Fruzaqla (Fruquintinib)

Prescription medicineOnly Available By Prescription

What if I find a lower price with another pharmacy?

We guarantee the lowest price on all of our prescription products. If you find your medications cheaper at any other recognized licensed mail order pharmacy, we will not only match their price, we will beat it by 25% of the difference. It is our 125% price match guarantee!

Example: If you find a product on Canada Drugs Direct for $50.00 and find the same product for $40.00 at another mail order pharmacy, we will provide you with a $12.50 discount, bringing your total to $37.50.

To get the discount please make sure to mention the price match to the customer service team when they call to collect payment for your order. Or call toll free at 1-888-904-8467 to place the order through the phone.

Terms & Conditions of Program

  • Guaranteed lowest price is only valid at the time of sale.
  • We will only match the current advertised price.
  • Products must be identical and in stock at the time of placing an order with a licensed mail order pharmacy. They must be an online Canadian pharmacy with an address in Canada.
  • Products must be authentic in brand and size (same manufacturer, same country of manufacture, same pack size, same strength and same quantity).
  • Products must be new. We cannot match the price of any used, short expiry or expired product.
  • Price match can only be issued over the phone with our customer service team. Please note at this time we cannot offer price matching for the products Ozempic or Saxenda.
What is a Generic Drug?

A generic drug is a copy of the brand-name drug with the same dosage, safety, strength, quality, consumption method, performance, and intended use. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name drug and works in the same way and in the same amount of time in the body.

The only differences between generics and their brand-name counterparts is that generics are less expensive and may look slightly different (eg. different shape or color), as trademarks laws prevent a generic from looking exactly like the brand-name drug.

Generics are less expensive because generic manufacturers don't have to invest large sums of money to develop a drug. When the brand-name patent expires, generic companies can manufacture a copy of the brand-name and sell it at a substantial discount.

Description

Fruzaqla (fruquintinib) is an oral, highly selective vascular endothelial growth factor receptor (VEGFR) inhibitor used for the treatment of previously treated metastatic colorectal cancer (mCRC). It targets VEGFR-1, -2, and -3, thereby inhibiting angiogenesis, which is essential for tumor growth and metastasis. Approved by the U.S. FDA in 2023, Fruzaqla is indicated for adult patients who have received prior treatment with standard therapies including fluoropyrimidine, oxaliplatin, irinotecan, anti-VEGF therapy, and, if RAS wild-type and appropriate, anti-EGFR therapy. It offers a targeted option with a manageable safety profile and demonstrated efficacy in patients who have progressed on multiple lines of therapy.

Fact Table

Formula

C21H19ClN4O3

License

US FDA (2023)

Bioavailability

~38%

Legal status

Prescription only

Chemical Name

Fruquintinib

Elimination half-life

33.4–42.2 hours

Dosage (Strength)

5 mg oral capsules

Pregnancy

Not recommended – may cause fetal harm

Brands

Fruzaqla

Protein binding

~90%

PubChem CID

49806716

MedlinePlus

a622070

ChEBI

145328

ATC code

L01EK03

DrugBank

DB12267

KEGG

D10932

Routes of administration

Oral

Directions

Fruzaqla is administered orally at a recommended dose of 5 mg once daily, with or without food, for the first 21 days of each 28-day cycle. Treatment continues until disease progression or unacceptable toxicity. Tablets should be swallowed whole and not crushed or chewed. Dose modifications may be required based on tolerability, laboratory findings, or adverse reactions. Close monitoring of blood pressure, liver function, and proteinuria is recommended during therapy.

Ingredients

Each Fruzaqla tablet contains:

  • Fruquintinib 5 mg
  • Inactive ingredients include:
  • Microcrystalline cellulose, croscarmellose sodium, magnesium stearate, and film-coating agents for tablet stability and bioavailability.

Contraindications

Fruzaqla is contraindicated in patients with:

  • Known hypersensitivity to fruquintinib or any component of the formulation
  • Severe hepatic impairment without careful assessment
  • Recent major surgery, due to the risk of impaired wound healing

Cautions

Fruzaqla may increase the risk of hypertension, hemorrhage, thromboembolic events, gastrointestinal perforation, and hepatotoxicity. Liver function and blood pressure should be assessed before initiating treatment and monitored regularly. Use caution in patients with a history of cardiovascular disease, gastrointestinal disorders, or bleeding diathesis. Effective contraception should be used during treatment and for at least 2 weeks after the last dose. Fruzaqla is not recommended during pregnancy or breastfeeding due to potential harm to the fetus or infant.

Side Effects

Common and potential side effects include:

  • Hypertension
  • Palmar-plantar erythrodysesthesia (hand-foot syndrome)
  • Proteinuria
  • Diarrhea
  • Fatigue
  • Decreased appetite
  • Nausea and vomiting
  • Elevated liver enzymes
  • Rare: hemorrhage, gastrointestinal perforation, thromboembolism

IMPORTANT NOTE: The information provided above is for general awareness and educational purposes only. It is not intended to diagnose, treat, or replace professional medical or veterinary advice. Always consult your physician, pharmacist, or veterinarian regarding the safety, suitability, and proper use of any medication for yourself or your pet.

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