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TUCAXEN (Tucatinib 50 mg & 150 mg tablets)
Therapeutic Class: Tyrosine kinase inhibitor
Pack Size: TUCAXEN 50 TABLET: Each HDPE container contains 30 film-coated tablets (each tablet contains 50 mg Tucatinib) a silica gel desiccant and polyester coil with a child-resistant closure. TUCAXEN 150 TABLET: Each HDPE container contains 30 film-coated tablets (each tablet contains 150 mg Tucatinib) a silica gel desiccant and polyester coil with a child-resistant closure.

INDICATION
Tucatinib is indicated in combination with trastuzumab and capecitabine for treatment of adult patients with advanced unresectable or metastatic HER2-positive breast cancer, including patients with brain metastases, who have received one or more prior anti-HER2-based regimens in the metastatic setting.
DOSAGE AND ADMINISTRATION
Recommended Dosage
The recommended dosage of Tucatinib is 300 mg taken orally twice daily in combination with trastuzumab and capecitabine until disease progression or unacceptable toxicity.
Patients are advised to swallow Tucatinib tablets whole and not to chew, crush, or split prior to swallowing. Patients are advised not to ingest tablet if it is broken, cracked, or not otherwise intact.
Patients are advised to take Tucatinib approximately 12 hours apart and at the same time each day with or without a meal.
If the patient vomits or misses a dose of Tucatinib, Patients are advised to take the next dose at its usual scheduled time.
When given in combination with Tucatinib, the recommended dosage of capecitabine is 1000 mg/m2 orally twice daily taken within 30 minutes after a meal. Tucatinib and capecitabine can be taken at the same time.