Product image of Imatinib Krka D.D. (Imatinib) supplied by GNH India

Imatinib Krka D.D.

Active Ingredient:
Imatinib
Origin:
EU

Imatinib Krka D.D. (Imatinib)

Imatinib, the active ingredient in Imatinib Krka D.D., is a tyrosine kinase inhibitor presented as a tablet for oral use. It targets specific molecular pathways that drive certain cancers and is prescribed for adult patients with those diagnoses.

GNH India supplies Imatinib Krka D.D. as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

Imatinib is a tyrosine kinase inhibitor used primarily in hematologic malignancies and selected solid tumours driven by BCR‑ABL, c‑KIT or PDGFR signalling.

  • Chronic Myeloid Leukemia (CML): reduces leukemic cell proliferation and induces remission.
  • Philadelphia chromosome‑positive Acute Lymphoblastic Leukemia (Ph+ ALL): improves survival by targeting BCR‑ABL.
  • Gastrointestinal Stromal Tumour (GIST): inhibits c‑KIT driven tumour growth, leading to disease control.

How It Works

  • Imatinib binds competitively to the ATP‑binding site of BCR‑ABL, c‑KIT and PDGFR tyrosine kinases, preventing phosphorylation of downstream substrates. This blockade halts proliferative signalling pathways, induces apoptosis of malignant cells, and limits tumour angiogenesis, thereby controlling disease progression in responsive cancers.

Side Effects

Imatinib may cause a range of adverse reactions, from mild to severe, that require monitoring during therapy.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Edema: peripheral swelling, especially of the ankles.
  • Muscle cramps: occasional painful muscle contractions.
  • Fatigue: general tiredness or lack of energy.
  • Diarrhoea: loose stools, often transient.
  • Rash: mild skin irritation or erythema.

Serious or Rare Side Effects

  • Hepatotoxicity: elevated liver enzymes or hepatitis.
  • Severe neutropenia or thrombocytopenia: marked reduction in white blood cells or platelets.
  • Cardiac failure: signs of reduced cardiac output, such as dyspnoea.
  • Pulmonary hypertension: increased pressure in lung arteries.
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis: life‑threatening skin reactions.

Precautions & Warnings

Before initiating Imatinib, clinicians should assess baseline organ function and monitor patients regularly for emerging toxicities.

  • Monitor liver function: obtain baseline and periodic LFTs.
  • Assess cardiac status: watch for signs of heart failure.
  • Check complete blood counts: monitor for neutropenia and thrombocytopenia.
  • Avoid use in patients with known hypersensitivity to imatinib or its excipients.
  • Store at ambient temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Imatinib interacts with several drugs that can alter its plasma concentration or increase toxicity risk.

Major Interactions (Avoid)

  • CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): raise imatinib levels.
  • CYP3A4 inducers (e.g., rifampin, carbamazepine): lower imatinib efficacy.
  • Strong P‑glycoprotein inhibitors (e.g., verapamil): may increase systemic exposure.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (warfarin): potential enhancement of anticoagulant effect.
  • Live attenuated vaccines: possible reduced vaccine efficacy.
  • Diuretics (e.g., furosemide): may exacerbate fluid retention and edema.

Frequently Asked Questions

Imatinib Krka D.D. is prescribed for adult patients with chronic myeloid leukemia, Philadelphia chromosome‑positive acute lymphoblastic leukaemia, and gastrointestinal stromal tumours. In each case the drug targets abnormal tyrosine‑kinase activity that drives malignant cell growth, helping to achieve disease control or remission.

Imatinib blocks the ATP‑binding pocket of BCR‑ABL, c‑KIT and PDGFR tyrosine kinases. By preventing phosphorylation of these enzymes, it stops downstream signalling that promotes cell proliferation and survival, leading to apoptosis of the malignant cells that depend on these pathways.

The exact dose of Imatinib Krka D.D. is determined by the prescribing clinician based on the specific indication, disease stage, patient weight, renal and hepatic function, and other individual factors. Patients should follow the dose and schedule written on their prescription without alteration.

Safety data for Imatinib in pregnancy and lactation are limited. Animal studies suggest potential fetal risk, and the drug is excreted in breast milk. Women who are pregnant, planning pregnancy, or breastfeeding should discuss risks and alternatives with their healthcare provider.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and necessary import documentation.

Imatinib was the first BCR‑ABL inhibitor and remains a standard first‑line option for many patients. Newer agents such as dasatinib or nilotinib may offer faster molecular responses or activity against certain resistant mutations, but they can have different side‑effect profiles and drug‑interaction potentials. Choice of therapy depends on disease characteristics, patient tolerance and physician judgment.

Imatinib tablets should be stored at ambient temperature, below 25 °C, in the original blister or bottle, protected from moisture and direct light. Keep the container tightly closed and out of reach of children. Do not store in the refrigerator or freezer.

Imatinib is taken orally, usually once daily, with a glass of water. It can be taken with or without food, but a consistent routine helps maintain stable blood levels. Patients should swallow the tablet whole and avoid crushing or chewing unless instructed otherwise.

Serious adverse events include hepatotoxicity, severe neutropenia or thrombocytopenia, cardiac failure, pulmonary hypertension, and life‑threatening skin reactions such as Stevens‑Johnson syndrome. Patients should be monitored regularly for liver enzymes, blood counts, cardiac function and any new skin or respiratory symptoms.

Imatinib is contraindicated in individuals with known hypersensitivity to the drug or any of its excipients. Caution is advised for patients with severe hepatic impairment, uncontrolled cardiac disease, or pre‑existing severe cytopenias. The medication should only be used under the supervision of a qualified healthcare professional.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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