bdaxit 5mg tablet - Axitinib (5mg) medicine

Axzyb Tablet (Axitinib 5mg): Comprehensive Medicine Guide

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🏭 BDR Pharmaceuticals Internationals Pvt 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 16, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 🤰 Pregnancy Category Based on animal studies, axitinib can cause fetal harm. It is not recommended during pregnancy. Women of childbearing potential should use effective contraception during treatment and for at least 1 week after the last dose. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: High
Reviewed by
SaathiMed Expert Panel | Oct 16, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Severe headache, confusion, or vision changes
  • Chest pain, shortness of breath, or leg swelling
  • Blood in vomit, stool, or urine
  • Severe abdominal pain with fever
  • Yellowing of skin or eyes
  • Decreased urine output
  • Unusual bleeding or bruising

If experiencing severe symptoms, call emergency services immediately.

What is bdaxit 5mg tablet used for?

Axitinib is a targeted therapy used to treat advanced kidney cancer by blocking blood vessel growth to tumours. It is taken orally as a 5 mg tablet twice daily under medical supervision.

  • Generic Name: Axitinib (5mg)
  • Manufacturer: BDR Pharmaceuticals Internationals Pvt
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 bdaxit 5mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा एग्जिटिनिब नामक सक्रिय तत्व से बनी है, जो एक लक्षित कैंसर रोधी दवा है। इसका उपयोग मुख्य रूप से उन्नत गुर्दे के कैंसर (रेनल सेल कार्सिनोमा) के इलाज के लिए किया जाता है, खासकर जब अन्य उपचार काम नहीं करते। यह दवा ट्यूमर को रक्त की आपूर्ति करने वाली नई रक्त वाहिकाओं के निर्माण को रोककर कैंसर की वृद्धि को धीमा करती है। यह मौखिक रूप से ली जाने वाली गोली है और इसे केवल कैंसर रोग विशेषज्ञ की देखरेख में ही लेना चाहिए।

साइड इफेक्ट्स: आम दुष्प्रभावों में दस्त, उच्च रक्तचाप, थकान, भूख में कमी, मतली, उल्टी, वजन घटना और आवाज में भारीपन शामिल हैं। गंभीर दुष्प्रभावों में गंभीर रक्तस्राव, रक्त के थक्के, हृदय समस्याएं, यकृत विषाक्तता, गुर्दे की क्षति और जठरांत्र छिद्रण हो सकते हैं। दुर्लभ दुष्प्रभावों में रिवर्सिबल पोस्टीरियर ल्यूकोएन्सेफैलोपैथी सिंड्रोम, थायरॉइड dysfunction और अग्नाशयशोथ शामिल हैं। किसी भी असामान्य लक्षण को तुरंत अपने डॉक्टर को बताएं।

सुरक्षा सलाह: यह दवा केवल योग्य कैंसर रोग विशेषज्ञ की देखरेख में ही लेनी चाहिए। उपचार के दौरान रक्तचाप, यकृत कार्य, गुर्दे की कार्यप्रणाली और थायरॉइड फ़ंक्शन की नियमित निगरानी आवश्यक है। इस दवा को लेते समय गर्भवती होने से बचें; पुरुषों और महिलाओं दोनों को उपचार के दौरान और अंतिम खुराक के कम से कम एक सप्ताह बाद तक प्रभावी गर्भनिरोधक का उपयोग करना चाहिए। उपचार के दौरान स्तनपान न कराएं। अंगूर और अंगूर के रस से बचें क्योंकि ये शरीर में इस दवा के स्तर को बढ़ा सकते हैं। अपने डॉक्टर को सभी अन्य दवाओं के बारे में बताएं, विशेष रूप से रक्त पतला करने वाली दवाएं, रक्तचाप की दवाएं और एंटीफंगल एजेंट। यदि आपको चक्कर आते हैं या थकान महसूस होती है तो वाहन न चलाएं या भारी मशीनरी संचालित न करें। इस दवा को कमरे के तापमान पर नमी और गर्मी से दूर रखें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 bdaxit 5mg tablet Uses & Benefits

[{"condition":"Advanced renal cell carcinoma","description":"Used as a second-line treatment for patients with advanced kidney cancer after failure of prior systemic therapy.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Thyroid cancer","description":"Sometimes used off-label for advanced medullary thyroid cancer or differentiated thyroid cancer.","evidence":"Limited"},{"condition":"Soft tissue sarcoma","description":"Investigated in some types of soft tissue sarcomas but not standard.","evidence":"Limited"}]

Primary treatment for: Advanced renal cell carcinoma

Also treats: Thyroid cancer (off-label), Soft tissue sarcoma (off-label)

📋 Drug Information

Generic Name(s)Axitinib (5mg)
Brand Namebdaxit 5mg tablet
ManufacturerBDR Pharmaceuticals Internationals Pvt
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI NEOPLASTICS
Action ClassTyrosine kinase inhibitors
Route of AdministrationOral
StorageStore at room temperature between 20°C and 25°C (68°F and 77°F). Keep away from moisture and heat.
Shelf LifeRefer to the packaging for the expiry date. Do not use after the expiry date.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Monitor blood pressure regularly; hypertension is common and may require treatment.
2
Check liver function tests every 2-4 weeks during the first few months.
3
Assess thyroid function periodically; thyroid dysfunction can occur.
4
Advise patients to avoid grapefruit and grapefruit juice.
5
Dose adjustments are often needed based on tolerability; start at 5 mg twice daily.
6
Watch for signs of bleeding or blood clots; instruct patients to report immediately.
7
Discontinue before major surgery as it may impair wound healing.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Advanced kidney cancer
This medicine is approved for this condition.
Likely Use
❌
High blood pressure
This medicine can cause high blood pressure, not treat it.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAxitinib is absorbed orally, with peak plasma concentrations typically reached within 2.5 to 4 hours after administration. Food does not significantly affect absorption.
DistributionAxitinib is distributed extensively into tissues. It is highly protein-bound in plasma.
Protein BindingMore than 99% bound to plasma proteins, primarily albumin.
MetabolismMetabolized primarily in the liver by cytochrome P450 enzymes, mainly CYP3A4/5 and to a lesser extent CYP1A2, CYP2C19, and UGT1A1.
Half-LifeThe elimination half-life of axitinib ranges from 2.5 to 6.1 hours.
ExcretionExcreted mainly in faeces (approximately 80%) and urine (approximately 20%) as metabolites.
BioavailabilityThe oral bioavailability of axitinib is approximately 58%.
Onset of ActionThe onset of action is not immediate; therapeutic effects develop over days to weeks.
Peak Plasma Time2.5 to 4 hours
Duration of ActionThe duration of action is not well defined, but effects are sustained with continuous dosing.

How It Works

Axitinib is a selective inhibitor of vascular endothelial growth factor receptors (VEGFR-1, VEGFR-2, and VEGFR-3). By blocking these receptors, it inhibits angiogenesis, the formation of new blood vessels that supply tumours, thereby slowing tumour growth and metastasis.

Mechanism Steps

1
Binding to VEGFR: Axitinib binds selectively to the ATP-binding site of VEGFR-1, VEGFR-2, and VEGFR-3.
2
Inhibition of receptor phosphorylation: This binding prevents autophosphorylation of the receptors, blocking downstream signalling.
3
Reduced angiogenesis: Inhibition of VEGFR signalling leads to decreased formation of new blood vessels supplying the tumour.
4
Tumour growth inhibition: Without adequate blood supply, tumour growth is slowed and metastasis may be reduced.

💡 How to Take bdaxit 5mg tablet

Strength: Axitinib 5 mg immediate-release tablet

1Take this medicine exactly as prescribed by your doctor.
2Swallow the tablet whole with a glass of water.
3Take with or without food, but be consistent.
4If you vomit after taking a dose, do not take another dose; wait for the next scheduled dose.
5Do not crush or chew the tablet.

Dosage Information

Adult DosageThe recommended starting dose of axitinib for advanced renal cell carcinoma is 5 mg taken orally twice daily, approximately 12 hours apart, with or without food. Dose adjustments may be made based on individual tolerability and response, with increases up to 10 mg twice daily or reductions to 2 mg twice daily. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and concomitant medications.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatric oncologist.
Elderly DosageNo specific dose adjustment is recommended for elderly patients, but they may be more sensitive to side effects. Monitor closely.
Renal ImpairmentNo dose adjustment is required for patients with mild to moderate renal impairment. Use with caution in severe renal impairment.
Hepatic ImpairmentFor patients with moderate hepatic impairment (Child-Pugh B), the starting dose should be reduced by approximately 50%. Not recommended in severe hepatic impairment.
Maximum Daily DoseThe maximum recommended dose is 10 mg twice daily (20 mg per day).

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With or without food
Take consistently
Food does not significantly affect absorption.
Grapefruit
Avoid
May increase drug levels and toxicity.

⏰ What to Do If You Miss a Dose

📌 Less than 6 hours since missed dose
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than 6 hours since missed dose
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of bdaxit 5mg tablet

✅ Common Side Effects

Diarrhoea (Very common (>10%))
Stay hydrated and inform your doctor if it persists or worsens.
Hypertension (Very common (>10%))
Monitor blood pressure regularly; your doctor may adjust antihypertensive therapy.
Fatigue (Very common (>10%))
Rest adequately and avoid driving if you feel tired.
Decreased appetite (Common (1-10%))
Eat small, frequent meals and consult a dietitian if needed.
Nausea (Common (1-10%))
Take with food and inform your doctor if it persists.
Vomiting (Common (1-10%))
Stay hydrated; contact your doctor if severe.
Weight loss (Common (1-10%))
Monitor weight and nutritional intake; consult your doctor if significant.
Hoarseness (Common (1-10%))
Usually temporary; report if persistent.

🚨 Serious Side Effects

Severe bleeding (Uncommon (0.1-1%))
Seek immediate medical attention if you notice blood in vomit, stool, or urine, or severe headache.
Blood clots (Uncommon (0.1-1%))
Seek immediate care if you experience chest pain, shortness of breath, or swelling in legs.
Heart problems (Uncommon (0.1-1%))
Report chest pain, palpitations, or swelling to your doctor immediately.
Liver toxicity (Uncommon (0.1-1%))
Regular liver function tests are needed; report yellowing of eyes or skin.
Kidney impairment (Uncommon (0.1-1%))
Monitor kidney function; report decreased urine output.
Gastrointestinal perforation (Rare (<0.1%))
Seek emergency care for severe abdominal pain, fever, or vomiting.

⚠️ Rare Side Effects

Reversible posterior leukoencephalopathy syndrome
Seek immediate medical attention for severe headache, seizures, or vision changes.
Thyroid dysfunction
Regular thyroid function tests; report symptoms like fatigue or weight changes.
Pancreatitis
Seek medical attention for severe abdominal pain radiating to back.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Ketoconazole Major
Rifampicin Major
Warfarin Moderate
Amlodipine Moderate
Clarithromycin Major
Carbamazepine Major
Phenytoin Major
St. John's Wort Major
Itraconazole Major
Ritonavir Major

🚨 Major Interactions

  • CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin)
  • CYP3A4 inducers (e.g., rifampicin, carbamazepine)

⚡ Moderate Interactions

  • Antihypertensives
  • Anticoagulants (e.g., warfarin)

🍷 Alcohol Interaction

Alcohol may increase the risk of liver toxicity and worsen side effects like dizziness and fatigue. It is advisable to avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to axitinib or any component of the formulation","Pregnancy","Breastfeeding","Severe hepatic impairment"]

⚠️ Warnings & Precautions

["Hypertension: Monitor blood pressure regularly and manage with antihypertensives.","Hemorrhage: May cause severe bleeding; monitor for signs.","Gastrointestinal perforation: Seek immediate medical attention for severe abdominal pain.","Thyroid dysfunction: Monitor thyroid function.","Proteinuria: Monitor urine protein.","Reversible posterior leukoencephalopathy syndrome: Report severe headache, seizures, or vision changes.","Wound healing: May impair wound healing; discontinue before surgery."]

🤱 Lactation Safety

It is not known whether axitinib is excreted in human milk. Because of the potential for serious adverse reactions in breastfed infants, breastfeeding should be discontinued during treatment and for at least 2 weeks after the last dose.

💊 Overdose Management

There is no specific antidote for axitinib overdose. Treatment should be symptomatic and supportive. Monitor vital signs and provide appropriate care.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time.

Additional Safety Advice

General Safety

This medicine should only be taken under the supervision of a qualified oncologist. Regular monitoring of blood pressure, liver function, kidney function, and thyroid function is required. Avoid becoming pregnant while taking this medicine; use effective contraception for both men and women during treatment and for at least one week after the last dose. Do not breastfeed during treatment. Avoid grapefruit and grapefruit juice as they can increase the levels of this medicine in your body. Inform your doctor about all other medicines you are taking, especially blood thinners, blood pressure medicines, and antifungal agents. Do not drive or operate heavy machinery if you feel dizzy or tired. Store this medicine at room temperature away from moisture and heat.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to side effects. Monitor blood pressure, liver, and kidney function closely. Dose adjustments may be needed.

🤰 Pregnancy Planning (TTC)

This medicine can cause fetal harm. Women of childbearing potential should use effective contraception during treatment and for at least 1 week after the last dose. Men should also use contraception. Consult your doctor if you are planning pregnancy.

🏥 Post-Surgery Considerations

This medicine may impair wound healing. It should be discontinued at least 24 hours before scheduled surgery. Consult your surgeon and oncologist.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine. It may increase bleeding risk. Your dentist may recommend precautions.

💚 Lifestyle Tips for Better Results

🏃
Monitor your blood pressure at home regularly.
🥗
Maintain a healthy diet and stay hydrated.
😴
Avoid grapefruit and grapefruit juice.
💧
Engage in light exercise as tolerated.
🧘
Get adequate rest and manage stress.
🌞
Avoid alcohol to reduce liver strain.

🏋️ Exercise Considerations

Exercise may be beneficial but avoid strenuous activities if you feel fatigued or dizzy. Consult your doctor before starting any exercise program.

🥗 Diet Recommendations

Eat a balanced diet rich in fruits and vegetables.
Limit salt intake to help control blood pressure.
Avoid grapefruit and grapefruit juice.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine may cause fatigue and dizziness, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. Adjust work schedules as needed.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience severe side effects, your doctor may adjust the dose or discontinue treatment.

📅 Long-Term Use Effects

Long-term use may lead to chronic hypertension, kidney impairment, and thyroid dysfunction. Regular monitoring of blood pressure, liver, kidney, and thyroid function is essential. Dose adjustments may be needed over time. Report any new or worsening symptoms to your doctor.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Immunotherapy

Other systemic therapies like immune checkpoint inhibitors may be used.

Evidence: Well-established
Clinical trials

Enrollment in clinical trials for novel agents.

Evidence: Varies

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Live vaccines should be avoided during treatment due to potential risk. Inactivated vaccines may be given but response may be reduced. Consult your doctor.

📦 Storage Guide

✅ DO

Store at room temperature (20-25°C)

❌ DON'T

Do not refrigerate

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from moisture. If crossing time zones, adjust dosing times gradually under medical guidance. Check customs regulations for controlled substances; this is not a controlled substance but carry documentation.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 62-year-old man with advanced kidney cancer after initial treatment failure
He was started on this medicine at 5 mg twice daily. After 4 weeks, his dose was increased to 7 mg twice daily as tolerated. He experienced mild diarrhoea and fatigue but was able to manage with dietary changes and rest. His blood pressure was monitored closely and controlled with medication. After 3 months, scans showed stable disease.
💡 Lesson: Regular monitoring and dose adjustments help manage side effects and maintain quality of life.
👤 A 55-year-old woman with metastatic renal cell carcinoma
She began treatment with this medicine and initially had difficulty with high blood pressure. Her doctor adjusted her antihypertensive medication and continued axitinib. She also experienced hoarseness and loss of appetite but found that eating small frequent meals helped. She remained on treatment for over a year with good disease control.
💡 Lesson: Close communication with the healthcare team is essential to manage side effects and stay on treatment.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: The effects develop over days to weeks. Your doctor will monitor your response with regular scans.

Q: Can I take this medicine with food?

A: Yes, you can take it with or without food, but be consistent.

Q: What should I do if I miss a dose?

A: If you miss a dose, take it as soon as you remember unless it's almost time for the next dose. Do not double dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for bdaxit 5mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Axitinib is a traditional chemotherapy drug.
    Fact: Axitinib is a targeted therapy, not traditional chemotherapy. It specifically inhibits VEGFR.
  • Myth: Axitinib can be taken without monitoring.
    Fact: Regular monitoring of blood pressure, liver, kidney, and thyroid function is essential.

🔄 Alternative Options

Brand Alternatives

📊 Comparison with Similar Medicines

[{"medicine":"Axitinib","class":"VEGFR inhibitor","primary_use":"Advanced renal cell carcinoma","route":"Oral","frequency":"Twice daily"},{"medicine":"Sorafenib","class":"Multi-kinase inhibitor","primary_use":"Renal cell carcinoma, hepatocellular carcinoma","route":"Oral","frequency":"Twice daily"},{"medicine":"Sunitinib","class":"Multi-kinase inhibitor","primary_use":"Renal cell carcinoma, GIST","route":"Oral","frequency":"Once daily"}]

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