Create your treatment calendar

With this simple tool, you can create and print a personalized LONSURF treatment calendar where you can track your doses, temperature, and any side effects you experience. Make sure to share your calendar with your healthcare provider at your next appointment. 

Note: If your doctor changes your LONSURF dosage, be sure to create a new treatment calendar.

Steps for entering your doses into your calendar

Patient Details: Enter the patients details.

Patient's Name:

Next appointment:

Date of next blood test:

STEP 1: Select your start date.

Start Date:

STEP 2: To enter your morning dose, select the number of 15‑mg and/or 20‑mg tablets you take in the morning.

Morning Dose:

NOTE: If your dose is made up of 15‑mg and 20‑mg tablets, make sure to include both in the appropriate boxes.

STEP 3: To enter your evening dose, select the number of 15‑mg and/or 20‑mg tablets you take in the evening.

Evening Dose:

NOTE: If your dose is made up of 15‑mg and 20‑mg tablets, make sure to include both in the appropriate boxes.

LONSURF (trifluridine and tipiracil) tablets come in 2 strengths: 15-mg and 20-mg tablets. Your healthcare provider may prescribe both strengths for your prescribed dose. Tablet strength of LONSURF is based on 1 active part of the medicine.
STEP 4: Select “Print”, check your calendar to make sure your doses have been entered correctly, and print.
STEP 4: Select “Download”, check your calendar to make sure your doses have been entered correctly.

My Dosing Calendar

Patient's name:
Next appointment: Wednesday, 21/05/2025
Date of next blood test: Wednesday, 21/05/2025
TO BE COMPLETED BY THE PRESCRIBING DOCTOR OR PHARMACIST
15mg 20mg
Number of tablets
Morning dose
Total morning
dose (mg)		 0 mg
Number of tablets
Evening dose
Total evening
dose (mg)		 0 mg
Day of week Wednesday Thursday Friday Saturday Sunday Monday Tuesday

IMPORTANT!


Tell your prescribing doctor or pharmacist as soon as possible if you do not feel well while taking LONSURF. This includes any signs of fever, chills sweating or other sign of infection
Day of cycle Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
Date 21/05/25 22/05/25 23/05/25 24/05/25 25/05/25 26/05/25 27/05/25
Week 1
Number of tablets
15mg 20mg
sun
sun
Number of tablets
15mg 20mg
sun
sun
Number of tablets
15mg 20mg
sun
sun
Number of tablets
15mg 20mg
sun
sun
Number of tablets
15mg 20mg
sun
sun
No
Lonsurf
Today		 No
Lonsurf
Today
Day of cycle Day 8 Day 9 Day 10 Day 11 Day 12 Day 13 Day 14
Date 28/05/25 29/05/25 30/05/25 31/05/25 01/06/25 02/06/25 03/06/25
Week 2
Number of tablets
15mg 20mg
sun
sun
Number of tablets
15mg 20mg
sun
sun
Number of tablets
15mg 20mg
sun
sun
Number of tablets
15mg 20mg
sun
sun
Number of tablets
15mg 20mg
sun
sun
No
Lonsurf
Today		 No
Lonsurf
Today
Day of cycle Day 15 Day 16 Day 17 Day 18 Day 19 Day 20 Day 21
Date 04/06/25 05/06/25 06/06/25 07/06/25 08/06/25 09/06/25 10/06/25
Week 3 No
Lonsurf
Today		 No
Lonsurf
Today		 No
Lonsurf
Today		 No
Lonsurf
Today		 No
Lonsurf
Today		 No
Lonsurf
Today		 No
Lonsurf
Today
Day of cycle Day 22 Day 23 Day 24 Day 25 Day 26 Day 27 Day 28 Don’t forget a blood test is required before you see your oncologist.
Date 11/06/25 12/06/25 13/06/25 14/06/25 15/06/25 16/06/25 17/06/25
Week 4 No
Lonsurf
Today		 No
Lonsurf
Today		 No
Lonsurf
Today		 No
Lonsurf
Today		 No
Lonsurf
Today		 No
Lonsurf
Today		 No
Lonsurf
Today

About LONSURF

LONSURF is used to treat colon or rectal cancer by slowing down the growth and spread of cancer cells.

Taking the right dose

  • Your doctor will decide the right dose for you – the dose depends on factors such as your weight, height and health
  • Your doctor will tell you how many tablets to take for each 4 week cycle of LONSURF
  • You will take a dose 2 times a day on specified treatment days only

About treatment cycles

You will take LONSURF for 5 days during each of the first 2 weeks, and then ave 2 weeks off. This 4 week period is called a ‘cycle.’ The specific dosing schedule is as follows:

Week 1 Take the LONSURF dose 2 times a day for 5 days Then have 2 days off – No LONSURF
Week 2 Take the LONSURF dose 2 times a day for 5 days Then have 2 days off – No LONSURF
Week 3 No LONSURF
Week 4 No LONSURF

Your doctor will then review your dose and plan the next 4 week cycle.

Questions for my prescribing doctor:

(please bring this to your next appointment)

How to take LONSURF

Always take LONSURF exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

LONSURF comes in two strengths. Your doctor may prescribe a combination of white and pale red tablets.

A white tablet that contains 15 mg of trifluridine and 6.14 mg of tipiracil

A pale red tablet that contains 20 mg of trifluridine and 8.19 mg of tipiracil

Tips for taking LONSURF

  • Swallow the tablets whole with a glass of water
  • Take LONSURF immediately after your morning and evening meals, or within one hour after completion of your morning and evening meals.
  • Wash your hands after handling LONSURF

If you forget to take LONSURF

  • If you forget a dose, talk to your doctor or pharmacist
  • Do not take a double dose to make up for a forgotten dose

For further information about LONSURF, see Consumer Medicine Information (CMI) which is available from your doctor or pharmacist or at www.servier.com.au or by telephoning 1800 153 590.

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in the CMI. LONSURF® is licensed to Servier by Taiho,
co-developed globally and marketed in their respective territories.
Servier Laboratories (Aust.) Pty Ltd
8 Cato Street, PO Box 196, Hawthorn
Victoria 3122
Date of preparation: April 2019