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Dosage of Tivozanib

1.Recommended Dosing

The recommended dosage of Tivozanib is 1.34 mg taken orally once daily for 21 days on treatment followed by 7 days off treatment for a 28-day cycle.

Continue treatment until disease progression or until unacceptable toxicity occurs.

Take Tivozanib with or without food. Swallow the Tivozanib capsule whole with a glass of  water. Do not open the capsule. 

If a dose is missed, the next dose should be taken at the next scheduled time. Do not take two  doses at the same time.

2.Dose Modifications for Adverse Reactions

Initiate medical management for diarrhea, nausea, or vomiting prior to dose interruption or  reduction.  If dose modifications are required for adverse reactions, reduce the dosage of Tivozanib to 0.89  mg for 21 days on treatment followed by 7 days off treatment for a 28-day cycle. Recommendations for dosage modifications are provided in Table 1.

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3.Dosage Modifications for Moderate Hepatic Impairment

Reduce the recommended dosage of Tivozanib to 0.89 mg capsule taken orally once daily for 21 days on treatment followed by 7 days off treatment for a 28-day cycle for patients with moderate hepatic impairment.

from FDA,2021.03

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