Geftin 250mg Tablet (GEFITINIB)
Introduction to Geftin 250mg Tablet
The Geftin 250mg Tablet is a medication primarily used to treat a specific type of lung cancer known as non-small cell lung cancer (NSCLC). It is particularly effect... See More

What is Geftin tablet?
Geftin tablet is a targeted therapy used to treat non-small cell lung cancer (NSCLC) in patients with specific EGFR mutations. It works by inhibiting the epidermal growth factor receptor (EGFR), slowing or stopping cancer cell growth. Geftin tablet is mainly prescribed for advanced or metastatic NSCLC and is taken orally once daily. It is more effective in patients whose tumors have EGFR mutations confirmed by genetic testing.

What is the usual dose of Geftin tablet?
The standard dose of Geftin tablet for adults is 250 mg once daily. It is usually taken as a single tablet at the same time each day. It is not commonly used in children, as its safety and efficacy in pediatric patients are not well established. If severe side effects occur, the dose may be adjusted or treatment may be paused, as per the doctor's advice.

How do I take Geftin tablet?
Geftin tablet should be taken once daily, with or without food. The tablet should be swallowed whole with water. If swallowing is difficult, it can be dispersed in a glass of water and consumed immediately. Avoid grapefruit and grapefruit juice, as they can interfere with the drug’s absorption. Also, St. John’s Wort should be avoided, as it may reduce the effectiveness of Geftin tablet.

For how long do I take Geftin tablet?
Geftin tablet is taken as long as it remains effective and the side effects are manageable. Patients may continue treatment for months or years if their cancer does not progress. Regular monitoring with scans and medical tests is required to check whether the medication is working and if any side effects are developing. If the cancer progresses, alternative treatments may be considered.

What is Geftin tablet used for?
Geftin tablet is used for the treatment of non-small cell lung cancer (NSCLC) that is locally advanced or metastatic and has EGFR gene mutations. It is prescribed mainly for patients who have not received prior chemotherapy. This medication is most effective in patients with specific genetic mutations confirmed through EGFR testing. It is not effective in cancers that do not have these mutations.

How long does it take for Geftin tablet to start working?
Geftin tablet starts working within a few weeks, but noticeable improvements are usually seen after several weeks to months of treatment. Tumor shrinkage or symptom relief may take one to three months. Regular imaging tests like CT scans or MRIs are used to monitor progress. Some patients feel better within the first month, while others take longer to respond.

Is Geftin tablet effective?
Clinical studies have shown that Geftin tablet is highly effective in NSCLC patients with EGFR mutations, improving survival rates and quality of life. Studies indicate that progression-free survival (PFS) is longer compared to standard chemotherapy. However, it does not work well for tumors without EGFR mutations. Research shows that patients with mutations exon 19 deletion or exon 21 L858R benefit the most from this treatment.

How does one know if Geftin tablet is working?
Doctors monitor the effectiveness of Geftin tablet using CT scans, MRIs, or PET scans to check for tumor shrinkage. Patients may also notice reduced cancer symptoms like less coughing, improved breathing, and less fatigue. Blood tests and biomarker monitoring may also be used. If the tumor continues to grow, doctors may recommend alternative treatments.

How does Geftin tablet work?
Geftin tablet is an EGFR tyrosine kinase inhibitor (TKI) that blocks signals for cancer cell growth. It specifically targets mutated EGFR receptors, preventing them from sending signals that cause uncontrolled cell division. This leads to tumor shrinkage and slowed progression of NSCLC. It is most effective in tumors with EGFR mutations, as normal EGFR cells are less affected.

Who should avoid taking Geftin tablet?
Geftin tablet should not be taken by people who do not have EGFR mutations, as it will not be effective. It is also not recommended for pregnant or breastfeeding women, people with severe liver or kidney disease, or those with a history of interstitial lung disease. Patients allergic to Geftin tablet or any of its ingredients should avoid this medicine.

Can I take Geftin tablet with vitamins or supplements?
Some vitamins and supplements may interfere with Geftin tablet. Calcium and magnesium supplements should be taken with caution, as they can alter stomach acidity, affecting drug absorption. Avoid St. John’s Wort, as it can decrease Geftin tablet’s effectiveness. Always consult a doctor before taking herbal supplements or over-the-counter vitamins while on Geftin tablet.

Can I take Geftin tablet with other prescription drugs?
Geftin tablet interacts with certain antibiotics, antifungals, and anticonvulsants. Drugs like rifampicin, phenytoin, and carbamazepine can lower its effectiveness. Proton pump inhibitors (PPIs) like omeprazole can reduce absorption. Patients should inform their doctor about all medications they are taking to prevent dangerous interactions.

Can Geftin tablet be taken safely while pregnant?
Geftin tablet is not safe during pregnancy, as it can harm the developing fetus. Animal studies suggest that it may cause birth defects and miscarriage. Women of childbearing age should use effective contraception while taking this medication and for at least two weeks after stopping it. If pregnancy occurs, the doctor should be informed immediately.

Can Geftin tablet be taken safely while breastfeeding?
Geftin tablet is not recommended while breastfeeding because it can pass into breast milk and harm the infant. Women taking Geftin tablet should avoid breastfeeding during treatment and for at least two weeks after stopping the medication.

Is Geftin tablet safe for the elderly?
Geftin tablet can be used in elderly patients, but they may be more prone to side effects like diarrhea, liver issues, and skin rashes. Regular monitoring of liver and kidney function is recommended. Dose adjustments may be needed based on tolerance and side effects.

How should I store Geftin tablet?
Store Geftin tablet at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep it out of reach of children and do not store it in the bathroom. Do not use expired tablets.

Does Geftin tablet make people tired or drowsy?
Geftin tablet does not directly cause drowsiness, but fatigue is a common side effect, affecting 10-15% of patients. This may be due to the body adjusting to the medication or the effects of cancer itself. If fatigue is severe, patients should get adequate rest, avoid driving or operating machinery, and inform their doctor if tiredness persists or worsens.

Does Geftin tablet cause stomach upset?
Yes, Geftin tablet can cause stomach-related side effects such as diarrhea (50-60%), nausea (25%), vomiting (15%), and abdominal pain. If mild, these symptoms can be managed by taking the medication with food and drinking plenty of fluids. If diarrhea is severe, leading to dehydration, or if nausea and vomiting persist, a doctor should be consulted for proper management or dose adjustment.

Does Geftin tablet affect sleep?
Geftin tablet does not commonly cause sleep disturbances, but some patients may experience insomnia or increased fatigue. These effects are usually mild but can impact daily activities. If sleep issues persist, maintaining a proper sleep schedule and avoiding stimulants like caffeine in the evening may help. If sleep problems become severe, consulting a doctor for further evaluation is recommended.

Does Geftin tablet make it hard to think or concentrate?
Geftin tablet does not usually cause major cognitive side effects, but some patients report mild confusion, difficulty concentrating, or memory problems. This may be linked to fatigue or the underlying disease. If cognitive issues become significant, patients should rest, stay hydrated, and seek medical advice if symptoms interfere with daily activities or worsen over time.

Does Geftin tablet affect mood?
Geftin tablet is not directly linked to mood disorders, but some patients report mild anxiety, irritability, or depression. These effects could be related to cancer treatment stress or fatigue. If mood swings become severe or persistent, talking to a doctor or mental health professional can help. Lifestyle changes, stress management, and emotional support may also improve well-being.

Does Geftin tablet interfere with sexual function?
Geftin tablet does not directly cause sexual dysfunction, but side effects like fatigue, nausea, or mood changes may reduce libido. Some patients may experience low energy levels, which can indirectly affect sexual activity. If this becomes a concern, discussing it with a doctor can help. Managing fatigue and emotional well-being may improve overall sexual health and intimacy.

Does Geftin tablet affect appetite?
Yes, loss of appetite is a common side effect of Geftin tablet, occurring in 15-20% of patients. It may be due to nausea, taste changes, or digestive issues. Eating small, frequent meals and staying hydrated can help. If appetite loss leads to significant weight loss or weakness, patients should consult their doctor for dietary support or medication adjustments.

Does Geftin tablet cause weight gain?
Geftin tablet does not usually cause weight gain. In fact, weight loss is more common, as it can reduce appetite and cause diarrhea or nausea. Patients should maintain proper nutrition and hydration. If weight loss is excessive or rapid, a doctor may suggest dietary changes, supplements, or medication adjustments to help maintain a healthy weight.

Does Geftin tablet cause headaches?
Headaches occur in about 10-15% of patients taking Geftin tablet. They are usually mild but can sometimes be persistent. Staying hydrated, managing stress, and using mild pain relievers like paracetamol (if approved by a doctor) may help. If headaches are severe, frequent, or accompanied by other symptoms like dizziness or vision changes, medical advice should be sought.

Does Geftin tablet limit driving?
Geftin tablet does not directly impair driving ability, but side effects like fatigue, dizziness, or blurred vision may make it unsafe to drive. Patients should assess how they feel before driving. If they experience dizziness, drowsiness, or lack of concentration, they should avoid driving and consult their doctor about managing these side effects safely.

Is it safe to drink alcohol while taking Geftin tablet?
Drinking alcohol while on Geftin tablet is not recommended, as alcohol can worsen side effects like liver toxicity, nausea, and fatigue. Even moderate alcohol consumption may put extra stress on the liver, which is already processing the drug. If patients choose to drink occasionally, they should consult their doctor and limit intake to avoid complications.

Is it safe to drink coffee or tea while taking Geftin tablet?
Drinking coffee or tea is generally safe, as caffeine does not directly interact with Geftin tablet. However, excessive caffeine intake may worsen stomach upset, nausea, or insomnia, which some patients already experience as side effects. If caffeine seems to trigger discomfort, reducing intake or switching to decaffeinated beverages may help. Consulting a doctor is advised if symptoms persist.

Is it safe to exercise while taking Geftin tablet?
Yes, light to moderate exercise is generally safe and can help maintain strength and reduce fatigue. However, strenuous activity should be avoided if patients experience fatigue, dizziness, or weakness from Geftin tablet. Walking, yoga, and light stretching are usually well-tolerated. If side effects make exercise difficult, consulting a doctor about adjusting activity levels is recommended.

What are Geftin tablet possible harms and risks?
Common side effects include diarrhea (50-60%), skin rash (40-50%), nausea, vomiting, and loss of appetite. Serious but less common risks include liver toxicity, lung inflammation (interstitial lung disease), and severe diarrhea leading to dehydration. Regular monitoring of liver function tests is required. If severe side effects occur, the dose may need to be reduced or stopped.