AFINITOR is an mTOR inhibitor
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Understanding Side Effects
AFINITOR® (everolimus) Tablets
MOST SERIOUS SIDE EFFECTS
AFINITOR® (everolimus) Tablets can cause serious side effects, including the following:
You may develop lung or breathing problems: In some people, lung or breathing problems may be severe and can lead to death. Tell your health care provider right away if you have any of these symptoms: new or worsening cough, shortness of breath, chest pain, difficulty breathing, or wheezing.
You may be more likely to develop an infection, such as pneumonia, or a bacterial, fungal, or viral infection. Viral infections 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 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, have chills, or do not feel well. Symptoms of hepatitis B or infection may include the following: fever, chills, skin rash, joint pain and swelling, tiredness, loss of appetite, nausea, pale stools or dark urine, yellowing of the skin, or pain in the upper right side of the stomach.
Severe allergic reactions: 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 an 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.
Mouth ulcers: AFINITOR can cause mouth ulcers and sores. 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. Tell your health care provider if you have pain, discomfort, or open sores in your mouth. Your health care provider may tell you to restart this mouthwash or to use a special mouthwash or gel that does not contain alcohol, hydrogen peroxide, iodine, or thyme.
You may develop kidney failure: In some people, this may be severe and can lead to death. Your health care provider should do tests to check your kidney function before and during your treatment with AFINITOR.
Risk of wound healing problems: Wounds may not heal properly during treatment with AFINITOR. Tell your health care provider if you plan to have any surgery before starting or during treatment with AFINITOR. You should stop taking AFINITOR at least 1 week before planned surgery. Your health care provider should tell you when you may start taking AFINITOR after surgery.
Increased blood sugar and fat (cholesterol and triglyceride) levels in blood: Your health care provider should do blood tests to check your fasting blood sugar, cholesterol, and triglyceride levels in your 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.
Worsening side effects from radiation treatment can sometimes be severe. Tell your health care provider if you have had or are planning to receive radiation therapy.
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 doctor’s instructions.
COMMON SIDE EFFECTS
The most common side effects of AFINITOR in people who have renal angiomyolipoma:
Common side effects include mouth ulcers. AFINITOR can cause mouth ulcers and sores and respiratory tract infections.
Other side effects that may occur with AFINITOR:
- Absence of menstrual periods (menstruation). You may miss 1 or more menstrual periods. Tell your health care provider if this happens
- AFINITOR may affect fertility in females and males, and may affect your ability to become pregnant if you are female or your ability to father a child if you are male. Talk to your health care provider if this is a concern for you
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. Call your doctor for medical advice about side effects.
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.
Find answers to common questions about AFINITOR and its use in treating TSC‑associated renal angiomyolipoma