📋 Product Overview Table
| 🌐 Specification | 🧾 Details |
|---|---|
| 💊 Product Name | Torinat 10 mg Tablet |
| 🧬 Active Ingredient | Everolimus (mTOR pathway inhibitor) |
| 🏭 Manufacturer | Natco Pharma Ltd (India) |
| 💡 Indication | Organ transplant rejection, advanced RCC, HR+ HER2– breast cancer, TSC tumors, NETs |
| 🇺🇸 US Brand | Afinitor® / Zortress® |
| 📦 Packaging | 7 tablets per blister |
| 🌍 Country | India |
| ⏱️ Delivery Time | 6–15 business days |
🧬 Introduction
Torinat 10 mg contains everolimus, a potent mTORC1 inhibitor used for immune suppression post-transplant and as targeted therapy in advanced cancers. Produced by Natco Pharma Ltd, its applications include renal cell carcinoma, breast cancer, neuroendocrine tumors, and TSC-associated conditions (mrmed.in, dailymed.nlm.nih.gov). Its generic formulation offers affordability without compromising on clinical efficacy.
🎥 Educational Video Overview
📺 “Everolimus: From Transplants to Targeted Cancer Therapy”
🎬 Video Placeholder – covers mechanism, dosing, side effects, TDM, and patient monitoring.
💬 Reviewed by: Dr. Arjun Mehta, MD (Transplant & Oncology Specialist)
🔬 Mechanism of Action
Everolimus binds FKBP-12 and inhibits mTORC1, which results in:
- T-cell proliferation suppression—preventing transplant rejection (drugs.com)
- Inhibition of tumor cell proliferation in RCC, HR+ breast cancer, NETs, and TSC-related tumors (dailymed.nlm.nih.gov)
💊 Indications & Dosage
| 🩺 Condition | 💊 Standard Dose |
|---|---|
| RCC, breast cancer, NETs, TSC | 10 mg orally once daily until progression or toxicity (dailymed.nlm.nih.gov) |
| Transplant rejection prophylaxis | Kidney: 0.75 mg PO BID |
| TSC-associated SEGA in children | 4.5 mg/m² once daily with trough-level monitoring |
Therapeutic drug monitoring (3–8 ng/mL trough) is recommended and dosage can be adjusted based on tolerance and CYP3A4 interactions (dailymed.nlm.nih.gov).
⚠️ Side Effects & Precautions
Common Adverse Effects (≥ 30%): stomatitis, infections, rash, fatigue, diarrhea, edema
Serious Reactions: pneumonitis, nephrotoxicity, impaired wound healing, thrombocytopenia, hyperglycemia, hyperlipidemia
Precautions: monitor CBC, liver, renal, glucose, lipids; avoid live vaccines and grapefruit
🧃 Storage Instructions
- Store at 15–30 °C, protect from light and moisture (drugs.com)
🔗 Indian Alternatives
| 💊 Medicine | 🏭 Manufacturer | 📝 Description |
|---|---|---|
| Afinitor 10 mg | Novartis | Reference brand of everolimus for oncology treatment |
| Zortress 1 mg | Novartis | Marketed for transplant rejection prevention |
| Evervéd 10 mg | Sun Pharma | Generic everolimus for oncology and transplant indications |
| Evorol 10 mg | Natco Pharma | Generic everolimus alternative with similar therapeutic spectrum |
| Votubia 5 mg | Novartis | Approved for TSC-associated SEGA in adult and pediatric patients |
📚 References
- Drugs.com – Dosage guidelines for cancer & transplant (drugs.com)
- Mayo Clinic – Overview of everolimus clinical use (mayoclinic.org)
🩺 Specialist Perspective – Dr. Arjun Mehta, MD
“Generics like Torinat make high-cost mTOR therapies more accessible while maintaining efficacy and safety standards. With close monitoring, it’s a powerful option in oncology and transplant medicine.”
⚠️ Disclaimer
This content is for informational purposes only. Torinat 10 mg (Evermil) should be used under physician supervision. Always consult a specialist prior to use.




