{"id":4960,"date":"2020-12-04T09:49:06","date_gmt":"2020-12-04T09:49:06","guid":{"rendered":"https:\/\/zeepedia.com\/?p=4960"},"modified":"2021-08-11T06:28:20","modified_gmt":"2021-08-11T06:28:20","slug":"afinitor","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/afinitor\/","title":{"rendered":"Afinitor &#8211; Everolimus uses, dose and side effects"},"content":{"rendered":"\n<p>Tablet 2.5 mg&nbsp;<br>(white to yellowish, oblong tablets approximately 10.1 mm long and 4.1 mm wide, with beveled edges and without a notch, embossed with \u201cLCL\u201d on one side and \u201cNVR\u201d on the other )<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What the medicine is and what it is used for<\/h2>\n\n\n\n<p>Afinitor is a cancer drug that contains the active substance everolimus.&nbsp;Everolimus reduces the blood supply to the&nbsp;tumor&nbsp;and delays the growth and spread of cancer cells.<\/p>\n\n\n\n<p>Afinitor is used to treat adults with:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>hormone-receptor-positive advanced breast cancer in postmenopausal women, when other treatments (so-called &#8220;non-steroidal aromatase inhibitors&#8221;) no longer keep the disease under control.&nbsp;It is given together with a drug called exemestane, a&nbsp;steroidal&nbsp;aromatase inhibitor, which is used as a hormone treatment for cancer.<\/li><li>Advanced&nbsp;tumors&nbsp;are called neuroendocrine&nbsp;tumors&nbsp;and come from the stomach, intestines, lungs, or&nbsp;pancreas.&nbsp;It is given if the&nbsp;tumors&nbsp;cannot be operated on and if they do not overproduce specific&nbsp;hormones&nbsp;or other related natural substances.<\/li><li>advanced renal cancer (kidney cell carcinoma) when other treatments (so-called \u201cVEGF inhibitors\u201d) have not helped to stop the disease.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before you take Afinitor<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use this medicine<\/h2>\n\n\n\n<p>Afinitor is only prescribed by a doctor who has experience in cancer treatment.&nbsp;Follow your doctor&#8217;s instructions carefully.&nbsp;They may differ from the general information contained in this leaflet.&nbsp;If you have any further questions on the use of Afinitor or why you have been prescribed it, ask your doctor.<\/p>\n\n\n\n<p><strong>Do not take Afinitor<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>if you are allergic<\/strong>&nbsp;to everolimus or related substances, such as&nbsp;sirolimus or <a href=\"https:\/\/zeepedia.com\/medical\/medicines\/torisel\/\">temsirolimus<\/a>, or any of the other ingredients of this medicine (listed in section 6).<\/li><\/ul>\n\n\n\n<p>If you think you may be allergic, ask your doctor for advice.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p><strong>Talk to your doctor before taking Afinitor<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have liver problems or if you have ever had a disease that may have affected your liver.&nbsp;In this case, your doctor may need to&nbsp;prescribe&nbsp;another&nbsp;dose of Afinitor.<\/li><li>if you have&nbsp;diabetes&nbsp;(high blood sugar).&nbsp;Afinitor may increase blood sugar levels and worsen&nbsp;diabetes mellitus.&nbsp;This may result in the need for&nbsp;insulin&nbsp;and\/or oral diabetes medicine.&nbsp;Tell your doctor if you experience any abnormal thirst or that you need to urinate more often.<\/li><li>if you need to be vaccinated while you are being treated with Afinitor.<\/li><li>if you have high cholesterol.&nbsp;Afinitor may increase cholesterol and\/or other blood fats.<\/li><li>if you have recently undergone major surgery, or if you still have an unhealed wound after surgery.&nbsp;Afinitor may increase the risk of wound healing problems.<\/li><li>if you have an&nbsp;infection.&nbsp;It may be necessary to treat&nbsp;infection&nbsp;one before starting treatment with Afinitor.<\/li><li>if you have previously had&nbsp;hepatitis&nbsp;B, as&nbsp;infection&nbsp;may recur during treatment with Afinitor (see section 4 \u201cPossible side effects\u201d).<\/li><\/ul>\n\n\n\n<p>Afinitor can also:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>weaken your immune system.&nbsp;There is therefore a risk that you will get an&nbsp;infection&nbsp;while taking Afinitor.&nbsp;If you get a fever or other signs of an&nbsp;infection, talk to your doctor.&nbsp;Some&nbsp;infections&nbsp;can be severe and can lead to death.<\/li><li>affect renal function.&nbsp;Therefore, your doctor will check your kidney function while you are taking Afinitor.<\/li><li>cause shortness of breath, cough, and fever.<\/li><li>cause sores in the mouth to occur.&nbsp;Your doctor may need to stop or stop taking Afinitor.&nbsp;You may need to use a mouthwash,&nbsp;gel,&nbsp;or other product.&nbsp;Some mouthwashes and&nbsp;gels&nbsp;can aggravate sores in the mouth, so do not try anything without first consulting a doctor.&nbsp;Your doctor may resume treatment with Afinitor at the same or lower&nbsp;dose.<\/li><\/ul>\n\n\n\n<p><strong>Tell your doctor<\/strong>&nbsp;if you experience these symptoms.<br><\/p>\n\n\n\n<p>Blood samples will be taken from you regularly during treatment.&nbsp;Using these, you can check the number of&nbsp;blood cells&nbsp;in your body (&nbsp;white blood cells,&nbsp;red blood cells, and&nbsp;platelets&nbsp;) and see if Afinitor has any unwanted effect on these cells.&nbsp;Blood samples are also taken to check your kidney function (creatinine value), liver function (transaminase value), and blood sugar and cholesterol levels.&nbsp;This is because these can also be affected by Afinitor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Afinitor should not be given to children or adolescents (under 18 years of age).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Use of other medicines<\/h2>\n\n\n\n<p>Afinitor may affect the way some other medicines work.&nbsp;If you are taking other medicines at the same time as Afinitor, your doctor may need to change the&nbsp;dose of one of Afinitor or the other medicines.<\/p>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p>The following may increase the risk of&nbsp;side effects&nbsp;with Afinitor:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>ketoconazole, itraconazole, voriconazole or&nbsp;fluconazole,&nbsp;and other medicines used to treat fungal infections<\/li><li>clarithromycin, telithromycin, or erythromycin &#8211;&nbsp;antibiotics&nbsp;used to treat bacterial infections<\/li><li>ritonavir, and other medicines used to treat&nbsp;HIV&nbsp;infection \/ AIDS<\/li><li>verapamil or&nbsp;diltiazem&nbsp;is used to treat heart conditions or high&nbsp;blood pressure<\/li><li>dronedarone, a drug that regulates heart rhythm<\/li><li>cyclosporine, a drug used to prevent the body from rejecting transplanted organs<\/li><li>imatinib, a drug that inhibits the growth of tumor cells<\/li><li>ACE inhibitors&nbsp;(eg <a href=\"https:\/\/zeepedia.com\/medical\/medicines\/triatec\/\">ramipril<\/a>), used to treat high&nbsp;blood pressure&nbsp;and other cardiovascular diseases.<\/li><li>nefazodone, which is used to treat depression.<\/li><\/ul>\n\n\n\n<p>The following may reduce the effectiveness of Afinitor:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>rifampicin &#8211; used to treat&nbsp;tuberculosis&nbsp;(&nbsp;TB&nbsp;)<\/li><li>efavirenz or nevirapine used to treat&nbsp;HIV&nbsp;infection \/ AIDS<\/li><li>St. John&#8217;s wort&nbsp;(Hypericum perforatum), a traditional herbal medicine used to treat mild depression and other conditions<\/li><li><a href=\"https:\/\/zeepedia.com\/medical\/medicines\/toflacort\/\">dexamethasone<\/a>, a&nbsp;corticosteroid&nbsp;used to treat several conditions, including&nbsp;inflammation&nbsp;and immune disorders<\/li><li>phenytoin, carbamazepine or phenobarbital and other&nbsp;antiepileptic drugs&nbsp;&#8211; used to stop seizures or seizures<\/li><\/ul>\n\n\n\n<p>These medicines should be avoided during treatment with Afinitor.&nbsp;If you are taking any of these medicines, your doctor may switch you to another medicine or change the&nbsp;dose&nbsp;of Afinitor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Afinitor with food and drink<\/h2>\n\n\n\n<p>Avoid grapefruit and grapefruit juice while you are being treated with Afinitor.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p><strong>Pregnancy<\/strong><\/p>\n\n\n\n<p>Afinitor can have harmful effects on the fetus and is not recommended during pregnancy.&nbsp;Tell your doctor if you are pregnant or think you may be pregnant.&nbsp;Your doctor will discuss whether you should take this medicine during pregnancy.<br><\/p>\n\n\n\n<p>Women who could become pregnant should use a very effective method of contraception during treatment and up to 8 weeks after the end of treatment.&nbsp;If, despite these measures, you think you may be pregnant,&nbsp;talk to your&nbsp;doctor&nbsp;<b>before taki<\/b>ng any more Afinitor.<\/p>\n\n\n\n<p><strong>Breast-feeding<\/strong><\/p>\n\n\n\n<p>Afinitor can have harmful effects on breastfed babies.&nbsp;You should not breast-feed during treatment and up to 2 weeks after the last&nbsp;dose&nbsp;of Afinitor.&nbsp;Tell your doctor if you are breast-feeding.<\/p>\n\n\n\n<p><strong>Female&nbsp;fertility<\/strong><\/p>\n\n\n\n<p>Missed menstruation (&nbsp;amenorrhea&nbsp;) has occurred in some women who have used Afinitor.<br><\/p>\n\n\n\n<p>Afinitor may affect female&nbsp;fertility.&nbsp;Talk to your doctor if you wish to become pregnant.<\/p>\n\n\n\n<p><strong>Male&nbsp;fertility<\/strong><\/p>\n\n\n\n<p>Afinitor may affect male&nbsp;fertility.&nbsp;Talk to your doctor if you want to become a father.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>If you feel unusually tired (fatigue is a very common side effect), be especially careful when driving or using machines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Afinitor contains lactose<\/h2>\n\n\n\n<p>Afinitor contains&nbsp;lactose&nbsp;(milk sugar).&nbsp;If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to take Afinitor<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor or pharmacist has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<br><\/p>\n\n\n\n<p>The recommended&nbsp;dose&nbsp;is 10 mg once daily.&nbsp;Your doctor will tell you how many tablets of Afinitor to take.<br><\/p>\n\n\n\n<p>If you have liver problems, your doctor may give you a lower&nbsp;dose&nbsp;of Afinitor (2.5, 5, or 7.5 mg daily)&nbsp;at the beginning of treatment.<\/p>\n\n\n\n<p>If you experience any special&nbsp;side effects&nbsp;while taking Afinitor (see section 4), your doctor may reduce your&nbsp;dose&nbsp;or discontinue treatment, either for a short time or permanently.<\/p>\n\n\n\n<p>Take Afinitor once daily, at about the same time each day, consistently with or without food.<\/p>\n\n\n\n<p>Swallow the tablets whole with a glass of water.&nbsp;Do not chew or crush the tablets.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Afinitor than you should<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>If you take more Afinitor than you should, or if someone else accidentally takes your tablets, contact a doctor or hospital immediately.&nbsp;Urgent medical treatment may be necessary.<\/li><li>Bring the tablet pack and this leaflet so that your doctor knows what you have taken.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Afinitor<\/h2>\n\n\n\n<p>If you miss a&nbsp;dose, take the next&nbsp;dose&nbsp;as planned.&nbsp;Do not take a double&nbsp;dose&nbsp;to make up for a forgotten tablet.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop taking Afinitor<\/h2>\n\n\n\n<p>Do not stop taking Afinitor unless your doctor tells you to.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects, although not everybody gets them.<\/p>\n\n\n\n<p>STOP taking Afinitor and seek medical help immediately if you experience any of the following signs of an allergic reaction:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>difficulty breathing or swallowing<\/li><li>swelling of the face, lips, tongue or throat (signs of&nbsp;angioedema&nbsp;)<\/li><li>severe skin itching with red or raised rash.<\/li><\/ul>\n\n\n\n<p><strong>Serious&nbsp;side effects&nbsp;of Afinitor can be:<\/strong><br><\/p>\n\n\n\n<p><strong>Very common&nbsp;<\/strong><em>(may affect more than 1 in 10 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>fever, chills (signs of&nbsp;infection&nbsp;)<\/li><li>fever, cough, difficulty breathing, wheezing (signs of&nbsp;pneumonia,&nbsp;pneumonitis&nbsp;).<\/li><\/ul>\n\n\n\n<p><strong>Common&nbsp;<\/strong><em>(may affect up to 1 in 10 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>pronounced thirst, large urine production, increased appetite with weight loss, fatigue (signs of&nbsp;diabetes&nbsp;)<\/li><li>bleeding, eg in the intestinal wall<\/li><li>sharply reduced urine production (signs of&nbsp;renal failure&nbsp;).<\/li><\/ul>\n\n\n\n<p><strong>Uncommon&nbsp;<\/strong><em>(may affect up to 1 in 100 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>fever, rash, joint pain, and&nbsp;inflammation&nbsp;as well as fatigue, loss of appetite, nausea, jaundice (yellowish skin), pain in the upper right part of the abdomen, pale stools, dark urine (may be signs of reactivation of&nbsp;hepatitis&nbsp;B)<\/li><li>shortness of breath, difficulty lying down, swollen feet or legs (signs of&nbsp;heart failure&nbsp;)<\/li><li>swelling and\/or pain in one of the legs, usually in the calf,&nbsp;redness&nbsp;or hot skin in the affected area (signs of a blood clot in a blood vessel (vein) in the legs)<\/li><li>sudden shortness of breath, chest pain, or bloody cough (possible signs of&nbsp;pulmonary embolism, a condition that occurs when one or more&nbsp;arteries&nbsp;in the lungs are blocked)<\/li><li>sharply reduced urine output, swelling of the legs, confusion, back pain (signs of sudden&nbsp;renal failure&nbsp;)<\/li><li>skin rash,&nbsp;itching, hives, difficulty breathing or swallowing, dizziness (signs of a severe&nbsp;allergic reaction&nbsp;or so-called&nbsp;hypersensitivity reaction&nbsp;).<\/li><\/ul>\n\n\n\n<p><strong>Rare&nbsp;<\/strong><em>(may affect up to 1 in 1,000 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>shortness of breath or rapid breathing (signs of&nbsp;acute&nbsp;respiratory distress syndrome).<\/li><\/ul>\n\n\n\n<p><strong>If you get any of these&nbsp;side effects, talk to your doctor immediately as they can have life-threatening consequences.<\/strong><\/p>\n\n\n\n<p><strong>Other possible&nbsp;side effects&nbsp;of Afinitor may be:<\/strong><br><\/p>\n\n\n\n<p><strong>Very common&nbsp;<\/strong><em>(may affect more than 1 in 10 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>high blood sugar levels (hyperglycemia)<\/li><li>decreased appetite<\/li><li>taste change<\/li><li>headache<\/li><li>nosebleeds<\/li><li>cough<\/li><li>cold sores<\/li><li>upset stomach including nausea or diarrhea<\/li><li>rash<\/li><li>itching<\/li><li>feeling weak or tired<\/li><li>fatigue, shortness of breath, dizziness, pale skin (signs of low&nbsp;red blood cell count,&nbsp;anemia&nbsp;)<\/li><li>swollen arms, hands, feet, ankles, or another body part (signs of&nbsp;edema&nbsp;)<\/li><li>weight loss<\/li><li>elevated blood fats (&nbsp;hypercholesterolemia&nbsp;).<\/li><\/ul>\n\n\n\n<p><strong>Common&nbsp;<\/strong><em>(may affect up to 1 in 10 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>spontaneous bleeding or bruising (signs of low&nbsp;platelet count&nbsp;ie&nbsp;thrombocytopenia&nbsp;)<\/li><li>shortness of breath (&nbsp;dyspnoea&nbsp;)<\/li><li>thirst, low urine output, dark urine, dry skin,&nbsp;redness, irritability (signs of dehydration)<\/li><li>difficulty sleeping<\/li><li>headache, dizziness (signs of high&nbsp;blood pressure&nbsp;)<\/li><li>fever, sore throat, cold sores due to&nbsp;infection&nbsp;(signs of low&nbsp;white blood cell count, ie&nbsp;leukopenia, lymphopenia, and\/or&nbsp;neutropenia&nbsp;)<\/li><li>fever<\/li><li>inflammation&nbsp;inside the mouth, stomach, or intestines<\/li><li>dry mouth<\/li><li>heartburn (&nbsp;dyspepsia&nbsp;)<\/li><li>vomiting<\/li><li>difficulty swallowing<\/li><li>abdominal pain<\/li><li>acne<\/li><li>rash and pain in palms or soles of the feet (hand-foot syndrome)<\/li><li>reddening of the skin<\/li><li>joint pain<\/li><li>pain in the mouth<\/li><li>menstrual disorders such as irregular menstruation<\/li><li>elevated blood lipids (&nbsp;hyperlipidemia,&nbsp;hypertriglyceridemia&nbsp;)<\/li><li>low potassium levels in the blood<\/li><li>low phosphate level in the blood<\/li><li>low calcium levels in the blood<\/li><li>dry skin, skin peeling, skin damage<\/li><li>nail problems, broken nails<\/li><li>light hair loss<\/li><li>abnormal liver values \u200b\u200b(elevated&nbsp;AST&nbsp;or&nbsp;ALT&nbsp;)<\/li><li>abnormal kidney values \u200b\u200b(elevated&nbsp;creatinine&nbsp;)<\/li><li>swollen eyelids<\/li><li>protein&nbsp;in the urine.<\/li><\/ul>\n\n\n\n<p><strong>Uncommon&nbsp;<\/strong><em>(may affect up to 1 in 100 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>weakness, spontaneous bleeding or bruising and frequent&nbsp;infection&nbsp;with symptoms such as fever, chills, sore throat, or cold sores (signs of low levels of certain blood cells, pancytopenia)<\/li><li>loss of taste<\/li><li>bloody vomiting<\/li><li>menstrual disorders such as the absence of menstruation (&nbsp;amenorrhea&nbsp;)<\/li><li>frequent urination during the day<\/li><li>chest pain<\/li><li>abnormal wound healing<\/li><li>hot flashes<\/li><li>watery eyes with&nbsp;itching&nbsp;and&nbsp;redness, red eyes (&nbsp;conjunctivitis&nbsp;).<\/li><\/ul>\n\n\n\n<p><strong>Rare&nbsp;<\/strong><em>(may affect up to 1 in 1,000 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>fatigue, shortness of breath, dizziness, pale skin (signs of the low level of&nbsp;red blood cells, possibly due to a type of&nbsp;anemia&nbsp;called erythroblastopenia)<\/li><li>swelling of the face, around the eyes, mouth, and inside the mouth and\/or throat and tongue as well as difficulty breathing or swallowing (&nbsp;angioedema, which may be a sign of an&nbsp;allergic reaction&nbsp;).<\/li><\/ul>\n\n\n\n<p><strong>If these&nbsp;side effects&nbsp;become severe, consult a doctor and\/or pharmacist.&nbsp;Most&nbsp;side effects&nbsp;are mild to moderate and generally, go away if treatment is stopped for a few days.<\/strong><\/p>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>If you get any side effects, talk to your doctor, pharmacist, or nurse.&nbsp;This includes any possible side effects not listed in this leaflet.&nbsp;You can also report side effects directly to the Medical Products Agency,&nbsp;www.lakemedelsverket.se.&nbsp;By reporting side effects, you can help increase drug safety information.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store the medicine<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Keep this medicine out of the sight and reach of children.<\/li><li>Do not use this medicine after the expiry date which is stated on the carton and blister.&nbsp;The expiration date is the last day of the specified month.<\/li><li>Do not store above 25 \u00b0 C.<\/li><li>Store in the original package.&nbsp;Sensitive to light.&nbsp;Moisture sensitive.<\/li><li>Do not open the blister until the tablets are to be taken.<\/li><li>Do not use this medicine if you notice that the package is damaged or appears to have been opened earlier.<\/li><\/ul>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p>The active substance is everolimus.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Each Afinitor 2.5 mg tablet contains 2.5 mg everolimus.<\/li><li>Each tablet of Afinitor 5 mg contains 5 mg of everolimus.<\/li><li>Each tablet of Afinitor 10 mg contains 10 mg of everolimus.<\/li><\/ul>\n\n\n\n<p>The other ingredients are butylhydroxytoluene, magnesium stearate,&nbsp;lactose monohydrate, hypromellose, crospovidone type A, and anhydrous&nbsp;lactose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Afinitor 2.5 mg tablets are white to yellowish, oblong tablets.&nbsp;They are marked with &#8220;LCL&#8221; on one side and &#8220;NVR&#8221; on the other.<\/p>\n\n\n\n<p>Afinitor 5 mg tablets are white to yellowish, oblong tablets.&nbsp;They are marked with &#8220;5&#8221; on one side and &#8220;NVR&#8221; on the other.<\/p>\n\n\n\n<p>Afinitor 10 mg tablets are white to yellowish, oblong tablets.&nbsp;They are marked with &#8220;UHE&#8221; on one side and &#8220;NVR&#8221; on the other.<br><\/p>\n\n\n\n<p>Afinitor 2.5 mg is available in blister packs of 30 or 90 tablets.&nbsp;Afinitor 5 mg and Afinitor 10 mg are available in blister packs of 10, 30, or 90 tablets.&nbsp;Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>Novartis Europharm Limited<\/p>\n\n\n\n<p>Vista Building<\/p>\n\n\n\n<p>Elm Park, Merrion Road<\/p>\n\n\n\n<p>Dublin 4<\/p>\n\n\n\n<p>Ireland<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Novartis Pharmac\u00e9utica SA<\/p>\n\n\n\n<p>Ronda de Santa Maria 158<\/p>\n\n\n\n<p>08210 Barber\u00e0 del Vall\u00e8s, Barcelona<\/p>\n\n\n\n<p>Spain<br><\/p>\n\n\n\n<p>Novartis Pharma GmbH<\/p>\n\n\n\n<p>Roonstrasse 25<\/p>\n\n\n\n<p>D-90429 Nuremberg<\/p>\n\n\n\n<p>Germany<br><\/p>\n\n\n\n<p>Contact the representative of the marketing authorization holder to find out more about this medicine:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Belgium \/ Belgique \/ Belgien<\/strong>Novartis Pharma NVTel: +32 2 246 16 11<\/td><td><strong>Luxembourg \/ Luxemburg<\/strong>Novartis Pharma NV:Tel: +32 2 246 16 11<\/td><\/tr><tr><td><strong>Bulgaria<\/strong>Novartis Bulgaria EOODTel .: +359 2 489 98 28<\/td><td><strong>Hungary<\/strong>Novartis Hungary Kft.Tel .: +36 1 457 65 00<\/td><\/tr><tr><td><strong>Czech Republic<\/strong>Novartis sroTel: +420 225 775 111<\/td><td><strong>Malta<\/strong>Novartis Pharma Services Inc.Tel: +356 2122 2872<\/td><\/tr><tr><td><strong>Denmark<\/strong>Novartis Healthcare A \/ STel: +45 39 16 84 00<\/td><td><strong>The Netherlands<\/strong>Novartis Pharma BVTel: +31 88 04 52 555<\/td><\/tr><tr><td><strong>Germany<\/strong>Novartis Pharma GmbHTel: +49 911 273 0<\/td><td><strong>Norway<\/strong>Novartis Norge ASTel: +47 23 05 20 00<\/td><\/tr><tr><td><strong>Eesti<\/strong>SIA Novartis Baltics Eesti subsidiaryTel: +372 66 30 810<\/td><td><strong>Austria<\/strong>Novartis Pharma GmbHTel: +43 1 86 6570<\/td><\/tr><tr><td><strong>Greece<\/strong>Novartis (Hellas) AEBE:\u0397\u03bb: +30 210 281 17 12<\/td><td><strong>Poland<\/strong>Novartis Poland Sp.&nbsp;z ooTel .: +48 22 375 4888<\/td><\/tr><tr><td><strong>Spain<\/strong>Novartis Pharmac\u00e9utica, SATel: +34 93 306 42 00<\/td><td><strong>Portugal<\/strong>Novartis Pharma-Pharmaceutical Products, Satel: +351 21 000 8600<\/td><\/tr><tr><td><strong>France<\/strong>Novartis Pharma SASTel: +33 1 55 47 66 00<\/td><td><strong>Romania<\/strong>Novartis Pharma Services Romania SRLTel: +40 21 31299 01<\/td><\/tr><tr><td><strong>Croatia<\/strong>Novartis Hrvatska dooTel.&nbsp;+385 1 6274 220<\/td><td><strong>Slovenia<\/strong>Novartis Pharma Services Inc.Tel: +386 1 300 75 50<\/td><\/tr><tr><td><strong>Ireland<\/strong>Novartis Ireland LimitedTel: +353 1 260 12 55<\/td><td><strong>Slovak Republic<\/strong>Novartis Slovakia sroTel: +421 2 5542 5439<\/td><\/tr><tr><td><strong>Iceland<\/strong>Vistor hf.Phone: +354 535 7000<\/td><td><strong>Finland \/ Finland<\/strong>Novartis Finland OyPuh \/ Tel: +358 (0) 10 6133 200<\/td><\/tr><tr><td><strong>Italy<\/strong>Novartis Farma SpATel: +39 02 96 54 1<\/td><td><\/td><\/tr><tr><td><strong>\u039a\u03cd\u03c0\u03c1\u03bf\u03c2<\/strong>Novartis Pharma Services Inc.:\u0397\u03bb: +357 22 690 690<\/td><td><strong>United Kingdom<\/strong>Novartis Pharmaceuticals UK Ltd.Tel: +44 1276 698370<\/td><\/tr><tr><td><strong>Latvia<\/strong>SIA Novartis BalticsTel: +371 67 887 070<\/td><td>&nbsp;<\/td><\/tr><tr><td><strong>Lithuania<\/strong>SIA Novartis Baltics Lithuanian branchesTel: +370 5 269 16 50<\/td><td>&nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Afinitor is a cancer drug that contains the active substance everolimus. Everolimus reduces the blood supply to the tumor and delays the growth and spread of cancer cells.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2201,2200],"tags":[11430,11433,11434,11428,7420,7423,11435,11427,11431,7421,11432],"class_list":["post-4960","post","type-post","status-publish","format-standard","hentry","category-a","category-medicines","tag-afinitor","tag-afinitor-tablet","tag-benefits-of-afinitor","tag-benefits-of-everolimus","tag-everolimus","tag-everolimus-tablet","tag-side-effects-of-afinitor","tag-what-everolimus-is-used-for","tag-what-is-afinitor","tag-what-is-everolimus","tag-wht-afinitor-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/4960","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=4960"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/4960\/revisions"}],"predecessor-version":[{"id":13030,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/4960\/revisions\/13030"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=4960"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=4960"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=4960"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}