Lonsurf Tablet, Film Coated
NDC 64842-1020
Product Information
Lonsurf (trifluridine and tipiracil) is a NDA-approved product labeled by Taiho Pharmaceutical Co., Ltd.. This medication is used to treat certain cancers (such as stomach, colon/rectum). It is supplied as a white tablet, film coated for oral administration. This product entry covers the primary NDC 64842-1020 and 3 associated package configurations. This profile includes active and inactive ingredient UNII references and FDA labeling data.
Primary Identification
Clinical Specifications
Labeler & Regulatory Data
Marketing Timeline
Product Characteristics
RED (C48326 - PALE RED)
8 MM
15;102;15;MG
20;102;20;MG
Code Structure Chart
Product Details
What is NDC 64842-1020?
What are the uses of this product?
What are Active Ingredients of this product?
- TIPIRACIL HYDROCHLORIDE 8.19 mg/1
- TRIFLURIDINE 20 mg/1 - An antiviral derivative of THYMIDINE used mainly in the treatment of primary keratoconjunctivitis and recurrent epithelial keratitis due to HERPES SIMPLEX virus. (From Martindale, The Extra Pharmacopoeia, 30th ed, p557)
Which are the associated UNII Codes?
The UNII codes for the active ingredients in this product are:
- TRIFLURIDINE (UNII: RMW9V5RW38)
- TRIFLURIDINE (UNII: RMW9V5RW38) (Active Moiety)
- TIPIRACIL HYDROCHLORIDE (UNII: 4H59KLQ0A4)
- TIPIRACIL (UNII: NGO10K751P) (Active Moiety)
Which are the Inactive Ingredients associated UNII Codes?
The inactive ingredients are all the component of a medicinal product OTHER than the active ingredient(s). The acronym "UNII" stands for “Unique Ingredient Identifier” and is used to identify each inactive ingredient present in a product. The UNII codes for the inactive ingredients in this product are:
- LACTOSE MONOHYDRATE (UNII: EWQ57Q8I5X)
- STARCH, CORN (UNII: O8232NY3SJ)
- STEARIC ACID (UNII: 4ELV7Z65AP)
- HYPROMELLOSE, UNSPECIFIED (UNII: 3NXW29V3WO)
- POLYETHYLENE GLYCOL, UNSPECIFIED (UNII: 3WJQ0SDW1A)
- TITANIUM DIOXIDE (UNII: 15FIX9V2JP)
- MAGNESIUM STEARATE (UNII: 70097M6I30)
- ALCOHOL (UNII: 3K9958V90M)
- BUTYL ALCOHOL (UNII: 8PJ61P6TS3)
- FERRIC OXIDE RED (UNII: 1K09F3G675)
What is the NDC to RxNorm Crosswalk for this product?
- RxCUI: 1670311 - tipiracil 6.14 MG / trifluridine 15 MG Oral Tablet
- RxCUI: 1670316 - tipiracil 8.19 MG / trifluridine 20 MG Oral Tablet
- RxCUI: 1670322 - Lonsurf 15 MG / 6.14 MG Oral Tablet
- RxCUI: 1670322 - tipiracil 6.14 MG / trifluridine 15 MG Oral Tablet [Lonsurf]
- RxCUI: 1670322 - Lonsurf (trifluridine 15 MG / tipiracil 6.14 MG) Oral Tablet
Which are the Pharmacologic Classes of this product?
- Nucleic Acid Synthesis Inhibitors - [MoA] (Mechanism of Action)
- Nucleoside Analog Antiviral - [EPC] (Established Pharmacologic Class)
- Nucleoside Analog - [EXT]
- Nucleoside Metabolic Inhibitor - [EPC] (Established Pharmacologic Class)
- Thymidine Phosphorylase Inhibitor - [EPC] (Established Pharmacologic Class)
- Thymidine Phosphorylase Inhibitors - [MoA] (Mechanism of Action)
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Patient Education
Trifluridine and Tipiracil
The combination of trifluridine and tipiracil is used to treat colon (large intestine) or rectal cancer that has spread to other parts of the body in people who have already been treated with other chemotherapy medications or cannot receive these chemotherapy medications. The combination of trifluridine and tipiracil is also used to treat certain types of stomach cancer or cancer located in the area where the stomach meets the esophagus (the tube between the throat and stomach) that has spread to other parts of the body in people who have already received at least two other chemotherapy treatments. Trifluridine is in a class of medications called thymidine-based nucleoside analogues. It works by stopping the growth of cancer cells. Tipiracil is in a class of medications called thymidine phosphorylase inhibitors. It works by slowing the breakdown of trifluridine by the body.
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Cancer Chemotherapy
What is cancer chemotherapy?
Cancer chemotherapy is a type of cancer treatment. It uses medicines to destroy cancer cells.
Normally, the cells in your body grow and die in a controlled way. Cancer cells keep growing without control. Chemotherapy works by killing the cancer cells, stopping them from spreading, or slowing their growth.
Chemotherapy is used to:
- Treat cancer by curing the cancer, lessening the chance it will return, or stopping or slowing its growth.
- Ease cancer symptoms by shrinking tumors that are causing pain and other problems.
What are the side effects of chemotherapy?
Chemotherapy does not just destroy cancer cells. It can also harm some healthy cells, which causes side effects.
You may have a lot of side effects, some side effects, or none at all. It depends on the type and amount of chemotherapy you get and how your body reacts.
Some common side effects are:
- Mouth sores
- Fatigue
- Nausea and vomiting
- Pain
- Hair loss
There are ways to prevent or control some side effects. Talk with your health care provider about how to manage them. Healthy cells usually recover after chemotherapy is over, so most side effects gradually go away.
What can I expect when getting chemotherapy?
You may get chemotherapy in a hospital or at home, a doctor's office, or a medical clinic. You might be given the medicines by mouth, in a shot, as a cream, through a catheter, or intravenously (by IV).
Your treatment plan will depend on the type of cancer you have, which chemotherapy medicines are used, the treatment goals, and how your body responds to the medicines.
Chemotherapy may be given alone or with other treatments. You may get treatment every day, every week, or every month. You may have breaks between treatments so that your body has a chance to build new healthy cells.
NIH: National Cancer Institute
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