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Table 1 Management points for lenvatinib

From: Long-term efficacy of lenvatinib for recurrent papillary thyroid carcinoma after multimodal treatment and management of complications: a case report

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Start of lenvatinib

Lenvatinib is started under hospitalization (2–3 weeks).

Pharmacists guide patients with respect to taking medication.

Patients learn regarding adverse events and accompanying symptoms.

Food and nutrition

Meal nourishment instructions are properly provided to reduce adverse events, such as hypertension or proteinuria.

Collaboration with Specialists

During adverse events, patients consult relevant specialists.

Blood pressure (BP)

BP is measured four times per day to estimate the intraday fluctuations.

BP control is fundamentally performed according to the guidelines for the management of hypertension 2014 (The Japanese Society of Hypertension). Angiotensin II receptor blockers and calcium channel blockers are recommended.