatinib Marketing authorisation holder: Novartis Europharm Ltd Availability: National Health Service Variations: Data from small retrospective case series and case reports showed that longitudinal bone growth may be influenced by imatinib. This would occur particularly in pre-pubertal period. The long term effects on growth in children due to prolonged treatment is still not known. However, these patients should be closely monitored. Due to limited number of events obtained from literature and spontaneous reports, it is unable to determine the frequency and reversibility of the impact of drug administration. A non-randomised open label study was carried out to evaluate the pharmacokinetic effects of imatinib with paracetamol in newly diagnosed subjects suffering from previously untreated chronic myeloid leukaemia in chronic phase. In vitro studies have shown that imatinib inhibits O-glucuronidation of paracetamol. However this was observed in vivo when imatinib 400mg is administered with 1g paracetamol. Since no studies have been carried out when higher doses of imatinib and paracetamol are administered, caution is recommended. Reference: European Medicines Agency. Glivec. [online]. 2011 June 29 [cited 2011 July 30]; Available from: URL: http://www.ema.europa.eu/ema/index.jsp?curl=pages/medicines/human/medicines/000406/human_med_000808.jsp&murl=menus/medicine s/medicines.jsp&mid=WC0b01ac058001d124