Ibruxen 140 MG (Ibrutinib)

Product Name : Ibruxen
Generic Name : Ibrutinib
Formulation : Capsule
Available Pack Size : 120’s
Available Strengths : 140 mg
Registrations : Bangladesh

Product Information

Ibruxen (Ibrutinib) 140mg is a first-in-class, orally administered Bruton’s Tyrosine Kinase (BTK) inhibitor used to treat B-cell blood cancers, including Mantle Cell Lymphoma (MCL), Chronic Lymphocytic Leukaemia/Small Lymphocytic Lymphoma (CLL/SLL), Waldenstrom’s Macroglobulinemia (WM), and Marginal Zone Lymphoma (MZL), as well as chronic Graft-Versus-Host Disease (cGVHD). It works by irreversibly binding to BTK, blocking the B-cell receptor signalling pathway that drives the proliferation and survival of malignant B cells. Manufactured by Everest Pharmaceuticals Ltd., Bangladesh and globally supplied by Mediaid Pharmacy with worldwide shipping.

Basic Product Information of Ibruxen (Ibrutinib) 140mg

Brand Name Ibruxen (Ibrutinib)
Generic Name Ibrutinib INN
Drug Class Bruton’s Tyrosine Kinase (BTK) Inhibitor
Available Strength 140mg
Formulation Capsule
Pack Size 120 Capsules per Pack
Primary Indication Mantle Cell Lymphoma, Chronic Lymphocytic Leukaemia/SLL, Waldenstrom’s Macroglobulinemia, Marginal Zone Lymphoma and Chronic GVHD
Regulatory Approvals USFDA Approved (MCL, CLL/SLL, WM, MZL, cGVHD). EMA Approved.
Originator Brand Imbruvica by Janssen and Pharmacyclics (AbbVie)
Manufacturer Everest Pharmaceuticals Ltd., Dhaka, Bangladesh
Global Supplier Mediaid Pharmacy, Worldwide Shipping Available
Registration Registered in Bangladesh
Storage Conditions Store below 30 degrees Celsius. Keep in a dry place away from light and moisture. Keep out of the reach of children.

How Ibruxen (Ibrutinib) Works

Ibruxen contains Ibrutinib, a first-in-class, potent, orally administered inhibitor of Bruton’s Tyrosine Kinase (BTK). BTK is a signalling molecule of the B-cell antigen receptor (BCR) and cytokine receptor pathways, and plays a central role in the survival, proliferation, trafficking, and adhesion of malignant B cells in blood cancers such as CLL, MCL, WM, and MZL.

Ibrutinib forms a covalent bond with a cysteine residue in the BTK active site, irreversibly inhibiting its enzymatic activity. By blocking downstream B-cell receptor signalling, Ibruxen disrupts the survival and spread of malignant B cells, driving them towards programmed cell death (apoptosis) while also inhibiting cell migration and adhesion within the tumour microenvironment. In chronic GVHD, Ibrutinib is also thought to act partly through inhibition of a related kinase, ITK.

Because of this precise, mechanism-driven action, Ibruxen is classified as a targeted therapy rather than conventional chemotherapy. It is administered as a once-daily oral capsule, offering a convenient outpatient treatment option for patients with these blood cancers and cGVHD.

Indications for Ibruxen (Ibrutinib)

Ibruxen (Ibrutinib) is indicated for the following conditions:

Mantle Cell Lymphoma (MCL)

For adult patients with Mantle Cell Lymphoma who have received at least one prior therapy.

CLL/SLL, Including 17p Deletion

For adult patients with Chronic Lymphocytic Leukaemia/Small Lymphocytic Lymphoma, including those with 17p deletion, as monotherapy or in combination with bendamustine and rituximab.

Waldenstrom’s Macroglobulinemia and MZL

For adult patients with Waldenstrom’s Macroglobulinemia, and for Marginal Zone Lymphoma patients who require systemic therapy and have received at least one prior anti-CD20-based therapy.

Chronic Graft-Versus-Host Disease (cGVHD)

For adult patients with chronic GVHD after failure of one or more lines of systemic therapy, a serious complication following allogeneic stem cell transplantation.

Benefits of Ibruxen (Ibrutinib) 140mg

First-in-Class BTK Inhibitor

Ibruxen contains the first BTK inhibitor to reach the market, offering a targeted, mechanism-driven approach to treating B-cell malignancies rather than conventional chemotherapy.

Broad B-Cell Malignancy Coverage

Approved across MCL, CLL/SLL, WM, MZL, and cGVHD, Ibruxen supports patients across a wide range of blood cancers and a serious transplant-related complication.

Convenient Once-Daily Oral Dosing

Ibruxen is taken as an oral capsule once daily with a glass of water, offering a manageable outpatient regimen compared with infusion-based chemotherapy.

Affordable Alternative to Imbruvica

Ibruxen contains the same active ingredient as Imbruvica, at a significantly lower cost, making long-term BTK inhibitor therapy more financially accessible to patients worldwide.

Combination Regimen Compatible

In CLL/SLL, Ibruxen can be used as monotherapy or in combination with bendamustine and rituximab, giving haemato-oncologists flexibility in treatment planning.

cGMP Certified Manufacturing

Produced by Everest Pharmaceuticals Ltd. under cGMP-compliant manufacturing standards, helping ensure consistent quality, purity, and potency in every batch of Ibruxen capsules.

How to Take Ibruxen (Ibrutinib)

Route: Oral, taken with a full glass of water at approximately the same time each day. Capsules should be swallowed whole and should not be opened, broken, or chewed.

Standard dose for MCL and MZL: 560mg (four 140mg capsules) once daily, until disease progression or unacceptable toxicity.

Standard dose for CLL/SLL and WM: 420mg (three 140mg capsules) once daily, whether used as monotherapy or in combination with bendamustine and rituximab (administered every 28 days for up to 6 cycles), until disease progression or unacceptable toxicity.

Standard dose for chronic GVHD: 420mg (three 140mg capsules) once daily, continued as directed by the treating physician.

With food: Can be taken with or without food.

Missed dose: If a dose is missed, it can be taken as soon as possible on the same day, with a return to the normal schedule the following day. Do not take extra capsules to make up a missed dose.

Hepatic impairment: Dose reduction is required in patients with hepatic impairment, with the degree of reduction depending on the severity of impairment and indication. Close monitoring is advised, and treatment is generally not recommended in severe hepatic impairment. Follow your physician’s specific dosing instructions.

CYP3A interactions: Co-administration with strong and moderate CYP3A inhibitors should be avoided where possible. If a moderate CYP3A inhibitor must be used, the Ibruxen dose should be reduced. Co-administration with strong CYP3A inducers should also be avoided, as these can substantially reduce Ibrutinib exposure.

Paediatric use: The safety and efficacy of Ibruxen in children and adolescents have not been established for most indications. Follow specialist guidance where paediatric use is considered for cGVHD.

Prescription Medication. Ibruxen carries important risks of serious haemorrhage, infections, cardiac arrhythmias (including atrial fibrillation and, rarely, ventricular arrhythmias), hypertension, cytopenias, second primary malignancies, and tumour lysis syndrome. Treatment should only be initiated and monitored by a haemato-oncologist experienced in managing these risks, with baseline and periodic cardiac and blood monitoring as directed. Always follow your prescribing physician’s instructions.

Monitoring and Dosage Adjustments

Regular monitoring is essential throughout Ibruxen treatment. Your haemato-oncologist will monitor complete blood counts monthly for cytopenias, assess for signs of bleeding or bruising, and monitor for cardiac arrhythmias such as palpitations, dizziness, or shortness of breath, with ECG evaluation where indicated. Monitoring also includes periodic blood pressure checks, renal function, given the risk of worsening kidney function during treatment, and vigilance for signs of infection and, in high tumour burden patients, tumour lysis syndrome. Treatment may be interrupted or dose-reduced to manage toxicity. Report any unusual bleeding, bruising, chest palpitations, breathlessness, or fever to your doctor immediately.

Drug Interactions and Important Information

Avoid concomitant use of Ibruxen with strong and moderate CYP3A inhibitors (such as ketoconazole, itraconazole, clarithromycin, and ritonavir) where possible, as these significantly increase Ibrutinib plasma exposure; if a moderate CYP3A inhibitor must be used, the dose should be reduced. Avoid concomitant use with strong CYP3A inducers (such as rifampicin, carbamazepine, and phenytoin), as these reduce Ibrutinib efficacy.

Use with caution alongside anticoagulants and antiplatelet agents (such as warfarin), as combined use may increase the risk of bleeding; supplements such as fish oil and vitamin E preparations should also be used cautiously. Avoid grapefruit, grapefruit juice, Seville oranges, and Seville orange juice during treatment. Ibruxen may have a minor effect on driving ability, so patients who feel dizzy or weak after taking a dose are advised not to drive. Women of childbearing potential should use effective contraception during treatment and for a period after the final dose. Always inform your physician of all medications, supplements, and herbal products you are currently taking before starting Ibruxen.

Side Effects and Precautions

Common Side Effects

Diarrhoea

Musculoskeletal pain

Bruising and minor bleeding

Rash

Fatigue and pyrexia

Nausea and visual disturbance

Upper respiratory tract infection

Peripheral oedema and constipation

Serious Warnings and Precautions

Serious haemorrhage, including fatal bleeding events. Increased risk with concomitant anticoagulant or antiplatelet use.

Serious infections, including fatal cases. Report fever or signs of infection immediately.

Cytopenias, including severe neutropenia, thrombocytopenia, and anaemia.

Atrial fibrillation and, rarely, ventricular arrhythmias.

Hypertension, including new or worsening high blood pressure.

Second primary malignancies, including skin cancers and other solid tumours.

Tumour lysis syndrome and embryo-foetal toxicity. Not recommended during pregnancy or breastfeeding.

Who Should Use Ibruxen (Ibrutinib)?

Ibruxen is suitable for adult patients diagnosed with Mantle Cell Lymphoma after at least one prior therapy, Chronic Lymphocytic Leukaemia/Small Lymphocytic Lymphoma including 17p deletion, Waldenstrom’s Macroglobulinemia, Marginal Zone Lymphoma after prior anti-CD20-based therapy, or chronic Graft-Versus-Host Disease after failure of other systemic therapy. It is prescribed by haemato-oncologists and transplant specialists experienced in managing B-cell malignancies and post-transplant complications. A thorough medical assessment including cardiac evaluation, baseline blood counts, and renal and liver function is required before initiating treatment.

Manufacturer: Everest Pharmaceuticals Ltd.

Everest Pharmaceuticals Ltd. is a vertically integrated pharmaceutical company based in Dhaka, Bangladesh, focused on complex, technology-driven specialty medicines across oncology, nephrology, and virology. Operating under Bangladesh’s TRIPS/Doha Declaration exemption for least-developed countries, Everest manufactures advanced generics such as Ibruxen under cGMP-compliant standards, with the stated mission of making high-cost, life-saving medicines accessible and affordable to patients around the world. Ibruxen is one of Everest’s specialty oncology products, offering an affordable and bioequivalent alternative to Imbruvica at a fraction of the cost.

Global Supplier: Mediaid Pharmacy with Worldwide Shipping

Mediaid Pharmacy is a trusted global supplier of specialty and oncology medications. We ensure Ibruxen (Ibrutinib) is accessible to patients and healthcare providers worldwide through reliable worldwide shipping. Whether you are located in South Asia, the Middle East, Africa, Europe, or beyond, Mediaid Pharmacy provides fast and reliable delivery with full order support. Contact us directly via WhatsApp, phone, or WeChat for pricing, availability, and delivery enquiries.

Why Choose Ibruxen (Ibrutinib) from Mediaid Pharmacy?

Ibruxen represents a major advancement in the targeted treatment of B-cell blood cancers. As the generic equivalent of Imbruvica, it delivers the same active ingredient, Ibrutinib, with the same proven BTK-inhibition mechanism at a dramatically more affordable price. Manufactured by Everest Pharmaceuticals Ltd. under cGMP-compliant standards and distributed globally by Mediaid Pharmacy, Ibruxen gives patients worldwide access to high-quality targeted therapy for CLL, MCL, WM, MZL, and cGVHD without the financial burden of brand-name alternatives. For patients and physicians seeking a proven, affordable, and accessible Ibrutinib option with worldwide delivery, Ibruxen from Mediaid Pharmacy is the trusted choice.

Frequently Asked Questions About Ibruxen (Ibrutinib)

What is Ibruxen (Ibrutinib) used for?

Ibruxen (Ibrutinib) is a BTK inhibitor used to treat adult patients with Mantle Cell Lymphoma, Chronic Lymphocytic Leukaemia/Small Lymphocytic Lymphoma (including 17p deletion), Waldenstrom’s Macroglobulinemia, Marginal Zone Lymphoma, and chronic Graft-Versus-Host Disease. It works by blocking a key signalling protein that malignant B cells rely on to survive and multiply.

How should I take Ibruxen (Ibrutinib)?

Ibruxen capsules are taken orally, once daily, with a full glass of water, and can be taken with or without food. The standard dose is 560mg (four 140mg capsules) for MCL and MZL, or 420mg (three 140mg capsules) for CLL/SLL, WM, and cGVHD. Capsules should be swallowed whole and never opened, broken, or chewed. Always follow your haemato-oncologist’s exact instructions.

What strength is Ibruxen (Ibrutinib) available in?

Ibruxen is available in a 140mg capsule, supplied in a pack of 120 capsules. Because Ibruxen is available in the 140mg strength, higher doses are achieved by taking the appropriate number of capsules per dose, exactly as prescribed by your physician.

Is Ibruxen the same as Imbruvica (Ibrutinib)?

Yes. Ibruxen is the generic equivalent of Imbruvica. Both contain the same active ingredient, Ibrutinib, and work through the same BTK-inhibition mechanism. Ibruxen is manufactured by Everest Pharmaceuticals Ltd. in Bangladesh and offers the same clinical mechanism as Imbruvica at a significantly lower cost, making it a more accessible option for patients worldwide.

What are the side effects of Ibruxen (Ibrutinib)?

Common side effects include diarrhoea, musculoskeletal pain, bruising, rash, fatigue, and nausea. Serious but less common risks include major haemorrhage, infections, atrial fibrillation, hypertension, low blood counts, and second primary malignancies. Always consult your haemato-oncologist for a complete assessment of your individual risks and benefits before starting treatment.

Can Ibruxen be combined with other medications?

In CLL/SLL, Ibruxen can be used as monotherapy or in combination with bendamustine and rituximab under close haemato-oncology supervision. It should not be combined with strong or moderate CYP3A inhibitors or strong CYP3A inducers without a physician-directed dose adjustment, and caution is needed with anticoagulants, antiplatelet agents, and grapefruit products due to increased bleeding or interaction risk.

Is Ibruxen (Ibrutinib) safe during pregnancy or breastfeeding?

No. Ibruxen is not recommended during pregnancy or breastfeeding, as it can cause foetal harm. No information is available on whether Ibrutinib passes into human breast milk, so breastfeeding women should not use Ibruxen. Women of childbearing potential should use effective contraception during treatment and for a period after the final dose, as advised by their physician.

Can I order Ibruxen (Ibrutinib) online with worldwide shipping?

Yes. Mediaid Pharmacy supplies Ibruxen (Ibrutinib) 140mg globally with worldwide shipping. Contact us via WhatsApp, phone, or WeChat at +8801773428128 or email us at info@mediaidpharmacy.com to enquire about pricing, availability, and delivery to your country.

Order Ibruxen (Ibrutinib) 140mg with Worldwide Shipping

Phone / WhatsApp / WeChat: +8801773428128 | Email: info@mediaidpharmacy.com

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