Nexavar is a brand name for Sorafenib 200mg, which is a medication used to treat certain types of cancer. Here are some key points about the product:
Composition:
Sorafenib 200mg is a tablet containing sorafenib, a multikinase inhibitor that targets various kinases involved in cancer cell proliferation and survival.
Indications:
Sorafenib 200mg is indicated for the treatment of:
- Unresectable hepatocellular carcinoma (HCC) in patients with advanced disease
- Advanced renal cell carcinoma (RCC) in patients with poor or intermediate risk of metastasis
- Thyroid cancer (differentiated and undifferentiated)
Mechanism of Action:
Sorafenib 200mg works by:
- Inhibiting the activity of various kinases, including VEGFR-2, PDGFR-β, and Raf-1, which are involved in cancer cell proliferation and survival
- Reducing the production of vascular endothelial growth factor (VEGF), a protein that promotes angiogenesis and tumor growth
Dosage and Administration:
The recommended dosage of Sorafenib 200mg is:
- 400mg (2 x 200mg tablets) taken orally twice daily, with or without food
- Take at the same time each day
Side Effects:
Common side effects of Sorafenib 200mg include:
- Fatigue
- Dermatological toxicity (e.g., rash, skin lesions)
- Diarrhea
- Nausea
- Abdominal pain
- Palpitations
- Hematological toxicity (e.g., anemia, thrombocytopenia)
Serious side effects can include:
- Hepatotoxicity (e.g., liver damage)
- Cardiovascular toxicity (e.g., hypertension, arrhythmias)
- Gastrointestinal perforation
- Pulmonary arterial hypertension
Contraindications:
Sorafenib 200mg is contraindicated in patients with:
- Hypersensitivity to sorafenib
- Pregnant or breastfeeding women
- Severe hepatic impairment (Child-Pugh C)
Precautions:
- Patients with a history of cardiac disease or cardiac dysfunction should be closely monitored while receiving Sorafenib 200mg.
- Patients with a history of liver disease or liver damage should be closely monitored while receiving Sorafenib 200mg.
Patient Counseling:
- Patients should be counseled on the importance of taking their medication as directed and not missing doses.
- Patients should be instructed to report any signs of skin lesions or rash.
- Patients should be advised to report any changes in their appetite, nausea, or vomiting.
Storage and Handling:
- Store bottles at room temperature between 15°C and 30°C (59°F and 86°F).
- Do not expose to direct sunlight or moisture.
- Use within 24 hours of opening.
Please note that the dosage and administration information is based on the recommended dosage and may vary depending on individual patient needs and circumstances.
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