2. What should I know before I take SUTENT?
Do not take if you have ever had an allergic reaction to sunitinib or any of the ingredients
listed at the end of the CMI.
Talk to your doctor if you have any other medical conditions, take any other medicines,
or are pregnant or plan to become pregnant or are breastfeeding. For more information, see Section
2. What should I know before I take SUTENT? in the full CMI.
3. What if I am taking other medicines?
4. How do I take SUTENT?
Your doctor will tell you the dose that you should take. The dose depends on the type
of cancer. More instructions can be found in Section
4. How do I take SUTENT? in the full CMI.
5. What should I know while taking SUTENT?
|
Things you should do
|
Before starting treatment with SUTENT, you should have a dental check up.
Your doctor will need to measure and monitor your blood pressure.
You will need to have a blood test at the start of each treatment cycle or every 4
weeks if you are receiving continuous treatment with SUTENT.
You will need to have your blood glucose levels checked regularly if you have diabetes.
Use an effective method of birth control to prevent pregnancy during treatment and
for at least 4 weeks after finishing treatment with SUTENT.
Tell your doctor if you are going to have surgery (an operation) or dental treatment
while taking SUTENT.
|
|
Things you should not do
|
Do not breastfeed while taking SUTENT.
Do not drink grapefruit juice or eat grapefruit during your treatment with SUTENT.
|
|
Driving or taking machines
|
Be careful before you drive or use any machines or tools until you know how SUTENT
affects you.
|
|
Looking after your medicine
|
Keep SUTENT tablets in their blister pack until it is time to take them.
Keep SUTENT tablets in a cool dry place where the temperature stays below 25°C.
|
6. Are there any side effects?
Common side effects include tiredness, weakness, diarrhoea, constipation, nausea,
vomiting, change/loss of taste, loss of appetite, weight loss, change in skin/hair
colour, hair loss, tingling or rash on palms of hands or soles of feet, dry/red/scaly/itchy
skin or rash, blisters; skin infections, pus formation, skin ulcers, dizziness, headache,
sore tongue/mouth, dry mouth, difficulty swallowing, cold sores, cough, shortness
of breath, stomach pain, wind, heart burn, indigestion, pain in fingers, arms or legs;
muscle pain, joint pain, back pain, nose bleed, watery eyes, tingling or numbness
of hands or feet, difficulty sleeping, depression, fever or chills, flu-like symptoms,
urinary tract infections, swelling, weight gain, enlarged thyroid gland, feeling overheated,
increased sweating, fast or irregular heart beat. Serious side effects include allergic
reaction, fits/seizures, bleeding, low blood sugar, serious infections, toxicity or
damage to the heart, gastrointestinal tract, muscle, bone, liver or brain.
Active ingredient(s):
sunitinib malate
Full Consumer Medicine Information (CMI)
This leaflet provides important information about taking SUTENT. You should also speak to your doctor or pharmacist if you would like further information
or if you have any concerns or questions about taking SUTENT.
Where to find information in this leaflet:
1. Why am I taking SUTENT?
SUTENT contains the active ingredient sunitinib.
SUTENT is a protein kinase inhibitor. It is used to treat cancer by preventing the
activity of a group of proteins involved in the growth and spread of cancer cells.
SUTENT is taken to treat:
renal cell carcinoma, a type of kidney cancer.
gastrointestinal stromal tumour (GIST), cancer of the stomach and bowels.
pancreatic neuroendocrine tumours, a rare cancer of the cells of the pancreas that
release hormones.
2. What should I know before I take SUTENT?
Warnings
Do not take SUTENT if:
you are allergic to sunitinib, or any of the ingredients listed at the end of this
leaflet. Always check the ingredients to make sure you can take this medicine.
Check with your doctor if you:
have high blood pressure
have or have had an aneurysm (abnormal balloon-like swelling in the wall of an artery)
have problems with your heart or an abnormal heart rhythm
have or have ever had problems with your liver or kidneys
have diabetes or problems with your thyroid
During treatment, you may be at risk of developing certain side effects. It is important
you understand these risks and how to monitor for them. See additional information
under Section
6. Are there any side effects?
Pregnancy and breastfeeding
Check with your doctor if you are pregnant or intend to become pregnant.
STUTENT should not be taken during pregnancy. Your doctor will discuss the risks with
you.
Talk to your doctor if you are breastfeeding or intend to breastfeed.
You should not breastfeed while taking SUTENT.
You should have a dental check up before starting treatment with SUTENT.
Use in children
Safety and effectiveness in children have not been established for SUTENT.
3. What if I am taking other medicines?
Tell your doctor or pharmacist if you are taking any other medicines, including any
medicines, vitamins or supplements that you buy without a prescription from your pharmacy,
supermarket or health food shop.
Some medicines may interfere with SUTENT and affect how it works. Some of these medicines
include:
ketoconazole, a medicine to treat fungal infections
itraconazole, a medicine to treat fungal infections
ritonavir, a medicine to treat HIV and some other infections
erythromycin or clarithromycin, medicines to treat infections
rifampicin, a medicine to treat tuberculosis and some other infections
dexamethasone, a medicine to treat dermatitis, asthma and some other conditions
phenobarbital (phenobarbitone), phenytoin or carbamazepine, medicines to treat seizures
St. John's wort (a herbal medicine, also called Hypericum perforatum) to treat anxiety
medicines used to treat irregular heart beat
medicines called bisphosphonates, such as zoledronic acid, alendronate pamidronate
or ibandronate to treat osteoporosis and some types of cancers
medicines to treat diabetes
Check with your doctor or pharmacist if you are not sure about what medicines, vitamins
or supplements you are taking and if these affect SUTENT.
4. How do I take SUTENT?
How much to take
Your doctor will tell you the dose that you should take. The dose depends on the type
of cancer.
For renal cell carcinoma and GIST, the usual dose is 50 mg taken once a day for 4
weeks followed by no medicine for 2 weeks, making a 6-week cycle. Your doctor will
let you know how many cycles of treatment you will need.
For pancreatic neuroendocrine tumours, the usual recommended dose is 37.5 mg taken
once daily.
Your doctor may change your dose or dosing schedule during treatment.
How to take it
Swallow the capsules with a glass of water.
SUTENT can be taken with or without food.
When to take it
Take the capsules at about the same time each day.
Taking them at the same time each day will help you to remember to take them.
How long to take it
Continue taking SUTENT for as long as your doctor prescribes it.
If you forget to take SUTENT
If you miss your dose at the usual time,
skip the dose you missed and take your next dose when you are meant to.
Do not take a double dose to make up for the dose you missed.
If you take too much SUTENT
If you think that you have taken too much SUTENT, you may need urgent medical attention.
You should immediately:
phone the Poisons Information Centre
(by calling
13 11 26), or
contact your doctor, or
go to the Emergency Department at your nearest hospital.
You should do this even if there are no signs of discomfort or poisoning.
5. What should I know while taking SUTENT?
Things you should do
Make sure you follow your doctor's instructions and keep all appointments.
You will need regular follow-up to make sure the treatment is working.
Your doctor will need to measure and monitor your blood pressure.
You will need to have a blood test at the start of each treatment cycle or every 4
weeks if you are receiving continuous treatment with SUTENT.
Your will need to have your blood glucose levels checked regularly if you have diabetes.
Use an effective method of birth control to prevent pregnancy while being treated
with SUTENT and for at least 4 weeks after finishing treatment with SUTENT.
Tell your doctor immediately if you become pregnant while taking SUTENT.
Tell your doctor if you are going to have surgery (an operation) or dental treatment
while taking SUTENT.
Tell any doctor, dentist or pharmacist who treats you that you are taking SUTENT.
If you are about to be started on any new medicine, remind your doctor and pharmacist
that you are taking SUTENT.
Things you should not do
Do not drink grapefruit juice or eat grapefruit during your treatment with SUTENT.
Do not take SUTENT to treat any other complaints unless your doctor tells you to.
Do not give SUTENT to anyone else, even if their condition seems similar to yours.
Driving or taking machines
Be careful before you drive or use any machines or tools until you know how SUTENT
affects you.
SUTENT may cause dizziness or tiredness in some people. If you have any of these symptoms,
do not drive, operate machinery or do anything that requires you to be alert.
Drinking alcohol
Tell your doctor if you drink alcohol.
Looking after your medicine
Store SUTENT in a cool dry place where the temperature stays below 25°C.
Keep the capsules in the pack until it is time to take them.
Do not store SUTENT:
in the bathroom or near a sink, or
in the car or on window sills.
Heat and dampness can destroy some medicines.
Keep it where young children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place
to store medicines.
Getting rid of any unwanted medicine
If you no longer need to take this medicine or it is out of date, take it to any pharmacy
for safe disposal.
Do not take this medicine after the expiry date.
6. Are there any side effects?
All medicines can have side effects. If you do experience any side effects, most of
them are minor and temporary. However, some side effects may need medical attention.
See the information below and, if you need to, ask your doctor or pharmacist if you
have any further questions about side effects.
Common side effects
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Common side effects
|
What to do
|
|
General disorders:
tiredness or weakness
loss of appetite, weight loss
increased tears, watery eyes
Gastrointestinal related:
diarrhoea or constipation
nausea (feeling sick) or vomiting
upset stomach, stomach pain, wind, heart burn, indigestion
sore tongue, sore mouth, dry mouth, difficulty swallowing, cold sores
Infection related:
fever or chills
flu-like symptoms
unusual urine colour, frequency or pain passing urine (urinary tract infections)
Muscle or bone related:
muscle pain, joint pain, back pain
pain in fingers, arms or legs
Nervous system disorders:
dizziness or headache
change in sense of taste, loss of taste
tingling or numbness of hands or feet, pins and needles
difficulty sleeping
depression
Skin or hair related:
change in skin colour (yellow skin)
change in hair colour or hair loss
tingling or rash on palms of hands or soles of feet
rash, dry skin, skin redness, scaly skin, itchy skin, blisters; skin infections, pus
formation, skin ulcers
Lung related:
cough
shortness of breath
Blood or bleeding disorders:
nose bleed
Thyroid related:
swelling, weight gain, enlargement of thyroid gland
feeling overheated, increased sweating
fast or irregular heart beat
|
Speak to your doctor if you have any of these common side effects and they worry you.
|
Serious side effects
|
Serious side effects
|
What to do
|
|
Heart related:
high blood pressure (often with no symptoms but can include headaches, heart palpitations
or nosebleeds)
Gastrointestinal related:
very bad stomach pain
leaking or discharge near anus
Muscle or bone related:
muscle pain, weakness or wasting
pain, heaviness or numbness in the jaw, teeth or gums
Liver related:
yellowing of skin and eyes (jaundice)
|
Call your doctor straight away if you notice any of these serious side effects.
|
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Signs of allergic reaction:
shortness of breath, wheezing or trouble breathing, chest pain
swollen face, eyelids, lip, tongue or voice box; swelling under the skin
Blood or bleeding disorders:
bleeding or bruising under the skin, coughing blood
Infection related:
flu-like symptoms (chills, fever, sore throat, swollen glands)
infection
swelling, dark marks or blisters on any part of the body
Heart/ blood vessel related:
pressure in chest
pain in the neck, shoulder or arm
swelling of feet or legs, leg pain
decrease in amount of urine
numbness or tingling on one side of the body, weakness of face, arm or leg; trouble
speaking, seeing or swallowing; headache, confusion, dizziness, loss of co-ordination
or balance
Nervous system related:
fits, seizures
Signs of hypoglycaemia:
decreased blood sugar level, feeling hungry, shaky or anxious
Signs of brain toxicity due to high blood levels of ammonia:
lack of energy, confusion, sleepiness, decline in mental abilities, changes in consciousness
|
Call your doctor straight away, or go straight to the Emergency Department at your
nearest hospital if you notice any of these serious side effects.
|
Tell your doctor or pharmacist if you notice anything else that may be making you
feel unwell.
Other side effects not listed here may occur in some people.
Some of these side effects (for example, low blood count, abnormal thyroid or liver
function tests) can only be found when your doctor does tests from time to time to
check your progress.
Reporting side effects
After you have received medical advice for any side effects you experience, you can
report side effects to the Therapeutic Goods Administration online at
www.tga.gov.au/safety/reporting-problems . By reporting side effects, you can help provide more information on the safety of
this medicine.
Always make sure you speak to your doctor or pharmacist before you decide to stop
taking any of your medicines.
7. Product details
This medicine is only available with a doctor's prescription.
What SUTENT contains
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Active ingredient
(main ingredient)
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sunitinib malate equivalent to 12.5 mg, 25 mg, 37.5 mg or 50 mg of sunitinib.
|
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Other ingredients
(inactive ingredients)
|
mannitol
croscarmellose sodium
povidone
magnesium stearate
gelatin
titanium dioxide (E171)
sodium lauryl sulfate
red iron oxide CI77491 (E172) (12.5 mg, 25 mg and 50 mg)
yellow iron oxide CI77492 (E172) (25 mg, 37.5 mg and 50 mg)
black iron oxide CI77499 (E172) (25 mg and 50 mg)
Shellac
propylene glycol
sodium hydroxide (12.5 mg, 25 mg and 50 mg)
ammonia (37.5 mg)
butan-1-ol (37.5 mg)
ethanol absolute (37.5 mg)
isopropyl alcohol (37.5 mg)
potassium hydroxide (37.5mg)
purified water (37.5 mg)
|
Do not take this medicine if you are allergic to any of these ingredients.
SUTENT capsules do not contain lactose, sucrose, gluten, tartrazine or any other azo
dyes
What SUTENT looks like
SUTENT 12.5 mg capsules have a Swedish Orange (a brownish red colour) cap and body
and are printed with "Pfizer" on the cap and "STN 12.5mg" on the body in white ink.
SUTENT 25 mg capsules have a caramel-coloured cap and Swedish Orange (a brownish red
colour) body and are printed with "Pfizer" on the cap and "STN 25mg" on the body in
white ink.
SUTENT 37.5 mg capsules have a yellow cap and body and are printed with "Pfizer" on
the cap and "STN 37.5mg" on the body in black ink.
SUTENT 50 mg capsules have a caramel-coloured cap and body and are printed with "Pfizer"
on the cap and "STN 50mg" on the body in white ink.
Each blister pack contains 28 capsules.
SUTENT 12.5 mg:
AUST R 149114 (blister pack)
SUTENT 25 mg:
AUST R 149115 (blister pack)
SUTENT 37.5 mg:
AUST R 156801 (blister pack)
SUTENT 50 mg:
AUST R 149116 (blister pack)
Who distributes SUTENT
Pfizer Australia Pty Ltd
Sydney NSW
Toll Free Number: 1800 675 229
This leaflet was prepared in November 2025.