Vandetanib Side Effects

It is possible that some side effects of vandetanib may not have been reported. These can be reported to the FDA here. Always consult a healthcare professional for medical advice.

For the Consumer

Applies to vandetanib: oral tablet

As well as its needed effects, vandetanib may cause unwanted side effects that require medical attention.

If any of the following side effects occur while taking vandetanib, check with your doctor immediately:

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 vandetanib side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. Your health care professional may be able to help you prevent or reduce these side effects, but do check with them if any of the following side effects continue, or if you are concerned 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

For Healthcare Professionals

Applies to vandetanib: oral tablet

General

In general, the most commonly reported side effects (greater than 20%) have included diarrhea, rash, acne, nausea, hypertension, headache, fatigue, decreased appetite, abdominal pain, hypocalcemia, hypoglycemia, and increased ALT.

Cardiovascular

Cardiovascular side effects have included hypertension (33%; grade 3 to 4: 9%), QT interval prolongation (14%; grade 3 to 4: 8%), cardiac failure, and arrhythmias.

Dermatologic

The types of rash reported have included erythematous rash, generalized rash, maculopapular rash, exfoliative dermatitis, bullous dermatitis, generalized erythema, and eczema.

Nail abnormalities include nail disorder, nail bed inflammation, nail bed tenderness, paronychia, nail bed infection, and nail infection.

Dermatologic side effects have included rash (53%; grade 3 to 4: 5%), dermatitis acneiform/acne (35%; grade 3 to 4: 1%), dry skin (15%), photosensitivity reaction (13%; grade 3 to 4: 2%), pruritus (11%; grade 3 to 4: 1%), nail abnormalities (9%), alopecia (8%), folliculitis, blue-gray macules, and hand-foot skin reaction.

Gastrointestinal

Gastrointestinal side effects have included diarrhea/colitis (57%; grade 3 to 4: 11%), nausea (33%; grade 3 to 4: 1%), decreased appetite (21%; grade 3 to 4: 4%), abdominal pain (21%; grade 3 to 4: 3%), vomiting (15%; grade 3 to 4: 1%), dyspepsia (11%), dry mouth (9%), intestinal perforation (0.4%), and pancreatitis.

Genitourinary

Genitourinary side effects have included proteinuria (10%).

Hematologic

Hematologic side effects have included bleeding events, decreased white blood cells (19%), decreased hemoglobin (13%), decreased neutrophils (10%), and decreased platelets (9%).

Hepatic

Hepatic side effects have included increased ALT (51%).

Immunologic

Immunologic side effects have included sepsis.

Metabolic

Metabolic side effects have included decreased calcium (57%; grade 3 to 4: 6%), hypoglycemia (24%), weight loss (10%; grade 3 to 4: 1%), decreased magnesium (7%), increased calcium (7%), decreased potassium (6%), increased potassium (6%), increased glucose (5%), and increased magnesium (3%).

Musculoskeletal

Musculoskeletal side effects have included arthralgia.

Nervous system

Nervous system side effects have included headache (26%; grade 3 to 4: 1%) and dysgeusia (8%).

Ocular

Ocular side effects have included corneal abnormalities (13%) and blurred vision (9%).

Other

Other side effects have included fatigue (24%; grade 3 to 4: 6%), asthenia, and pyrexia.

Psychiatric

Psychiatric side effects have included depression (10%; grade 3 to 4: 2%).

Renal

Renal side effects have included increased creatinine (16%) and increased bilirubin (13%).

Respiratory

Respiratory side effects have included upper respiratory infection (23%), respiratory failure, respiratory arrest, and aspiration pneumonia.

Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. This information is a reference resource designed as supplement to, and not a substitute for, the expertise, skill , knowledge, and judgement of healthcare practitioners in patient care. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. Drugs.com does not assume any responsibility for any aspect of healthcare administered with the aid of materials provided. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the substances you are taking, check with your doctor, nurse, or pharmacist.

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