Ponatinib tablets
Iclusig
Granskad av Sid DajaniSenast uppdaterad av Michael Stewart, MRPharmSSenast uppdaterad 4 Jul 2023
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Ponatinib is usually taken once daily. It can be taken before or after meals.
You will need to have regular check-ups. It is important that you keep the regular appointments with your doctor or hospital.
Överblick
Ponatinib is an anti-cancer medicine used to treat specific types of leukaemia.
It works by blocking chemical messengers that tell cancer cells to grow.
Take tablets daily, swallowed whole, with or without food.
This medicine can lower white blood cells, increasing your risk of infection.
If you develop a sore throat or high temperature, tell your doctor immediately.
Do not get pregnant or father a child while taking this medicine.
About ponatinib
Typ av medicin | En cancerläkemedel |
Används för | Treatment of leukaemia |
Även kallad | Iclusig® |
Tillgänglig som | Tabletter |
Ponatinib is a medicine which is given to treat some types of leukemi. Leukaemia is cancer of cells in the bone marrow - these are the cells which develop into blood cells. Ponatinib is given for the types of leukaemia called chronic myeloid leukaemia (CML) och acute lymphoblastic leukaemia (ALL).
In cancer, certain cells in the body grow and multiply in a way that is 'out of control'. Chemotherapy (anti-cancer) medicines work by inhibiting the way cells grow and increase in number. Ponatinib belongs to a group of anti-cancer medicines which work by blocking the chemical messengers which send signals to cells to grow. This stops the production of cancer cells.
Before taking ponatinib
Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking ponatinib it is important that your doctor knows:
If you have an infection or feel particularly unwell.
If you have any problems with the way your liver works or if you have ever had hepatitis B infection.
If you have ever had a disorder of your pancreas, called pancreatitis.
If you drink large amounts of alcohol.
If you have been told you have high levels of fats called triglycerides in your blood.
If you have a heart condition or blood vessel disease.
Om du är gravid eller ammar.
Om du tar eller använder några andra läkemedel. Detta inkluderar alla läkemedel du tar som finns att köpa utan recept, samt växtbaserade och komplementära läkemedel.
Om du någonsin har haft en allergisk reaktion mot en medicin.
How to take ponatinib tablets
Before you start the treatment, read any printed information you have been given by your doctor and the printed manufacturer's leaflet from inside the pack of tablets. These will give you more information about ponatinib and will provide a full list of the side-effects which you may experience from taking it.
Ponatinib will be prescribed for you by a specialist doctor who is experienced in treating your condition. It is important that you take the tablets exactly as you are told to. It is usual to take one 45 mg tablet daily, although your dose may be different to this. The directions for taking the tablets will be printed on the label of the pack to remind you what your doctor has told you to do, but if you have any concerns or questions, you should contact your doctor or hospital clinic for further advice.
You can take ponatinib tablets before or after meals. Swallow the tablet whole with a drink of water - do not crush or chew the tablet.
If you forget to take a dose, make sure that you remember to take your next dose when it is due. Do not take two doses on the same day to make up for a forgotten dose.
Få ut det mesta av din behandling
You must try to keep your regular appointments with your doctor or hospital. This is so your doctor can check on your progress. You will need to have regular check-ups during treatment.
Ponatinib can lower the number of white cells in your blood and this increases the chance that you may get an infection. You should take precautions to reduce the risk of infection whenever you can. So, if possible, avoid other people with infections and let your doctor know straightaway if you think you are getting a sore throat or if you have a high temperature.
If you buy or take any other medicines, check with a pharmacist that they are suitable to take alongside ponatinib.
If you are having an operation or dental treatment, always tell the person carrying out the treatment which medicines you are taking.
It is important that you do not get pregnant or father a child while you are taking ponatinib. If this could be a possibility for you, make sure you discuss with your doctor which types of contraception are suitable for you and your partner.
Can ponatinib cause problems?
Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with ponatinib. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Very common ponatinib side-effects (these affect more than 1 in 10 people) | Vad kan jag göra om jag upplever detta? |
Feeling sick (nausea) or being sick (vomiting), diarrhoea or constipation, abdominal (tummy) pain | Stick to simple foods - avoid rich or spicy foods |
Headache, muscle and joint aches, backache | Ask your doctor or pharmacist to recommend a suitable painkiller |
High temperature, infections | Let your doctor know straightaway so that this can be investigated |
Feeling tired or dizzy | Do not drive and do not use tools or machines unless you feel well enough. Do not drink alcohol |
Loss of appetite, cough, feeling short of breath, itchy rash, dry skin, swollen hands or feet | If any of these become troublesome, speak with your doctor for advice |
Anaemia, high blood pressure, changes to blood tests | Your doctor will regularly check for these |
If you experience any other symptoms which you think may be due to the tablets, speak with your doctor or pharmacist.
How to store ponatinib
Förvara alla läkemedel utom räckhåll och synhåll för barn.
Förvara på en sval, torr plats, borta från direkt värme och ljus.
Please return any unused or unwanted tablets to your clinic or pharmacy to destroy.
Viktig information om alla läkemedel
Viktig information om alla läkemedel
Ta aldrig mer än den föreskrivna dosen. Om du misstänker att du eller någon annan kan ha tagit en överdos av denna medicin, gå till akutmottagningen på ditt lokala sjukhus. Ta med behållaren, även om den är tom.
Denna medicin är för dig. Ge den aldrig till andra människor även om deras tillstånd verkar vara detsamma som ditt.
Behåll inte föråldrade eller oönskade mediciner. Ta dem till ditt lokala apotek som kommer att ta hand om dem åt dig.
Om du har några frågor om denna medicin, fråga din apotekare.
Rapportera biverkningar av ett läkemedel eller vaccin
Om du upplever biverkningar kan du rapportera dem online via Yellow Card webbplats.

Osäker på att blanda mediciner?
Kontrollera möjliga interaktioner mellan läkemedel, kosttillskott och livsmedel innan du tar dem tillsammans.
Vanliga frågor
What is the primary role of ponatinib in treating leukaemia?
Ponatinib is an anti-cancer medicine that works by specifically blocking chemical messengers. These messengers typically signal cancer cells to grow and multiply. By blocking these signals, ponatinib effectively stops the production of cancer cells, thereby treating certain types of leukaemia like chronic myeloid leukaemia (CML) and acute lymphoblastic leukaemia (ALL).
If I am prescribed ponatinib, what kind of doctor will be overseeing my treatment?
Ponatinib will be prescribed and managed by a specialist doctor who has experience in treating leukaemia. This ensures that your condition is monitored by someone with expert knowledge of this specific type of cancer and its treatments.
Are there any specific concerns regarding fertility or family planning while taking ponatinib?
Yes, it is crucial to avoid getting pregnant or fathering a child while you are undergoing treatment with ponatinib. If you are of childbearing potential or planning a family, you should discuss suitable contraception options with your doctor.
What should I do if I notice changes in my blood tests while taking ponatinib?
Your doctor will regularly monitor your blood through check-ups to detect any changes, such as anaemia or alterations in other blood test results. These are known side-effects, and your doctor will manage them as part of your ongoing treatment.
Does ponatinib affect my ability to drive or operate machinery?
Ponatinib can sometimes cause side-effects like feeling tired or dizzy. If you experience these symptoms, you should avoid driving or using tools and machinery until you feel well and alert enough to do so safely. It's also advisable not to drink alcohol if you are feeling this way.
Vidare läsning och referenser
- Manufacturer's PIL, Iclusig® 15 mg, 30 mg and 45 mg Film-coated Tablets; Incyte Biosciences UK Ltd, The electronic Medicines Compendium. Dated November 2022.
Om författarenVisa fullständig biografi

Michael Stewart, MRPharmS
Ansvarig för granskning av medicinbroschyrer – Konsult, Apotekare
BPharm (Hons), MRPharmS
Michael är en apotekare som arbetar i Midlands och South Yorkshire med mer än 20 års erfarenhet av att ge råd om läkemedel och medicinska tillstånd. Han har en stark bakgrund inom vårdutbildning och har producerat och levererat utbildningskurser för apoteksteam och personal inom vårdboenden, inklusive sjuksköterskor. Han har också bidragit till apoteksrådgivande styrelser för hantering av mindre allvarliga tillstånd i samhället.
Om recensenten

Sid Dajani
Sultan Dajani tog examen vid London School of Pharmacy 1994 och blev den yngsta valda medlemmen i Royal Pharmaceutical Society-rådet sedan dess grundande 1842.
Artikelhistorik
Informationen på denna sida är skriven och granskad av kvalificerade kliniker.
Artikeln finns också på Engelska, Tyska, Spanska, Franska, Italienska, Portugisiska, Hindi, Hebreiska, Arabiska, och Svenska.
Nästa granskning: 3 jan 2028
4 Jul 2023 | Senaste versionen

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