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Sprycel

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Sprycel (dasatinib) is a kinase inhibitor used in the treatment of certain types of leukaemia, such as chronic myeloid leukaemia (CML). It works by blocking the action of an abnormal protein that signals cancer cells to multiply, helping to slow or stop the progression of the disease.


Ingredient
Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Dasatinib
Reference Brand
Dasatinib
Manufacturer
Bristol-Myers Squibb
Product Form
Tablet
Regulatory Classification
Rx
Primary Category
Cancer treatment
Product Category
Tyrosine kinase inhibitor (TKI)
Pharmacological Class
Antineoplastic agents
Manufacturer Description
A targeted oral medication for treating specific forms of leukaemia in adults and children.
Mechanism of Action
Dasatinib inhibits several tyrosine kinases including BCR-ABL. It acts by preventing cancer cells from sending signals that stimulate their growth and division, helping to control the progression of leukaemia.
Route of Administration
Oral
Onset Time
Varies; requires monitoring of blood counts
Duration
Continuous treatment
Contraindications
Hypersensitivity to dasatinib, Breastfeeding
Severe Adverse Events
Pleural effusion, Severe bleeding, Heart failure, Bone marrow suppression
Common Side Effects
Diarrhoea, Headache, Fatigue
Uncommon Side Effects
Fluid retention, Nausea, Skin rash
Drug Interactions
St John's Wort, Proton Pump Inhibitors, Ketoconazole, Warfarin
Pregnancy Safety Warnings
Avoid use; can cause foetal harm. Effective contraception is required.
Age Restrictions
Approved for adults and children.
Storage Guidelines
Store at room temperature.
Related Products
Glivec, Tasigna, Iclusig

Sprycel FAQ

Can I travel internationally with Sprycel tablets?

Yes, but carry the medication in its original bottle with the prescription label visible. UK customs allows personal use of prescription drugs for up to 90 days, provided you have a valid prescription and the medication is for personal use only.

What do Sprycel tablets look like and how can I identify them?

Sprycel tablets are round, film-coated, and bear the imprint “SPR-50”. They are white with a faint blue hue. Verify the imprint and strength (50 mg) before each dose.

Will Sprycel show up on a workplace drug test?

Dasatinib is not a controlled substance and is not screened for in standard workplace drug tests. However, specialized pharmacological testing could detect it if specifically requested.

Is it safe to take Sprycel while on hormonal contraception?

No direct pharmacokinetic interaction has been identified between dasatinib and hormonal contraceptives. Nevertheless, discuss all contraceptive methods with your oncologist, as certain cancer therapies can affect menstrual cycles.

Can Sprycel be taken with over-the-counter antacids?

Antacids containing aluminium or magnesium may interfere with dasatinine absorption. It is advisable to take Sprycel at least 2 hours before or 2 hours after antacid use.

How does Sprycel compare with other TKIs like imatinib?

Dasatinib is a second-generation TKI that binds both the active and inactive forms of BCR-ABL, offering activity against some imatinib-resistant mutations. Clinical choice depends on disease phase, mutation profile, and patient tolerance.

What should I do if I develop a rash while on Sprycel?

Mild rashes can be managed with topical corticosteroids and antihistamines. If the rash spreads, becomes painful, or is accompanied by fever, seek medical advice promptly as it could signal a serious reaction.

Are there any dietary restrictions while taking Sprycel?

No specific foods must be avoided, but maintaining a balanced diet supports overall health during treatment. Grapefruit juice can affect CYP3A4 activity and should be limited.

Can Sprycel be stored in a pill organizer?

Yes, provided the tablets are kept in a dry, airtight compartment and the organizer is kept out of reach of children. Do not expose the tablets to excessive heat or moisture.

What is Sprycel?

Sprycel is a prescription-only oncology medication marketed in the United Kingdom. Its single active ingredient is dasatinib, a targeted therapy classified as a tyrosine-kinase inhibitor (TKI). The drug is supplied in a bottle of oral tablets, each tablet containing 50 mg of dasatinib. Sprycel is authorised by the Medicines and Healthcare products Regulatory Agency (MHRA) for the treatment of certain types of blood cancer, specifically chronic myeloid leukaemia (CML) and Philadelphia-chromosome-positive acute lymphoblastic leukaemia (Ph⁺ ALL).

How Sprycel Works in the Body

Dasatinib blocks the activity of several intracellular enzymes called tyrosine kinases. The most important target is the abnormal BCR-ABL protein produced by the Philadelphia chromosome-a genetic abnormality that drives the uncontrolled growth of leukaemic cells in CML and Ph⁺ ALL. By binding to the ATP-binding site of BCR-ABL, dasatinib prevents the enzyme from signalling cells to proliferate, leading to reduced leukaemic cell growth and increased cell death.

In addition to BCR-ABL, dasatinib inhibits members of the SRC family kinases, c-KIT, PDGFR-β and EPHA2. These secondary targets contribute to its activity against leukaemic cells that have become resistant to more selective TKIs. After oral ingestion, dasatinib is rapidly absorbed, reaching peak plasma concentrations within 0.5-3 hours. It is extensively metabolised in the liver (primarily by CYP3A4) and has a terminal half-life of roughly 3-5 hours, allowing once-daily dosing.

Conditions Treated with Sprycel

Sprycel is approved by the MHRA for the following indications:

  • Chronic myeloid leukaemia (CML) in the chronic, accelerated, or blast phase
  • Philadelphia-chromosome-positive acute lymphoblastic leukaemia (Ph⁺ ALL) in adult patients

These indications are supported by large-scale clinical trials that demonstrated rapid and durable molecular responses when dasatinib is used as first-line or second-line therapy. Treatment is typically managed by haematology specialists who monitor disease markers (e.g., BCR-ABL transcript levels) to assess response.

Evidence-Based Off-Label Uses

Research studies have explored dasatinib in a range of other haematologic and solid-tumour settings, including:

  • Myelodysplastic syndromes (MDS)
  • Systemic mastocytosis
  • Certain solid tumours with KIT or PDGFR mutations

These applications remain off-label in the UK because regulatory agencies have not granted formal approval. Use outside the approved indications should only occur within a clinical trial or under the direct supervision of a specialist, with careful risk-benefit assessment and informed consent.

Who Should (Not) Use Sprycel?

Ideal Candidates

  • Adults diagnosed with CML or Ph⁺ ALL who have a confirmed Philadelphia chromosome or BCR-ABL fusion gene.
  • Patients able to adhere to regular monitoring appointments (blood counts, liver function, ECG).

Absolute Contraindications

  • Known hypersensitivity to dasatinib or any of the tablet’s excipients.
  • Severe liver impairment (Child-Pugh class C).
  • Pregnancy (category D) - dasatinib can cause fetal harm.
  • Breastfeeding - dasatinib is excreted in breast milk.

Relative Contraindications / Cautions

  • Moderate hepatic dysfunction (Child-Pugh A or B) - dose adjustment may be required.
  • Low platelet count (<50 × 10⁹/L) or neutropenia.
  • Concomitant use of strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin) - may increase dasatinib exposure.
  • History of cardiac arrhythmia, especially QT prolongation.

Special Populations

  • Pregnancy: Use only if the potential benefit outweighs the risk to the fetus; alternative therapies should be considered.
  • Lactation: Women should discontinue breast feeding while on Sprycel.
  • Elderly: No dose reduction solely based on age, but careful monitoring of organ function is advised.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Fluid retention (edema, pleural effusion) - often managed by dose reduction or diuretics.
  • Myelosuppression (decreased white cells, red cells, platelets) - requires regular blood-count monitoring.
  • Gastrointestinal symptoms (diarrhoea, nausea, abdominal pain).
  • Fatigue and headache.
  • Rash or other mild skin reactions.

Serious Adverse Events

  • Severe bleeding or gastrointestinal perforation.
  • Pulmonary arterial hypertension - rare but potentially life-threatening.
  • QTc prolongation leading to ventricular arrhythmias.
  • Infections due to neutropenia (e.g., febrile neutropenia).

If any of the above serious symptoms develop, seek immediate medical attention.

Drug Interactions

  • CYP3A4 inhibitors (e.g., azole antifungals, macrolide antibiotics) increase dasatinib levels - dose reduction may be required.
  • CYP3A4 inducers (e.g., rifampicin, carbamazepine) decrease dasatinib exposure - may reduce efficacy.
  • P-glycoprotein (P-gp) inhibitors (e.g., verapamil) can raise dasatinib concentrations.
  • Anticoagulants - dasatinib may increase bleeding risk; monitor INR or clotting parameters.

Food and Lifestyle Interactions

  • Food: Dasatinib can be taken with or without food, but high-fat meals may slightly delay absorption. Consistency with regard to meals is recommended.
  • Alcohol: Moderate consumption is generally acceptable, but excessive alcohol may worsen liver function.
  • Driving: Most patients can drive, but caution is advised if severe fatigue, dizziness, or visual disturbances occur.
  • Sun exposure: Dasatinib does not cause photosensitivity; standard sun protection is sufficient.

How to Take Sprycel

  • Formulation: Oral tablets (50 mg) supplied in a bottle. Swallow each tablet whole with a glass of water; do not crush or chew.
  • Frequency: Usually once daily, at the same time each day, unless the prescribing clinician advises otherwise.
  • Dose Adjustment: The prescriber may adjust the number of tablets (e.g., two 50 mg tablets to achieve a 100 mg dose) based on disease phase, response, and tolerance.
  • Missed Dose: Take the missed tablet as soon as remembered if it is at least 4 hours before the next scheduled dose. Do not double the dose.
  • Overdose: Symptoms may include severe nausea, vomiting, diarrhoea, low blood pressure, or rapid heart rate. Seek emergency care; supportive measures are the mainstay of treatment.
  • Discontinuation: Sprycel should not be stopped abruptly without medical guidance. In some cases, a gradual taper is recommended to reduce the risk of disease flare or withdrawal syndrome.

Monitoring and Follow-Up

  • Baseline assessments: Complete blood count (CBC), liver function tests (ALT, AST, bilirubin), renal function, and ECG (to evaluate QT interval).
  • Routine labs: CBC and liver enzymes weekly for the first month, then every 2-4 weeks, adjusting frequency based on stability.
  • Molecular monitoring: Quantitative PCR for BCR-ABL transcripts every 3 months to gauge treatment response.
  • Cardiac monitoring: Repeat ECG if the patient experiences palpitations, syncope, or if other QT-prolonging drugs are added.
  • Clinical review: At each oncology visit, discuss side effects, adherence, and any new medications or supplements.

Storage and Handling

  • Keep the bottle tightly closed and store at room temperature (15-30 °C), away from direct sunlight and moisture.
  • Do not freeze. If the tablets become discoloured or brittle, discard them.
  • Keep out of reach of children and pets.
  • Follow local disposal regulations; unused tablets should be returned to a pharmacy for safe disposal.

Medication-Specific Glossary

BCR-ABL
An abnormal fusion protein produced by the Philadelphia chromosome that drives uncontrolled cell growth in CML and Ph⁺ ALL.
Tyrosine-Kinase Inhibitor (TKI)
A class of drugs that block enzymes (tyrosine kinases) involved in signalling pathways that promote cancer cell proliferation.
Blast Crisis
The aggressive, blast-cell phase of CML in which the disease behaves like acute leukaemia.
QTc Prolongation
A lengthening of the heart’s electrical repolarisation interval on an ECG, which can increase the risk of abnormal heart rhythms.
Pleural Effusion
Accumulation of fluid in the space surrounding the lungs, a known adverse effect of dasatinib.

Medical Disclaimer

This article provides educational information about Sprycel and is not a substitute for professional medical advice. Treatment decisions, including the use of Sprycel for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes only and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Sprycel is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
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