to break down Caprelsa (Oral) Generic Name: vandetanib (Oral route) van-DET-a-nib Overview Side Effects Dosage Professional Interactions More Pregnancy Warnings User Reviews Drug Images Support Group Q & A Pricing & Coupons Oral route(Tablet) Vandetanib can prolong the QT interval, and torsades de pointes and sudden death have been reported with its use. Do not use in patients with hypocalcemia, hypokalemia, hypomagnesemia, or long QT syndrome; electrolyte depletion must be corrected prior to starting vandetanib and should be periodically monitored. Avoid drugs that are known to prolong the QT interval. Vandetanib is only available through a restricted distribution program (Vandetanib REMS) . Commonly used brand name(s) In the U.S. Caprelsa Available Dosage Forms: Tablet Therapeutic Class: Antineoplastic Agent Pharmacologic Class: Tyrosine Kinase Inhibitor Slideshow Synthroid: The Hardest Working Drug Around? Uses For Caprelsa Vandetanib is used to treat medullary thyroid cancer that cannot be treated with surgery or that has already spread to different parts of the body. This medicine is available only under a registered distribution program called Vandetanib REMS (Risk Evaluation and Mitigation Strategy) Program. You will be asked to sign a form before you take this medicine. This form tells you about the benefits and risks of using this medicine. Make sure you understand what is on the form before you sign it. Before Using Caprelsa In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered: Allergies Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Pediatric Appropriate studies have not been performed on the relationship of age to the effects of vandetanib in the pediatric population. Safety and efficacy have not been established. Geriatric Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of vandetanib in the elderly. Pregnancy Pregnancy Category Explanation All Trimesters D Studies in pregnant women have demonstrated a risk to the fetus. However, the benefits of therapy in a life threatening situation or a serious disease, may outweigh the potential risk. Breast Feeding There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. Interactions with Medicines Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Amifampridine Amisulpride Bepridil Cisapride Dronedarone Fluconazole Ketoconazole Mesoridazine Nelfinavir Pimozide Piperaquine Saquinavir Sparfloxacin Terfenadine Thioridazine Ziprasidone Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Alfuzosin Amiodarone Amitriptyline Anagrelide Apomorphine Aripiprazole Aripiprazole Lauroxil Arsenic Trioxide Artemether Asenapine Astemizole Atazanavir Azithromycin Bedaquiline Buserelin Carbamazepine Ceritinib Chloroquine Chlorpromazine Ciprofloxacin Citalopram Clarithromycin Clomipramine Clozapine Crizotinib Cyclobenzaprine Dabrafenib Dasatinib Degarelix Delamanid Desipramine Deslorelin Deutetrabenazine Digoxin Disopyramide Dofetilide Dolasetron Domperidone Donepezil Doxepin Droperidol Ebastine Efavirenz Enzalutamide Eribulin Erythromycin Escitalopram Famotidine Felbamate Fingolimod Flecainide Fluoxetine Foscarnet Fosphenytoin Galantamine Gatifloxacin Gemifloxacin Gonadorelin Goserelin Granisetron Halofantrine Haloperidol Histrelin Hydroquinidine Hydroxychloroquine Hydroxyzine Ibutilide Idelalisib Iloperidone Imipramine Itraconazole Ivabradine Lapatinib Leuprolide Levofloxacin Lumefantrine Mefloquine Metformin Methadone Metronidazole Mifepristone Mitotane Mizolastine Moxifloxacin Nafarelin Nilotinib Norfloxacin Octreotide Ofloxacin Olanzapine Ondansetron Paliperidone Panobinostat Paroxetine Pasireotide Pazopanib Pentamidine Perphenazine Phenytoin Pimavanserin Pitolisant Posaconazole Primidone Probucol Procainamide Prochlorperazine Promethazine Propafenone Protriptyline Quetiapine Quinidine Quinine Ranolazine Ribociclib Rifabutin Rifampin Rifapentine Rilpivirine Risperidone Ritonavir Sertindole Sevoflurane Sodium Phosphate Sodium Phosphate, Dibasic Sodium Phosphate, Monobasic Solifenacin Sorafenib Sotalol St John's Wort Sulpiride Sunitinib Tacrolimus Tamoxifen Telaprevir Telavancin Telithromycin Tetrabenazine Tizanidine Tolterodine Toremifene Trazodone Trimipramine Triptorelin Vardenafil Vemurafenib Venlafaxine Vinflunine Voriconazole Vorinostat Zuclopenthixol Interactions with Food/Tobacco/Alcohol Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco. Other Medical Problems The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially: Bleeding problems or Diarrhea or Heart failure or Hypertension (high blood pressure) or Hypothyroidism (an underactive thyroid) or Lung disease (eg, interstitial lung disease, pneumonitis) Use with caution. May make these conditions worse. Bradyarrhythmia (abnormally slow heartbeat) or Congenital long QT syndrome (heart disorder), or history of or Hemoptysis (spitting or coughing up blood), recent history of or Torsade de pointes (abnormal heart rhythm), history of Should not be used in patients with these conditions. Hypocalcemia (low calcium in the blood) or Hypokalemia (low potassium in the blood) or Hypomagnesemia (low magnesium in the blood) Use with caution. May cause side effects to be worse. Kidney disease Use with caution. The effects may be increased because of slower removal of the medicine from the body. Proper Use of Caprelsa Medicines used to treat cancer are very strong and can have many side effects. Before receiving this medicine, make sure you understand all the risks and benefits. It is important for you to work closely with your doctor during your treatment. Take this medicine exactly as directed even if you feel well . Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance of side effects. This medicine comes with a Medication Guide. It is very important that you read and understand this information. Be sure to ask your doctor about anything you do not understand. Swallow the tablet whole. Do not break, crush, or chew it. You may take the tablet with or without food. If you have trouble swallowing the tablets: Dissolve the tablet in a glass containing 2 ounces of non-carbonated water. Do not use any other liquid. Stir the mixture for 10 minutes and swallow it right away. Rinse the glass with an additional 4 ounces of non-carbonated water and swallow the mixture to make sure you get the full dose of this medicine. This mixture may also be given through a nasogastric or gastrostomy tubes. Be careful not to handle crushed or broken tablets. If you have contact with broken or crushed tablets, wash your hands or skin with soap and water immediately. Dosing The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. For oral dosage form (tablets): For the treatment of medullary thyroid cancer: Adults 300 milligrams (mg) once a day. Children Use and dose must be determined by your doctor. Missed Dose If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses. If you miss a dose of this medicine and it is less than 12 hours since your regular time, take it as soon as you can and take your next dose at the normal time. If you miss a dose and it is more than 12 hours since your regular time, skip the missed dose and take your next dose at the normal time. Do not use extra medicine to make up for a missed dose. Storage Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Keep out of the reach of children. Do not keep outdated medicine or medicine no longer needed. Ask your healthcare professional how you should dispose of any medicine you do not use. Precautions While Using Caprelsa If you will be taking this medicine for a long time, it is very important that your doctor check you at regular visits for any problems or unwanted effects that may be caused by this medicine. Blood tests may also be needed to check for unwanted effects. Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant. You should continue to use birth control at least 4 months after you have stopped taking this medicine. However, if you think you have become pregnant while using the medicine, tell your doctor right away. Contact your doctor right away if you have any changes in your heart rhythm. You might feel dizzy, faint, or have a fast, pounding, or uneven heartbeat. Make sure your doctor knows if you or anyone in your family has ever had a heart rhythm problem such as QT prolongation. Serious skin reactions can occur with this medicine. Check with your doctor right away if you have blistering, peeling, or loosening of the skin; red skin lesions; severe acne or skin rash; sores or ulcers on the skin; or fever or chills while you are using this medicine. Avoid overexposing your skin to sunlight. Always use sunscreen or sun-blocking lotions and wear protective clothing and hats while you are using this medicine and for 4 months after the last dose. Call your doctor right away if you have unexplained shortness of breath, cough, and fever that comes on suddenly. These may be symptoms of a serious lung condition. Stop using this medicine and call your doctor right away if you have confusion; difficulty with speaking; slow speech; an inability to speak; an inability to move your arms, legs, or facial muscles; double vision; or a headache. These may be symptoms of a stroke. This medicine may increase your chance of bleeding. Tell your doctor right away if you have bleeding gums, coughing up blood, difficulty in breathing or swallowing, dizziness, headache, increased menstrual flow or vaginal bleeding, nosebleeds, prolonged bleeding from cuts, red or dark brown urine, red or black, tarry stools, or shortness of breath. To help with this problem, stay away from rough sports or other situations where you could be bruised, cut, or injured. Brush and floss your teeth gently. Be careful when using sharp objects, including razors and fingernail clippers. If you are rapidly gaining weight, having shortness of breath, chest pain or discomfort, extreme tiredness or weakness, irregular breathing, irregular heartbeat, or excessive swelling of the hands, wrist, ankles, or feet, check with your doctor immediately. These may be symptoms of heart problems or your body keeping too much water. This medicine may cause diarrhea. This may also increase your risk of having an electrolyte imbalance (e.g., low potassium, magnesium, or calcium in the blood). Tell your doctor right away if you start having muscle cramps or twitching, mood or mental changes, or unusual tiredness or weakness while being treated with this medicine. Check with your doctor if you have a headache, seizures, confusion, blurred vision or other visual problems. These may be symptoms of a rare and serious condition called reversible posterior leukoencephalopathy syndrome (RPLS). Check with your doctor right away if blurred vision, difficulty with reading, eye pain or irritation, or any other vision change occurs during therapy. Your doctor may want you to have your eyes checked by an ophthalmologist (eye doctor). This medicine may cause blurred vision. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are not alert or able to see well . Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal (St. John's wort) or vitamin supplements. Caprelsa Side Effects Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur: More common Abdominal or stomach cramps or pain bleeding gums blurred vision body aches or pain chest pain cloudy urine confusion convulsions cough coughing up blood difficulty with breathing or swallowing dizziness ear congestion fainting fever or chills headache increased menstrual flow or vaginal bleeding irregular heartbeat recurrent loss of voice muscle cramps in the hands, arms, feet, legs, or face nervousness nosebleeds numbness and tingling around the mouth, fingertips, or feet paralysis pounding in the ears prolonged bleeding from cuts red or black, tarry stools red or dark brown urine slow or fast heartbeat sneezing sore throat stuffy or runny nose tenderness tightness in the chest tremor troubled breathing unusual tiredness or weakness (severe) watery or bloody diarrhea Less common Blue lips, fingernails, or skin chest pain or discomfort dilated neck veins extreme fatigue foreign substance into the lungs infection from breathing irregular breathing irregular heartbeat irregular, fast or slow, or shallow breathing lightheadedness no breathing swelling of the face, fingers, feet, or lower legs weight gain Rare Bloating constipation darkened urine decreased urine output indigestion loss of appetite nausea pains in the stomach, side, or abdomen, possibly radiating to the back yellow eyes or skin Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: More common Acid or sour stomach belching blemishes on the skin blindness blistering, crusting, irritation, itching, or reddening of the skin change in taste cracked, dry, or scaly skin cracks in the skin decreased appetite decreased vision decreased weight depression discoloration of the fingernails or toenails dry mouth dry skin hair loss or thinning of the hair heartburn increased sensitivity of the skin to sunlight itching skin lack or loss of strength loosening of the fingernails loss of heat from the body loss of taste muscle aches or spasms pimples rash with flat lesions or small raised lesions on the skin red, swollen skin redness or other discoloration of the skin redness or soreness around the fingernails severe sunburn stomach discomfort or upset swelling trouble sleeping Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088. Side Effects (complete list) The information contained in the Truven Health Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you. The use of the Truven Health products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Truven Health and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, TRUVEN HEALTH MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Truven Health does not assume any responsibility or risk for your use of the Truven Health products. Copyright 2017 Truven Health Analytics, Inc. All Rights Reserved. Next Side Effects Print this page Add to My Med List More about Caprelsa (vandetanib) Side Effects During Pregnancy Dosage Information Drug Images Drug Interactions Support Group Pricing & Coupons En Español 0 Reviews Add your own review/rating Drug class: EGFR inhibitors Consumer resources Caprelsa Professional resources Caprelsa (AHFS Monograph) Caprelsa (FDA) Related treatment guides Thyroid Cancer} Drug Status Rx Availability Prescription only D Pregnancy Category Positive evidence of risk N/A CSA Schedule Not a controlled drug 6 years Approval History FDA approved 2011 Manufacturers Genzyme Corporation Sanofi-Aventis U.S. LLC Drug Class EGFR inhibitors Multikinase inhibitors VEGF / VEGFR inhibitors Related Drugs Thyroid Cancer Armour Thyroid , Nature-Throid , Nexavar , Adriamycin , doxorubicin , sorafenib , NP Thyroid , Lenvima , WP Thyroid , lenvatinib , Thyrogen , Westhroid , thyroid desiccated , cabozantinib , Cometriq , thyrotropin alpha , Iodotope , vandetanib , i3odine Max , Hicon , More... Caprelsa Rating No Reviews - Be the first! No Reviews - Be the first! Not Rated - Be the first! Caprelsa Images Caprelsa 100 mg (Z100 ) View larger images Help and Support Looking for answers? Ask a question or go join the Caprelsa support group to connect with others who have similar interests.} } faithful
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