أقراص سورافينيب
Nexavar
مراجعة من قبل Sid Dajaniآخر تحديث بواسطة Michael Stewart, MRPharmSLast updated 7 أغسطس 2023
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Sorafenib is given for cancer. It is taken twice a day.
Take the tablets either when your stomach is empty (which means taking your doses an hour before a meal or waiting until two hours afterwards), or after low-fat meals. Do not take the tablets after meals which have a high fat content as this will make the treatment less effective.
ستحتاج إلى إجراء فحوصات منتظمة، لذا من المهم أن تحافظ على مواعيدك مع طبيبك و/أو المستشفى.
At a glance
Sorafenib is an anti-cancer medicine that slows down the growth and spread of cancer cells.
It is used to treat certain types of cancer, such as kidney cancer and liver cancer.
Take your tablets with water, either on an empty stomach or after a low-fat meal.
Do not take sorafenib with high-fat meals as this can make it less effective.
Common side-effects include diarrhoea, feeling sick, aches, skin rashes, and tiredness.
Your doctor will discuss suitable contraception, as you should not get pregnant while taking sorafenib.
If you have diabetes, discuss your medication with your doctor as sorafenib can affect blood sugar levels.
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Video picks for علاج السرطان والأدوية
تابع القراءة أدناه
About sorafenib
نوع الدواء | A kinase inhibitor anti-cancer medicine |
يستخدم لـ | Cancer (such as kidney cancer and liver cancer) |
يُعرف أيضًا باسم | Nexavar® |
متوفر كـ | أقراص |
In cancer, certain cells in the body grow and multiply in a way that is 'out of control'. Medicines like sorafenib slow down the way cancer cells grow and spread. Sorafenib belongs to a group of anti-cancer medicines known as kinase inhibitors. These work by blocking chemical messengers (called kinases) which send signals to cells to grow. In addition to this action, sorafenib also has a second way of working - it prevents the cancer from developing the blood vessels which it needs in order for its cells to grow. Together, these actions slow down the spread of cancer cells.
Before taking sorafenib
العودة إلى المحتوياتSome 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 sorafenib it is important that your doctor knows:
إذا كنت تعاني من عدوى أو تشعر بتوعك شديد.
إذا كنت تعاني من حالة قلبية أو إيقاع قلب غير طبيعي.
If you have raised blood sugar levels (diabetes).
إذا كنت حاملاً أو مرضعة.
إذا كنت تتناول أو تستخدم أي أدوية أخرى. يشمل ذلك أي أدوية تتناولها والتي يمكن شراؤها بدون وصفة طبية، بالإضافة إلى الأدوية العشبية والمكملات الغذائية.
إذا كنت قد تعرضت في أي وقت مضى لرد فعل تحسسي تجاه دواء.
تابع القراءة أدناه
How to take sorafenib
العودة إلى المحتوياتBefore 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 sorafenib and will provide a full list of the side-effects which you may experience from taking it.
Sorafenib will be prescribed for you by a specialist doctor who is experienced in treating your condition. It is important that you take the tablets exactly as you are told to. It is usual to be prescribed two tablets of 200 mg to take twice daily. 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.
Swallow the tablets with a drink of water. You can take the tablets either when your stomach is empty (which means taking your doses an hour before a meal or waiting until two hours afterwards), or after a low-fat meal. Do not take your doses after meals which contain high amounts of fat. High-fat foods can interfere with the way your body absorbs sorafenib and this could make your treatment less effective.
If you forget to take a dose, take it as soon as you remember unless your next dose is due. If it is nearly time for your next dose then take the dose which is due but leave out the forgotten dose. Do not take two doses together to make up for a missed dose.
تحقيق أقصى استفادة من علاجك
العودة إلى المحتوياتYou 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.
Treatment with sorafenib can cause low blood sugar levels. If you are also taking medication for diabetes your dosage may need changing. Discuss this with your doctor.
If you buy or take any other medicines, check with a pharmacist that they are suitable to take alongside sorafenib. 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 sorafenib.
إذا كنت ستخضع لعملية جراحية أو علاج أسنان، احرص دائمًا على إخبار الشخص الذي يقوم بالعلاج بالأدوية التي تتناولها.
It is important that you do not get pregnant while you are taking sorafenib. 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.
تابع القراءة أدناه
Can sorafenib cause problems?
العودة إلى المحتوياتAlong with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with sorafenib. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects may improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Very common sorafenib side-effects (these affect more than 1 in 10 people) | ماذا يمكنني أن أفعل إذا واجهت هذا؟ |
إسهال | اشرب الكثير من الماء |
الشعور بالغثيان (الغثيان) أو التقيؤ (القيء) | Stick to simple foods - avoid rich or spicy foods |
Aches and pains | اطلب من طبيبك أو الصيدلي أن يوصي بمسكن ألم مناسب |
Skin rashes and soreness (particularly on your hands or feet), bleeding problems, hair thinning, feeling tired | Speak with your doctor for advice |
High blood pressure, heart problems (let your doctor know straightaway if you get chest pain), changes to some blood tests | Your doctor will regularly check for these |
If you experience any other symptoms which you think may be due to the tablets, speak with your doctor or pharmacist.
How to store sorafenib
العودة إلى المحتوياتاحفظ جميع الأدوية بعيدًا عن متناول ورؤية الأطفال.
احفظه في مكان بارد وجاف، بعيدًا عن الحرارة المباشرة والضوء.
يرجى إعادة أي أقراص غير مستخدمة أو غير مرغوب فيها إلى عيادتك أو صيدليتك للتخلص منها.
معلومات هامة عن جميع الأدوية
العودة إلى المحتوياتمعلومات هامة عن جميع الأدوية
لا تأخذ أبدًا أكثر من الجرعة الموصوفة. إذا كنت تشك في أنك أو شخص آخر قد تناول جرعة زائدة من هذا الدواء، اذهب إلى قسم الحوادث والطوارئ في مستشفى منطقتك. خذ العبوة معك، حتى لو كانت فارغة.
هذا الدواء لك. لا تعطه لأشخاص آخرين حتى لو بدت حالتهم مشابهة لحالتك.
لا تحتفظ بالأدوية منتهية الصلاحية أو غير المرغوب فيها. خذها إلى صيدليتك المحلية التي ستتولى التخلص منها نيابة عنك.
إذا كان لديك أي أسئلة حول هذا الدواء، اسأل الصيدلي الخاص بك.
الإبلاغ عن الآثار الجانبية لدواء أو لقاح
إذا واجهت آثارًا جانبية، يمكنك الإبلاغ عنها عبر الإنترنت من خلال Yellow Card website.

غير متأكد من خلط الأدوية؟
تحقق من التفاعلات المحتملة بين الأدوية والمكملات الغذائية والأطعمة قبل تناولها معًا.
الأسئلة الشائعة
What should I do if I accidentally take a high-fat meal close to my sorafenib dose?
High-fat foods can interfere with how your body absorbs sorafenib, making the treatment less effective. The article advises taking doses either an hour before a meal or two hours after to ensure an empty stomach, or after a low-fat meal. It specifically states not to take doses after meals with high amounts of fat. If this happens, you should speak with your doctor or hospital clinic for further advice.
I'm on sorafenib and I'm experiencing low moods. Can I take St John's wort?
No, you should not take any preparations which contain St John's wort (a herbal remedy used for low moods) while on sorafenib, as it can reduce the effectiveness of sorafenib. If you are experiencing low moods, you should discuss this with your doctor.
What should I tell my doctor or dentist before an operation or dental treatment while taking sorafenib?
It is important to always tell the person carrying out the treatment, whether it is an operation or dental treatment, which medicines you are taking, including sorafenib.
What kind of contraception do I need to use if I'm taking sorafenib?
It is very important that you do not get pregnant while you are taking sorafenib. If there's a possibility of you becoming pregnant, you should discuss with your doctor which types of contraception are suitable for you and your partner.
How do I dispose of any unused or unwanted sorafenib tablets?
You should return any unused or unwanted tablets to your clinic or pharmacy to be destroyed. Do not keep out-of-date or unwanted medicines at home; your local pharmacy will dispose of them for you.
What should I do if I suspect I've taken too much sorafenib?
If you suspect that you or someone else might have taken an overdose of sorafenib, you should go to the accident and emergency department of your local hospital immediately. Remember to take the container with you, even if it is empty.
قراءة إضافية ومراجع
- Manufacturer's PIL, Nexavar® 200 mg film-coated tablets; Bayer plc, The electronic Medicines Compendium. Dated September 2022.
- الأدوية كاملة BNF الطبعة 89; الجمعية الطبية البريطانية والجمعية الملكية الصيدلانية لبريطانيا العظمى، لندن.
تابع القراءة أدناه
About the authorView full bio

مايكل ستيوارت، MRPharmS
Medicine Leaflet Review Manager – Contractor, Pharmacist
BPharm (Hons), MRPharmS
Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.
About the reviewer

سيد داجاني
Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.
تاريخ المقال
تمت كتابة المعلومات على هذه الصفحة ومراجعتها من قبل أطباء مؤهلين.
المراجعة التالية مستحقة: 6 أغسطس 2026
7 أغسطس 2023 | أحدث إصدار

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