Caprelsa

Warnings and Precautions

Boxed warning: heart rhythm (QT prolongation)

Caprelsa can lengthen the QT interval on the ECG. Torsades de pointes (a dangerous heart rhythm) and sudden death have happened in patients taking it. It must not be used in people with congenital long QT syndrome, or with low potassium, calcium or magnesium that has not been corrected. An ECG and blood tests for potassium, calcium, magnesium and TSH are needed at the start, at 2 to 4 weeks, at 8 to 12 weeks and then every 3 months. Many common medicines also lengthen the QT interval, so always show your full medicine list to the doctor.

Severe skin reactions and sun sensitivity

Rash was seen in 53% of patients. Rare but serious reactions such as Stevens-Johnson syndrome have occurred, some fatal. The skin can burn easily in sunlight during treatment and for up to 4 months after stopping, so sun protection is important.

Diarrhoea

Diarrhoea occurred in 57% of patients and was severe in 11%. Because diarrhoea lowers salts in the blood, it also raises the heart-rhythm risk, so your doctor will check blood salts and ECG more often if it happens.

Lungs, stroke, bleeding and heart failure

Interstitial lung disease, stroke, serious bleeding and heart failure, some fatal, have been reported. Report new breathlessness, cough, weakness on one side, or coughing up blood at once.

Blood pressure and thyroid

High blood pressure was seen in 33% of patients. Most patients with MTC have had their thyroid removed, and 49% on Caprelsa needed a higher dose of thyroid hormone, so TSH is checked regularly.

Wound healing and jaw bone

Caprelsa is stopped at least 1 month before planned surgery or dental surgery. Osteonecrosis of the jaw has been reported, so a dental check is advised before and during treatment.

Pregnancy and breastfeeding

Caprelsa can harm an unborn baby. Women who can become pregnant, and men with female partners, should use effective contraception during treatment and for 4 months after the last dose. Do not breastfeed during treatment and for 4 months after the last dose.

Other common side effects

Nausea, acne-like rash, headache, tiredness, loss of appetite, stomach pain and upper respiratory infections. This is not a complete list.

This information is not a treatment plan. For personalized medical advice, consult your doctor and refer to the full prescribing information.

How to Get Caprelsa in India: Step by Step

Caprelsa is not sold in Indian pharmacies, so it is imported for one named patient at a time. As it is taken every day for months, we plan the supply in monthly bottles.

Step 1: Share the prescription and reports

Send the prescription with the dose (300 mg, 200 mg or 100 mg a day) and the planned length of treatment. The 300 mg dose uses 300 mg tablets; lower doses use 100 mg tablets, so the strength on the prescription decides which bottle we import.

Step 2: Document check

A registered pharmacist checks the prescription, the MTC diagnosis (histopathology, and the RET mutation report if available) and the patient's ID, and tells you at once if anything is missing.

Step 3: Quote for the bottles needed

Each bottle holds 30 tablets, about one month of treatment. The Caprelsa price in India is quoted for the number of bottles needed, plus freight and customs clearance.

Step 4: Form 12A application and Form 12B permit

We prepare the Form 12A application to CDSCO under Rule 36 of the Drugs and Cosmetics Rules. CDSCO states the Form 12B permit is usually issued within one to two days and stays valid for six months.

Step 5: Import at room temperature

Caprelsa tablets do not need a fridge. They travel sealed in their original bottles, protected from heat and moisture.

Step 6: Delivery to the patient or hospital

We deliver to the patient's home address on the permit or to the treating hospital, and plan the next bottle before the current one runs out.

How much time does the process take?

The permit step usually takes one to two working days once all documents are complete. We share the expected delivery date with the quote, as it depends on stock at source and the flight route.

Documents Needed to Import Caprelsa

• A prescription that names Caprelsa (vandetanib), the daily dose, the tablet strength and the number of months, with the doctor's medical council registration number
• Reports that confirm medullary thyroid cancer, such as histopathology and, if done, the RET mutation test
• A recent ECG and blood report (potassium, calcium, magnesium), as the doctor will want these before the first dose
• Patient ID proof issued by the Government of India
• The signed Form 12A, which our team prepares for you

Is Caprelsa available in India?

No. Caprelsa (vandetanib) has no marketing approval in India and is not sold in Indian pharmacies. We checked the published minutes of CDSCO's oncology and haematology expert committees from 2018 to November 2026, and no proposal to import or market vandetanib appears. It can still be imported legally for a named patient under Rule 36, with a Form 12A application and a Form 12B permit.

Caprelsa 300 mg or 100 mg: which one will you get?

Caprelsa comes as 100 mg and 300 mg film-coated tablets, each in a bottle of 30. The usual starting dose is one 300 mg tablet a day. If the dose is lowered to 200 mg or 100 mg, 100 mg tablets are used. People often search for the vandetanib 300 mg price, but the total cost depends on the dose and the number of months prescribed.

Can you buy Caprelsa online in India?

Not from an open online store, because a medicine without Indian approval cannot be sold off the shelf. The legal way is to send the prescription to NPP online, and we arrange the permit and import in the patient's name.

Access from SAARC and Gulf countries

Patients from Nepal, Bangladesh, Bhutan, Sri Lanka and the Gulf can also ask us, subject to each country's import rules. Read our guide to Indian import regulations for the full legal process.

Sourcing & Delivery of Caprelsa

Caprelsa is made by Genzyme, a Sanofi company. As a Caprelsa supplier in India under the named patient route, NPP buys it only through authorised channels and only after the patient's permit is issued, so every bottle can be traced to one patient and one prescription.

Storage

Store the tablets at room temperature, 20°C to 25°C; short periods between 15°C and 30°C are allowed. Keep them in the original bottle. In Indian summers this means keeping the bottle away from hot cars, kitchens and window sills. We ship in insulated packs that protect against heat; see our temperature-controlled shipping.

Safe handling

Caprelsa is an anticancer medicine, so the label asks for the usual safe handling and disposal of anticancer drugs. Do not crush the tablets, and return any unused tablets to the pharmacy rather than throwing them away.

Checked before dispatch

A registered pharmacist matches every order with the prescription and the permit before it leaves New Delhi, and checks the expiry date covers the treatment period.

For the Caprelsa cost in India and current availability, contact NPP via WhatsApp at +91 98104 69557 | Toll-Free: 1800-1200-365 or email info@namedpatientprogram.com.

Caprelsa Access Across Major Cities in India

Caprelsa is taken at home, but the ECG and blood tests are done at the treating centre, so we deliver either to the patient or to the hospital, whichever the doctor prefers.

• Delhi NCR: Orders leave from New Delhi, so Delhi, Gurgaon, Noida and Faridabad get the quickest delivery. See imported medicines in Delhi NCR.
• Mumbai: Patients treated at thyroid and head-and-neck cancer centres in Mumbai can receive it at home or at the hospital. See imported medicines in Mumbai.
• Chennai and Vellore: Delivery to the patient or the endocrine oncology team. See imported medicines in Chennai.
• Bangalore and Hyderabad: Monthly bottles planned around the ECG check dates. See imported medicines in Bangalore.
• Kolkata: Delivery for patients from eastern India and the North-East. See imported medicines in Kolkata.
• Other cities: Kerala, Lucknow, Jaipur, Pune, Ahmedabad and more, with delivery to the address on the permit.

See how we arrange delivery of imported medicines to hospitals across India.