Durvalumab
About Durvalumab
Durvalumab is a specialised medicine used to treat certain advanced cancers, including non-small cell lung cancer, small cell lung cancer, and biliary tract cancer. It is prescribed to help slow down the spread of cancer cells and improve overall survival rates. Your doctor will determine if this therapy is the right choice for your specific diagnosis. Before starting treatment, your doctor may order a tumour biomarker test called PD-L1 testing to determine whether Durvalumab is suitable for your type of cancer. Not all patients need this test, and the requirement depends on the specific cancer and treatment setting.
This medicine is given as an intravenous infusion directly into a vein in a clinical setting, typically every 2 to 4 weeks. Consistency is key, so keeping all your scheduled appointments is vital for the treatment to be effective. Staying well-hydrated and consuming nutrient-rich, easy-to-digest foods can support your body during this therapy.
While taking Durvalumab, some patients may experience mild side effects like tiredness, mild skin rashes, or nausea. However, because this medicine affects the immune system, it can sometimes cause severe inflammation in healthy organs. You must contact your doctor immediately if you experience severe diarrhea, a new or worsening cough, or yellowing of your skin.
Do not take this if you have had a severe allergic reaction to Durvalumab or similar medications in the past. Before starting, tell your doctor if you have a history of liver damage, lung problems, autoimmune diseases, or an organ transplant. This medicine is not recommended for pregnant women as it can harm an unborn baby.
Certain medicines, especially strong steroids that suppress the immune system, can interact with Durvalumab and reduce its effectiveness. It is also important to avoid smoking and limit alcohol, as these can put extra strain on your lungs and liver. If you are breastfeeding or elderly, talk to your doctor or pharmacist about the specific risks and benefits of this treatment.
Uses of Durvalumab
Medicinal Benefits
Using Durvalumab as prescribed helps your immune system recognise and fight cancer cells, slowing disease progression and supporting long-term cancer management. Here are the key benefits you can expect:
- Slows tumour growth: Helps slow the growth and spread of cancer cells, increasing the time the disease remains stable and allowing you to maintain your daily activities.
- Relieves cancer-related symptoms: Helps manage symptoms such as shortness of breath and chest pain by preventing tumours from growing further.
- Supports targeted cancer treatment: Works with your body's immune system to target cancer cells, providing a more focused treatment approach when used alone or in combination with chemotherapy.
Directions for Use
- Follow your doctor’s instructions on the dosage and timing of this medication.
- Durvalumab is administered by the doctor or nurse.
- Do not self-administer.
Storage
Side Effects of Durvalumab
Common Side Effects (Usually mild):
- Feeling very tired or weak
- Mild cough or shortness of breath
- Nausea or decreased appetite
- Mild skin rash or itching
- Constipation or mild diarrhea
Serious Side Effects (Consult your doctor right away):
- Signs of lung inflammation (new or worsening cough, difficulty breathing, chest pain)
- Signs of liver damage (yellowing of eyes or skin, dark urine, severe stomach pain)
- Severe bowel issues (severe watery or bloody diarrhea, severe stomach cramps)
- Signs of hormone problems (extreme fatigue, unexplained weight changes, feeling unusually hot or cold)
- igns of a severe allergic reaction (fever, chills, flushing, dizziness, or trouble breathing during infusion)
Medicines Containing this Salt
View AllDrug Warnings
- Monitor your breathing: Call your healthcare team immediately if you develop a new cough, shortness of breath, or chest pain, as these can be signs of lung inflammation.
- Watch for infusion reactions: Tell your nurse right away if you feel chills, fever, dizziness, or itching during your infusion.
- Inspect the injection site: Monitor the area where the IV was placed. Inform your nurse if you notice pain, redness, or swelling.
- Use reliable birth control: Both men and women should use effective contraception during treatment and for at least 3 months after the final dose of Durvalumab to prevent pregnancy.
- Keep a symptom log: Write down any physical changes or symptoms you experience between treatments and share this list with your doctor at each visit.
Drug Interactions
- Systemic corticosteroids: Medicines such as prednisone taken before starting Durvalumab may reduce how well it works. However, your doctor may prescribe corticosteroids during treatment to help manage immune-related side effects.
- Other immunosuppressive medicines: Medicines that suppress the immune system may interfere with the effectiveness of Durvalumab and should only be used under your doctor's supervision.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
consult your doctorIt is unknown whether Durvalumab interacts with alcohol. Consult your doctor for more information.
Pregnancy
unsafeDurvalumab is not recommended for use in pregnancy as it may cause embryo-fetal toxicity and harm your foetus. Hence, if you are pregnant or planning pregnancy, inform your doctor before receiving Durvalumab. You should not become pregnant while you are receiving Durvalumab for at least three months from the last dose of Durvalumab. Using effective birth control methods while on treatment is suggested.
Breast Feeding
unsafeDurvalumab should not be taken if you are breastfeeding as it passes into breast milk and may harm your infant. Avoid nursing your child while on treatment with this medicine and for at least three months from the last dose of medicine.
Driving
cautionDurvalumab will be administered to hospitalized patients. Driving is not recommended.
Liver
cautionIf you have a pre-existing or a history of liver problems, tell your doctor before receiving this medicine. Inform your doctor if you experience any symptoms, such as severe nausea or vomiting, right-sided upper stomach pain, easy bruising or bleeding, dark urine, or jaundice (yellowing of the skin or eyes). Your doctor may suggest tests to monitor your liver function while on treatment with this medicine.
Kidney
cautionIf you have a pre-existing or a history of kidney diseases, inform your doctor before receiving Durvalumab. Tell your doctor if you have little or no urination, swelling in your feet or ankles, or blood in your urine. Your doctor may adjust the dose of this medicine or prescribe a suitable alternative based on your condition.
Children
unsafeDurvalumab is not recommended for use in children below 12 years as the safety and efficacy are not established.
Habit Forming
Diet & Lifestyle Advise
- Stay well-hydrated: Drink plenty of water throughout the day, especially if you experience diarrhea or decreased appetite, to prevent dehydration.
- Eat small, frequent meals: If you experience nausea or loss of appetite, eating smaller portions 5 to 6 times a day can help maintain your strength and nutrition.
- Protect your skin: This treatment can make your skin more sensitive. Use mild, fragrance-free moisturisers and wear sunscreen with high SPF when outdoors.
- Practice gentle physical activity: Engaging in light exercises like short walks can help combat treatment-related fatigue, but always listen to your body and rest when needed.
- Avoid crowds and sick contacts: Because your immune system is highly active and adjusting to therapy, practice good hand hygiene and avoid contact with individuals who have active infections.
Special Advise
- Your doctor may suggest periodic liver function tests, kidney function tests, and lung function tests to monitor the function of the liver, kidney and lungs due to the use of Durvalumab.
- Using contraceptive pills while using Durvalumab to prevent pregnancy is advised.
- Thyroid function and adrenocorticotropic hormone levels will be monitored during treatment to avoid any life-threatening side effects.
Patients Concern
Disease/Condition Glossary
Non-Small Cell Lung Cancer (NSCLC): It is the most common form of lung cancer, which occurs when cells that form the lining of the lung start growing uncontrollably. It is mostly seen in persons who smoke. Symptoms may include chest pain, weight loss, hoarseness, and difficulty breathing.
Hepatocellular carcinoma: It occurs when the cancer/ malignant cells grow out of control in the liver. This infects the liver, destroys the liver cells and affects the ability of the liver to work properly. Symptoms may include abdominal pain, loss of appetite, weight loss, and pale bowel motions.
Biliary tract cancer: Also known as bile duct cancer or Cholangiocarcinoma. It is a rare type of cancer in which the cancer cells grow abnormally in the epithelial cells lining the biliary tract. Symptoms may include abdominal pain, itching, fever, weight loss, changes in the colour of urine and stools, and jaundice.
FAQs
Durvalumab is used to treat Non-small cell lung cancer, Hepatocellular carcinoma and Biliary tract cancer.
Durvalumab contains Durvalumab, which works by inhibiting the action of a programmed death receptor-1 (PD-L1) that causes the multiplication of cancerous cells.
Durvalumab is given as an intravenous (IV) infusion directly into a vein by a healthcare professional in a clinic or hospital. The infusion usually takes about 60 minutes. Talk to your doctor for more details.
Most people can drive after their infusion, but if you experience side effects like severe fatigue or dizziness, you should avoid driving. Talk to your doctor or pharmacist if you feel unwell.
Hair loss is not a common direct side effect of Durvalumab when used alone, but it may occur if you are taking it in combination with chemotherapy. Talk to your doctor to understand what to expect.
You should avoid getting live vaccines during treatment with Durvalumab, as they may cause serious infections or affect your immune response. Talk to your doctor before scheduling any vaccinations.
There is no direct interaction between alcohol and Durvalumab, but alcohol can worsen dehydration, fatigue, or liver strain during cancer treatment. Talk to your doctor or pharmacist about safe alcohol consumption.
Mild rashes can often be managed with moisturisers, but you should report any new or worsening skin rash, itching, or blistering to your healthcare team immediately, as it could be an immune-related side effect. Talk to your doctor.
No, Durvalumab can cause harm to an unborn baby and should not be used during pregnancy. Women of childbearing potential must use effective birth control during treatment and for at least 3 months after the last dose. Talk to your doctor if you are pregnant or planning to become pregnant.
Your healthcare team will arrange regular blood tests during treatment to monitor your liver function, kidney function, thyroid function, blood sugar levels, and blood cell counts. You may also have CT scans or MRI scans to check how well the cancer is responding to Durvalumab and to detect side effects early. Talk to your doctor about the monitoring schedule planned for you.
Durvalumab may be temporarily paused or permanently stopped if you develop severe immune-related side effects affecting the lungs, liver, intestines, hormone glands, skin, or other organs. This is a recognised safety measure and does not necessarily mean that the treatment has failed. Your doctor may treat these reactions with corticosteroids or other medicines and decide when it is safe to restart treatment. Do not stop treatment on your own unless your doctor tells you to.

