৳ 300/unit
Pack: ৳ 1,200
৳ 300/unit
Pack: ৳ 1,200
At a glance
Sorafenib is a tyrosine kinase inhibitor used for the treatment of unresectable hepatocellular carcinoma, advanced renal cell carcinoma, and thyroid cancer. It inhibits tumor cell proliferation and angiogenesis.
Indications
- Unresectable hepatocellular carcinoma (HCC)
- Advanced renal cell carcinoma (RCC)
- Thyroid cancer
Pharmacology
Sorafenib inhibits multiple intracellular kinases (CRAF, BRAF, mutant BRAF) and cell surface kinases (VEGFR-1, VEGFR-2, VEGFR-3, PDGFR-β, KIT, FLT-3, RET). It blocks RAF/MEK/ERK signaling and VEGF-mediated angiogenesis, reducing tumor cell proliferation and tumor angiogenesis.
Dosage
Adult Dose (Oral):
- Recommended: 400 mg twice daily (without food, 1 hour before or 2 hours after a meal)
- Continue until clinical benefit or unacceptable toxicity
- Dose reduction: 400 mg once daily; if needed, 400 mg every other day
Side effects
Common Side Effects:
- Fatigue
- Nausea, loss of appetite
- Diarrhea, abdominal pain
- Hair loss, weight loss
- Rash, painful blisters on hands and feet (hand-foot skin reaction)
Serious:
- Cardiac ischemia/infarction
- Hemorrhage, hypertension
- Gastrointestinal perforation
Use in pregnancy
Use in Pregnancy: Unsafe (Category D); evidence of fetal risk; use only in life-threatening situations; consult your doctor.
Pregnancy Category: D — always consult a doctor before taking during pregnancy.
Precautions & warnings
- Cardiac ischemia/infarction: Consider temporary or permanent discontinuation
- Hemorrhage: Consider permanent discontinuation if medical intervention needed
- Hypertension: Regular monitoring; temporary/permanent discontinuation for severe or persistent
- GI perforation: Discontinue
- With warfarin: Monitor INR/prothrombin time
Overdose effects
No specific antidote; highest clinical dose 800 mg twice daily; diarrhea and dermatologic reactions are primary; provide symptomatic treatment.
Storage conditions
Store at room temperature below 30°C; do not remove desiccant; dispense in original bottle.