Spexib Capsule
Written By Dr. Anuj Saini, MMST, MBBS
Reviewed By Dr. Varun Gupta, MD Pharmacology, MBBS
Last updated on 12 Nov 2024 | 01:10 AM (IST)
Spexib Capsule is used in the treatment of non-small cell lung cancer. It shows its working by stopping or slowing down the growth of cancer cells.
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General Information
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Product introduction
Spexib Capsule should be taken with or without food, but try to have it at the same time every day to get the most benefits. 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.
Fatigue, nausea, vomiting, and diarrhea are some common side effects of this medicine. Some serious side effects that might occur which need doctor consultation include tiredness, itchy skin, yellowing of your skin, and chest pain or discomfort, changes in your heartbeat. Your doctor may perform some blood tests before and after the treatment to check for liver, or blood sugar level.
Before taking it, tell your doctor if you have heart disease, liver, or kidney problems or are taking any medicines to treat infections. 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.
Fatigue, nausea, vomiting, and diarrhea are some common side effects of this medicine. Some serious side effects that might occur which need doctor consultation include tiredness, itchy skin, yellowing of your skin, and chest pain or discomfort, changes in your heartbeat. Your doctor may perform some blood tests before and after the treatment to check for liver, or blood sugar level.
Before taking it, tell your doctor if you have heart disease, liver, or kidney problems or are taking any medicines to treat infections. 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.
Uses of Spexib Capsule
Benefits of Spexib Capsule
Non-small cell lung cancer
Non-small cell lung cancer is one of the major kinds of lung cancer and it affects both smokers as well as non-smokers. Spexib Capsule helps treat non-small cell lung cancer and may be given alone or in combination with other medicines. It is a potent and very toxic medicine and you should discuss the risks and benefits with your doctor. You should avoid drinking alcohol while having this treatment and drink plenty of water to stay hydrated.
Non-small cell lung cancer is one of the major kinds of lung cancer and it affects both smokers as well as non-smokers. Spexib Capsule helps treat non-small cell lung cancer and may be given alone or in combination with other medicines. It is a potent and very toxic medicine and you should discuss the risks and benefits with your doctor. You should avoid drinking alcohol while having this treatment and drink plenty of water to stay hydrated.
Side effects of Spexib Capsule
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Spexib
- Diarrhea
- Fatigue
- Nausea
- Vomiting
How to use Spexib Capsule
Take this medicine in the dose and duration as advised by your doctor. Spexib Capsule may be taken with or without food, but it is better to take it at a fixed time.
How Spexib Capsule works
Spexib Capsule is an anti-cancer medication. It works by blocking the action of the abnormal protein that signals cancer cells to multiply. This helps to stop or slow the spread of cancer cells.
Quick tips
- Take it with or without food, preferably at the same time each day.
- Diarrhea may occur as a side effect. Drink plenty of fluids and inform your doctor if it doesn't stop or if you find blood in your stools.
- Use a reliable contraceptive method to prevent pregnancy while you are taking this medicine and for a month after you stop taking it.
- Monitor your blood pressure regularly while taking this medication. Inform your doctor if you notice symptoms of very high blood pressure such as severe headache, confusion, problems with your eyesight, nausea or vomiting.
- It may cause serious bleeding problem. Inform your doctor if you get headaches, stomach pain or if you notice blood in your urine or stools.
- Do not take this medicine if you are pregnant, planning to conceive or breastfeeding.
Safety advice

Alcohol
CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Spexib Capsule. Please consult your doctor.

Pregnancy
CONSULT YOUR DOCTOR
Spexib Capsule 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.

Breast feeding
CONSULT YOUR DOCTOR
Information regarding the use of Spexib Capsule during breastfeeding is not available. Please consult your doctor.

Driving
UNSAFE
Spexib Capsule may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney
SAFE IF PRESCRIBED
Spexib Capsule is safe to use in patients with kidney disease. No dose adjustment of Spexib Capsule is recommended.

Liver
SAFE IF PRESCRIBED
Spexib Capsule is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Spexib Capsule may not be needed in these patients. Please consult your doctor.

Frequently asked questions
Spexib Capsule is a cancer medicine that contains the active substance ceritinib. It is used to treat patients with anaplastic lymphoma kinase (ALK)-positive metastatic non-small cell lung cancer (NSCLC).
Anaplastic lymphoma kinase (ALK) gene is present in all the cells. When it loses its original structure, it changes its normal behavior and multiplies abnormally, causing lung cancer. This type of lung cancer is called ALK-positive NSCLC.
Spexib Capsule treat ALK-positive NSCLC that has spread to other parts of the body. By blocking the activity of the abnormal ALK gene, it shrinks the tumor and also stops its further growth.
Take this medicine on an empty stomach, do not eat for 2 hours before, and do not eat for 2 hours after taking Spexib Capsule. Talk to your doctor in case of any doubts.
Keep taking this medicine exactly as directed until your doctor tells you to stop. Regular scans will reveal whether your tumor is responding to the treatment. Your doctor will determine when those scans should be scheduled.
Yes, some people may develop serious side effects after taking this medicine. These may include fast or irregular heart rate, chest pain, lung inflammation (pneumonitis), liver disease, or severe diarrhea. Your doctor may need to adjust your treatment or stop Spexib Capsule temporarily or permanently.
If you develop liver problems while taking this medicine, you must look for some signs and symptoms. These may include excessive tiredness, yellowish discoloration of your skin or white portion of the eyes, dark or brown urine, nausea, vomiting, or decreased appetite. Additionally, you may develop itching, easy bruising, and also pain on the right side of your stomach. In case you observe any of these, you should consult your doctor without any delay.
Yes, this medicine might cause inflammation of the lungs (called pneumonitis). It is advisable to notify your doctor right away if you develop any new or worsening symptoms, including shortness of breath, trouble breathing, cough, or fever.
Food items with soluble fiber can help relieve diarrhea as they help absorb excess fluid from the body. These food items include bananas (ripe), orange, boiled potatoes, white rice, curd, and oatmeal. Diarrhea can cause dehydration in the body, so drink 8-10 glasses of water to avoid dehydration. You can also have soups and juice frequently to hydrate yourself.
Yes, this medicine may cause vision problems. A regular eye examination is recommended in patients taking Spexib Capsule. If you notice any change in your vision or blurred vision, talk to your doctor.
Spexib Capsule might cause a rise in your sugar level. Monitor your blood sugar level regularly and consult your doctor immediately if you notice excessive thirst and hunger, increased frequency of urination, headaches, trouble thinking or concentrating.
Use a moisturizer to get relief from rashes, dry and itchy skin. Wear loose-fit cotton clothes and try to stay at an ambient room temperature. These conditions tend to resolve once treatment is stopped. However, if you develop yellow discoloration of your skin, inform your doctor immediately as this could be a sign of a liver problem.
Fact Box
Chemical Class
Phenylpiperidines
Habit Forming
No
Therapeutic Class
ANTI NEOPLASTICS
Action Class
Tyrosine kinase inhibitors
References
- Ceritinib. East Hanover, New Jersey: Novartis Pharmaceuticals Corporation; 2014. [Accessed 26 Mar. 2019] (online) Available from:
- Ceritinib. Ireland: Novartis Europharm Limited; 2015 [revised 06 Jul. 2018]. [Accessed 26 Mar. 2019] (online) Available from:
- Central Drugs Standard Control Organisation (CDSCO). [Accessed 27 Mar. 2019] (online) Available from:

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Name: Novartis India Ltd
Address: Sandoz House, Shiv Sagar Estate, Worli Mumbai -400 018, India
Address: Sandoz House, Shiv Sagar Estate, Worli Mumbai -400 018, India
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Country of origin: Switzerland
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