What to tell your doctor

Before you take LENVIMA, tell your health care provider about all of your medical conditions, including if you:

• have high blood pressure
• have heart problems
• have a history of blood clots in your arteries (type of blood vessel), including stroke, heart attack, or change in vision
• have or have had kidney or liver problems
• have a history of a tear (perforation) in your stomach or intestine, or an abnormal connection between two or more body parts (fistula)
• have headaches, seizures, or vision problems
• have any bleeding problems
• plan to have surgery, a dental procedure, or have had a recent surgery. You should stop taking LENVIMA at least one week before planned surgery.
• are pregnant or plan to become pregnant. LENVIMA can harm your unborn baby.

Females who are able to become pregnant:

• Your health care provider should do a pregnancy test before you start treatment with LENVIMA.
• You should use an effective method of birth control during treatment with LENVIMA and for 30 days after the last dose of LENVIMA. Talk with your health care provider about birth control methods you can use during this time. Tell your health care provider right away if you become pregnant or think you are pregnant during treatment with LENVIMA.
• are breastfeeding or plan to breastfeed. It is not known if LENVIMA passes into your breast milk. Do not breastfeed during treatment with LENVIMA and for 1 week after the last dose.

Tell your health care provider about all the medicines you take

This includes prescription and over-the-counter medicines, vitamins, and herbal supplements.

Especially tell your health care provider if you are taking, or have taken, an osteoporosis medicine.

Know the medicines you take. Keep a list of your medicines to show to your health care provider and pharmacist when you get a new medicine.