Votrient, known by its generic name Pazopanib, is a targeted therapy drug used to treat cancer. This medication works by disrupting the growth and spread of abnormal cells in the body.

Patients with advanced stages of renal cell carcinoma (RCC), a type of kidney cancer, are usually prescribed this medication. Votrient is a crucial lifeline for those suffering from RCC, notorious for resisting conventional treatments. Patients with advanced soft tissue sarcoma (tumors that develop in or around muscles, tendons, joints, organs, or blood vessels) may also be prescribed Votrient.

Angiogenesis, the process by which blood vessels grow inside tumors, is inhibited by this targeted therapy. As Votrient stunts the tumor’s blood supply, it prevents cancer cells from flourishing and spreading.

Votrients also hinder the proliferation of cancer cells by inhibiting specific protein kinases. A dual-pronged approach makes it a powerful tool in the fight against cancer, disrupting the tumor’s growth.

Warnings and Precautions

To ensure your safety and maximize the benefits of this drug, it’s crucial to be aware of the warnings and precautions associated with it.

  • Allergic Reactions: While allergic reactions to Votrient are rare, they can be severe. If you experience symptoms such as hives, difficulty breathing, or swelling of the face, lips, tongue, or throat, seek immediate medical attention. Inform your healthcare provider about any allergies you may have before starting this medication.
  • Liver Function: Votrient can affect liver function. Your doctor will monitor your liver through blood tests. If you notice symptoms like yellowing of the skin or eyes (jaundice), dark urine, or persistent nausea, inform your healthcare provider promptly.
  • Hypertension: This medication may cause an increase in blood pressure. Regular monitoring of your blood pressure is essential. If it becomes significantly elevated, your healthcare provider may adjust your treatment plan or prescribe medications to manage it.
  • Cardiovascular Risks: Votrient may increase the risk of cardiovascular events such as heart attacks or strokes. Be sure to inform your doctor if you have a history of heart problems or other cardiovascular issues. They will assess your individual risk and closely monitor your heart health during treatment.
  • Thyroid Function: Some patients may experience changes in thyroid function while taking Votrient. Regular thyroid function tests will help your healthcare provider detect any abnormalities early and make necessary adjustments to your treatment.
  • Medication Interactions: It’s crucial to inform your healthcare provider about all the medications, supplements, and herbal products you are taking. Some drugs can interact with Votrient, potentially leading to adverse effects. Your doctor will evaluate potential interactions and make necessary adjustments to your treatment plan.
  • Pregnancy and Breastfeeding: Votrient may harm an unborn baby. If you are pregnant or planning to become pregnant, discuss alternative treatment options with your doctor. Similarly, if you are breastfeeding, consult your healthcare provider to weigh the risks and benefits before continuing Votrient.
  • Sun Protection: During Votrient treatment, you may become more sensitive to sunlight. It’s advisable to wear protective clothing and use sunscreen to prevent sunburn. Limit your exposure to direct sunlight and avoid tanning beds.
  • Kidney Function: Votrient can affect kidney function. Regular monitoring of your kidney function through blood tests is essential. Inform your healthcare provider if you notice changes in urination patterns, swelling, or discomfort in the kidney area.
  • Routine Check-ups: Maintain regular follow-up appointments with your healthcare provider. These visits allow your doctor to assess your overall well-being, monitor for potential side effects, and make necessary adjustments to your treatment plan.

Side Effects

Votrient, a medication often prescribed to treat certain types of cancer, is an essential tool in the fight against this relentless disease. However, like many pharmaceuticals, it comes with its own set of side effects.

Common Side Effects

  1. Fatigue: One of the most commonly reported side effects of Votrient is fatigue. Many patients experience a constant sense of tiredness. It’s important to rest when needed and not push your body too hard during this time.
  2. Nausea and Vomiting: Some patients may experience nausea and vomiting. This can be managed with anti-nausea medications prescribed by your healthcare provider.
  3. Diarrhea: Diarrhea is another common side effect. Staying well-hydrated and adjusting your diet can help alleviate this discomfort.
  4. High Blood Pressure: Votrient can cause an increase in blood pressure. Regular monitoring and medications, if necessary, can help keep it under control.
  5. Loss of Appetite: You might find your appetite reduced while taking Votrient. Focus on small, nutrient-rich meals to maintain your nutrition.

Rare Side Effects

  1. Liver Problems: While uncommon, Votrient can affect the liver. Your doctor will monitor your liver function throughout your treatment.
  2. Skin Reactions: Some patients may develop skin problems such as rashes or blisters. Report any unusual skin changes to your healthcare provider.
  3. Thyroid Issues: Votrient can impact thyroid function, leading to conditions like hypothyroidism. Regular thyroid checks are essential.
  4. Gastrointestinal Perforation: This is a rare but serious side effect. Seek immediate medical attention if you experience severe abdominal pain.

Severe Side Effects

  1. Heart Problems: In very rare cases, Votrient can affect the heart, leading to heart failure. Your cardiologist will closely monitor your heart health.
  2. Bleeding: Severe bleeding is an extremely rare but critical side effect. If you notice unusual bleeding or bruising, contact your healthcare provider urgently.
  3. Kidney Issues: Some patients may develop kidney problems while on Votrient. Regular kidney function tests are crucial.
  4. Allergic Reactions: Although uncommon, severe allergic reactions can occur. Seek emergency medical assistance if you experience swelling, difficulty breathing, or a rash.
  5. Wound Healing: Votrient may slow down the healing process. Inform your healthcare provider if you are planning any surgeries.


If you’re considering or currently using Votrient, it’s crucial to comprehend its interactions with other substances.

Drug Interactions

  1. Antacids: Taking Votrient with antacids may reduce its absorption in the body. It’s advisable to separate the administration of these two substances by a few hours.
  2. Blood Thinners: Combining Votrient with blood thinners like warfarin can increase the risk of bleeding. Regular monitoring of your blood clotting levels is essential if you are on both medications.
  3. Antifungal Medications: Some antifungal drugs may interact with Votrient, leading to increased levels of pazopanib in the bloodstream. Your healthcare provider should be aware of all medications you’re taking.
  4. Enzyme Inducers: Certain medications that induce liver enzymes, such as rifampin or phenytoin, can potentially reduce the effectiveness of Votrient. Your doctor may need to adjust your Votrient dosage in such cases.

Herbal Interactions

  1. St. John’s Wort: This herbal supplement, commonly used to alleviate symptoms of depression, may reduce the effectiveness of Votrient. It’s advisable to avoid or consult your healthcare provider before using it alongside Votrient.
  2. Green Tea: While green tea is generally considered safe and even beneficial, its high caffeine content might interact with Votrient and lead to increased side effects. Limit your green tea consumption and consult your doctor if necessary.

Food Interactions

  1. Grapefruit: Consuming grapefruit or grapefruit juice can increase the levels of Votrient in your bloodstream, potentially leading to more pronounced side effects. It’s recommended to avoid grapefruit while taking Votrient.
  2. High-Fat Meals: Votrient is better absorbed when taken with a meal that contains a moderate amount of fat. However, avoid excessively fatty meals, as they may lead to digestive issues.
  3. Alcohol: While moderate alcohol consumption is generally acceptable, excessive alcohol intake can exacerbate certain side effects of Votrient, such as dizziness. Limit alcohol consumption and discuss it with your healthcare provider.


Votrient is a crucial medication used in the treatment of various cancers. Understanding the dosing guidelines for Votrient is essential to ensure its safe and effective use throughout the course of treatment.

Initial Dosing

When commencing Votrient therapy, it’s vital to start with the right initial dose. The standard initial dose of Votrient is typically 800 milligrams (mg), taken once daily. This should be administered at least one hour before or two hours after a meal to maximize its absorption.

However, it’s important to note that individual patient factors, such as the type and stage of cancer, overall health, and any underlying medical conditions, can influence the prescribed initial dose. Therefore, your healthcare provider will determine the most suitable starting dose for your specific situation.

Maintenance Dose

Once the initial dose has been established and any potential side effects have been monitored, your healthcare provider may make adjustments to your Votrient dosage. The maintenance dose typically ranges from 400 mg to 800 mg daily, depending on your response to the medication and any adverse effects experienced.

This ongoing dosage aims to maintain the therapeutic benefits of Votrient while minimizing side effects. It is crucial to follow your healthcare provider’s guidance meticulously during this phase to ensure the best possible outcomes.

Missed Dose

Consistency in medication intake is essential for the effectiveness of Votrient. If you happen to miss a dose, follow these guidelines:

  1. If it’s been less than 12 hours since your regular dosing time, take the missed dose as soon as you remember.
  2. If it’s been more than 12 hours since your last dose, skip the missed dose and resume your regular dosing schedule the next day.


Taking more Votrient than prescribed can lead to overdose, which can be a medical emergency. Symptoms of overdose may include severe dizziness, fainting, unusual bleeding or bruising, and severe nausea or vomiting. If you suspect an overdose or experience these symptoms, seek immediate medical attention.


Ensuring that Votrient is stored correctly is crucial to maintain its potency and effectiveness.

  • Room Temperature: Votrient should be stored at a controlled room temperature, typically between 68°F to 77°F (20°C to 25°C).
  • Avoid Extreme Temperatures: Ensure that Votrient is not exposed to extreme heat or cold. Do not freeze the medication, and keep it away from direct sunlight.
  • Keep in Original Container: Store Votrient in its original container with the cap tightly closed. This container is specifically designed to protect the medication from moisture and light.
  • Desiccant Pack: Some Votrient packaging includes a desiccant pack to absorb moisture. Do not remove this pack; it helps maintain the medication’s stability.
  • Dry Environment: Store Votrient in a dry environment. Avoid storing it in the bathroom or kitchen, where humidity levels can fluctuate.
  • High Shelves: Store Votrient on high shelves or in a locked cabinet, ensuring it’s not accessible to children.
  • Child-Resistant Cap: Always secure the child-resistant cap after each use.

IMPORTANT NOTE: The information provided here is for educational purposes only and is not intended to serve as medical advice, diagnosis, or treatment recommendations. It should not be taken as an endorsement of any specific medication or treatment. Individual health conditions and responses to treatment can vary greatly; therefore, this information should not be seen as a guarantee of safety, suitability, or effectiveness for any particular individual. Always consult with a healthcare professional for personalized medical advice and before making any decisions regarding your health or treatment plans.

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