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Nexavar 200mg

Original price was: ₨ 285,000.Current price is: ₨ 275,000.

Brand Name: Bayer HealthCare Pharmaceuticals 

Chemical Name: Sorafenib Tosylate 

Dosage Strength: 200mg film-coated tablets (60 tablets per bottle) 

Rx / OTC: Rx

Category:
Description
Nexavar 200mg

Nexavar 200mg by Bayer HealthCare contains sorafenib, an oral multikinase inhibitor used to treat advanced liver cancer (HCC), kidney cancer (RCC), and radioactive iodine-refractory differentiated thyroid cancer. It works by blocking both tumour cell growth signals (RAF kinase) and tumour blood vessel formation (VEGFR, PDGFR), attacking cancer on two fronts at once. The standard dose is 400mg twice daily on an empty stomach, since food reduces absorption by around 30%. As the first systemic therapy proven to extend survival in advanced HCC, Nexavar remains a key targeted oncology option.   

Key Benefits of Nexavar 200mg

First FDA-approved systemic therapy demonstrating a survival benefit in advanced hepatocellular carcinoma.

Oral outpatient dosing, no infusion required.

Effective across three distinct cancer types with different biological drivers.

How It Works

  • Sorafenib is an oral multikinase inhibitor, a single molecule that blocks several signalling pathways cancer cells rely on.
  • It inhibits RAF kinase (BRAF, CRAF) within tumour cells, disrupting cell proliferation signals.
  • It also blocks VEGFR-1, -2, -3, and PDGFR-β on blood vessel cells, cutting off tumour angiogenesis.
  • This dual action, stopping tumour growth directly and starving it of blood supply, slows progression of advanced cancers.

Dosage, Uses & Possible Side Effects

Dosage & Administration:

  • Standard dose: 400mg (two 200mg tablets) twice daily, total daily dose 800mg.
  • Take on an empty stomach, at least 1 hour before or 2 hours after a meal.
  • Swallow tablets whole with a glass of water.
  • For dermatologic or other toxicities, doses may be reduced to 400mg once daily, 400mg every other day, or temporarily interrupted.

Uses:

  • Unresectable hepatocellular carcinoma (HCC) advanced primary liver cancer.
  • Advanced renal cell carcinoma (RCC) kidney cancer.
  • Locally recurrent or metastatic, progressive differentiated thyroid carcinoma (DTC) that is refractory to radioactive iodine treatment.
  • Manufactured by Bayer, each red, round, biconvex film-coated tablet is imprinted with the Bayer cross and “200”.

Possible Side Effects:

  • Very common: hand-foot skin reaction, rash, diarrhoea, fatigue, hypertension, and alopecia.
  • Serious but less common: bleeding events, cardiac ischaemia, gastrointestinal perforation, and severe dermatologic reactions.
  • Blood pressure and liver function should be monitored regularly throughout treatment.
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Frequently Asked Questions

Why must Nexavar be taken without food?

A high-fat meal reduces absorption by approximately 30%. Taking it on an empty stomach ensures consistent drug levels and efficacy.

How is hand-foot skin reaction managed?
Use emollients, avoid friction and hot water, and report symptoms early. Your oncologist may reduce the dose temporarily until skin toxicity resolves.
Is Nexavar safe during pregnancy?

No. Sorafenib can cause fetal harm. Effective contraception is required during treatment and for at least 2 weeks after the last dose. 

How should Nexavar be stored?

Store at 25°C (excursions 15°C–30°C permitted) in the original bottle, protected from moisture.

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