For US residents only.
AFINITOR is a prescription medicine used to treat adults with a type of pancreatic cancer known as pancreatic neuroendocrine tumor (PNET) that has progressed and cannot be treated with surgery.
AFINITOR is not for use in people with carcinoid tumors that actively produce hormones.
AFINITOR works by blocking the mammalian target of rapamycin (mTOR) protein. In doing so, AFINITOR helps to slow blood vessels from feeding oxygen and nutrients to the tumor. AFINITOR may also affect healthy, nontumor cells. Although AFINITOR has been studied in patients with advanced PNET, how AFINITOR works has been demonstrated only in laboratory studies.
Click here to get the full Prescribing Information for AFINITOR.
Take AFINITOR once a day at the same time each day. AFINITOR is a prescription medicine that is a once-daily oral tablet. Take AFINITOR exactly as prescribed by your doctor. When you start treatment with AFINITOR, your health care provider may also prescribe a mouthwash to reduce the likelihood of getting mouth ulcers or sores and to reduce their severity. Follow your health care provider’s instructions on how to use this prescription mouthwash. Your doctor may change your dose of AFINITOR or tell you to temporarily interrupt dosing if needed.
Share lists of all your prescription medicines, over-the-counter medicines, and herbal supplements and vitamins with your health care provider and your pharmacist. Talk with your health care provider before starting any new medicine.
You should have regular blood tests before you start AFINITOR and as needed during your treatment. These will include tests to check your blood cell count, kidney and liver function, cholesterol, and blood sugar levels.
You should NOT drink grapefruit juice or eat grapefruit during your treatment with AFINITOR. It may make the amount of AFINITOR in your blood increase to a harmful level.
Before you start treatment with AFINITOR, it is important to tell your doctor about all the prescription and over-the-counter medicines, vitamins, and herbal supplements you are taking. This is important because some of these may affect how AFINITOR works, or AFINITOR may affect how they work. Using AFINITOR with other medicines can cause serious side effects.
Keep a list of medicines you take and show it to your health care provider when you get a new medicine.
Especially tell your doctor if you take St John’s wort (Hypericum perforatum), and medicines that weaken your immune system (your body’s ability to fight infections and other problems), or medicines for:
Ask your health care provider or pharmacist if you are not sure if your medicine is one of those taken for the conditions listed above. If you are taking any medicines for the conditions listed above, your health care provider might need to prescribe a different medicine, or your dose of AFINITOR may need to be changed. You should also tell your health care provider before you start taking any new medicine.
Talk to your health care provider before taking this medicine if you are allergic to:
Before taking AFINITOR, tell your health care provider about all of your medical conditions, including if you:
The brand names mentioned above are the property of their respective trademark owners.
Your doctors and nurses are here to help you with your advanced PNET. It is best to speak openly with them about how you feel and your treatment. Here are a few suggestions to help you:
Keeping an open dialogue with your doctor is very important when you are taking AFINITOR, or any other medication. By telling your doctor about any progress you are making, how you are feeling, or medications you are taking or side effects you are experiencing, you will help your doctor choose the treatment that is best for you.
Download the AFINITOR Patient Brochure which includes a list of questions to ask your doctor and other helpful information to help you track symptoms and side effects.
As you continue along on your advanced PNET treatment journey, keep in mind that having cancer does not change the person you are. Talk to your health care team and learn as much as you can. Do not be afraid to ask for help from your doctors, friends, and support team whenever you feel you need it. Most importantly, always remember that you are not alone.
Your health care provider will prescribe the dose of AFINITOR that is right for you. AFINITOR is available in 2.5-mg, 5-mg, 7.5-mg, and 10-mg strength tablets that are white to slightly yellow in color.
If you miss a dose of AFINITOR, you may take it if it is less than 6 hours after the time you normally take it. If it is more than 6 hours after you normally take your AFINITOR, skip the dose for that day. The next day, take AFINITOR at your usual time. Do not take 2 doses to make up for a missed dose. If you are not sure about what to do, call your health care provider.
If you take too much AFINITOR, contact your health care provider or go to the nearest hospital emergency room right away. Take the pack of AFINITOR with you.
AFINITOR tablets come in blister packaging. This protects them from moisture and light. To store your tablets:
Always be sure to call your doctor if you have any questions about taking your medicine. Also, remember to keep AFINITOR and all medicines out of the reach of children.
AFINITOR may cause side effects in some individuals and every patient's experience with AFINITOR will be different. Some people will experience more side effects than other people. Remember to talk to your doctor about any side effects that may appear, so that together you can work to find a way to manage them.
Serious side effects have been reported with AFINITOR:
You may develop lung or breathing problems. In some people lung or breathing problems may be severe, and can even lead to death. Tell your health care provider right away if you have any of these symptoms:
You may be more likely to develop an infection, such as pneumonia, or a bacterial, fungal or viral infection. Viral infections may include active hepatitis B in people who have had hepatitis B in the past (reactivation). In some people (including adults and children) these infections may be severe, and can even lead to death. You may need to be treated as soon as possible.
Tell your health care provider right away if you have a temperature of 100.5°F or above, chills, or do not feel well.
Symptoms of hepatitis B or infection may include the following:
Severe allergic reactions. Severe allergic reactions can happen in people who take AFINITOR. Call your health care provider or get medical help right away if you get signs and symptoms of a severe allergic reaction including: rash, itching, hives, flushing, trouble breathing or swallowing, chest pain or dizziness.
Possible increased risk for a type of allergic reaction called angioedema, in people who take an Angiotensin-Converting Enzyme (ACE) inhibitor medicine during treatment with AFINITOR. Talk with your health care provider before taking AFINITOR if you are not sure if you take an ACE inhibitor medicine. Get medical help right away if you have trouble breathing or develop swelling of your tongue, mouth, or throat during treatment with AFINITOR.
You may develop kidney failure. In some people this may be severe and can even lead to death. Your health care provider should do tests to check your kidney function before and during your treatment with AFINITOR.
If you have any of the serious side effects listed above, you may need to stop taking AFINITOR for a while or use a lower dose. Follow your health care provider's instructions.
Delayed wound healing. AFINITOR can cause incisions to heal slowly or not heal well. Call your health care provider right away if your incision is red, warm, or painful; if you have blood, fluid, or pus in your incision; if your incision opens up; or if your incision swells.
Increased blood sugar and fat (cholesterol and triglyceride) levels in the blood. Your health care provider should do blood tests to check your fasting blood sugar, cholesterol, and triglyceride levels in the blood before you start and during treatment with AFINITOR.
Decreased blood cell counts. AFINITOR can cause you to have decreased red blood cells, white blood cells, and platelets. Your health care provider should do blood tests to check your blood cell counts before you start and during treatment with AFINITOR.
Common side effects of AFINITOR in people with advanced pancreatic neuroendocrine tumors include:
Other side effects that may occur with AFINITOR:
Tell your health care provider if you have any side effect that bothers you or does not go away.
These are not all the possible side effects of AFINITOR. For more information, ask your health care provider or pharmacist.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Novartis Oncology is committed to helping you get the medicines you need. Getting access to medications can sometimes be difficult or confusing. Patient Assistance Now Oncology (PANO) offers tools and support designed specifically to help make that process easier.
Support for patients includes:
Your journey with advanced PNET is not one you are managing alone. Your family and friends can be there to help you with daily tasks, as well as with talking to your doctor and helping you with your medication. Allowing your caregivers, family, and friends to play an important role in your health and well-being can help them be closer to you. You can also turn to support groups in order to connect with other people who have been affected by PNET.
Here are some ways your family and friends may be able to help. They can:
Finding out you have advanced PNET is very difficult. However, you are not alone in your journey.
Finding out as much as you can about advanced PNET will help you play a part in the important decisions you and your doctor will be making.
Get PNET resources and support group information.