LENVIMA dosing and administration
Once a day. Every day. With or without food1
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Recommended LENVIMA dose: 24 mg (two 10-mg capsules and one 4-mg capsule).1
- Place the required number of capsules, up to a maximum of 5, in a small container (approximately 20 mL capacity) or syringe (20 mL). Do not break or crush capsules
- Add 3 mL of liquid to the container or syringe. Wait 10 minutes for the capsule shell (outer surface) to disintegrate, then stir or shake the mixture for 3 minutes until capsules are fully disintegrated and administer the entire contents
- Next, add an additional 2 mL of liquid to the container or syringe using a second syringe or dropper, swirl or shake and administer. Repeat this step at least once and until there is no visible residue to ensure all of the medication is taken
- If 6 capsules are required for a dose, follow these instructions using 3 capsules at a time
Preparation of suspension:
If LENVIMA suspension is not used at the time of preparation, LENVIMA suspension may be stored in a refrigerator at 36°F to 46°F (2°C to 8°C) for a maximum of 24 hours in a covered container. If not administered within 24 hours, the suspension should be discarded.
Note: Compatibility has been confirmed for polypropylene syringes and for feeding tubes of at least 5 French diameter (polyvinyl chloride or polyurethane tube) and at least 6 French diameter (silicone tube).
Dose modifications for renal or hepatic impairment
Recommended dose of LENVIMA for severe renal or hepatic impairment1
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No dose adjustment is recommended in patients with mild or moderate renal or hepatic impairment.*
LENVIMA has not been studied in patients with end-stage renal disease.
CrCl=creatinine clearance.
- *Mild renal impairment is defined as CrCl 60-89 mL/min and moderate renal impairment is defined as CrCl 30-59 mL/min. Mild and moderate hepatic impairment is defined as Child-Pugh A and Child-Pugh B, respectively.
- aAs calculated by the Cockcroft-Gault equation.
LENVIMA capsules are supplied in cartons of 6 blister cards. Each carton contains a 30-day supply of LENVIMA capsules1
- Continue LENVIMA until disease progression or until unacceptable toxicity
- LENVIMA should be taken at the same time each day. If a patient misses a dose, and it cannot be taken within 12 hours, then that dose should be skipped, and the next dose should be taken at the usual time of administration
- LENVIMA is available as 10-mg and 4-mg capsules
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