Tucaxen 150 MG Tablet ( Tucatinib)

Product Name : Tucaxen
Generic Name : Tucatinib
Formulation : Tablet
Available Pack Size : 30 Tablets.
Available Strengths : 150 mg
Registrations : Export Only

Product Information

Tucaxen (Tucatinib) 150mg is a selective, oral HER2 tyrosine kinase inhibitor used in combination with trastuzumab and capecitabine for the treatment of advanced, unresectable, or metastatic HER2-positive breast cancer, including in patients with brain metastases. It works by inhibiting phosphorylation of HER2 and HER3, blocking the downstream MAPK and AKT signalling pathways that drive HER2-positive tumour cell proliferation. Tucaxen is not used alone; it is combined with trastuzumab and capecitabine as part of a defined treatment regimen. Manufactured by Everest Pharmaceuticals Ltd., Bangladesh and globally supplied by Mediaid Pharmacy with worldwide shipping.

Basic Product Information of Tucaxen (Tucatinib) 150mg

Brand Name Tucaxen (Tucatinib)
Generic Name Tucatinib INN
Drug Class Selective HER2 Tyrosine Kinase Inhibitor
Available Strength 150mg
Formulation Film-Coated Tablet
Pack Size 30 Tablets per Bottle
Primary Indication HER2-Positive Metastatic Breast Cancer, in Combination with Trastuzumab and Capecitabine
Regulatory Approvals USFDA Approved (HER2+ Breast Cancer; also HER2+ Colorectal Cancer with trastuzumab). EMA Approved (breast cancer).
Originator Brand Tukysa by Seagen (Pfizer)
Manufacturer Everest Pharmaceuticals Ltd., Dhaka, Bangladesh
Global Supplier Mediaid Pharmacy, Worldwide Shipping Available
Registration Status Export Only – Manufactured for International Markets
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 Tucaxen (Tucatinib) Works

Tucaxen contains Tucatinib, a tyrosine kinase inhibitor that selectively targets HER2 (human epidermal growth factor receptor 2). In HER2-positive breast cancer, tumour cells overexpress HER2, driving continuous, abnormal growth and survival signalling. Tucatinib inhibits phosphorylation of both HER2 and its binding partner HER3, blocking the downstream MAPK and AKT signalling pathways that these receptors would otherwise activate to promote tumour cell proliferation.

In laboratory studies, the combination of Tucatinib and trastuzumab showed increased anti-tumour activity compared to either drug used alone, supporting the rationale for combining Tucaxen with trastuzumab (and capecitabine) in the approved regimen. Because Tucatinib has been shown to cross the blood-brain barrier in preclinical models, it has demonstrated meaningful activity in patients with HER2-positive breast cancer that has spread to the brain, a population with historically limited treatment options.

Tucaxen is taken as a twice-daily oral tablet, always in combination with trastuzumab and, for the breast cancer indication, capecitabine, as part of a physician-directed treatment regimen.

Indications for Tucaxen (Tucatinib)

Tucaxen (Tucatinib) is indicated for the following conditions:

HER2-Positive Metastatic Breast Cancer

In combination with trastuzumab and capecitabine, for the 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.

HER2-Positive Metastatic Colorectal Cancer

Tucatinib, in combination with trastuzumab (without capecitabine), also carries international regulatory approval for RAS wild-type, HER2-positive metastatic colorectal cancer following prior fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy. Confirm current regional registration for this specific indication with your physician.

Benefits of Tucaxen (Tucatinib) 150mg

Activity in Brain Metastases

Tucaxen combination therapy has demonstrated meaningful benefit in patients with HER2-positive breast cancer that has spread to the brain, a historically difficult-to-treat population.

Enhanced Combination Activity

Laboratory studies showed Tucatinib plus trastuzumab produced greater anti-tumour activity than either agent alone, supporting its use as part of a combination regimen.

Selective HER2 Targeting

Tucatinib’s selectivity for HER2 over EGFR gives it a more targeted profile than some earlier HER2/EGFR dual inhibitors used in this setting.

Affordable Alternative to Tukysa

Tucaxen contains the same active ingredient as Tukysa by Seagen/Pfizer, at a dramatically lower cost, making advanced HER2-targeted therapy more financially accessible.

Convenient Oral Dosing

Tucaxen is taken as an oral tablet twice daily, supporting outpatient management alongside the trastuzumab and capecitabine components of the regimen.

cGMP Certified Manufacturing

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

How to Take Tucaxen (Tucatinib)

Route: Oral, with or without food, at approximately the same time each day, roughly 12 hours apart.

Standard dose: 300mg (two 150mg tablets) taken twice daily, always in combination with trastuzumab and, for the breast cancer indication, capecitabine, continued until disease progression or unacceptable toxicity, exactly as directed by the prescribing oncologist.

Missed or vomited dose: If a dose is missed by less than 4 hours or vomiting occurs after a dose, take the next dose at its regular scheduled time. If more than 4 hours have passed since a missed dose, skip it and resume the normal schedule at the next dose.

Dose reduction for toxicity: Treatment may be interrupted and the dose reduced in defined steps to manage adverse reactions such as diarrhoea or hepatotoxicity, as directed by the prescribing physician.

Hepatic or renal impairment: Dose adjustment may be required in patients with significant hepatic or renal impairment; follow your physician’s specific guidance.

Strong CYP2C8 inhibitors: Avoid concomitant use of strong CYP2C8 inhibitors with Tucaxen. If unavoidable, reduce the dose to 100mg twice daily; after the strong CYP2C8 inhibitor has been discontinued for 3 elimination half-lives, resume the Tucaxen dose taken prior to starting the inhibitor.

Paediatric use: The safety and efficacy of Tucaxen in paediatric patients have not been established. No data are currently available.

Prescription Medication. Tucaxen has been associated with diarrhoea (which can be severe) and hepatotoxicity, the two most clinically significant side effects observed with this medicine. Treatment should only be given as part of the full combination regimen with trastuzumab (and capecitabine, where indicated), and requires close monitoring of liver function and bowel symptoms throughout treatment. Tucaxen must only be prescribed and monitored by an oncologist experienced in managing HER2-positive cancer therapy.

Monitoring and Dosage Adjustments

Regular monitoring is essential throughout Tucaxen treatment. Your oncologist will check liver function tests before starting treatment, every 3 weeks during treatment, and as clinically indicated, given the risk of hepatotoxicity. Monitoring also includes close attention to bowel symptoms, as diarrhoea is common and can become severe without prompt management, along with periodic complete blood counts and monitoring in line with the trastuzumab and capecitabine components of the regimen. Report any yellowing of the skin or eyes, severe or persistent diarrhoea, unusual fatigue, abdominal pain, or signs of dehydration to your oncology team immediately.

Drug Interactions and Important Information

Avoid concomitant use of Tucaxen with strong CYP2C8 inhibitors (such as gemfibrozil); if unavoidable, a dose reduction is required as detailed in the dosing section above. Avoid concomitant use with strong CYP3A4 or moderate/strong CYP2C8 inducers, as these may significantly reduce Tucatinib exposure and effectiveness.

Tucatinib is itself a strong CYP2C8 inhibitor and a weak-to-moderate CYP3A4 inhibitor, meaning it can increase the plasma concentration of certain other medications, including some P-glycoprotein substrate drugs; your physician should review your full medication list carefully. Women of childbearing potential should use effective contraception during treatment and for a period after the final dose, and men should also use effective contraception during treatment and for a period afterwards. Always inform your physician of all medications, supplements, and herbal products you are currently taking before starting Tucaxen.

Side Effects and Precautions

Common Side Effects

Diarrhoea

Palmar-plantar erythrodysesthesia (hand-foot syndrome)

Nausea and vomiting

Fatigue

Stomatitis and decreased appetite

Abdominal pain and headache

Anaemia and rash

Serious Warnings and Precautions

Hepatotoxicity, requiring regular liver function monitoring throughout treatment.

Severe diarrhoea, which can lead to dehydration and may require dose interruption or reduction.

Embryo-foetal toxicity. Not recommended during pregnancy or breastfeeding.

Who Should Use Tucaxen (Tucatinib)?

Tucaxen is suitable for adult patients with advanced, unresectable, or metastatic HER2-positive breast cancer, including those with brain metastases, who have received at least one prior anti-HER2-based treatment regimen in the metastatic setting, and are being treated with the full trastuzumab and capecitabine combination. It is prescribed by medical oncologists experienced in managing HER2-positive breast cancer. A thorough medical assessment including confirmed HER2-positive status, baseline liver function, and cardiac evaluation (given the trastuzumab component) 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 Tucaxen under cGMP-compliant standards, with the stated mission of making high-cost, life-saving medicines accessible and affordable to patients around the world. Tucaxen is one of Everest’s specialty precision-oncology products, offering a bioequivalent alternative to Tukysa by Seagen/Pfizer 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 Tucaxen (Tucatinib) 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 Tucaxen (Tucatinib) from Mediaid Pharmacy?

Tucaxen represents an important advance for patients with HER2-positive breast cancer, including those whose disease has spread to the brain. As the generic equivalent of Tukysa by Seagen/Pfizer, it delivers the same active ingredient, Tucatinib, with the same proven HER2-selective mechanism at a dramatically more affordable price. Manufactured by Everest Pharmaceuticals Ltd. under cGMP-compliant standards and distributed globally by Mediaid Pharmacy, Tucaxen gives patients worldwide access to advanced targeted therapy without the financial burden of brand-name alternatives. For patients and physicians seeking a proven, affordable, and accessible Tucatinib option with worldwide delivery, Tucaxen from Mediaid Pharmacy is the trusted choice.

Frequently Asked Questions About Tucaxen (Tucatinib)

What is Tucaxen (Tucatinib) used for?

Tucaxen (Tucatinib), used in combination with trastuzumab and capecitabine, is used to treat adult patients with advanced or metastatic HER2-positive breast cancer, including patients whose cancer has spread to the brain, who have already received at least one prior anti-HER2 treatment. It works by selectively blocking the HER2 protein that drives these cancers.

How should I take Tucaxen (Tucatinib)?

Tucaxen is taken orally, twice daily, with or without food, roughly 12 hours apart. The standard dose is 300mg (two 150mg tablets) twice daily, always used together with trastuzumab and capecitabine as prescribed. Never take Tucaxen alone; always follow your oncologist’s exact instructions for the full combination regimen.

What strength is Tucaxen available in?

Tucaxen is available in a 150mg tablet, supplied in a bottle of 30 tablets. The standard 300mg twice-daily dose is achieved by taking two tablets together, exactly as prescribed by your oncologist.

Is Tucaxen the same as Tukysa (Tucatinib by Seagen/Pfizer)?

Yes. Tucaxen is the generic equivalent of Tukysa. Both contain the same active ingredient, Tucatinib, and work through the same HER2-selective inhibition mechanism. Tucaxen is manufactured by Everest Pharmaceuticals Ltd. in Bangladesh and offers the same clinical mechanism as Tukysa at a significantly lower cost.

What are the side effects of Tucaxen (Tucatinib)?

Common side effects include diarrhoea, hand-foot skin reaction, nausea, fatigue, and mouth sores. Serious risks include hepatotoxicity and severe diarrhoea, both of which require close monitoring throughout treatment. Always consult your oncologist for a complete assessment of your individual risks and benefits before starting treatment.

Can Tucaxen be used with other medications?

Tucaxen should not be combined with strong CYP2C8 inhibitors without a physician-directed dose reduction, and strong CYP3A4 or CYP2C8 inducers should be avoided. Tucatinib itself can raise the levels of certain other medications, so a full medication review with your physician is important before starting treatment.

Is Tucaxen (Tucatinib) safe during pregnancy or breastfeeding?

No. Tucaxen is not recommended during pregnancy or breastfeeding, as it can cause foetal harm. Effective contraception should be used during treatment and for a period after the final dose, by both female patients and male patients, as advised by their physician. Please consult your physician before starting treatment if you are pregnant, planning to become pregnant, or breastfeeding.

Can I order Tucaxen (Tucatinib) online with worldwide shipping?

Yes. Mediaid Pharmacy supplies Tucaxen (Tucatinib) 150mg 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 Tucaxen (Tucatinib) 150mg with Worldwide Shipping

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

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