Hertraz 440mg (Injection)


Hertraz 440mg Injection is used in the treatment of breast and stomach cancer. It works by killing the cancer cells by inhibiting HER2 (human epidermal growth factor receptor protein).


Hertraz 440mg Injection is given as an injection by a qualified medical professional. Your doctor will decide what dose is necessary and how often you need to take it. This will depend on what you are being treated for and may change from time to time. You should take it exactly as your doctor has advised. Taking it in the wrong way or taking too much can cause very serious side effects. It may take several weeks or months for you to see or feel the benefits but do not stop taking it unless your doctor tells you to.


The most common side effects of this medicine include nausea, headache, rash, insomnia, and infection. This medicine may reduce the number of blood cells (decrease red blood and white blood cells) in your blood, thereby, increasing the susceptibility to infections. Regular blood tests are required to check your blood cells along with heart, liver, and blood uric acid levels. You must have to inform your doctor if you experience breathlessness, cough, shivering, swelling of legs and arm.


Many other medicines can affect, or be affected by, this medicine so let your healthcare team know all medications you are using. This medicine is not recommended during pregnancy or while breastfeeding. The use of effective contraception by both males and females during treatment is important to avoid pregnancy.



Basic Information

Mechanism Of Action

Trastuzumab binds to an extracellular domain of this receptor and inhibits HER2 homodimerization, thereby preventing HER2-mediated signaling. It is also thought to facilitate antibody-dependent cellular cytotoxicity, leading to the death of cells that express HER2.

Pharmacokinets

Trastuzumab pharmacokinetics are characterized by a low systemic clearance, a low volume of distribution (4l) and a very long half-life (28 days) comparable to that of endogenous immunoglobulins G. The elimination pathways are not yet defined and the clinical relevance of trastuzumab kinetic variability is unknown

Side Effects

Anemia (low number of red blood cells)

Chills

Common cold

Cough

Decreased blood cells (red cells, white cells, and platelets)

Diarrhea

Fatigue

Fever

Headache

Heart failure

Infection

Insomnia (difficulty in sleeping)

Mucosal inflammation

Nausea

Rash

Stomatitis (Inflammation of the mouth)

Taste change

Upper respiratory tract infection

Weight loss


Contra Indications

Contraindications for trastuzumab treatment include a history of hypersensitivity to trastuzumab treatment or murine proteins, severe dyspnea at rest resulting from complications of advanced malignancy, and requiring supplementary oxygen therapy

Pregnancy Related Information

Hertraz 440mg Injection is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.


Product And Alcohol Interaction

Hertraz 440mg Injection may cause excessive drowsiness with alcohol.


Breast Feeding Related Information

Hertraz 440mg Injection is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.


Indications

HER2-positive breast cancer: adjuvant therapy - Approved for combination use with anthracycline- or taxane-based chemotherapy. ...

Metastatic HER2-positive breast cancer - Approved as monotherapy or for combination use with paclitaxel.


Interactions

Synergistic interactions at clinically relevant drug concentrations were observed for trastuzumab in combination with cisplatin, docetaxel, thiotepa, 4-OH cyclophosphamide, vinorelbine, and etoposide. Additive cytotoxic effects were observed with trastuzumab plus doxorubicin, paclitaxel, methotrexate, and vinblastine

Typical Dosage

Your doctor or nurse will give you this medicine.

Storage Requirements

Store in a refrigerator (2 - 8°C). Do not freeze.


Effects Of Missed Dosage

If you miss a dose of Hertraz 440mg Injection, please consult your doctor.


Effects Of Overdose

Consult a doctor before taking any medicines.


Expert Advice

It is given as an injection into your vein or under the skin, usually over 1 hour.

Use effective contraception method to prevent pregnancy while taking this medicine and for 7 months after you stop the treatment.

Your doctor will monitor your heart regularly while taking this medicine. Inform your doctor if you notice symptoms such as breathlessness, cough, shivering, swelling of legs and arm.

Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.


How To Use

Your doctor or nurse will give you this medicine. Kindly do not self administer.


FAQs

Q. What are the serious side effects of Hertraz 440mg Injection?

There are various side effects related to Hertraz 440mg Injection such as sore throat, fever, chills, excessive tiredness, pale skin, nosebleeds, and other unusual bruising or bleeding. One can also experience stomach pain, seizures, hallucinations, muscle cramps, and spasms. Along with that, nausea or vomiting, loss of appetite, fatigue, rapid heart beat, discoloration of urine; decreased amount of urine, difficulty in urinating, pain when urinating, and other signs of infection can also be observed with the use of Hertraz 440mg Injection. You should call your doctor immediately if you notice any such symptoms.

Q. How long after Hertraz 440mg Injection therapy can I get pregnant?

Women of child-bearing age should use effective contraception during Hertraz 440mg Injection therapy and for 7 months after completing the treatment. You can plan your pregnancy after 7 months of treatment with Hertraz 440mg Injection.

Q. How long should Hertraz 440mg Injection be taken?

Patients with early breast cancer should take Hertraz 440mg Injection for 1 year or until disease recurs, whichever occurs first. It is not advised to extend the treatment beyond 1 year in patients of early breast cancer.

Q. Is fasting required before administering Hertraz 440mg Injection?

No, fasting is not required before administering Hertraz 440mg Injection. It should be given under the guidance of a doctor who is experienced in giving cancer chemotherapy and should be given only by a healthcare professional.