caprelsa tablet - Vandetanib (300mg) medicine

caprelsa tablet

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๐Ÿญ AstraZeneca ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Sep 6, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Sep 06, 2026

What is caprelsa tablet used for?

Caprelsa (Vandetanib) is used to treat ANTI NEOPLASTICS. It contains Vandetanib (300mg), which Inhibits multiple receptor tyrosine kinases including VEGFR-2, EGFR, and RET.. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Vandetanib
  • Manufacturer: AstraZeneca
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

๐Ÿ’Š caprelsa tablet Uses & Benefits

Treatment of symptomatic or progressive medullary thyroid cancer in patients with unresectable locally advanced or metastatic disease.

Off-label uses: Non-small cell lung cancer (EGFR-mutant), Thyroid cancer (other types)

๐Ÿ“‹ Drug Information

Generic Name(s)Vandetanib
Brand NameCaprelsa
ManufacturerAstraZeneca
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI NEOPLASTICS
Action ClassProtein synthesis inhibitors
Route of AdministrationOral
StorageStore at 20-25ยฐC (68-77ยฐF); protect from light and moisture.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionAbsorbed slowly after oral administration; median time to peak plasma concentration is 6 hours (range 4-10 hours).
DistributionExtensively distributed into tissues; volume of distribution is approximately 745 L.
Protein BindingApproximately 90% bound to plasma proteins (mainly albumin).
MetabolismMetabolized primarily by CYP3A4, with minor contribution from FMO1 and FMO3.
Half-LifeMedian terminal half-life is 19 days (range 10-30 days).
ExcretionExcreted primarily in feces (44%) and urine (25%) as unchanged drug and metabolites.
BioavailabilityApproximately 50% (range 30-70%).
Onset of ActionNot well defined; therapeutic effects may take several weeks.
Peak Plasma Time6 hours (range 4-10 hours).
Duration of ActionLong duration due to long half-life; dosing is once daily.

How It Works

Inhibits multiple receptor tyrosine kinases including VEGFR-2, EGFR, and RET.

Mechanism Steps

1Vandetanib binds to the ATP-binding site of VEGFR-2, EGFR, and RET tyrosine kinases.
2Inhibits autophosphorylation and downstream signaling pathways (e.g., MAPK, PI3K/AKT).
3Reduces endothelial cell proliferation and migration, inhibiting angiogenesis.

๐Ÿ’ก How to Take caprelsa tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of caprelsa tablet

โœ… Common Side Effects

  • Diarrhea
  • Rash
  • Nausea
  • Hypertension
  • Headache
  • Fatigue

๐Ÿšจ Serious Side Effects

  • QTc prolongation
  • Torsades de pointes
  • Hemorrhage
  • Heart failure
  • Interstitial lung disease
  • Hepatotoxicity

โš ๏ธ Rare Side Effects

  • Posterior reversible encephalopathy syndrome (PRES)
  • Pancreatitis
  • Thrombotic microangiopathy

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
CYP3A4 inducers (e.g., rifampin) Major Reduced vandetanib exposure
CYP3A4 inhibitors (e.g., ketoconazole) Major Increased vandetanib exposure
QTc-prolonging agents (e.g., amiodarone) Major Increased risk of torsades de pointes
Warfarin Moderate Increased INR and bleeding risk
Digoxin Moderate Increased digoxin levels

๐Ÿšจ Major Interactions

  • CYP3A4 inducers
  • CYP3A4 inhibitors
  • QTc-prolonging agents

โšก Moderate Interactions

  • Anticoagulants
  • Antiplatelet agents
  • Digoxin

โ„น๏ธ Minor Interactions

  • Grapefruit juice
  • St. John's Wort

๐Ÿฝ๏ธ Food Interactions

Avoid grapefruit juice; may increase vandetanib levels.

๐Ÿท Alcohol Interaction

Avoid alcohol due to potential hepatotoxicity and QTc prolongation.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Congenital long QT syndrome, hypokalemia, hypomagnesemia, severe hepatic impairment.

๐Ÿ“Š Monitoring Parameters

ECG (QTc), serum electrolytes (K+, Mg2+), liver function, renal function, blood pressure, thyroid function.

๐Ÿคฑ Lactation Safety

Not recommended; unknown if excreted in human milk.

๐Ÿ’Š Overdose Management

No specific antidote; symptomatic and supportive care; monitor ECG and electrolytes.

โฐ Missed Dose

If missed, take as soon as remembered unless next dose is within 12 hours; do not double dose.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Last reviewed on: Sep 06, 2026

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