Comprimés de Vandetanib
Caprelsa
Revu par Sid DajaniDernière mise à jour par Michael Stewart, MRPharmSDernière mise à jour 7 août 2023
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Vandetanib is taken once daily. You can swallow the tablet with a drink of water or allow it to disperse in half a glass of plain water.
You can take vandetanib tablets before or after meals.
Vous devrez passer des examens réguliers. Il est important que vous respectiez les rendez-vous réguliers avec votre médecin ou votre hôpital.
Let your doctor know about any side-effects of this treatment.
En un coup d'œil
Vandetanib is an anti-cancer medicine used to treat medullary thyroid cancer.
It works by preventing the cancer from growing blood vessels and blocking growth signals.
Prendre un comprimé par jour à la même heure chaque jour, avec ou sans nourriture.
It can be dissolved in water if you have difficulty swallowing.
You will need regular check-ups, including heart monitoring with an ECG.
Keep a Patient Alert Card, which explains treatment risks.
Avoid getting pregnant during treatment and use sun protection as your skin may be sensitive.
Common side-effects include diarrhoea, headache, nausea, and skin rash.
About vandetanib
Type de médicament | An anti-cancer medicine (a protein kinase inhibitor) |
Utilisé pour | Medullary thyroid cancer |
Aussi appelé | Caprelsa® |
Disponible sous forme de | Comprimés |
Vandetanib is a medicine which is given to help control the symptoms of medullary thyroid cancer. This is a rare type of cancer that can run in families. The cancer grows from cells in the thyroid gland which make a hormone called calcitonin.
In cancer, certain cells in the body grow and multiply in a way that is 'out of control'. Anti-cancer medicines slow down the way cancer cells grow and spread. Vandetanib belongs to a group of anti-cancer medicines known as protein kinase inhibitors. It works by preventing the cancer from developing blood vessels which it needs in order for it to grow. It may also block signals sent to cancer cells to make them grow.
Before taking vandetanib
Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking vandetanib it is important that your doctor knows:
Si vous avez une infection ou vous vous sentez particulièrement mal.
If you have an unusual heart rhythm.
Si vous avez une hypertension artérielle (hypertension).
Si vous avez des problèmes avec le fonctionnement de votre foie ou de vos reins.
Si vous êtes enceinte ou si vous allaitez.
Si vous prenez ou utilisez d'autres médicaments. Cela inclut tous les médicaments que vous prenez et qui sont disponibles à l'achat sans ordonnance, ainsi que les médicaments à base de plantes et complémentaires.
Si vous avez déjà eu une réaction allergique à un médicament.
How to take vandetanib tablets
Before you start the treatment, read any printed information you have been given by your doctor and the printed manufacturer's leaflet from inside the pack of tablets. These will give you more information about vandetanib and will provide a full list of the side-effects which you may experience from taking it.
Vandetanib will be prescribed for you by a specialist doctor who is experienced in treating your condition. It is usual to be prescribed one tablet of 300 mg to take every day, although it may be necessary to reduce the dose if you experience unwanted effects. The directions for taking the tablets will be printed on the label of the pack to remind you what your doctor has told you to do, but if you have any concerns or questions, you should contact your doctor or hospital clinic for further advice.
You can take the tablet at whatever time of day you find easiest to remember, but try to take your doses at the same time of day, each day. This will help you to avoid missing any doses.
You can take your doses before or after meals. Swallow the tablet with a drink of water. If you have problems swallowing, you can add the tablet to half a glass of plain drinking water, stirring it gently until it is dissolved. This may take about 10 minutes. Drink the mixture straightaway. Add some more water to your glass and then drink this too - this is to make sure you get the full dose of the medicine.
If you forget to take a dose, take it as soon as you remember unless you are more than 12 hours late. If you are more than 12 hours late, leave out the forgotten dose but remember to take your next tablet at the usual time. Do not take two tablets together to make up for a missed dose.
Tirer le meilleur parti de votre traitement
You must try to keep your regular appointments with your doctor or hospital. This is so your doctor can check on your progress. You will need to have regular check-ups during treatment. Changes in your heart rhythm can occur so your doctor will arrange for you to have regular electrocardiograms (ECGs) to monitor for this.
You will be given a Patient Alert Card which will explain to you the risks of treatment with vandetanib. Keep this card and show it to anyone who is helping with your care.
Vandetanib may cause your skin to become more sensitive to sunlight than normal. Wear clothing that will protect the exposed areas of your skin and/or use a sun cream that protects against UVA light and has a sun protection factor (SPF) of at least 15. Do not use sunbeds.
If you buy or take any other medicines, check with a pharmacist that they are suitable to take alongside vandetanib. In particular, you should not take any preparations which contain St John's wort (a herbal remedy used for low moods), as it can reduce the effectiveness of vandetanib.
It is important that you do not get pregnant while you are taking vandetanib (and for several months after the treatment has finished). If this could be a possibility for you, make sure you discuss with your doctor which types of contraception are suitable for you and your partner.
Can vandetanib cause problems?
There are a number of unwanted side-effects of treatment with vandetanib, some of which may be serious or severe in nature. Your doctor will discuss with you the possibility of these occurring and what you should do if you get them. The table below contains some of the most common side-effects. You will find a full list in the manufacturer's information leaflet and the Patient Alert Card supplied with your tablets.
Very common vandetanib side-effects (these affect more than 1 in 10 people) | Que puis-je faire si je ressens cela ? |
Diarrhée | You will be prescribed an antidiarrhoeal medicine to help with this. Make sure you drink plenty of water to replace any lost fluids |
Headache, blurred vision | If this is associated with any changes in your alertness, let your doctor know immédiatement |
Feeling sick (nausea) or being sick (vomiting), indigestion, abdominal discomfort | Stick to simple foods - avoid rich or spicy foods. Let your doctor know if it continues |
Se sentir étourdi ou fatigué | Let your doctor know about this as soon as possible, especially if you also feel faint |
Itchy skin rash | Let your doctor know about this as soon as possible - your dose may need adjusting |
Infections, lack of appetite, mood changes, problems sleeping, tingling feelings, nail disorders, swollen hands or feet | Si cela pose problème, parlez-en à votre médecin |
High blood pressure, low blood calcium, heart rhythm changes | Votre médecin vérifiera régulièrement ceux-ci |
If you experience any other symptoms, speak with your doctor or pharmacist for further advice.
How to store vandetanib
Gardez tous les médicaments hors de la portée et de la vue des enfants.
Conserver dans un endroit frais et sec, à l'abri de la chaleur et de la lumière directes.
Veuillez retourner toutes les tablettes inutilisées ou indésirables à votre clinique ou pharmacie pour destruction.
Informations importantes sur tous les médicaments
Informations importantes sur tous les médicaments
Ne prenez jamais plus que la dose prescrite. Si vous soupçonnez que vous ou quelqu'un d'autre avez pris une surdose de ce médicament, rendez-vous au service des urgences de votre hôpital local. Emportez le contenant avec vous, même s'il est vide.
Ce médicament est pour vous. Ne le donnez jamais à d'autres personnes, même si leur état semble être le même que le vôtre.
If you are due to have an operation or dental treatment, always tell the person carrying out the treatment which medicines you are taking.
Ne gardez pas de médicaments périmés ou indésirables. Apportez-les à votre pharmacie locale qui s'en débarrassera pour vous.
Si vous avez des questions concernant ce médicament, demandez à votre pharmacien.
Signaler les effets secondaires d'un médicament ou d'un vaccin
Si vous ressentez des effets secondaires, vous pouvez les signaler en ligne via le Site web de Yellow Card.

Vous n'êtes pas sûr de mélanger des médicaments ?
Vérifiez les interactions possibles entre les médicaments, les compléments et les aliments avant de les prendre ensemble.
Questions fréquemment posées
What is the purpose of the regular check-ups and ECGs while taking vandetanib?
Regular check-ups are essential for your doctor to monitor your progress during treatment. Specifically, regular electrocardiograms (ECGs) will be arranged to check for any changes in your heart rhythm, as these can occur with vandetanib.
Why is it important to use contraception while taking vandetanib, and for how long after treatment finishes?
It is very important to avoid becoming pregnant while undergoing treatment with vandetanib and for several months after you have stopped taking the medicine. You should discuss suitable contraception options with your doctor if there is a possibility of pregnancy.
What should I do if I experience an itchy skin rash while on vandetanib?
If you develop an itchy skin rash, you should inform your doctor about it as soon as possible. Your doctor may need to adjust your dosage of vandetanib.
What should I do if I forget to take my vandetanib tablet?
If you forget a dose, take it as soon as you remember, unless more than 12 hours have passed. If it's been longer than 12 hours, skip the missed dose and simply take your next tablet at the usual time. Do not take two tablets at once to compensate for a forgotten dose.
Can I take other medicines, including herbal remedies, with vandetanib?
Before taking any other medicines, including those bought without a prescription, or herbal and complementary medicines, you should check with a pharmacist to ensure they are suitable to take alongside vandetanib. It is particularly important to avoid St John's wort, a herbal remedy for low moods, as it can reduce vandetanib's effectiveness.
Lectures complémentaires et références
- Manufacturer's PIL, Caprelsa® 100 mg and 300 mg film coated tablets; Sanofi Genzyme, The electronic Medicines Compendium. Dated November 2022.
- Médicaments Complets BNF 89e Édition; Association Médicale Britannique et Société Royale Pharmaceutique de Grande-Bretagne, Londres.
À propos de l'auteurVoir la biographie complète

Michael Stewart, MRPharmS
Responsable de l'examen des notices de médicaments – Contractuel, Pharmacien
BPharm (Hons), MRPharmS
Michael est un pharmacien communautaire exerçant dans les Midlands et le South Yorkshire avec plus de 20 ans d'expérience dans le conseil sur les médicaments et les conditions médicales. Il possède une solide expérience en formation dans le domaine de la santé, ayant produit et dispensé des cours de formation pour les équipes de pharmacie et le personnel des établissements de soins résidentiels, y compris les infirmières. Il a également contribué aux comités consultatifs de pharmacie pour la gestion des affections de faible gravité dans la communauté.
À propos du critique

Sid Dajani
Sultan Dajani a obtenu son diplôme à la London School of Pharmacy en 1994 et est devenu le plus jeune membre élu du conseil de la Royal Pharmaceutical Society depuis sa fondation en 1842.
Historique de l'article
Les informations sur cette page sont rédigées et examinées par des cliniciens qualifiés.
Article également disponible en Anglais, Allemand, Espagnol, Français, Italien, Portugais, Hindi, Hébreu, Arabe, and Suédois.
Next review due: 6 Aug 2026
7 août 2023 | Dernière version

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