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Tips for patients and caregivers

Tips for patients

Prepare for your doctor’s appointment by partnering with your healthcare team

Before the appointment

If possible, ask your caregiver or friend to come along with you to your visit.

Be prepared with questions you want to ask your healthcare team, such as:

What are some of the tests that will show if my treatment is working?
How often will I need to take these tests?
Who do I contact if I think I’m having a side effect?
Are there exercise restrictions?
What are the steps I can take to eat healthier?

During the appointment

Take notes

Ask your caregiver or friend to help by taking notes for you
Ask questions if there is something you do not understand or are worried about
If you feel unsure, ask your nurse to write down key information for you
Don’t be afraid to ask questions — your concerns matter

Plan ahead

Schedule your next doctor’s appointment before you leave
Use your phone or the Wallet Card in your Treatment Journal to keep the contact information with you

How to Be Your Own Advocate

Watch now

Tips to support your overall health and wellness

Eat well. Talk to your healthcare team about your nutrition goals

It is important that your body gets the nutrients and calories it needs

Keep moving. Talk to your healthcare team about exercise and what is right for you

Be mindful. Meditation may help with anxiety, stress, and fatigue

Know your blood pressure (BP). BP is important to staying healthy; talk to your healthcare team about your BP

Create a Support Network to Lean On: Watch How

Emotional support can come from different sources, explains Erin Pierce, N.P., and Deanna, an actual patient. Find out about sharing with and learning from other patients through support groups.

Take Steps to Keep a Positive Outlook: Hear Why and How

Learn why staying positive is important to Deanna, an actual patient. She shares how she keeps her spirits up during her CABOMETYX journey.

These videos feature real patients and healthcare providers to show their individual treatment experiences with CABOMETYX. Some participants were paid for their time and expenses in sharing their story. Individual results may vary. The information in this video is not intended as medical advice. Your healthcare team is your best resource for information about your treatment. If you have any questions about your condition or treatment, contact your healthcare team.

Tips for caregivers

You are an essential part of your loved one’s treatment circle. Here are some suggestions of how you can help, and also how you can take care of yourself.

Know what to expect

Find out as much as you can about your loved one’s diagnosis and treatment
- You will have a better idea of what to expect during your loved one’s journey
Understand the dosing schedule and potential side effects of CABOMETYX
- You can help your loved one keep an eye on both—especially side effects. You can learn about possible side effects here

If you have any concerns, be sure to discuss them with your doctor or nurse.

Attend doctor’s appointments

Attend checkups with your loved one
- He or she will be a second pair of ears listening
Come prepared with questions
- Make sure you get all the answers you are looking for
Take notes
- Do not be afraid to ask questions if you do not understand something

Get organized

Try to be as organized as possible
- There is a lot of paperwork in healthcare to keep track of
- Make sure you have a place to store important documents so you can find them easily

Take care of yourself

Join a support group
- This way you can spend time with people who also have a loved one living with cancer
Set aside time to do something you enjoy like taking a walk in nature
Focus on you and your health
- Go to the doctor for checkups, stay active, and eat healthy foods like fruits, vegetables, and protein-filled nuts and yogurt
Be kind to yourself
- Focus on the positive as much as possible and how you are supporting your loved one through his or her treatment. This is not easy, but take things day by day, milestone by milestone. It may help you get through challenges that come along the way

Cost & Financial Support

Exelixis Access Services® (EASE) is your resource for questions and needs related to insurance coverage, financial assistance, and treatment support for CABOMETYX.

Learn More

LEARN MORE ABOUT

Cancer Resources
There are many resources available for you or someone you are caring for to help throughout the treatment journey.

The BE CONNECTED support program provides educational information for you or someone you are caring for who is taking CABOMETYX.

INDICATIONS AND IMPORTANT SAFETY INFORMATION

IMPORTANT SAFETY INFORMATION

What are the possible side effects of CABOMETYX?

CABOMETYX may cause serious side effects, including:

Bleeding (hemorrhage). CABOMETYX can cause severe bleeding that may lead to death. Tell your healthcare provider right away if you get any signs of bleeding during treatment with CABOMETYX, including:

Coughing up blood or blood clots
Vomiting blood or if your vomit looks like coffee grounds
Red or black (looks like tar) stools
Menstrual bleeding that is heavier than normal
Any unusual or heavy bleeding

A tear in your stomach or intestinal wall (perforation) or an abnormal connection between 2 parts of your body (fistula). Tell your healthcare provider right away if you get tenderness or pain in your stomach area (abdomen) that is severe or that does not go away.

Blood clots, stroke, heart attack, and chest pain. Get emergency help right away if you get:

Swelling or pain in your arms or legs
Shortness of breath
Feel lightheaded or faint
Sweating more than usual
Numbness or weakness of your face, arm, or leg, especially on one side of your body
Sudden confusion, trouble speaking or understanding
Sudden trouble seeing in one or both eyes
Sudden trouble walking
Dizziness, loss of balance or coordination
A sudden severe headache

High blood pressure (hypertension). Hypertension is common with CABOMETYX and sometimes can be severe. Your healthcare provider will check your blood pressure before starting CABOMETYX and regularly during treatment with CABOMETYX. If needed, your healthcare provider may prescribe medicine to treat your high blood pressure. Tell your healthcare provider if you develop severe headaches, nose bleeds, tiredness or confusion, vision changes, chest pain, trouble breathing, irregular heartbeat, or blood in your urine.

Diarrhea. Diarrhea is common with CABOMETYX and can be severe. If needed, your healthcare provider may prescribe medicine to treat your diarrhea. Tell your healthcare provider right away if you have frequent loose, watery bowel movements.

A skin problem called hand-foot skin reaction. Hand-foot skin reactions are common and can be severe. Tell your healthcare provider right away if you have rashes, redness, pain, swelling, or blisters on the palms of your hands or soles of your feet.

Liver problems. Liver problems may happen during treatment with CABOMETYX. When CABOMETYX is taken in combination with nivolumab, severe changes in liver function tests may happen more often than if you take CABOMETYX alone. Your healthcare provider will do blood tests to check your liver function before and during treatment with CABOMETYX.

Tell your healthcare provider right away if you develop symptoms of liver problems including: yellowing of your skin or the whites of your eyes, severe nausea or vomiting, pain on the right side of your stomach area (abdomen), dark urine, bleeding or bruising more easily than normal.

Adrenal gland problems. Your healthcare provider will monitor you for this problem. Your healthcare provider may prescribe hormone replacement therapy or corticosteroid medicines if needed. Tell your healthcare provider right away if you develop any of the following signs or symptoms: extreme tiredness, dizziness or fainting, weakness, nausea, or vomiting.

Protein in your urine and possible kidney problems. Symptoms may include swelling in your hands, arms, legs, or feet. Your healthcare provider will check you for this problem during treatment with CABOMETYX.

Severe jaw bone problems (osteonecrosis). Your healthcare provider should examine your mouth before you start and during treatment with CABOMETYX. Tell your dentist that you are taking CABOMETYX. It is important for you to practice good mouth care during treatment with CABOMETYX. Tell your healthcare provider right away if you develop any symptoms of jaw problems, including: jaw pain, toothache, or sores on your gums.

Wound healing problems. Wound healing problems have happened in people who take CABOMETYX. Tell your healthcare provider if you plan to have any surgery before or during treatment with CABOMETYX.

You should stop taking CABOMETYX at least 3 weeks before planned surgery.
Your healthcare provider should tell you when you may start taking CABOMETYX again after surgery.

Reversible posterior leukoencephalopathy syndrome (RPLS). A condition called reversible posterior leukoencephalopathy syndrome can happen during treatment with CABOMETYX. Tell your healthcare provider right away if you have headaches, seizures, confusion, changes in vision, or problems thinking.

Change in thyroid function. CABOMETYX can cause changes in your thyroid function, including changes to thyroid hormone levels in your blood. Your healthcare provider will do blood tests to check your thyroid function before and during treatment with CABOMETYX.

Decreased calcium level in your blood (hypocalcemia). CABOMETYX can cause you to have a decreased amount of calcium in your blood. Your healthcare provider will do blood tests to check you for this problem and give you calcium if needed. Tell your healthcare provider right away if you get any of the following signs or symptoms:

Muscle stiffness or muscle spasms
Numbness or tingling in your fingers, toes, or around your mouth
Seizures
Sudden weight gain
Swelling of your arms, hands, legs, and ankles

Your healthcare provider may change your dose, temporarily stop, or permanently stop treatment with CABOMETYX if you have certain side effects.

The most common side effects of CABOMETYX include:

Tiredness
Decreased appetite
Nausea and vomiting
Weight loss
Constipation

The most common side effects of CABOMETYX when used with nivolumab include:

Tiredness
Mouth sores
Rash
Low thyroid hormone levels (hypothyroidism)
Pain in muscles, bones, and joints
Decreased appetite
Nausea
Changes in the way things taste
Stomach-area (abdominal) pain
Cough
Upper respiratory tract infection

CABOMETYX may cause fertility problems in females and males, which may affect your ability to have children. Talk to your healthcare provider if you have concerns about fertility.

These are not all of the possible side effects of CABOMETYX. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

If your healthcare provider prescribes CABOMETYX in combination with nivolumab, also read the Medication Guide that comes with nivolumab.

Before you take CABOMETYX, tell your healthcare provider about all of your medical conditions, including if you:

Have had a liver problem other than liver cancer.
Have a recent history of bleeding, including coughing up or vomiting blood, or black tarry stools.
Have an open or healing wound.
Have high blood pressure.
Have a low calcium level in your blood (hypocalcemia).
Plan to have any surgery, dental procedure, or have had a recent surgery. You should stop treatment with CABOMETYX at least 3 weeks before planned surgery.
Are pregnant, or plan to become pregnant. CABOMETYX can harm your unborn baby.
- If you are able to become pregnant, your healthcare provider will check your pregnancy status before you start treatment with CABOMETYX.
- Females who are able to become pregnant should use effective birth control (contraception) during treatment and for 4 months after your final dose of CABOMETYX.
- Talk to your healthcare provider about birth control methods that may be right for you.
- If you become pregnant or think you are pregnant, tell your healthcare provider right away.
Are breastfeeding or plan to breastfeed. It is not known if CABOMETYX passes into your breast milk. Do not breastfeed during treatment and for 4 months after your final dose of CABOMETYX.

Tell your healthcare provider about all the medicines you take, including prescription or over-the-counter medicines, vitamins, and herbal supplements. CABOMETYX and certain other medicines may affect each other, causing side effects.

What should I avoid while taking CABOMETYX?

Avoid drinking grapefruit juice, eating grapefruit, or taking supplements that contain grapefruit or St. John’s wort during treatment with CABOMETYX.

Please see the Patient Information in the full Prescribing Information.

INDICATION

What is CABOMETYX?

CABOMETYX is a prescription medicine used to treat:

People with kidney cancer (renal cell carcinoma). CABOMETYX may be used:
- In combination with nivolumab to treat renal cell carcinoma (RCC) that has spread (advanced RCC), and you have not already had treatment for your advanced RCC
- Alone to treat people with renal cell carcinoma (RCC) that has spread (advanced RCC)

People with liver cancer (hepatocellular carcinoma) who have been previously treated with the medicine sorafenib.

Adults and children 12 years of age and older who have a type of thyroid cancer called differentiated thyroid cancer (DTC) that has spread (locally advanced or metastatic), and,
- has progressed after treatment with a VEGFR-targeted treatment, and
- your DTC can no longer be treated with radioactive iodine, or you are not able to receive radioactive iodine treatment.

It is not known if CABOMETYX is safe and effective in children younger than 12 years of age.

Tips for patients and caregivers