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MedFacts > Sunitinib

Sunitinib


Generic Name: Sunitinib (soo-NI-tih-nib)
Brand Name: Sutent

Sunitinib is used for:

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Treating certain types of stomach or intestinal tumors in certain patients. It is also used to treat certain types of kidney cancer. It may also be used for other conditions as determined by your doctor.

Sunitinib is a multi-kinase inhibitor. It works by blocking certain enzymes in the body that may be involved in the growth and spread of cancer cells. This helps to slow tumor growth and may decrease the ability of the cancer to spread to other areas of the body.

Do NOT use Sunitinib if:

  • you are allergic to any ingredient in Sunitinib
  • you are taking St. John's wort

Contact your doctor or health care provider right away if any of these apply to you.

Before using Sunitinib :

Some medical conditions may interact with Sunitinib . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have a history of kidney function problems or liver problems
  • if you have a history of congestive heart failure, angina, irregular heartbeat (eg, QT prolongation), slow heartbeat, or other heart problems; recent heart attack or stroke; a blood clot in the lung; or blood vessel disease; or if you are at risk for heart problems
  • if you have bleeding problems, high blood pressure, electrolyte problems, adrenal gland problems, an underactive thyroid, or a seizure disorder (eg, epilepsy)
  • if you have a severe infection, have recently been injured, or will be having surgery

Some MEDICINES MAY INTERACT with Sunitinib . Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Antiarrhythmics (eg, amiodarone, quinidine) because serious irregular heartbeat may occur
  • Clarithromycin, HIV protease inhibitors (eg, indinavir, ritonavir), imidazole antifungals (eg, ketoconazole), nefazodone, telithromycin, or voriconazole because they may increase the risk of side effects from Sunitinib
  • Barbiturates (eg, phenobarbital), carbamazepine, dexamethasone, hydantoins (eg, phenytoin), rifabutin, rifampin, rifapentin, or St. John's wort because they may decrease Sunitinib 's effectiveness

This may not be a complete list of all interactions that may occur. Ask your health care provider if Sunitinib may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Sunitinib :

Use Sunitinib as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • An extra patient leaflet is available with Sunitinib . Talk to your pharmacist if you have questions about this information.
  • Take Sunitinib by mouth with or without food.
  • Do not open before swallowing.
  • Do not eat grapefruit or drink grapefruit juice while you use Sunitinib .
  • If you miss a dose of Sunitinib , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Sunitinib .

Important safety information:

  • Sunitinib may cause dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Sunitinib . Using Sunitinib alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
  • Sunitinib may reduce the number of clot-forming cells (platelets) in your blood. To prevent bleeding, avoid situations in which bruising or injury may occur. Report any unusual bleeding, bruising, blood in stools, or dark, tarry stools to your doctor.
  • Sunitinib may lower your body's ability to fight infection. Prevent infection by avoiding contact with people with colds or other infections. Notify your doctor of any signs of infection, including fever, sore throat, rash, or chills.
  • Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using Sunitinib .
  • Skin or hair discoloration may occur while you are using Sunitinib . Contact your doctor with any questions or concerns.
  • Lab tests, including complete blood cell counts, blood electrolytes, blood pressure checks, thyroid function, electrocardiograms (EKG), and other heart function tests, may be performed to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.
  • Sunitinib should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: Sunitinib may cause harm to the fetus. Do not become pregnant while you are using it. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Sunitinib while you are pregnant. It is not known if Sunitinib is found in breast milk. Do not breast-feed while taking Sunitinib .

Possible side effects of Sunitinib :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Changes in taste; constipation; decreased appetite; diarrhea; dry, thick, or cracked skin; indigestion; mouth pain or irritation; nausea; nosebleed; skin or hair discoloration; stomach pain or upset; tiredness; vomiting; weakness.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); black, tarry, or bloody stools; blistering or rash on the palms of hands and soles of feet; calf swelling or tenderness; chest pain; dark urine; fainting; fever, chills, or sore throat; slow or irregular heartbeat; lower back or flank pain; mental or mood changes; numbness of an arm or leg; numbness or tingling of the hands or feet; pale stools; seizures; severe or persistent headache, dizziness, stomach pain, tiredness, or weakness; severe or recurring nosebleeds or bleeding of the gums; severe stomach or back pain; shortness of breath; sudden weight gain; swelling of the hands or legs; unusual or severe bruising or bleeding; unusual tiredness or weakness; vision changes; vomit that looks like coffee grounds; yellowing of the eyes or skin.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include decreased activity; eye discharge; "goose bumps"; head shakes; loss of coordination; stomach pain.

Proper storage of Sunitinib :

Store Sunitinib at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Sunitinib out of the reach of children and away from pets.

General information:

  • If you have any questions about Sunitinib , please talk with your doctor, pharmacist, or other health care provider.
  • Sunitinib is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Sunitinib . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: June 4, 2008
Database Edition 08.2.1.003
Copyright © 2008 Wolters Kluwer Health, Inc.



More Sunitinib resources:

Cerner Multum sunitinib

FDA Sutent

Sunitinib Drug Interactions

Compare Sunitinib with other medications for the treatment of:

Renal Cell Carcinoma, Gastrointestinal Stromal Tumor

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