Encorafenib and binimetinib

Say it: en-koh-RAF-eh-nib and bih-nih-MEH-tih-nib · Brand names: Braftovi, Mektovi
Encorafenib and binimetinib are two targeted pills taken together to block a growth signal in cancers with a BRAF gene change.
What it is
Some cancers have a change in a gene called BRAF. This change turns on a signal path that makes cells grow. Encorafenib blocks BRAF, and binimetinib blocks a protein further down the same path called MEK.
Often used for
- melanoma with a BRAF gene change
- non-small cell lung cancer with a BRAF gene change
How you get it
Both are taken by mouth, with or without food. Encorafenib is a capsule taken once a day, and binimetinib is a pill taken twice a day. People usually take them for as long as they work. Your schedule may be different.
Common side effects and what helps
- Feeling tired. Rest when you need to and take short walks when you can.
- Nausea or vomiting. Eat small, bland meals and ask about nausea medicine.
- Diarrhea or constipation. Drink plenty of fluids.
- Belly pain. Tell your team if it is bad or does not go away.
- Joint or muscle pain. Ask your team what pain medicine is safe for you.
- Blurry vision. Be careful driving and tell your team about vision changes.
- Skin changes, like dry skin, rash, or thickened skin. Use moisturizer and sunscreen.
Call your care team right away if you have
- Any change in your vision, eye pain, or red eyes
- New or worse cough, shortness of breath, or chest pain, or swelling in your legs
- Pain, swelling, or redness in one leg or arm
- Bleeding that will not stop, black or bloody stools, or coughing up blood
- Yellow skin or eyes, dark urine, or pain on the right side of your belly
- Bad muscle pain or weakness, or dark brown urine
Before you start, tell your team
- If you have heart, eye, liver, or bleeding problems
- If you use hormonal birth control, since encorafenib can make it work less well
- If you are pregnant, may become pregnant, or are breastfeeding
- All the medicines, vitamins, and herbal products you take, since some can change how this medicine works
Good to know
- New skin cancers can happen. You will have skin checks during and after treatment.
- It can weaken the heart. You will have a heart ultrasound before and during treatment.
- Eye problems can happen. You will have eye exams.
- You will have blood tests for your liver and muscle enzymes.
- This medicine can harm an unborn baby. Ask your team about birth control during treatment and for a while after.
At home
- Take them at about the same times each day.
- Swallow the pills whole with water. Do not crush, chew, or split them unless your team says it is OK.
- If you miss a dose or throw up after a dose, ask your team what to do. Do not take an extra dose on your own.
- Store the pills at room temperature in their original container, away from children and pets.
- Wash your hands after touching the pills. Ask your team if others in your home should take special care.
Questions to ask
- How long will I take this medicine?
- What tests will I need, and how often?
- Are any of my other medicines, foods, or supplements a problem with this medicine?
- What should I do if I miss a dose?
- Which side effects should I call you about right away, and which can wait?
Side effect guides
- Fatigue (tiredness)
- Nausea and vomiting
- Diarrhea
- Constipation
- Skin rash (including EGFR-inhibitor rash)
- Pain
Sources
Quick answers
- What is Encorafenib and binimetinib?
- Encorafenib and binimetinib are two targeted pills taken together to block a growth signal in cancers with a BRAF gene change. Brand names: Braftovi, Mektovi.
- What is Encorafenib and binimetinib used for?
- melanoma with a BRAF gene change; non-small cell lung cancer with a BRAF gene change.
- How is Encorafenib and binimetinib given?
- Both are taken by mouth, with or without food. Encorafenib is a capsule taken once a day, and binimetinib is a pill taken twice a day. People usually take them for as long as they work. Your schedule may be different.
- What are the common side effects of Encorafenib and binimetinib?
- Feeling tired. Nausea or vomiting. Diarrhea or constipation. Belly pain. Joint or muscle pain. Blurry vision. Skin changes, like dry skin, rash, or thickened skin.
- When should I call my care team while taking Encorafenib and binimetinib?
- Any change in your vision, eye pain, or red eyes; New or worse cough, shortness of breath, or chest pain, or swelling in your legs; Pain, swelling, or redness in one leg or arm; Bleeding that will not stop, black or bloody stools, or coughing up blood; Yellow skin or eyes, dark urine, or pain on the right side of your belly; Bad muscle pain or weakness, or dark brown urine.
Last updated: 2026-10-27. Medically reviewed by Veli Bakalov, MD, medical oncologist (October 2026). General education from Step by Step, the patient portal of HemeOncBuddy.