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Regorafenib

Chemotherapy

What is regorafenib?

Regorafenib (also called Stivarga®) is an anticancer medicine. It is used to treat a variety of cancers. It may also be given for other reasons. Talk with your doctor. Regorafenib is taken by mouth. It is available as a 40mg tablet.

Possible side effects

Weight loss
Irritated mouth
Change in voice
Stomach pain
Muscle spasms
Hair loss

If you have any of these side effects, tell the doctor right away:
Allergic reaction: Itching or hives/ swelling in your face or hands; swelling or tingling in your mouth or throat; chest tightness; trouble breathing
Dark urine, fatigue, lack of appetite, nausea, stomach pain, light-colored stool, vomiting, or yellow skin
Confusion, not alert, vision changes, seizures, or severe headache
Vomiting blood or vomit that looks like coffee grounds; coughing up blood; blood in the urine; black, red, or tarry stools; bleeding from the gums; abnormal vaginal bleeding; bruises without reason or that get bigger; or any severe or persistent bleeding.
Infection
Muscle pain or weakness
Abnormal or fast heartbeat’ severe dizziness or passing out; chest pain
Trouble handling heat or cold; burning, feeling numb or tingling
Palms or soles of feet red or irritated
Stomach swelling
Red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in mouth, throat, nose, or eyes.
These are the most common side effects, but there may be others. Please report all side effects to the doctor or nurse.

Symptoms of an allergic reaction include: rash, hives, itching, chills, fever, headache, muscle ache, shortness of breath, coughing, tightness in the throat, swelling of the face or neck.

Not all patients who take regorafenib will experience these side effects. Common side effects are bolded, but there may be others. Please report all suspected side effects to your doctor or pharmacist.

Find more information on side effects.

Tips for patients and families

Be sure to discuss all questions and instructions with your doctor or pharmacist.

You should not take this medicine if you have had an allergic reaction to regorafenib.
It is important to avoid grapefruit juice while taking regorafenib.
Because regorafenib may cause birth defects, do not take this medicine if you are pregnant. Both men and women who are taking regorafenib should use effective birth control methods.
It is not known if regorafenib passes into breast milk. This medicine might cause serious harm to a nursing infant. Women who are taking regorafenib should not breastfeed a baby.
Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

Safe handling of regorafenib
All chemotherapy drugs taken by mouth can pose a health hazard to caregivers and patients. You should be careful when handling this medicine and try to keep the drug from touching the skin. Taking precautions will ensure that both the patient and the caregiver are protected as well as possible.
Prepare a clean area where the drug can be handled safely (away from areas where food is prepared, out of the reach of children, and out from under any air vents or fans).
We suggest you or the caregiver wear gloves while handling this medicine. Wash your hands right away if your skin comes in contact with the medicine.

Drug at Home:

Swallow tablet whole with water after a low-fat meal (containing fewer than 600 calories and less than 30% fat).
Take regorafinib at the same time each day.
Regorafenib tablets should be stored at room temperature.
Keep this and all medicine out of the reach of children and pets.

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Always check the medication label. Many medicines look the same. Do not take any new medicine, including over-the counter medicines or supplements, without checking with your doctor or pharmacist. Talk to your doctor or pharmacist about what to do in the case of a missed dose, allergic reaction, or medical emergency.

This information is not intended to be a complete guide and is not a substitute for talking with your provider. Medicine names, appearance, formulas, or availability may vary by clinic location. Always follow the instructions given by your care team.

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