Medicine guide

Erlotinib Hydrochloride

100 mg · Tablet, Film Coated

  • Prescription only
  • Kinase Inhibitor
Active substance
Erlotinib Hydrochloride
Made by
Novadoz Pharmaceuticals LLC

Quoted from the official source. Not yet reviewed by Mediclarum — the leaflet in your pack is authoritative.

At a glance

Quoted from the official label · 2019-12-03

What it is

Kinase Inhibitor

Used for
  • The treatment of patients with metastatic non-small cell lung cancer (NSCLC) whose tumors have epidermal growth factor receptor (EGFR) exon 19 deletions or exon 21 (L858R) substitution mutations as detected by…
The label’s usual adult dose

NSCLC: 150 mg orally, on an empty stomach, once daily.

Full directions ↓
Do not take it if

None. None. ( 4 )

All warnings ↓
Good to know
  • Prescription only
  • FDA enforcement reports list no ongoing recall, and none from the last two years, for this product code · checked 2026-10-02
11other products contain Erlotinib Hydrochloride — compare makers, forms and strengths

Every line above is selected, not written, from the official label. Nothing is reworded. DailyMed

What it is for

Erlotinib tablet is a kinase inhibitor indicated for:

  • The treatment of patients with metastatic non-small cell lung cancer (NSCLC) whose tumors have epidermal growth factor receptor (EGFR) exon 19 deletions or exon 21 (L858R) substitution mutations as detected by an FDA-approved test receiving first-line, maintenance, or second or greater line treatment after progression following at least one prior chemotherapy regimen.
  • ( 1.1 ) First-line treatment of patients with locally advanced, unresectable or metastatic pancreatic cancer, in combination with gemcitabine.
  • ( 1.2 ) Limitations of Use:
  • Safety and efficacy of erlotinib tablets have not been established in patients with NSCLC whose tumors have other EGFR mutations.
  • ( 1.1 ) Erlotinib tablet is not recommended for use in combination with platinum-based chemotherapy.
  • ( 1.1 )
  • 1.1 Non-Small Cell Lung Cancer (NSCLC) Erlotinib tablets are indicated for:
  • The treatment of patients with metastatic non-small cell lung cancer (NSCLC) whose tumors have epidermal growth factor receptor (EGFR) exon 19 deletions or exon 21 (L858R) substitution mutations as detected by an FDA-approved test receiving first-line, maintenance, or second or greater line treatment after progression following at least one prior chemotherapy regimen [ see Clinical Studies (14.1 , 14.3 )].
  • Limitations of use:
  • Safety and efficacy of erlotinib tablets have not been established in patients with NSCLC whose tumors have other EGFR mutations [ see Clinical Studies (14.1, 14.2 )].
  • Erlotinib tablet is not recommended for use in combination with platinum-based chemotherapy [ see Clinical Studies (14.4) ].
  • 1.2 Pancreatic Cancer Erlotinib tablet in combination with gemcitabine is indicated for the first-line treatment of patients with locally advanced, unresectable or metastatic pancreatic cancer [ see Clinical Studies (14.5) ].

From the official label · 2019-12-03 · DailyMed

How it works

From this product’s own US prescribing label.

Epidermal growth factor receptor (EGFR) is expressed on the cell surface of both normal and cancer cells.

In some tumor cells signaling through this receptor plays a role in tumor cell survival and proliferation irrespective of EGFR mutation status.

Peak level after4 h
Half-life36.2 h
Mostly cleared after≈ 8 daysfive half-lives — our arithmetic
PeakHalf gone8 days0
The shape is a standard model drawn from the two times above, not a measurement. How fast a medicine acts and wears off also depends on the dose, the form and the person.
How the body breaks it down

Erlotinib is metabolized primarily by CYP3A4 and to a lesser extent by CYP1A2, and the extrahepatic isoform CYP1A1, in vitro.

With food

Effect of Food Food increased the bioavailability of erlotinib to approximately 100%.

Quoted from the prescribing label, sections “Mechanism of Action” and “Pharmacokinetics”. DailyMed · 2019-12-03

Do not take it if

None. None. ( 4 )

Quoted from the official label, section “Contraindications”.

How to take it

These directions are for this exact strength and form. Another one is different.

  • NSCLC: 150 mg orally, on an empty stomach, once daily.
  • ( 2.2 ) Pancreatic cancer: 100 mg orally, on an empty stomach, once daily.
  • ( 2.3 )
  • 2.1 Selection of Patients with Metastatic NSCLC Select patients for the treatment of metastatic NSCLC with erlotinib tablets based on the presence of EGFR exon 19 deletions or exon 21 (L858R) substitution mutations in tumor or plasma specimens [ See Clinical Studies (14.1 , 14.2 )].
  • If these mutations are not detected in a plasma specimen, test tumor tissue if available.
  • Information on FDA-approved tests for the detection of EGFR mutations in NSCLC is available at:
  • http://www.fda.gov/CompanionDiagnostics.
  • 2.2 Recommended Dose – NSCLC The recommended daily dose of erlotinib tablets for NSCLC is 150 mg taken on an empty stomach, i.e., at least one hour before or two hours after the ingestion of food.
  • Treatment should continue until disease progression or unacceptable toxicity occurs.
  • 2.3 Recommended Dose – Pancreatic Cancer The recommended daily dose of erlotinib tablets for pancreatic cancer is 100 mg taken once daily in combination with gemcitabine.
  • Take erlotinib tablets on an empty stomach, i.e., at least one hour before or two hours after the ingestion of food.
  • Treatment should continue until disease progression or unacceptable toxicity occurs [ see Clinical Studies (14.5) ].
  • 2.4 Dose Modifications Adverse Reactions Pulmonary † Interstitial Lung Disease (ILD) Discontinue erlotinib tablets During diagnostic evaluation for possible ILD Withhold erlotinib tablets * Hepatic † Severe hepatic toxicity that does not improve significantly or resolve within three weeks Discontinue erlotinib tablets In patients with pre-existing hepatic impairment or biliary obstruction for doubling of bilirubin or tripling of transaminases values over baseline Withhold erlotinib tablets * and consider discontinuation In patients without pre-existing hepatic impairment for total bilirubin levels greater than 3 times the upper limit of normal or transaminases greater than 5 times the upper limit of normal Withhold erlotinib tablets * and consider discontinuation Renal † For severe (CTCAE grade 3 to 4) renal toxicity Withhold erlotinib tablets * and consider discontinuation Gastrointestinal † Gastrointestinal perforation Discontinue erlotinib tablets For persistent severe diarrhea not responsive to medical management (e.g., loperamide) Withhold erlotinib tablets * Skin † Severe bullous, blistering or exfoliating skin conditions Discontinue erlotinib tablets For severe rash not responsive to medical management Withhold erlotinib tablets * Ocular † Corneal perforation or severe ulceration Discontinue erlotinib tablets For keratitis of (NCI-CTC version 4.0) grade 3-4 or for grade 2 lasting more than 2 weeks Withhold erlotinib tablets * For acute/worsening ocular disorders such as eye pain Withhold erlotinib tablets * and consider discontinuation Drug Interactions CYP3A4 inhibitors ‡ If severe reactions occur with concomitant use of strong CYP3A4 inhibitors [such as atazanavir, clarithromycin, indinavir, itraconazole, ketoconazole, nefazodone, nelfinavir, ritonavir, saquinavir, telithromycin, troleandomycin (TAO), voriconazole, or grapefruit or grapefruit juice] or
  • when using concomitantly with an inhibitor of both CYP3A4 and CYP1A2 (e.g., ciprofloxacin) Reduce erlotinib tablets by 50 mg decrements;
  • avoid concomitant use if possible CYP3A4 inducers ‡ Concomitant use with CYP3A4 inducers, such as rifampin, rifabutin, rifapentine, phenytoin, carbamazepine, phenobarbital, or St.
  • John’s Wort Increase erlotinib tablets by 50 mg increments at 2-week intervals to a maximum of 450 mg as tolerated.
  • Avoid concomitant use if possible Concurrent Cigarette Smoking ‡§ Concurrent cigarette smoking Increase erlotinib tablets by 50 mg increments at 2-week intervals to a maximum of 300 mg.
  • Immediately reduce the dose of erlotinib tablets to the recommended dose (150 mg or 100 mg daily) upon cessation of smoking Proton Pump inhibitors Separation of doses may not eliminate the interaction since proton pump inhibitors affect the pH of the upper GI tract for an extended period
  • Avoid concomitant use if possible H 2 -receptor antagonists If treatment with an H 2 -receptor antagonist such as ranitidine is required, separate dosing.
  • Erlotinib tablets must be taken 10 hours after the H 2 -receptor antagonist dosing and at least 2 hours before the next dose of the H 2 ­ receptor antagonist Antacids The effect of antacids on erlotinib pharmacokinetics has not been evaluated.
  • The antacid dose and the erlotinib tablets dose should be separated by several hours, if an antacid is necessary † For additional information see Warnings and Precautions (5) . * Reduce erlotinib tablets by 50 mg decrements when restarting therapy following withholding treatment for a dose-limiting toxicity that has resolved to baseline or grade ≤ 1. ‡ For additional information see Drug Interactions (7) . § For additional information see Clinical Pharmacology (12.3) .

Quoted from the official label, section “Dosage & Administration”.

Other warnings

  • Interstitial lung disease (ILD): Occurs in 1.1% of patients.
  • Withhold erlotinib for acute onset of new or progressive unexplained pulmonary symptoms, such as dyspnea, cough and fever.
  • Discontinue erlotinib if ILD is diagnosed.
  • ( 5.1 ) Renal failure:
  • Monitor renal function and electrolytes, particularly in patients at risk of dehydration.
  • Withhold erlotinib for severe renal toxicity.
  • ( 5.2 ) Hepatotoxicity:
  • Occurs with or without hepatic impairment, including hepatic failure and hepatorenal syndrome:
  • Monitor periodic liver testing.
  • Withhold or discontinue erlotinib for severe or worsening liver tests.
  • ( 5.3 ) Gastrointestinal perforations: Discontinue erlotinib.
  • ( 5.4 ) Bullous and exfoliative skin disorders: Discontinue erlotinib.
  • ( 5.5 ) Cerebrovascular accident (CVA):
  • The risk of CVA is increased in patients with pancreatic cancer.
  • ( 5.6 ) Microangiopathic hemolytic anemia (MAHA):
  • The risk of MAHA is increased in patients with pancreatic cancer.
  • ( 5.7 ) Ocular disorders:
  • Discontinue erlotinib for corneal perforation, ulceration or persistent severe keratitis.
  • Regularly monitor INR in patients taking warfarin or other coumarin-derivative anticoagulants.
  • ( 5.9 ) Embryo-fetal toxicity: Can cause fetal harm.
  • Advise females of reproductive potential of the potential risk to the fetus and to use effective contraception.
  • ( 5.10 , 8.1 , 8.3 )
  • 5.1 Interstitial Lung Disease (ILD) Cases of serious ILD, including fatal cases, can occur with erlotinib treatment.
  • The overall incidence of ILD in approximately 32,000 erlotinib-treated patients in uncontrolled studies and studies with concurrent chemotherapy was approximately 1.1%.
  • In patients with ILD, the onset of symptoms was between 5 days to more than 9 months (median 39 days) after initiating erlotinib therapy.
  • Withhold erlotinib for acute onset of new or progressive unexplained pulmonary symptoms such as dyspnea, cough, and fever pending diagnostic evaluation.
  • If ILD is confirmed, permanently discontinue erlotinib [ see Dosage and Administration (2.4) ].
  • 5.2 Renal Failure Hepatorenal syndrome, severe acute renal failure including fatal cases, and renal insufficiency can occur with erlotinib treatment.
  • Renal failure may arise from exacerbation of underlying baseline hepatic impairment or severe dehydration.
  • The pooled incidence of severe renal impairment in the 3 monotherapy lung cancer studies was 0.5% in the erlotinib arms and 0.8% in the control arms.
  • The incidence of renal impairment in the pancreatic cancer study was 1.4% in the erlotinib plus gemcitabine arm and 0.4% in the control arm.
  • Withhold erlotinib in patients developing severe renal impairment until renal toxicity is resolved.
  • Perform periodic monitoring of renal function and serum electrolytes during erlotinib treatment [ see Adverse Reactions (6.1) and Dosage and Administration (2.4) ].
  • 5.3 Hepatotoxicity with or without Hepatic Impairment Hepatic failure and hepatorenal syndrome, including fatal cases, can occur with erlotinib treatment in patients with normal hepatic function; the risk of hepatic toxicity is increased in patients with baseline hepatic impairment.
  • In clinical studies where patients with moderate to severe hepatic impairment were excluded, the pooled incidence of hepatic failure in the 3 monotherapy lung cancer studies was 0.4% in the erlotinib arms and 0% in the control arms.
  • The incidence of hepatic failure in the pancreatic cancer study was 0.4% in the erlotinib plus gemcitabine arm and 0.4% in the control arm.
  • In a pharmacokinetic study in 15 patients with moderate hepatic impairment (Child-Pugh B) associated with significant liver tumor burden, 10 of these 15 patients died within 30 days of the last erlotinib dose.
  • One patient died from hepatorenal syndrome, 1 patient died from rapidly progressing liver failure and the remaining 8 patients died from progressive disease.
  • Six out of the 10 patients who died had baseline total bilirubin > 3 x ULN.
  • Perform periodic liver testing (transaminases, bilirubin, and alkaline phosphatase) during treatment with erlotinib.
  • Increased frequency of monitoring of liver function is required for patients with pre-existing hepatic impairment or biliary obstruction.
  • Withhold erlotinib in patients without pre-existing hepatic impairment for total bilirubin levels greater than 3 times the upper limit of normal or transaminases greater than 5 times the upper limit of normal.
  • Withhold erlotinib in patients with pre-existing hepatic impairment or biliary obstruction for doubling of bilirubin or tripling of transaminases values over baseline.
  • Discontinue erlotinib in patients whose abnormal liver tests meeting the above criteria do not improve significantly or resolve within three weeks [ see Dosage and Administration (2.4) and Clinical Pharmacology (12.3) ].
  • 5.4 Gastrointestinal Perforation Gastrointestinal perforation, including fatal cases, can occur with erlotinib treatment.
  • Patients receiving concomitant anti-angiogenic agents, corticosteroids, NSAIDs, or taxane-based chemotherapy, or who have prior history of peptic ulceration or diverticular disease may be at increased risk of perforation [ see Adverse Reactions (6.1 , 6.2 )].
  • The pooled incidence of gastrointestinal perforation in the 3 monotherapy lung cancer studies was 0.2% in the erlotinib arms and 0.1% in the control arms.
  • The incidence of gastrointestinal perforation in the pancreatic cancer study was 0.4% in the erlotinib plus gemcitabine arm and 0% in the control arm.
  • Permanently discontinue erlotinib in patients who develop gastrointestinal perforation [ see Dosage and Administration (2.4) ].
  • 5.5 Bullous and Exfoliative Skin Disorders Bullous, blistering and exfoliative skin conditions, including cases suggestive of Stevens-Johnson syndrome/toxic epidermal necrolysis, which in some cases were fatal, can occur with erlotinib treatment [ see Adverse Reactions (6.1 , 6.2 )].
  • The pooled incidence of bullous and exfoliative skin disorders in the 3 monotherapy lung cancer studies was 1.2% in the erlotinib arms and 0% in the control arms.
  • The incidence of bullous and exfoliative skin disorders in the pancreatic cancer study was 0.4% in the erlotinib plus gemcitabine arm and 0% in the control arm.
  • Discontinue erlotinib treatment if the patient develops severe bullous, blistering or exfoliating conditions [ see Dosage and Administration (2.4) ].
  • 5.6 Cerebrovascular Accident In the pancreatic carcinoma trial, seven patients in the erlotinib/gemcitabine group developed cerebrovascular accidents (incidence:
  • 2.5%).
  • One of these was hemorrhagic and was the only fatal event.
  • In comparison, in the placebo/gemcitabine group there were no cerebrovascular accidents.
  • The pooled incidence of cerebrovascular accident in the 3 monotherapy lung cancer studies was 0.6% in the erlotinib arms and not higher than that observed in the control arms.
  • 5.7 Microangiopathic Hemolytic Anemia with Thrombocytopenia The pooled incidence of microangiopathic hemolytic anemia with thrombocytopenia in the 3 monotherapy lung cancer studies was 0% in the erlotinib arms and 0.1% in the control arms.
  • The incidence of microangiopathic hemolytic anemia with thrombocytopenia in the pancreatic cancer study was 1.4% in the erlotinib plus gemcitabine arm and 0% in the control arm.
  • 5.8 Ocular Disorders Decreased tear production, abnormal eyelash growth, keratoconjunctivitis sicca or keratitis can occur with erlotinib treatment and can lead to corneal perforation or ulceration [ see Adverse Reactions (6.1) and ( 6.2 )].
  • The pooled incidence of ocular disorders in the 3 monotherapy lung cancer studies was 17.8% in the erlotinib arms and 4% in the control arms.
  • The incidence of ocular disorders in the pancreatic cancer study was 12.8% in the erlotinib plus gemcitabine arm and 11.4% in the control arm.
  • Interrupt or discontinue erlotinib therapy if patients present with acute or worsening ocular disorders such as eye pain [ see Dosage and Administration (2.4) ].
  • 5.9 Hemorrhage in Patients Taking Warfarin Severe and fatal hemorrhage associated with International Normalized Ratio (INR) elevations can occur when erlotinib and warfarin are administered concurrently.
  • Regularly monitor prothrombin time and INR during erlotinib treatment in patients taking warfarin or other coumarin-derivative anticoagulants [ see Adverse Reactions (6.1) and Drug Interactions (7) ].
  • 5.10 Embryo-fetal Toxicity Based on animal data and its mechanism of action, erlotinib can cause fetal harm when administered to a pregnant woman.
  • Advise females of reproductive potential to use effective contraception during therapy and for one month after the last dose of erlotinib [ see Use in Specific Populations (8.1) and ( 8.3 ), Clinical Pharmacology (12.1) ].

Quoted from the official label, section “Warnings”.

Pregnancy and breastfeeding

  • Risk Summary Based on animal data and its mechanism of action, erlotinib can cause fetal harm when administered to a pregnant woman.
  • Limited available data on use of erlotinib in pregnant women are not sufficient to inform a risk of major birth defects or miscarriage.
  • When given during organogenesis, erlotinib administration resulted in embryo-fetal lethality and abortion in rabbits at exposures approximately 3 times the exposure at the recommended human daily dose of 150 mg.
  • Advise pregnant women of the potential risk to a fetus.
  • In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2-4% and 15-20%, respectively.
  • Data Animal Data Erlotinib has been shown to cause maternal toxicity resulting in embryo-fetal lethality and abortion in rabbits when given during the period of organogenesis at doses that result in plasma drug concentrations approximately 3 times those achieved at the recommended dose in humans (AUCs at 150 mg daily dose).
  • During the same period, there was no increase in the incidence of embryo-fetal lethality or abortion in rabbits or rats at doses resulting in exposures approximately equal to those in humans at the recommended daily dose.
  • In an independent fertility study female rats treated with 30 mg/m 2 /day or 60 mg/m 2 /day (0.3 or 0.7 times the recommended daily dose, on a mg/m 2 basis) of erlotinib had an increase in early resorptions that resulted in a decrease in the number of live fetuses.
  • No teratogenic effects were observed in rabbits or rats dosed with erlotinib during organogenesis at doses up to 600 mg/m 2 /day in the rabbit (3 times the plasma drug concentration seen in humans at 150 mg/day) and up to 60 mg/m 2 /day in the rat (0.7 times the recommended dose of 150 mg/day on a mg/m 2 basis).
  • IN SPECIFIC POPULATIONS Lactation: Do not breastfeed ( 8.2 )
  • 8.1 Pregnancy Risk Summary Based on animal data and its mechanism of action, erlotinib can cause fetal harm when administered to a pregnant woman.
  • Limited available data on use of erlotinib in pregnant women are not sufficient to inform a risk of major birth defects or miscarriage.
  • When given during organogenesis, erlotinib administration resulted in embryo-fetal lethality and abortion in rabbits at exposures approximately 3 times the exposure at the recommended human daily dose of 150 mg.
  • Advise pregnant women of the potential risk to a fetus.
  • In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2-4% and 15-20%, respectively.
  • Data Animal Data Erlotinib has been shown to cause maternal toxicity resulting in embryo-fetal lethality and abortion in rabbits when given during the period of organogenesis at doses that result in plasma drug concentrations approximately 3 times those achieved at the recommended dose in humans (AUCs at 150 mg daily dose).
  • During the same period, there was no increase in the incidence of embryo-fetal lethality or abortion in rabbits or rats at doses resulting in exposures approximately equal to those in humans at the recommended daily dose.
  • In an independent fertility study female rats treated with 30 mg/m 2 /day or 60 mg/m 2 /day (0.3 or 0.7 times the recommended daily dose, on a mg/m 2 basis) of erlotinib had an increase in early resorptions that resulted in a decrease in the number of live fetuses.
  • No teratogenic effects were observed in rabbits or rats dosed with erlotinib during organogenesis at doses up to 600 mg/m 2 /day in the rabbit (3 times the plasma drug concentration seen in humans at 150 mg/day) and up to 60 mg/m 2 /day in the rat (0.7 times the recommended dose of 150 mg/day on a mg/m 2 basis).
  • 8.2 Lactation Risk Summary There are no data on the presence of erlotinib in human milk, or the effects of erlotinib on the breastfed infant or on milk production.
  • Because of the potential for serious adverse reactions in breastfed infants from erlotinib, including interstitial lung disease, hepatotoxicity, bullous and exfoliative skin disorders, microangiopathic hemolytic anemia with thrombocytopenia, ocular disorders, and diarrhea.
  • Advise a lactating woman not to breastfeed during treatment with erlotinib and for 2 weeks after the final dose.
  • 8.3 Females and Males of Reproductive Potential Contraception Females Erlotinib can cause fetal harm when administered to a pregnant woman [ see Use in Specific Populations (8.1) ].
  • Advise females of reproductive potential to use effective contraception during treatment with erlotinib and for one month after the last dose of erlotinib.
  • 8.4 Pediatric Use The safety and effectiveness of erlotinib in pediatric patients have not been established.
  • In an open-label, multicenter trial, 25 pediatric patients (median age 14 years, range 3-20 years) with recurrent or refractory ependymoma were randomized (1:1) to erlotinib or etoposide.
  • Thirteen patients received erlotinib at a dose of 85 mg/m 2 /day orally until disease progression, death, patient request, investigator decision to discontinue study drug, or intolerable toxicity.
  • Four patients randomized to etoposide also received erlotinib following disease progression.
  • The trial was terminated prematurely for lack of efficacy; there were no objective responses observed in these 17 erlotinib-treated patients.
  • No new adverse events were identified in the pediatric population.
  • Based on the population pharmacokinetics analysis conducted in 105 pediatric patients (2 to 21 years old) with cancer, the geometric mean estimates of CL/F/BSA (apparent clearance normalized to body surface area) were comparable across the three age groups:
  • 2-6 years (n = 29), 7-16 years (n = 59), and 17-21 years (n = 17).
  • 8.5 Geriatric Use Of the 1297 subjects in clinical studies of erlotinib for the treatment of NSCLC and pancreatic cancer 40% were 65 and older while 10% were 75 and older.
  • No overall differences in safety or efficacy were observed between subjects 65 years and older and those younger than 65.
  • 8.6 Hepatic Impairment Hepatic failure and hepatorenal syndrome, including fatal cases, can occur with erlotinib treatment in patients with normal hepatic function; the risk of hepatic toxicity is increased in patients with baseline hepatic impairment [ see Warnings and Precautions (5.3) , Adverse Reactions (6.1 , 6.2 ), and Dosage and Administration ] .
  • Monitor patients with hepatic impairment (total bilirubin greater than upper limit of normal (ULN) or Child-Pugh A, B and C) during therapy with erlotinib.
  • Treatment with erlotinib should be used with increased monitoring in patients with total bilirubin greater than 3 x ULN [ see Warnings and Precautions (5.3) , Adverse Reactions (6.1 , 6.2 ), and Dosage and Administration (2.4) ].

Quoted from the official label, section “OTC — Pregnancy or Breast Feeding”.

Other medicines

  • CYP3A4 Inhibitors Co-administration of erlotinib with a strong CYP3A4 inhibitor or a combined CYP3A4 and CYP1A2 inhibitor increased erlotinib exposure.
  • Erlotinib is metabolized primarily by CYP3A4 and to a lesser extent by CYP1A2.
  • Increased erlotinib exposure may increase the risk of exposure-related toxicity [ see Clinical Pharmacology (12.3) ].
  • Avoid co-administering erlotinib with strong CYP3A4 inhibitors (e.g., boceprevir, clarithromycin, conivaptan, indinavir, itraconazole, ketoconazole, lopinavir/ritonavir, nefazodone, nelfinavir, posaconazole, ritonavir, saquinavir, telithromycin, voriconazole, grapefruit or grapefruit juice) or a combined CYP3A4 and CYP1A2 inhibitor (e.g., ciprofloxacin).
  • Reduce the erlotinib dosage when co-administering with a strong CYP3A4 inhibitor or a combined CYP3A4 and CYP1A2 inhibitor if co-administration is unavoidable [ see Dosage and Administration (2.4) ].
  • CYP3A4 Inducers Pre-treatment with a CYP3A4 inducer prior to erlotinib decreased erlotinib exposure [ see Clinical Pharmacology (12.3) ] .
  • Increase the erlotinib dosage if co-administration with CYP3A4 inducers (e.g., carbamazepine, phenytoin, rifampin, rifabutin, rifapentine, phenobarbital and St.
  • John's wort) is unavoidable [ see Dosage and Administration (2.4) ].
  • CYP1A2 Inducers and Cigarette Smoking Cigarette smoking decreased erlotinib exposure.
  • Avoid smoking tobacco (CYP1A2 inducer) and
  • avoid concomitant use of erlotinib with moderate CYP1A2 inducers (e.g., teriflunomide, rifampin, or phenytoin).
  • Increase the erlotinib dosage in patients that smoke tobacco or when co-administration with moderate CYP1A2 inducers is unavoidable [ see Dosage and Administration (2.4) and Clinical Pharmacology (12.3) ].
  • Drugs the Increase Gastric pH Co-administration of erlotinib with proton pump inhibitors (e.g., omeprazole) and H-2 receptor antagonists (e.g., ranitidine) decreased erlotinib exposure [ see Clinical Pharmacology (12.3) ].
  • For proton pump inhibitors, avoid concomitant use if possible.
  • For H­-2 receptor antagonists and antacids, modify the dosing schedule [ see Dosage and Administration (2.4) ].
  • Increasing the dose of erlotinib when co-administered with gastric PH elevating agents is not likely to compensate for the loss of exposure.
  • Anticoagulants Interaction with coumarin-derived anticoagulants, including warfarin, leading to increased International Normalized Ratio (INR) and bleeding adverse reactions, which in some cases were fatal, have been reported in patients receiving erlotinib.
  • Regularly monitor prothrombin time or INR in patients taking coumarin-derived anticoagulants.
  • Dose modifications of erlotinib are not recommended [ see Warnings and Precautions (5.9) and Adverse Reactions (6.1) ].
  • CYP3A4 inhibitors or a combined CYP3A4 and CYP1A2 inhibitor increase erlotinib plasma concentrations.
  • Avoid concomitant use.
  • If not possible, reduce erlotinib dose.
  • ( 2.4 , 7 ) CYP3A4 inducers decrease erlotinib plasma concentrations.
  • Avoid concomitant use.
  • If not possible, increase erlotinib dose.
  • ( 2.4 , 7 ) Cigarette smoking and CYP1A2 inducers decrease erlotinib plasma concentrations.
  • Avoid concomitant use.
  • If not possible, increase erlotinib dose.
  • ( 2.4 , 7 ) Drugs that increase gastric pH decrease erlotinib plasma concentrations.
  • For proton pump inhibitors avoid concomitant use if possible.
  • For H-2 receptor antagonists, take erlotinib 10 hours after H-2 receptor antagonist dosing.
  • For use with antacids, separate dosing by several hours.
  • ( 2.4 , 7 )

Quoted from the official label, section “Drug Interactions”.

If you take too much

In an emergency, call your local emergency number or a poison control centre.

Withhold erlotinib in patients with an overdose or suspected overdose and institute symptomatic treatment.

Quoted from the official label, section “Overdosage”.

Use in children

  • The safety and effectiveness of erlotinib in pediatric patients have not been established.
  • In an open-label, multicenter trial, 25 pediatric patients (median age 14 years, range 3-20 years) with recurrent or refractory ependymoma were randomized (1:1) to erlotinib or etoposide.
  • Thirteen patients received erlotinib at a dose of 85 mg/m 2 /day orally until disease progression, death, patient request, investigator decision to discontinue study drug, or intolerable toxicity.
  • Four patients randomized to etoposide also received erlotinib following disease progression.
  • The trial was terminated prematurely for lack of efficacy; there were no objective responses observed in these 17 erlotinib-treated patients.
  • No new adverse events were identified in the pediatric population.
  • Based on the population pharmacokinetics analysis conducted in 105 pediatric patients (2 to 21 years old) with cancer, the geometric mean estimates of CL/F/BSA (apparent clearance normalized to body surface area) were comparable across the three age groups:
  • 2-6 years (n = 29), 7-16 years (n = 59), and 17-21 years (n = 17).

Quoted from the official label, section “Pediatric Use”.

Use in older people

  • Of the 1297 subjects in clinical studies of erlotinib for the treatment of NSCLC and pancreatic cancer 40% were 65 and older while 10% were 75 and older.
  • No overall differences in safety or efficacy were observed between subjects 65 years and older and those younger than 65.

Quoted from the official label, section “Geriatric Use”.

Side effects

  • The following serious adverse reactions, which may include fatalities, are discussed in greater detail in other sections of the labeling:
  • Interstitial Lung Disease (ILD) [ see Warnings and Precautions (5.1) ] Renal Failure [ see Warnings and Precautions (5.2) ] Hepatotoxicity with or without Hepatic Impairment [ see Warnings and Precautions (5.3) ] Gastrointestinal Perforation [ see Warnings and Precautions (5.4) ] Bullous and Exfoliative Skin Disorders [ see Warnings and Precautions (5.5) ] Cerebrovascular Accident [ see Warnings and Precautions (5.6) ] Microangiopathic Hemolytic Anemia with Thrombocytopenia [ see Warnings and Precautions (5.7) ] Ocular Disorders [ see Warnings and Precautions (5.8) ] Hemorrhage in Patients Taking Warfarin [ see Warnings and Precautions (5.9) ] The most common adverse reactions (≥ 20%) with erlotinib from a pooled analysis in patients with NSCLC across all approved lines of therapy, with and without EGFR mutations, and in patients with pancreatic cancer were rash, diarrhea, anorexia, fatigue, dyspnea, cough, nausea, and vomiting.
  • ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Novadoz Pharmaceuticals LLC at 1-855-668-2369 or FDA at 1-800-FDA-1088 or http://www.fda.gov/medwatch
  • 6.1 Clinical Trial Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.
  • Safety evaluation of erlotinib is based on more than 1200 cancer patients who received erlotinib as monotherapy, more than 300 patients who received erlotinib 100 or 150 mg plus gemcitabine, and 1228 patients who received erlotinib concurrently with other chemotherapies.
  • The most common adverse reactions with erlotinib are rash and diarrhea usually with onset during the first month of treatment.
  • The incidences of rash and diarrhea from clinical studies of erlotinib for the treatment of NSCLC and pancreatic cancer were 70% for rash and 42% for diarrhea.
  • Non-Small Cell Lung Cancer First-Line Treatment of Patients with EGFR Mutations The most frequent (≥ 30%) adverse reactions in erlotinib-treated patients were diarrhea, asthenia, rash, cough, dyspnea, and decreased appetite.
  • In erlotinib-treated patients the median time to onset of rash was 15 days and the median time to onset of diarrhea was 32 days.
  • The most frequent Grade 3-4 adverse reactions in erlotinib-treated patients were rash and diarrhea.
  • Dose interruptions or reductions due to adverse reactions occurred in 37% of erlotinib-treated patients, and 14.3% of erlotinib- treated patients discontinued therapy due to adverse reactions.
  • In erlotinib-treated patients, the most frequently reported adverse reactions leading to dose modification were rash (13%), diarrhea (10%), and asthenia (3.6%).
  • Common adverse reactions in Study 1, occurring in at least 10% of patients who received erlotinib or chemotherapy and an increase in ≥ 5% in the erlotinib-treated group, are graded by National Cancer Institute Common Toxicity Criteria for Adverse Events version 3.0 (NCI-CTCAE v3.0) Grade in Table 1.
  • The median duration of erlotinib treatment was 9.6 months in Study 1.
  • Table 1:
  • Adverse Reactions with an Incidence Rate ≥ 10% and an Increase of ≥ 5% in the Erlotinib-Treated Group (Study 1) Erlotinib N = 84 Chemotherapy † N = 83 Adverse Reaction All Grades % Grades 3-4 % All Grades % Grades 3-4 % Rash ‡ 85 14 5 0 Diarrhea 62 5 21 1 Cough 48 1 40 0 Dyspnea 45 8 30 4 Dry skin 21 1 2 0 Back pain 19 2 5 0 Chest pain 18 1 12 0 Conjunctivitis 18 0 0 0 Mucosal inflammation 18 1 6 0 Pruritus 16 0 1 0 Paronychia 14 0 0 0 Arthralgia 13 1 6 1 Musculoskeletal pain 11 1 1 0 † Platinum-based chemotherapy (cisplatin or carboplatin with gemcitabine or docetaxel). ‡Rash as a composite term includes rash, acne, folliculitis, erythema, acneiform dermatitis, dermatitis, palmar-plantar erythrodysesthesia syndrome, exfoliative rash, erythematous rash, rash pruritic, skin toxicity, eczema, follicular rash, skin ulcer.
  • Hepatic Toxicity:
  • One erlotinib-treated patient experienced fatal hepatic failure and four additional patients experienced grade 3-4 liver test abnormalities in Study 1 [ see Warnings and Precautions (5.3) ].
  • Maintenance Treatment Adverse reactions, regardless of causality, that occurred in at least 3% of patients treated with single-agent erlotinib at 150 mg and at least 3% more often than in the placebo group in the randomized maintenance trial (Study 3) are summarized by NCI-CTCAE v3.0 Grade in Table 2.
  • The most common adverse reactions in patients receiving single-agent erlotinib 150 mg were rash and diarrhea.
  • Grade 3-4 rash and diarrhea occurred in 9% and 2%, respectively, in erlotinib-treated patients.
  • Rash and diarrhea resulted in study discontinuation in 1% and 0.5% of erlotinib-treated patients, respectively.
  • Dose reduction or interruption for rash and diarrhea was needed in 5% and 3% of patients, respectively.
  • In erlotinib -treated patients the median time to onset of rash was 10 days, and the median time to onset of diarrhea was 15 days.
  • Table 2:
  • NSCLC Maintenance Study:
  • Adverse Reactions Occurring with an Incidence Rate ≥ 10% and an Increase of ≥ 5% in the Single-Agent Erlotinib Group compared to the Placebo Group (Study 3) Adverse Reaction Erlotinib N = 433 PLACEBO N = 445 Any Grade Grade 3 Grade 4 Any Grade Grade 3 Grade 4 % % % % % % Rash † 60 9 0 9 0 0 Diarrhea 20 2 0 4 0 0 † Rash as a composite term includes:
  • rash, acne, acneiform dermatitis, skin fissures, erythema, papular rash, rash generalized, pruritic rash, skin exfoliation, urticaria, dermatitis, eczema, exfoliative rash, exfoliative dermatitis, furuncle, macular rash, pustular rash, skin hyperpigmentation, skin reaction, skin ulcer.
  • Liver test abnormalities including ALT elevations were observed at Grade 2 or greater severity in 3% of erlotinib-treated patients and 1% of placebo-treated patients.
  • Grade 2 and above bilirubin elevations were observed in 5% of erlotinib-treated patients and in < 1% in the placebo group [ see Dosage and Administration (2.4) and Warnings and Precautions (5.3) ].
  • Second/Third Line Treatment Adverse reactions, regardless of causality, that occurred in at least 10% of patients treated with single-agent erlotinib at 150 mg and at least 5% more often than in the placebo group in the randomized trial of patients with NSCLC are summarized by NCI-CTC v2.0 Grade in Table 3.
  • The most common adverse reactions in this patient population were rash and diarrhea.
  • Grade 3-4 rash and diarrhea occurred in 9% and 6%, respectively, in erlotinib-treated patients.
  • Rash and diarrhea each resulted in study discontinuation in 1% of erlotinib-treated patients.
  • Six percent and 1% of patients needed dose reduction for rash and diarrhea, respectively.
  • The median time to onset of rash was 8 days, and the median time to onset of diarrhea was 12 days.
  • Table 3:
  • NSCLC 2 nd /3 rd Line Study:
  • Adverse Reactions Occurring with an Incidence Rate ≥ 10% and an Increase of ≥ 5% in the Single-Agent Erlotinib Group Compared to the Placebo Group (Study 4) Adverse Reaction Erlotinib 150 mg N=485 Placebo N=242 Any Grade Grade 3 Grade 4 Any Grade Grade 3 Grade 4 % % % % % % Rash † 75 8 <1 17 0 0 Diarrhea 54 6 <1 18 <1 0 Anorexia 52 8 1 38 5 <1 Fatigue 52 14 4 45 16 4 Dyspnea 41 17 11 35 15 11 Nausea 33 3 0 24 2 0 Infection 24 4 0 15 2 0 Stomatitis 17 <1 0 3 0 0 Pruritus 13 <1 0 5 0 0 Dry skin 12 0 0 4 0 0 Conjunctivitis 12 <1 0 2 <1 0 Keratoconjunctivitis sicca 12 0 0 3 0 0 † Rash as a composite term includes:
  • rash, palmar-plantar erythrodysesthesia syndrome, acne, skin disorder, pigmentation disorder, erythema, skin ulcer, exfoliative dermatitis, papular rash, skin desquamation.
  • Liver function test abnormalities [including elevated alanine aminotransferase (ALT), aspartate aminotransferase (AST) and bilirubin] were observed in patients receiving single-agent erlotinib 150 mg.
  • These elevations were mainly transient or associated with liver metastases.
  • Grade 2 [> 2.5 – 5.0 x upper limit of normal (ULN)] ALT elevations occurred in 4% and < 1% of erlotinib and placebo treated patients, respectively.
  • Grade 3 (> 5.0 – 20.0 x ULN) elevations were not observed in erlotinib-treated patients.
  • Erlotinib dosing should be interrupted or discontinued if changes in liver function are severe [ see Dosage and Administration (2.4) ].
  • Pancreatic Cancer - Erlotinib Administered Concurrently with Gemcitabine This was a randomized, double–blind, placebo-controlled study of erlotinib (150 mg or 100 mg daily) or placebo plus gemcitabine (1000 mg/m 2 by intravenous infusion) in patients with locally advanced, unresectable or metastatic pancreatic cancer (Study 5).
  • The safety population comprised 282 patients in the erlotinib group (259 in the 100 mg cohort and 23 in the 150 mg cohort) and 280 patients in the placebo group (256 in the 100 mg cohort and 24 in the 150 mg cohort).
  • Adverse reactions that occurred in at least 10% of patients treated with erlotinib 100 mg plus gemcitabine in the randomized trial of patients with pancreatic cancer (Study 5) were graded according to NCI-CTC v2.0 in Table 4.
  • The most common adverse reactions in pancreatic cancer patients receiving erlotinib 100 mg plus gemcitabine were fatigue, rash, nausea, anorexia and diarrhea.
  • In the erlotinib plus gemcitabine arm, Grade 3-4 rash and diarrhea were each reported in 5% of patients.
  • The median time to onset of rash and diarrhea was 10 days and 15 days, respectively.
  • Rash and diarrhea each resulted in dose reductions in 2% of patients, and resulted in study discontinuation in up to 1% of patients receiving erlotinib plus gemcitabine.
  • Severe adverse reactions (≥ Grade 3 NCI-CTC) in the erlotinib plus gemcitabine group with incidences < 5% included syncope, arrhythmias, ileus, pancreatitis, hemolytic anemia including microangiopathic hemolytic anemia with thrombocytopenia, myocardial infarction/ischemia, cerebrovascular accidents including cerebral hemorrhage, and renal insufficiency [see Warnings and Precautions (5)].
  • The 150 mg cohort was associated with a higher rate of certain class-specific adverse reactions including rash and required more frequent dose reduction or interruption.
  • Table 4:
  • Adverse Reactions Occurring with an Incidence Rate ≥ 10% and an Increase of ≥ 5% in Erlotinib-Treated Pancreatic Cancer Patients:
  • 100 mg Cohort (Study 5) Adverse Reaction Erlotinib + Gemcitabine 1000 mg/m 2 IV N=259 Placebo + Gemcitabine 1000 mg/m 2 IV N=256 Any Grade Grade 3 Grade 4 Any Grade Grade 3 Grade 4 % % % % % % Rash † 70 5 0 30 1 0 Diarrhea 48 5 <1 36 2 0 Decreased weight 39 2 0 29 <1 0 Infection * 39 13 3 30 9 2 Pyrexia 36 3 0 30 4 0 Stomatitis 22 <1 0 12 0 0 Depression 19 2 0 14 <1 0 Cough 16 0 0 11 0 0 Headache 15 <1 0 10 0 0 * Infections as a composite term include infections with unspecified pathogens as well as bacterial (including chlamydial, rickettsial, mycobacterial and mycoplasmal), parasitic (including helminthic, ectoparasitic and protozoal), viral and fungal infectious disorders. † Rash as a composite term includes:
  • rash, palmar-plantar erythrodysesthesia syndrome, pigmentation disorder, acneiform dermatitis, folliculitis, photosensitivity reaction, Stevens-Johnson syndrome, urticaria, erythematous rash, skin disorder, skin ulcer.
  • Ten patients (4%) in the erlotinib/gemcitabine group and three patients (1%) in the placebo/gemcitabine group developed deep venous thrombosis.
  • The overall incidence of grade 3 or 4 thrombotic events, including deep venous thrombosis was 11% for erlotinib plus gemcitabine and 9% for placebo plus gemcitabine.
  • The incidences of liver test abnormalities (≥ Grade 2) in Study 5 are provided in Table 5 [ see Dosage and Administration (2.4) and Warnings and Precautions (5.3) ].
  • Table 5:
  • Liver Test Abnormalities in Pancreatic Cancer Patients:
  • 100 mg Cohort (Study 5) Erlotinib + Gemcitabine 1000 mg/m 2 IV N=259 Placebo + Gemcitabine 1000 mg/m 2 IV N=256 Grade 2 Grade 3 Grade 4 Grade 2 Grade 3 Grade 4 Bilirubin 17% 10% <1% 11% 10% 3% ALT 31% 13% <1% 22% 9% 0% AST 24% 10% <1% 19% 9% 0% NSCLC and Pancreatic Indications:
  • Selected Low Frequency Adverse Reactions Gastrointestinal Disorders Cases of gastrointestinal bleeding (including fatalities) have been reported, some associated with concomitant warfarin or NSAID administration [ see Warnings and Precautions (5.9) and Drug Interactions (7) ].
  • These adverse reactions were reported as peptic ulcer bleeding (gastritis, gastroduodenal ulcers), hematemesis, hematochezia, melena and hemorrhage from possible colitis.
  • 6.2 Post-Marketing Experience The following adverse reactions have been identified during post approval use of erlotinib.
  • Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.
  • Musculoskeletal and Connective Tissue Disorders:
  • myopathy, including rhabdomyolysis, in combination with statin therapy Eye Disorders:
  • ocular inflammation including uveitis

Quoted from the official label, section “Adverse Reactions”.

What to discuss with your doctor

  • Skin rash, bullous and exfoliative skin disorders Advise patients that skin reactions can occur or worsen on sun-exposed areas while taking erlotinib, and proactive intervention may include alcohol-free emollient cream and use of sunscreen or avoidance of sun exposure.
  • Advise patients that hyperpigmentation or dry skin, with or without digital skin fissures, have been reported and in the majority of cases were associated with rash [ see Adverse Reactions (6.1) ] .
  • Advise patients that erlotinib can increase the risk of bullous and exfoliative skin disorders and to seek immediately medical attention for severe skin reactions [ see Warnings and Precautions (5.5) ] .
  • Diarrhea Advise patients that diarrhea can usually be managed with loperamide and to contact their healthcare provider for severe or persistent diarrhea [ see Adverse Reactions (6.1) ].
  • Interstitial lung disease Advise patients of the risk of severe or fatal ILD, including pneumonitis.
  • Advise patients to contact their healthcare provider immediately to report new of worsening unexplained shortness of breath or coughing [ see Dosage and Administration (2.4) and Warnings and Precautions (5.1) ].
  • Renal failure Advise patients of the risk of developing renal failure.
  • Inform patients of the need for the healthcare provider to monitor kidney function and electrolytes [ see Warnings and Precautions (5.2) ].
  • Hepatotoxicity Advise patients to immediately report signs or symptoms of hepatotoxicity [ see Warnings and Precautions (5.3) ].
  • Gastrointestinal perforations Advise patients that erlotinib can increase the risk of gastrointestinal perforation or fistula and to seek immediate medical attention for severe abdominal pain [ see Dosage and Administration (2.4) and Warnings and Precautions (5.4) ].
  • Cerebrovascular accident Advise patients of the risk of cerebrovascular accident and see immediate medical attention [ see Dosage and Administration (2.4) and Warnings and Precautions (5.6) ].
  • Ocular disorders Advise patients promptly to contact their healthcare provider if they develop eye signs or symptoms, lacrimation, light sensitivity, blurred vision, eye pain, red eye, or changes in vision [ see Dosage and Administration (2.4) and Warnings and Precautions (5.8) ].
  • Hemorrhage in patients taking warfarin Advise patients who are receiving warfarin of the need to monitor INR or other coumarin-derivative anticoagulants [ see Warnings and Precautions (5.9) and Drug Interactions (7) ].
  • Hair and nail disorders Advise patients that hair and nail disorders, including hirsutism and brittle and loose nails, have been reported [ see Adverse Reactions (6.1) ].
  • Embryo-fetal toxicity Advise pregnant women and females of reproductive potential of the potential risk to a fetus.
  • Advise females of reproductive potential to inform their healthcare provider of a known or suspected pregnancy [ see Warnings and Precautions (5.10) , Use in Specific Populations (8.1) ] .
  • Advise females of reproductive potential to use effective contraception during treatment with erlotinib, and for 1 month after the last dose [ see Use in Specific Populations (8.3) ].
  • Lactation Advise women not to breastfeed during treatment with erlotinib and for 2 weeks after the final dose [ see Use in Specific Populations (8.2) ].
  • Smoking Advise patients to contact their health care provider for any changes in smoking status and that the dose of erlotinib may need to be adjusted if they smoke [ see Drug Interactions (7) and Clinical Pharmacology (12.3) ] Advise patients to stop smoking [ see Clinical Pharmacology (12.3) ] .
  • Manufactured by:
  • MSN Laboratories Private Limited Telangana – 509 228, INDIA Distributed by:
  • Novadoz Pharmaceuticals LLC Piscataway, NJ 08854 -3714 Issued on:
  • 01/2021

Quoted from the official label, section “Patient Counseling Information”.

Strengths and forms

  • FORMS AND STRENGTHS 25 mg tablets:
  • White colored, round shaped, biconvex, film-coated tablets, debossed with “E 25” on one side and plain on other side. 100 mg tablets:
  • white colored, round shaped, biconvex, film-coated tablets, debossed with “E 100” on one side and plain on other side. 150 mg tablets:
  • White colored, round shaped, biconvex, film-coated tablets, debossed with “E 150” on one side and plain on other side.
  • Tablets: 25 mg, 100 mg, and 150 mg ( 3 )

Quoted from the official label, section “Dosage Forms & Strengths”.

What it looks like and how it is packed

  • 25 mg Tablets:
  • White colored, round shaped, biconvex, film coated tablets, debossed with “E 25” on one side and plain on other side; supplied in:
  • Bottles of 30:
  • NDC 72205-080-30 100 mg Tablets:
  • White colored, round shaped, biconvex, film coated, tablets, debossed with “E 100” on one side and plain on other side; supplied in:
  • Bottles of 30:
  • NDC 72205-081-30 150 mg Tablets:
  • White colored, round shaped, biconvex, film coated tablets, debossed with “E 150” on one side and plain on other side; supplied in:
  • Bottles of 30:
  • NDC 72205-082-30
  • Store at 25°C (77°F); excursions permitted to 15°C - 30°C (59°F - 86°F).
  • See USP Controlled Room Temperature.

Quoted from the official label, section “How Supplied”.

What is in it

  • Erlotinib, a kinase inhibitor, is a quinazolinamine with the chemical name N-(3-ethynylphenyl)-6,7-bis(2-methoxyethoxy)­-4-quinazolinamine hydrochloride.
  • Erlotinib tablets contains erlotinib as the hydrochloride salt that has the following structural formula:
  • Erlotinib hydrochloride has the molecular formula C 22 H 24 ClN 3 O 4 and a molecular weight of 429.90.
  • The molecule has pK a of 4.44 at 25°C.
  • Erlotinib hydrochloride is slightly soluble in methanol, practically insoluble in acetonitrile and in acetone.
  • Aqueous solubility of erlotinib hydrochloride is dependent on pH with increased solubility at a pH of less than 5 due to protonation of the secondary amine.
  • Over the pH range of 1.4 to 9.6, maximal solubility of approximately 0.4 mg/mL occurs at a pH of approximately 2.
  • Erlotinib tablets for oral administration are available in three dosage strengths containing erlotinib hydrochloride (27.3 mg, 109.3 mg and 163.9 mg) equivalent to 25 mg, 100 mg and 150 mg erlotinib and the following inactive ingredients:
  • hypromellose, hydroxypropyl cellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, propylene glycol, sodium lauryl sulfate, sodium starch glycolate, and titanium dioxide. srt

Quoted from the official label, section “Description”.

Ingredients people check for

Lactose, gluten, dyes, sugars and other ingredients that matter with an allergy, intolerance or diet — as this product’s FDA label lists them.

  • Lactoselactose monohydrateMilk sugar: matters with lactose intolerance or a milk allergy.
  • Titanium dioxidetitanium dioxideA whitening agent no longer allowed in food in the EU (E171).

Quoted from the FDA label. A label that does not name an ingredient is not a guarantee that the product is free of it, and formulations change. With an allergy, check the pack and ask a pharmacist.

Same active substance, strength and form in other countries

Matched on active substance, strength and kind of form only. This is not a statement that the products are equivalent or interchangeable: other ingredients, release and approved uses can differ — ask a pharmacist before swapping.

Medicine passport: one printable page to show a pharmacist abroad

European UnionNo exact match for this strength and form

Details

Made byNovadoz Pharmaceuticals LLC
Active substanceErlotinib Hydrochloride
Used inCancer treatments and immune-system medicines
Strength100 mg
FormTablet, Film Coated
RouteOral
Packs1 BOTTLE in 1 CARTON / 30 TABLET, FILM COATED in 1 BOTTLE
NDC72205-081

Source: NDC Directory · 2026-09-13 · not reviewed by a clinician

Source: US Food and Drug Administration, NDC Directory. Reuse terms: US government work (FDA).

Other strengths and forms

9 products are sold under this name. Grouped by form; a number on a strength means several companies make it.

Same active substance

These contain the same substance. That does not mean one can replace another — ask a pharmacist.