What Is Afinitor? Uses, Dosage, and What You Need to Know in 2026

Updated:

March 25, 2026

Author:

Peter Daggett

Summarize this blog with AI:

What is Afinitor? Learn about its FDA-approved uses, dosage, how to take it, who should avoid it, and everything patients need to know.

Afinitor (Everolimus) Is a Targeted Cancer Therapy That Works by Blocking mTOR, a Protein That Fuels Tumor Growth

If your doctor has mentioned Afinitor, you probably have a lot of questions. What does it treat? How do you take it? How much does it cost? This guide covers everything you need to know about Afinitor in plain language — from its FDA-approved uses and dosing to costs and practical tips for 2026.

What Is Afinitor?

Afinitor is the brand name for Everolimus, a prescription medication classified as an mTOR (mammalian target of rapamycin) kinase inhibitor. It's manufactured by Novartis Pharmaceuticals.

In simpler terms, Afinitor is a targeted therapy — it zeroes in on a specific protein (called mTOR) inside cells that drives growth. By blocking this protein, Afinitor slows or stops the growth of cancer cells and abnormal tissue. For a deeper explanation of how this works, see our article on how Afinitor works.

Afinitor is not a controlled substance and comes in two forms:

  • Afinitor tablets — Available in 2.5 mg, 5 mg, 7.5 mg, and 10 mg strengths
  • Afinitor Disperz — Tablets for oral suspension (dissolved in water), available in 2 mg, 3 mg, and 5 mg strengths, primarily used for TSC-related conditions

Related brand names include Zortress (Everolimus for organ transplant rejection prevention) and Certican (used outside the U.S.).

What Is Afinitor Used For?

Afinitor has seven FDA-approved uses, covering a range of cancers and rare diseases:

Cancer Indications

  1. Advanced breast cancer (HR+/HER2-) — Used in combination with Exemestane for postmenopausal women whose cancer progressed after treatment with Letrozole or Anastrozole.
  2. Pancreatic neuroendocrine tumors (PNET) — For progressive, unresectable, locally advanced, or metastatic pancreatic NETs.
  3. Gastrointestinal or lung neuroendocrine tumors — For progressive, well-differentiated, nonfunctional NETs that are unresectable, locally advanced, or metastatic.
  4. Advanced renal cell carcinoma (kidney cancer) — After failure of treatment with Sunitinib (Sutent) or Sorafenib.

Tuberous Sclerosis Complex (TSC) Indications

  1. Subependymal giant cell astrocytoma (SEGA) — A type of brain tumor associated with TSC that needs treatment but can't be surgically removed.
  2. Renal angiomyolipoma — Kidney tumors associated with TSC that don't require immediate surgery.
  3. Partial-onset seizures — As add-on therapy for TSC-related seizures (Afinitor Disperz only), approved for patients age 1 and older.

Afinitor is also sometimes used off-label for conditions like advanced thyroid cancer, hepatocellular carcinoma, and certain types of lymphoma, though these uses are less common.

How Is Afinitor Taken?

Afinitor is taken by mouth, once daily. Here are the key dosing details:

  • Standard dose for most cancer indications: 10 mg once daily
  • TSC-related conditions (SEGA, seizures): Typically starts at 5 mg/m² once daily, adjusted based on blood trough levels
  • Take at the same time each day — consistency matters
  • Take consistently with or without food — pick one approach and stick with it
  • Swallow Afinitor tablets whole — do not crush, chew, or break them
  • Afinitor Disperz — Place tablet in an oral syringe with water, wait 3 minutes, gently swirl (don't shake), and administer

Important: Do not eat grapefruit or drink grapefruit juice while taking Afinitor. Grapefruit interferes with the way your body processes the drug and can increase the risk of side effects. For a full list of drug interactions to avoid, see our dedicated guide.

Your doctor will order regular blood tests to monitor liver function, kidney function, blood counts, blood sugar, and cholesterol while you're on Afinitor.

Who Should Not Take Afinitor?

Afinitor is not appropriate for everyone. You should not take Afinitor if you have:

  • A known allergy to Everolimus, Sirolimus, or other rapamycin-related drugs — Hypersensitivity reactions can be serious.

Additionally, Afinitor requires caution or dose adjustments in these situations:

  • Liver problems — Dose reductions are needed for mild to moderate hepatic impairment (Child-Pugh A or B). Afinitor is generally not recommended for severe liver disease (Child-Pugh C) in most indications.
  • Pregnancy — Afinitor can cause serious harm to a developing baby. Women must use effective birth control during treatment and for 8 weeks after the last dose. Men should use contraception for 4 weeks after the last dose.
  • Planned surgery — Afinitor impairs wound healing. Tell your surgeon if you're taking it.
  • Live vaccines — Avoid all live vaccines during treatment due to Afinitor's immunosuppressive effects.

Always share your complete medical history and medication list with your doctor before starting Afinitor. This includes over-the-counter drugs, supplements, and herbal products.

How Much Does Afinitor Cost?

Afinitor is an expensive medication. Here's what you need to know about pricing in 2026:

  • Brand-name Afinitor: Approximately $18,400 to $19,260 per 28-day supply (roughly $220,000–$230,000 per year)
  • Generic Everolimus: Available from multiple manufacturers. Prices range from as low as $90 to $4,030 per 28-day supply depending on the pharmacy and discount program used. GoodRx Gold pricing shows generic Everolimus as low as $90.54.

Insurance Coverage

Most commercial insurance and Medicare Part D plans cover Afinitor or generic Everolimus, but it's typically placed on a specialty tier with 25–50% coinsurance. Nearly all plans require prior authorization, and some require step therapy (trying other treatments first). A specialty pharmacy is usually required for dispensing.

Ways to Save

  • Novartis Oncology Universal Co-pay Program — Eligible commercially insured patients may pay as little as $0 out of pocket, with up to $15,000 in annual copay support. Not available for Medicare, Medicaid, or Tricare.
  • Novartis Patient Assistance Foundation (NPAF) — Provides Afinitor free of charge to qualifying uninsured or underinsured patients. Apply at pap.novartis.com or call 1-800-277-2254.
  • Discount cards — Generic Everolimus with GoodRx or similar discount cards can reduce costs significantly.

For a complete breakdown of savings options, see our guide on how to save money on Afinitor.

Final Thoughts

Afinitor is a targeted therapy with a wide range of FDA-approved uses — from advanced breast cancer to tuberous sclerosis complex. Understanding what it is, how to take it, and what it costs puts you in a better position to manage your treatment.

If you have a prescription and need help finding Afinitor at a pharmacy, Medfinder can show you which pharmacies near you have it in stock. And if you're concerned about side effects, we've got a detailed guide for that too.

Is Afinitor a chemotherapy drug?

Afinitor is not traditional chemotherapy. It's classified as a targeted therapy — specifically, an mTOR kinase inhibitor. Unlike conventional chemotherapy, which attacks all rapidly dividing cells, Afinitor targets a specific protein (mTOR) involved in tumor cell growth. However, it can still cause significant side effects, including immune suppression and mouth sores.

Is there a generic version of Afinitor?

Yes. Generic Everolimus tablets are available from multiple manufacturers. Generic versions contain the same active ingredient and work the same way as brand-name Afinitor. They are significantly cheaper — as low as $90 per 28-day supply with discount programs, compared to over $18,000 for the brand.

How long do patients typically take Afinitor?

The duration of Afinitor treatment depends on your condition and how you respond. For cancer indications, patients typically continue taking it as long as it's working and side effects are manageable — this can be months to years. For TSC-related conditions, treatment may be ongoing. Your doctor will determine the right duration based on regular monitoring.

Can I take Afinitor with food?

Yes, you can take Afinitor with or without food — but you should be consistent. Pick one approach and stick with it every day, because food affects how the drug is absorbed. Take it at the same time each day. Do not eat grapefruit or drink grapefruit juice while on Afinitor, as it can increase drug levels and side effects.

Why waste time calling, coordinating, and hunting?

You focus on staying healthy. We'll handle the rest.

Try Medfinder Concierge Free

Medfinder's mission is to ensure every patient gets access to the medications they need. We believe this begins with trustworthy information. Our core values guide everything we do, including the standards that shape the accuracy, transparency, and quality of our content. We’re committed to delivering information that’s evidence-based, regularly updated, and easy to understand. For more details on our editorial process, see here.

25,000+ have already found their meds with Medfinder.

Start your search today.
      What med are you looking for?
⊙  Find Your Meds
99% success rate
Fast-turnaround time
Never call another pharmacy