Opdivo (Nivolumab)
Complete patient guide for uses, dosage, side effects, and safety information
Prescription RequiredQuick Facts
What Is Opdivo Used For?
Opdivo is a cancer treatment medication that helps your immune system fight and destroy cancer cells. It’s used to treat many different types of cancer, either alone or in combination with other cancer medicines.
Primary Uses
Opdivo treats advanced skin cancer (melanoma), lung cancer (non-small cell lung cancer), kidney cancer (renal cell carcinoma), head and neck cancer, classical Hodgkin lymphoma, bladder cancer (urothelial carcinoma), liver cancer (hepatocellular carcinoma), food pipe cancer (esophageal cancer), stomach cancer, and colorectal cancer. It’s also used after surgery to prevent cancer from returning (adjuvant therapy) for melanoma and bladder cancer.
How It Works
Opdivo is a protein that works with your immune system to help it recognize and attack cancer cells more effectively. It acts on your immune system and may cause inflammation in parts of your body as it fights the cancer.
How to Take Opdivo
Opdivo is given as an intravenous infusion (IV drip) in a hospital or clinic under medical supervision. You cannot take this medication at home.
Dosage Instructions
Your doctor will determine the right dose and frequency based on your specific type of cancer. Some cancers are treated with Opdivo alone, while others require it in combination with other cancer medicines like ipilimumab, cabozantinib, or chemotherapy. The treatment schedule varies depending on your condition.
What If You Miss a Dose?
It’s very important to keep all your appointments for Opdivo treatment. If you miss an appointment, contact your doctor immediately to schedule your next dose.
Important: Never try to treat symptoms with other medicines on your own. Your doctor may need to delay or stop your Opdivo treatment based on how you respond.
Side Effects
Like all medications, this medicine can cause side effects. Most are mild and temporary, but some require medical attention.
Common Side Effects
These side effects occur relatively frequently and usually don’t require emergency care:
- Diarrhea
- Nausea
- Skin rash with or without blisters
- Itching
- Feeling tired or weak
- Upper respiratory tract infections
- Decreased appetite
- Cough and shortness of breath
- Stomach pain
- Constipation
- Mouth ulcers
- Vomiting
- Dry mouth
- Skin color changes
- Dry skin
- Hair loss
- Joint and muscle pain
- Fever
- Swelling
- High blood pressure
- Dry eyes
Seek immediate medical attention if you experience:
- Lung problems (pneumonitis, breathing difficulties)
- Severe intestinal inflammation (colitis, bleeding, perforation)
- Liver inflammation (hepatitis, jaundice)
- Kidney inflammation (nephritis, kidney failure)
- Hormone gland problems (thyroid, adrenal, pituitary issues)
- Diabetes and diabetic ketoacidosis
- Severe skin reactions (toxic epidermal necrolysis, Stevens-Johnson syndrome)
- Brain and nerve problems (encephalitis, neuropathy, Guillain-Barré syndrome)
- Heart inflammation (myocarditis, irregular heartbeat)
- Muscle inflammation and breakdown (myositis, rhabdomyolysis)
- Eye inflammation
- Organ transplant rejection
- Blood disorders (anemia, bone marrow failure)
- Severe allergic reactions
- Infusion reactions
Important Warnings
Opdivo affects your immune system and can cause serious inflammation throughout your body that may be life-threatening. Some side effects can appear weeks or months after your last treatment.
Who Should Not Take Opdivo
Do not use Opdivo if you are allergic to nivolumab or any ingredients in the medication. Always check with your doctor about all ingredients before starting treatment.
Medical Conditions to Discuss
Tell your doctor if you have autoimmune diseases (like Crohn’s disease, ulcerative colitis, or lupus), history of lung inflammation, cancer that has spread to your brain, melanoma of the eye, previous treatment with ipilimumab, or if you take immune-suppressing medicines like corticosteroids.
Pregnancy and Breastfeeding
You must not use Opdivo if you are pregnant unless specifically recommended by your doctor. Use effective contraception during treatment and for at least 5 months after your last dose. Stop breastfeeding if you are receiving Opdivo treatment, as it’s unknown if the medication passes into breast milk.
Serious Immune Reactions: Opdivo can cause life-threatening inflammation in your lungs, intestines, liver, kidneys, hormone glands, skin, brain, heart, muscles, and eyes. Contact your doctor immediately if you develop any new symptoms.
Drug Interactions
Tell your doctor about all medicines, vitamins, and supplements you take, including over-the-counter products. Some medicines may interfere with how Opdivo works.
- Immune-suppressing medicines (like corticosteroids)
- Any prescription medications
- Over-the-counter medicines
- Vitamins and supplements
Alcohol & Driving
Opdivo is unlikely to directly affect your ability to drive or operate machinery, but use caution and notify your doctor if you notice any changes to your abilities.
Alcohol
No specific alcohol interactions are mentioned, but discuss alcohol use with your doctor as it may affect your overall health during cancer treatment.
Driving and Operating Machinery
While Opdivo is unlikely to affect your driving ability, use caution when driving or using machines until you’re sure the medication doesn’t adversely affect you. Tell your doctor if you notice any changes to your abilities.
Storage
Opdivo is stored and prepared by healthcare professionals in the hospital or clinic. You will not need to store this medication at home.
Overdose Information
Since Opdivo is given under medical supervision in a healthcare setting, overdose is unlikely. However, if you experience any side effects after receiving Opdivo, tell your doctor immediately.
Frequently Asked Questions
The time it takes for Opdivo to work varies depending on your type of cancer and individual response. Your doctor will monitor your progress and determine the effectiveness of treatment through regular check-ups and tests.
You should tell your doctor about all medicines, vitamins, and supplements you take. Some medications, especially those that suppress your immune system like corticosteroids, may interfere with Opdivo’s effectiveness.
Contact your doctor immediately if you develop any new symptoms or if existing symptoms get worse. Your doctor may give you other medicines to manage side effects, delay your next dose, or stop treatment altogether depending on the severity.
The frequency of Opdivo treatments depends on your specific type of cancer and treatment plan. Your doctor will determine how many treatments you need and schedule them accordingly.
You must not use Opdivo if you are pregnant unless specifically recommended by your doctor. Use effective contraception during treatment and for at least 5 months after your last dose. You should stop breastfeeding during Opdivo treatment.
Always tell any doctors, dentists, nurses, and pharmacists that you are receiving Opdivo treatment. This is important because the medication affects your immune system and may influence other treatments or procedures.
Tell your doctor if you are on a low-sodium (low-salt) diet, as Opdivo contains 2.5 mg sodium per mL of concentrate. Ask your doctor for advice before taking any dietary supplements or vitamins during treatment.
Important Disclaimer
This information is intended for general educational purposes only and should not be considered medical advice. Always consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.
If you think you may have a medical emergency, call your doctor or emergency services immediately.