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Are the side effects of Alpelisib serious?
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Article source: Seagull Pharmacy
Jul 07, 2025

Alpelisib is an inhibitor that targets the PI3K pathway, specifically the PI3Kα isoform. Mutations in the PIK3CA gene are widely present in a variety of cancers, leading to overactive PI3K signaling pathways, which enhance the viability of specific cells and resistance to endocrine therapy.

Are the side effects of Alpelisib serious?

Alpelisib has a certain therapeutic effect, but it is also accompanied by some potential side effects. The severity of these side effects varies from person to person, and understanding and paying attention to these side effects is crucial for the treatment effect.

Common side effects

Common side effects of Alpelisib include hyperglycemia, diarrhea, rash, nausea, etc. These side effects may be mild to moderate in most patients, but may also have a certain impact on the patient's daily life.

Severe side effects

Alpelisib may cause a significant increase in blood sugar levels, and even induce diabetes or aggravate existing diabetes. Severe diarrhea may lead to complications such as dehydration, electrolyte imbalance, and colitis.

Side effects of Alpelisib may include a variety of symptoms from mild to severe. When using this drug, patients should fully understand the potential risks and precautions and receive effective treatment under the guidance of a doctor.

Precautions for Alpelisib

Precautions for Alpelisib cover multiple aspects. The following is a detailed introduction to the precautions for Alpelisib:

Genetic testing

Before using Alpelisib, patients should be tested for PIK3CA mutations through FDA-approved tests. Only patients with PIK3CA mutations are suitable for this drug.

Medication history inquiry

Before using Alpelisib, the patient's medication history should be inquired in detail, especially the combination with other drugs. Alpelisib may interact with certain drugs.

Patients need to pay attention to multiple aspects when using Alpelisib, follow the doctor's advice, take the medicine on time and in the right amount, and closely monitor the occurrence of adverse reactions.

Storage precautions for Alpelisib

Patients should strictly store the drug in accordance with the storage requirements on the instructions, and should also pay attention to comply with relevant medication regulations and precautions during use.

Storage conditions

Alpelisib should be stored in a dry, cool, ventilated place, away from direct sunlight. The most suitable storage temperature is 20°C to 25°C, and the allowable temperature deviation range is 15°C to 30°C.

Packaging requirements

Alpelisib must be stored in the original packaging to ensure that the drug is not contaminated or damaged by the external environment. Once the package is opened, it should be used as needed as soon as possible, and the remaining drugs should be properly stored according to the requirements of the instructions.

When purchasing and using Alpelisib, patients should pay attention to check the expiration date of the drug and use it within the specified time. If the drug deteriorates or is damaged during storage, such as discoloration, mold, deformation, etc., it should be stopped immediately and consult a doctor or pharmacist for advice.

Patients should maintain a positive and optimistic attitude and avoid excessive anxiety and depression. A good attitude helps to enhance immunity and improve treatment effects.

Note: For internal discussion among medical personnel only. For specific medication, please consult the attending physician. Drug information may change over time. For the latest information, we recommend adding a medical consultant or consulting for free online.
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