Indications of Elago 200 mg
Elago 200 mg is indicated for the management of moderate to severe pain associated with endometriosis.
Gonadotropin-releasing hormone (GnRH) antagonist
Endometriosis develops when tissue that is similar to the kind that is normally located in the uterus starts to grow outside of the uterus. Such growth leads to various symptoms like pain during periods, pelvic pain between periods, and pain during sexual intercourse. The growths themselves are referred to as lesions and frequently develop on the ovaries, fallopian tubes, and other areas around the uterus, including the bowel or bladder. The growth of these lesions is dependent upon the estrogen hormone.Elago 200 mg is an orally-administered, nonpeptide small molecule gonadotropin-releasing hormone (GnRH) receptor antagonist that inhibits endogenous GnRH signaling by binding competitively to GnRH receptors in the pituitary gland Label. Administration of Elago 200 mg results in dose-dependent suppression of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), leading to decreased blood concentrations of the ovarian sex hormones, estradiol and progesterone.
Dosage & Administration of Elago 200 mg
Exclude pregnancy before starting Elago 200 mg or start Elago 200 mg within 7 days from the onset of menses. Take Elago 200 mg at approximately the same time each day, with or without food.Initiate treatment with Elago 200 mg 150 mg once daily-
Maximum Treatment Duration: 24 months
Coexisting Condition: None
Consider initiating treatment with Elago 200 mg 200 mg twice daily-
Maximum Treatment Duration: 6 months
Coexisting Condition: Dyspareunia
Initiate treatment with Elago 200 mg 150 mg once daily. Use of 200 mg twice daily is not recommended-
Maximum Treatment Duration: 6 months
Coexisting Condition: Moderate hepatic impairment (Child-Pugh Class B)
Elago 200 mg is contraindicated in women:
Who are pregnant
Exposure to ORILISSA early in pregnancy may increase the risk of early pregnancy loss.
With known osteoporosis because of the risk of further bone loss
With severe hepatic impairment because of the risk of bone loss
With concomitant use of strong organic anion transporting polypeptide (OATP) 1B1 inhibitors (e.g., cyclosporine and gemfibrozil)
Side Effects of Elago 200 mg
Most common adverse reactions (>5%) in clinical trials included hot flushes and night sweats, headache, nausea, insomnia, amenorrhea, anxiety, arthralgia, depression-related adverse reactions and mood changes.
Pregnancy & Lactation
Exposure to Elago 200 mg early in pregnancy may increase the risk of early pregnancy loss. Use of Elago 200 mg is contraindicated in pregnant women. Discontinue Elago 200 mg if pregnancy occurs during treatment. The limited human data with the use of Elago 200 mg in pregnant women are insufficient to determine whether there is a risk for major birth defects or miscarriage. Although two cases of congenital malformations were reported in clinical trials with Elago 200 mg, no pattern was identified and miscarriages were reported at a similar incidence across treatment groups. There is no information on the presence of Elago 200 mg or its metabolites in human milk, the effects on the breastfed child, or the effects on milk production. There are no adequate animal data on the excretion of Elago 200 mg in milk. The developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for Elago 200 mg and any potential adverse effects on the breastfed child from Elago 200 mg.
Precautions & Warnings
Bone Loss: Dose- and duration-dependent decreases in bone mineral density (BMD) that may not be completely reversible. Assess BMD in women with additional risk factors for bone loss
Reduced Ability to Recognize Pregnancy: Elago 200 mg may alter menstrual bleeding, which may reduce the ability to recognize pregnancy. Perform testing if pregnancy is suspected. Discontinue if pregnancy is confirmed
Suicidal Ideation and Mood Disorders: Advise patients to seek medical attention for suicidal ideation, suicidal behavior, new onset or worsening depression, anxiety, or other mood changes
Hepatic Transaminase Elevations: Dose-dependent elevations in serum alanine aminotransferase (ALT). Counsel patients on signs and symptoms of liver injury
Potential for Reduced Efficacy with Estrogen-Containing Contraceptives: Use non-hormonal contraception during treatment and for one week after discontinuing Elago 200 mg.
Keep below 30°C temperature, away from light & moisture. Keep out of the reach of children.
Use In Special Populations
No dose adjustment of Elago 200 mg is required in women with any degree of renal impairment or end-stage renal disease (including women on dialysis)
No dosage adjustment of Elago 200 mg is required in women with mild hepatic impairment.
Safety and effectiveness of Elago 200 mg in patients less than 18 years of age have not been established.