Nivolumab
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Molecule Summary
| Uses | Various Advanced Cancers |
| Therapy | Anti-Neoplastic |
| Side Effects | Tiredness, Rash, Itching, Diarrhoea |
Assurance
available
Regulated
Molecule Description
Nivolumab contains nivolumab, a monoclonal antibody that blocks a receptor called PD-1 on immune T-cells. By blocking PD-1 signalling, it helps remove the signals that suppress the immune response, allowing T-cells to recognise and attack cancer cells.
Nivolumab is used to manage certain types of advanced or metastatic cancers. It enables the body's immune system to recognize and attack cancer cells.
Nivolumab is administered strictly by qualified healthcare professionals via intravenous (IV) infusion in specialized clinical settings.
Nivolumab is a prescription-only medicine and should be used strictly under medical supervision. The treatment plan is decided by the treating doctor based on the condition being treated, your body response and the other medicines you are receiving. Do not change, stop or repeat a dose on your own.
Before starting Nivolumab, tell your doctor about all your existing medical conditions, especially heart, liver or kidney problems, and about every medicine, vitamin, supplement and herbal product you take. Tell your doctor if you are pregnant, planning a pregnancy or breastfeeding. Regular blood tests and clinical check-ups are usually needed during treatment so that side effects are picked up early.
Uses
- Advanced Non-Small Cell Lung Cancer (NSCLC)
- Melanoma (advanced skin cancer)
- Renal Cell Carcinoma (RCC) (advanced kidney cancer)
- Bladder & Urinary Tract Cancer (UC) (advanced urinary tract cancer)
- Advanced Esophageal & Stomach Cancers
- Advanced Liver Cancer
- Colorectal Cancer (CRC) (advanced bowel cancer)
- Head & Neck Cancer
- Advanced Classical Hodgkin Lymphoma
- Malignant Pleural Mesothelioma (advanced chest lining cancer)
Contraindications
When should one not use Nivolumab
- If you have a known severe hypersensitivity or systemic allergic reaction to nivolumab or any inactive ingredients in the product.
Side effects
Common side effects of this drug are:
- Very Common Side Effects
- Fatigue, weakness, and fever
- Musculoskeletal pain, joint pain, and muscle pain
- Rash and itching
- Nausea, diarrhea, constipation, and abdominal pain
- Decreased appetite and weight loss
- Cough and dyspnea
- Headache and dizziness
- Other Common Side Effects
- Peripheral swelling and mucosal inflammation
- Thyroid disorders (hypothyroidism, hyperthyroidism)
- Stomatitis and vomiting
- Upper respiratory tract infection
- Serious Side Effects (Seek Immediate Medical Care)
- Immune-Mediated Pneumonitis: New or worsening cough, shortness of breath, chest pain, or hypoxia.
- Immune-Mediated Colitis: Severe diarrhea, severe abdominal pain, loose stools, or blood/mucus in stool.
- Immune-Mediated Hepatitis: Yellowing of skin or eyes (jaundice), severe nausea, dark urine, or right upper quadrant pain.
- Immune-Mediated Endocrinopathies: Severe headaches, extreme fatigue, weight changes, dizziness, or mood changes (thyroid, adrenal, or pituitary dysfunction).
- Immune-Mediated Nephritis: Decreased urine output, blood in urine, or swelling in ankles.
- Severe Skin Reactions: Blistering, peeling rash, or painful sores involving the skin or mucous membranes.
Precautions and Warnings
Pregnancy
Breast Feeding
Driving
Alcohol
Other General Warnings
Talk to your doctor if
- Consult your doctor if:
- You have a history of autoimmune diseases (such as Crohn's disease, lupus, or ulcerative colitis).
- You have a solid organ transplant or donor stem cell transplant.
- You experience severe fatigue, continuous head pain, or visual changes during therapy.
- Report any new or worsening symptoms (especially cough, diarrhea, rash, or extreme fatigue) to your doctor immediately.
- Do not attempt to self-treat side effects like diarrhea or cough with over-the-counter drugs without consulting your oncologist.
- Attend all appointments for routine regular blood tests and clinical monitoring as recommended by your oncologist.
Mode of Action
How Does It Work?
Nivolumab blocks a protein called PD-1 on immune T-cells. This removes signals that can suppress T-cell activity, helping the immune system recognise and attack cancer cells
Interactions
Interactions with other medicines
- Tell your doctor about all prescription medicines, over-the-counter medicines, vitamins, supplements, and herbal products you take.
- Systemic corticosteroids or other immunosuppressive medicines may affect immune responses and should be used only as your doctor advises.
Interactions with food items
Since Nivolumab is administered intravenously, food intake does not impact systemic drug absorption.
Dosage
Overdose
Because Nivolumab is administered by healthcare professionals in monitored clinical settings, accidental overdose is uncommon. In the event of an overdose, the medicine should be managed under medical supervision and appropriate supportive treatment provided.
Missed a Dose
Because Nivolumab is administered on a planned treatment schedule, contact your oncology team if you miss or delay an infusion appointment so they can review the schedule.
Frequently Asked Questions (FAQs)
Articles
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References:
- DailyMed. Nivolumab prescribing information. 2026 [Cited 17th Sep 2026]
- electronic medicines compendium (emc). Nivolumab Summary of Product Characteristics. 2026 [Cited 17th Sep 2026]
- Central Drugs Standard Control Organisation (CDSCO). Drugs@CDSCO [Internet]. New Delhi: Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India. 2026 [Cited 17th Sep 2026]
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