Hepanib 200 MG (Sorafenib)

Product Name : Hepanib
Generic Name : Sorafenib
Formulation : Tablet
Available Pack Size : 28’s
Available Strengths : 200 mg
Registrations : Export Only

Product Information

Hepanib (Sorafenib) 200mg is an oral multikinase inhibitor used to treat unresectable Hepatocellular Carcinoma (HCC), advanced Renal Cell Carcinoma (RCC), and radioactive iodine-refractory Differentiated Thyroid Carcinoma (DTC). It works by inhibiting RAF kinases (CRAF, BRAF, and mutant BRAF) alongside receptor tyrosine kinases including VEGFR-1, -2, and -3, PDGFR-beta, KIT, FLT-3, and RET, blocking both tumour cell proliferation and the angiogenesis tumours rely on to grow. Manufactured by Everest Pharmaceuticals Ltd., Bangladesh and globally supplied by Mediaid Pharmacy with worldwide shipping.

Basic Product Information of Hepanib (Sorafenib) 200mg

Brand Name Hepanib (Sorafenib)
Generic Name Sorafenib (as Sorafenib Tosylate) INN
Drug Class Multikinase Inhibitor (RAF Kinase and VEGFR/PDGFR Inhibitor)
Available Strength 200mg
Formulation Film-Coated Tablet
Pack Size 28 Tablets per Pack
Primary Indication Hepatocellular Carcinoma, Renal Cell Carcinoma and Differentiated Thyroid Carcinoma
Regulatory Approvals USFDA Approved (HCC, RCC, DTC). EMA Approved.
Originator Brand Nexavar by Bayer
Manufacturer Everest Pharmaceuticals Ltd., Dhaka, Bangladesh
Global Supplier Mediaid Pharmacy, Worldwide Shipping Available
Registration Status Export Only – Manufactured for International Markets
Storage Conditions Store below 30 degrees Celsius. Keep in a dry place away from light and moisture. Keep out of the reach of children.

How Hepanib (Sorafenib) Works

Hepanib contains Sorafenib, an oral kinase inhibitor that decreases tumour cell proliferation by acting on multiple targets at once. Sorafenib inhibits intracellular kinases including CRAF, BRAF, and mutant BRAF, which are part of a key signalling pathway driving cancer cell growth, as well as cell-surface receptor kinases including KIT, FLT-3, RET/RET-PTC, VEGFR-1, VEGFR-2, VEGFR-3, and PDGFR-beta.

By blocking these targets, Hepanib interrupts both the internal signalling that drives tumour cell proliferation and the external VEGFR/PDGFR-mediated angiogenesis that tumours depend on to form new blood vessels. In pre-clinical models of hepatocellular carcinoma, renal cell carcinoma, and thyroid carcinoma, Sorafenib was shown to reduce tumour angiogenesis and increase tumour cell apoptosis (programmed cell death).

Hepanib is taken as a twice-daily oral tablet, and has been an established treatment option in liver, kidney, and thyroid cancer since its original approval for renal cell carcinoma in 2005, later extended to hepatocellular carcinoma and radioactive iodine-refractory thyroid carcinoma.

Indications for Hepanib (Sorafenib)

Hepanib (Sorafenib) is indicated for the following conditions:

Hepatocellular Carcinoma (HCC)

For the treatment of adult patients with unresectable hepatocellular carcinoma (liver cancer).

Renal Cell Carcinoma (RCC)

For the treatment of adult patients with advanced renal cell carcinoma (kidney cancer).

Differentiated Thyroid Carcinoma (DTC)

For the treatment of adult patients with locally recurrent or metastatic, progressive, differentiated thyroid carcinoma that is refractory to radioactive iodine treatment.

Benefits of Hepanib (Sorafenib) 200mg

Long-Established Track Record

First approved in 2005 and used in oncology practice for two decades, Sorafenib has a well-characterised efficacy and safety profile across three distinct cancer types.

Broad Multi-Cancer Coverage

Approved across liver, kidney, and thyroid cancer, Hepanib offers a versatile targeted treatment option across several difficult-to-treat cancer types.

Dual Mechanism of Action

By targeting both RAF-pathway signalling and VEGFR/PDGFR-driven angiogenesis, Hepanib addresses tumour growth from two directions at once.

Affordable Alternative to Nexavar

Hepanib contains the same active ingredient as Nexavar by Bayer, at a significantly lower cost, making long-term targeted cancer therapy more financially accessible.

Established First-Line Option

Sorafenib remains a recognised first-line treatment option for unresectable hepatocellular carcinoma in many treatment guidelines and settings.

cGMP Certified Manufacturing

Produced by Everest Pharmaceuticals Ltd. under cGMP-compliant manufacturing standards, helping ensure consistent quality, purity, and potency in every batch of Hepanib tablets.

How to Take Hepanib (Sorafenib)

Route: Oral, taken without food. Tablets should be swallowed whole with a glass of water.

Standard dose: 400mg (two 200mg tablets) taken twice daily, without food (at least 1 hour before or 2 hours after a meal), continued until the patient is no longer benefiting clinically or until unacceptable toxicity occurs.

Missed dose: If a dose is missed, take the next dose at its normal scheduled time; do not double up doses.

Dose reduction for toxicity: Adverse reactions are typically managed with temporary interruption or dose reduction, first to 400mg once daily, and if necessary further to 400mg every other day, according to the severity of the reaction. If there is no recovery after a 30-day interruption, treatment is generally discontinued unless the patient is still deriving clinical benefit.

Hepatic impairment: No dose adjustment is required for mild or moderate hepatic impairment (Child-Pugh A or B). Hepanib has not been studied in severe hepatic impairment (Child-Pugh C).

Renal impairment: No dose adjustment is generally required based on renal function; no correlation has been observed between Sorafenib exposure and renal function.

Antibiotic interaction: Neomycin has been shown to significantly reduce Sorafenib absorption; inform your physician if neomycin or similar antibiotics are being considered during treatment.

Paediatric use: The safety and efficacy of Hepanib in paediatric patients have not been established. No data are currently available.

Prescription Medication. Hepanib carries important risks of hepatotoxicity, haemorrhage, cardiac ischaemia and myocardial infarction, hypertension, gastrointestinal perforation, QT interval prolongation, and severe skin reactions. Hepanib in combination with carboplatin and paclitaxel is contraindicated in patients with squamous cell lung cancer, due to an observed increase in mortality risk. Treatment should only be initiated and monitored by an oncologist experienced in managing these risks. Always follow your prescribing physician’s instructions.

Monitoring and Dosage Adjustments

Regular monitoring is essential throughout Hepanib treatment. Your oncologist will monitor liver function tests, blood pressure, checked weekly during the first 6 weeks and periodically thereafter, and signs of cardiac ischaemia in patients with coronary artery disease. Monitoring also includes assessment for bleeding, skin reactions such as hand-foot skin reaction and rash, and, where indicated, ECG monitoring for QT prolongation. Report any severe abdominal pain, chest pain, unusual bleeding, severe skin reactions, severe headache, or signs of a heart attack or stroke to your doctor immediately.

Drug Interactions and Important Information

Hepanib in combination with carboplatin and paclitaxel is contraindicated in patients with squamous cell lung cancer, due to a demonstrated increase in mortality in this specific combination and cancer type. Caution is advised when combining Sorafenib with other chemotherapy agents such as docetaxel or doxorubicin, as combined toxicity may be increased; your oncologist will determine whether dose adjustment of either agent is needed.

Neomycin significantly reduces Sorafenib absorption and should be used with caution. Proton pump inhibitors such as omeprazole do not require dose adjustment when used with Hepanib, despite the pH-dependent solubility of Sorafenib. Verify pregnancy status before starting treatment; women of childbearing potential should use effective contraception during treatment and for 6 months after the final dose, and men with partners of childbearing potential should use effective contraception during treatment and for 3 months after the final dose. Always inform your physician of all medications, supplements, and herbal products you are currently taking before starting Hepanib.

Side Effects and Precautions

Common Side Effects

Diarrhoea

Fatigue

Hand-foot skin reaction and rash

Hair thinning (alopecia)

Nausea and decreased appetite

Weight loss

Hypertension

Abdominal pain

Serious Warnings and Precautions

Hepatotoxicity, including rare cases of severe, sometimes fatal, drug-induced liver injury.

Haemorrhage, including gastrointestinal and respiratory bleeding.

Cardiac ischaemia and myocardial infarction.

Gastrointestinal perforation and QT interval prolongation.

Severe skin reactions, including Stevens-Johnson syndrome and toxic epidermal necrolysis (rare).

Impaired wound healing. Interrupt treatment before planned surgery.

Embryo-foetal toxicity. Not recommended during pregnancy or breastfeeding.

Who Should Use Hepanib (Sorafenib)?

Hepanib is suitable for adult patients diagnosed with unresectable hepatocellular carcinoma, advanced renal cell carcinoma, or locally recurrent or metastatic differentiated thyroid carcinoma that is refractory to radioactive iodine treatment. It is prescribed by medical oncologists experienced in managing multikinase inhibitor therapy and its associated cardiovascular, hepatic, and dermatologic risks. A thorough medical assessment including liver function, blood pressure, cardiac risk evaluation, and bleeding risk is required before initiating treatment.

Manufacturer: Everest Pharmaceuticals Ltd.

Everest Pharmaceuticals Ltd. is a vertically integrated pharmaceutical company based in Dhaka, Bangladesh, focused on complex, technology-driven specialty medicines across oncology, nephrology, and virology. Operating under Bangladesh’s TRIPS/Doha Declaration exemption for least-developed countries, Everest manufactures advanced generics such as Hepanib under cGMP-compliant standards, with the stated mission of making high-cost, life-saving medicines accessible and affordable to patients around the world. Hepanib is one of Everest’s specialty oncology products, offering a bioequivalent alternative to Nexavar by Bayer at a fraction of the cost.

Global Supplier: Mediaid Pharmacy with Worldwide Shipping

Mediaid Pharmacy is a trusted global supplier of specialty and oncology medications. We ensure Hepanib (Sorafenib) is accessible to patients and healthcare providers worldwide through reliable worldwide shipping. Whether you are located in South Asia, the Middle East, Africa, Europe, or beyond, Mediaid Pharmacy provides fast and reliable delivery with full order support. Contact us directly via WhatsApp, phone, or WeChat for pricing, availability, and delivery enquiries.

Why Choose Hepanib (Sorafenib) from Mediaid Pharmacy?

Hepanib represents a well-established, versatile option across three distinct cancer types. As the generic equivalent of Nexavar by Bayer, it delivers the same active ingredient, Sorafenib, with the same proven multikinase inhibition mechanism at a dramatically more affordable price. Manufactured by Everest Pharmaceuticals Ltd. under cGMP-compliant standards and distributed globally by Mediaid Pharmacy, Hepanib gives patients worldwide access to advanced targeted cancer therapy without the financial burden of brand-name alternatives. For patients and physicians seeking a proven, affordable, and accessible Sorafenib option with worldwide delivery, Hepanib from Mediaid Pharmacy is the trusted choice.

Frequently Asked Questions About Hepanib (Sorafenib)

What is Hepanib (Sorafenib) used for?

Hepanib (Sorafenib) is used to treat adult patients with unresectable hepatocellular carcinoma (liver cancer), advanced renal cell carcinoma (kidney cancer), and locally recurrent or metastatic differentiated thyroid carcinoma that no longer responds to radioactive iodine treatment. It works by blocking multiple pathways tumours rely on to grow and form new blood vessels.

How should I take Hepanib (Sorafenib)?

Hepanib is taken orally, twice daily, without food, at least 1 hour before or 2 hours after a meal. The standard dose is 400mg (two 200mg tablets) twice daily. Dose reductions may be used to manage side effects. Always follow your oncologist’s exact instructions.

What strength is Hepanib (Sorafenib) available in?

Hepanib is available in a 200mg film-coated tablet, supplied in a pack of 28 tablets. Because Hepanib is available in the 200mg strength, the standard 400mg twice-daily dose is achieved by taking two tablets together, exactly as prescribed by your oncologist.

Is Hepanib the same as Nexavar (Sorafenib by Bayer)?

Yes. Hepanib is the generic equivalent of Nexavar. Both contain the same active ingredient, Sorafenib, and work through the same multikinase inhibition mechanism. Hepanib is manufactured by Everest Pharmaceuticals Ltd. in Bangladesh and offers the same clinical mechanism as Nexavar at a significantly lower cost.

What are the side effects of Hepanib (Sorafenib)?

Common side effects include diarrhoea, fatigue, hand-foot skin reaction, hair thinning, and high blood pressure. Serious but less common risks include liver injury, bleeding, cardiac ischaemia, gastrointestinal perforation, and severe skin reactions. Always consult your oncologist for a complete assessment of your individual risks and benefits before starting treatment.

Can Hepanib be used with other medications?

Hepanib in combination with carboplatin and paclitaxel is contraindicated in squamous cell lung cancer. Caution is needed with other chemotherapy agents such as docetaxel or doxorubicin, and neomycin can reduce Sorafenib absorption. Always inform your physician of all medications, supplements, and herbal products you are taking before starting Hepanib.

Is Hepanib (Sorafenib) safe during pregnancy or breastfeeding?

No. Hepanib is not recommended during pregnancy or breastfeeding, as it can cause foetal harm. Pregnancy status should be verified before starting treatment; women should use effective contraception during treatment and for 6 months after the final dose, and men should use effective contraception during treatment and for 3 months after their final dose. Please consult your physician before starting treatment if you are pregnant, planning to become pregnant, or breastfeeding.

Can I order Hepanib (Sorafenib) online with worldwide shipping?

Yes. Mediaid Pharmacy supplies Hepanib (Sorafenib) 200mg globally with worldwide shipping. Contact us via WhatsApp, phone, or WeChat at +8801773428128 or email us at info@mediaidpharmacy.com to enquire about pricing, availability, and delivery to your country.

Order Hepanib (Sorafenib) 200mg with Worldwide Shipping

Phone / WhatsApp / WeChat: +8801773428128 | Email: info@mediaidpharmacy.com

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