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Written By
Sakshi Anil More
B. Pharm

Reviewed By
Dr. Tejashwin Adiga
MBBS
Last updated : 31 Mar 2026 | 09:31 AM (IST)

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ALECTINIB HYDROCHLORIDE
Last updated on 31 Mar 2026 | 09:31 AM (IST)
ALECTINIB HYDROCHLORIDE
Background and Date of approval ALECTINIB HYDROCHLORIDE
Alaectinib consists of the active ingredient Alectinib Hydrochloride. It is an Anti-Cancer medication used to treat Non-small cell lung cancer (NSCLC), an advanced and spreading type of lung cancer. It effectively treats NSCLC that has spread to other body parts, including the brain. Alectinib is also generally well-tolerated and has fewer side effects than traditional chemotherapy. This can improve a person's quality of life during treatment and allow them to continue with daily activities. Alectinib was approved in the year 2015 by FDA for its use in the treatment of advanced-stage lung cancer. This drug was developed by Roche group for treating the lung cancers that test positive for ALK gene mutation.
Uses of ALECTINIB HYDROCHLORIDE
Alectinib is indicated for its use in non-small cell lung cancer. It is the drug that is exclusively formulated to treat ALK Positive lung cancer.
How is ALECTINIB HYDROCHLORIDE administered?
Alectinib is taken orally as a capsule and should be taken with food. The capsules should be swallowed whole with water and should not be crushed, chewed, or opened. The dosage and duration of treatment will depend on the individual's condition and response to the medication and should be determined by a healthcare provider. If a dose is missed, it should be taken as soon as possible unless it is within 12 hours of the next dose, in which case the missed dose should be skipped. Double doses should not be taken to make up for a missed dose.
Side Effects of ALECTINIB HYDROCHLORIDE
The side effects that are known to occur commonly during the treatment with Alectinib are muscle damage, liver abnormalities, nausea, constipation, diarrhea, rashes, weight gain, weight gain, change of taste, fatigue.
Warnings
Alectinib can cause liver damage, including liver function abnormalities and increases in liver enzymes. Treatment with this medication may need to be interrupted or discontinued if liver function abnormalities are detected. In some patients it can cause ILD or pneumonitis, which can be fatal in some cases. It may cause slow heart rate (bradycardia) and other cardiac effects. Sometimes the medication causes renal impairment, including acute kidney injury. Alectinib can cause fetal harm when administered to a pregnant woman. This medicine is not safe to prescribe for children or young adults < 18 years.
Precautions
Patients with preexisting liver, lung, kidney heart disease should tell their healthcare provider proper to the treatment. In such patients regular monitoring and dose adjustment may be required. Use sun protection or apply sunblock agents, while on the treatment with Alectinib as this drug may increase the risk of sunburns. To avoid serious side effects, report to your doctor if you are on treatment with other medications that include antifungal, antibiotics, anti-HIV and cardiac medications.Women of childbearing potential should use effective contraception during treatment and for at least one week after the last dose.
Word of Advice
Alectinib is a powerful medication that can have potentially serious side effects. Therefore, following your healthcare provider's instructions for taking the medication and reporting any side effects or changes in your health is important. Women taking contraceptive should inform a doctor prior to treatment. If you are a woman who could become pregnant, use effective birth control during the treatment and for at least three months after the last dose. Tell your doctor prior taking medication, if you have any stomach, intestine, abdomen, heart, or lung inflammation. It is recommended that patients undergoing cancer treatment eat a diet rich in fruits, vegetables, whole grains, and lean proteins and limit their intake of processed and high-fat foods. Drinking plenty of water and staying hydrated is also important.
Frequently Asked Questions
Q1.
What is ALK Positive lung cancer?
ALK positive lung cancer is a subset of lung cancer which is common in non smokers < 55 years. ALK is a protein that stands for anaplastic lymphoma Kinase and mutation in this gene causes lung cancer cells to grow in a rapid fashion.
Q2.
Can alectinib cause weight gain?
Weight gain is a potential side effect of alectinib, although it is not very common. If you notice unexplained weight gain while taking alectinib, notify your healthcare provider.
Q3.
Can alectinib cause mood changes or depression?
Mood changes and depression have been reported in some patients taking alectinib. If you experience any changes in your mood or feelings of depression while taking alectinib, notify your healthcare provider. They may recommend additional support or treatment for depression.
Q4.
Is alectinib used in patients with brain metastases?
Alectinib has been shown to be effective in treating brain metastases in patients with ALK-positive NSCLC. It can cross the blood-brain barrier and reach the brain tissue, which may help to control the growth of cancer cells in the brain.
Q5.
Can I use alectinib if I have kidney problems?
Alectinib does not appear to be significantly metabolized by the kidneys, so it may be used in patients with mild to moderate kidney problems without dosage adjustment. However, patients with severe kidney problems may need dosage adjustments or additional monitoring.
References
- Roche, Electronic Medicines Compendium (EMC), [Revised on January 2022] [Accessed on 15th April 2023] https://www.medicines.org.uk/emc/files/pil.2438.pdf
- Genentech, Inc., [Revised on September 2021] [Accessed on 15th April 2023], https://www.gene.com/download/pdf/alecensa_prescribing.pdf
- Goodman & Gilman’s Pharmacological Basis of Therapeutics, 13th Edition, 2018, 1203-1236.
- Genentech , Inc.U.S FDA (Food and Drug Safety Adminitstration), [ Last Revised November 2016], [Accessed on 15th April 2023], https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/208434s003lbl.pdf
Disclaimer
 The drug information on this page is not a substitute for medical advice, it is meant for educational purposes only. For further details consult your doctor about your medical condition to know if you are eligible to receive this treatment.






