Tiredness, nausea/vomiting, diarrhea, loss of appetite, mouth sores, weight loss, voice changes (hoarseness), or cough may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.
People using this medication may have serious side effects. However, your doctor has prescribed this drug because he or she has judged that the benefit to you is greater than the risk of side effects. Careful monitoring by your doctor may decrease your risk.
This medication may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the results are high. Your doctor may control your blood pressure with medication.
Treatment with this drug may sometimes cause your hands/feet to develop a skin reaction called hand-foot syndrome. Tell your doctor right away if you experience swelling, pain, redness, blisters, or tingling/burning of the hands/feet. Depending on how severe your hand-foot syndrome is, your doctor may give you an additional medication to reduce the symptoms, or may stop or delay your tivozanib treatment.
This medication can affect how your thyroid works. Tell your doctor right away if you have signs of an underactive thyroid (such as weight gain, cold intolerance, slow heartbeat, constipation, or unusual tiredness) or signs of an overactive thyroid (such as mental/mood changes, heat intolerance, unusual weight loss).
Tell your doctor right away if you have any serious side effects, including: easy bruising/bleeding, slow wound healing, signs of kidney problems (such as change in the amount of urine), signs of infection (such as sore throat that doesn't go away, fever, chills), signs of heart failure (such as shortness of breath, swelling ankles/feet, unusual tiredness), signs of liver disease (such as nausea/vomiting that doesn't stop, stomach/abdominal pain, yellowing eyes/skin, dark urine).
Get medical help right away if you have any very serious side effects, including: chest/jaw/left arm pain, unusual sweating, vomit that looks like coffee grounds, black/bloody stools, weakness on one side of the body, trouble speaking.
Rarely, tivozanib may cause a condition known as reversible posterior leukoencephalopathy syndrome-RPLS. Get medical help right away if you develop a headache that doesn't go away, seizures, sudden vision changes, or mental/mood changes (such as confusion).
Tivozanib can commonly cause a rash that is usually not serious. However, you may not be able to tell it apart from a rare rash that could be a sign of a severe reaction. Get medical help right away if you develop any rash.
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.