Contraindicated in:
Use Cautiously in:
CNS: dysgeusia, amnesia, attention disturbances, confusion, memory impairment.
CV: hypertension, peripheral edema.
Derm: hair color changes, pruritus, rash, alopecia, skin pigmentation changes.
EENT: eye edema, blurred vision, diplopia, photophobia.
F and E: hypophosphatemia.
GI: HEPATOTOXICITY, constipation, vomiting, dry mouth, stomatitis.
GU: ↓fertility.
Hemat: NEUTROPENIA, anemia, lymphocytopenia, thrombocytopenia.
Metab: ↓appetite, hypercholesterolemia.
Neuro: peripheral neuropathy.
Misc: fatigue, fever.
Drug-Drug:
Drug-Natural Products:
Drug-Food:
Renal Impairment
Absorption: High-fat food increases drug exposure by 100% and delays absorption.
Distribution: Extensively distributed to extravascular tissues.
Protein Binding: >99%.
Metabolism/Excretion: Primarily metabolized by CYP3A4 isoenzyme and through glucuronidation (via UGT1A4); inactive metabolite formed via glucuronidation. 65% excreted via feces (44% as unchanged drug), 27% excreted in urine as metabolites.
Half-life: 26.6 hr.
NDC Code*