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lenvatinib

multikinase inhibitor, antiangiogenic · antineoplastic, targeted therapy

multikinase inhibitor, antiangiogenicantineoplastic, targeted therapy
CDSCO approved
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
D
FDA category + note
Top interactionssee all 12
  • AmiodaroneSevereDatabaseDDInter
  • AmisulprideSevereDatabaseDDInter
  • AnagrelideSevereDatabaseDDInter
  • Arsenic TrioxideSevereDatabaseDDInter

Mechanism

Multikinase inhibitor; vascular endothelial growth factor receptors are an important target.

Indications

systemic therapy of follicular cell-derived thyroid cancers without regard to driver mutation statussystemic therapy for radioiodine-refractory, progressive thyroid cancersrecurrent or metastatic differentiated thyroid canceradvanced RCC (in combination with everolimus) following one prior antiangiogenic therapyfirst-line treatment of unresectable hepatocellular carcinomaendometrial carcinoma that progressed after systemic treatment (in combination with pembrolizumab)

Pharmacokinetics

Half-life
28 h (elimination)
Metabolism
CYP3A

Side effects

Serious
  • hypertension
  • cardiac dysfunction
  • thromboembolism
  • impaired wound healing
  • osteonecrosis of the jaw

Pregnancy & lactation

Pregnancy

D

Drug interactions

Amiodarone
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Amisulpride
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Anagrelide
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Arsenic Trioxide
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Bedaquiline
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Bepridil
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Cabozantinib
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Ceritinib
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Chloroquine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Cisapride
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Citalopram
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Clozapine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Related guidelines

Ask House about lenvatinib

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Sources: Goodman & Gilman 14e·Verified: 2026-05-10 · House clinical team