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compositionComposition:PLERIXAFOR-20MG
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Admastem-24 Injection 1.2 ml is used in the treatment of Non-Hodgkin’s Disease (a blood cancer that affects your lymph system) and multiple myeloma (a type of cancer that affects the plasma cells of the bone marrow). Admastem-24 Injection 1.2 ml contains Plerixafor, which belongs to the hemopoietic stem cell mobilizer class or drugs. It works by releasing stem cells from the bone marrow, making them available to collect from your bloodstream.

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Written By Dr. Lakshmithulasi Yarragunta , PharmD (PB)
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

PLERIXAFOR-20MG

Manufacturer/Marketer :

Admac Lifesciences(Oncology)

Consume Type :

Parenteral

Expires on or after :

Jan-28

Return Policy :

Not Returnable

About Admastem-24 Injection 1.2 ml

Admastem-24 Injection 1.2 ml is an injectable medicine used to help collect blood-forming stem cells before an autologous stem cell transplant, a procedure in which your own stem cells are collected and later returned to your body. It is used in people with certain blood cancers, including non-Hodgkin lymphoma and multiple myeloma.

This medicine helps move blood-forming stem cells from the bone marrow into the bloodstream, where they can be collected by a special machine. It is generally used together with another medicine that helps increase stem cell production, such as filgrastim.

Admastem-24 Injection 1.2 ml is given as an injection under the skin before a planned stem cell collection. The timing is important because the medicine needs to increase the number of stem cells in the blood at the time of collection. Your healthcare team will coordinate your injections with your collection appointments.

Common side effects may include diarrhoea, nausea, headache, tiredness, and redness or swelling where the injection is given. Consult your doctor right away if you develop difficulty breathing, severe dizziness or fainting, or pain in the upper left side of your abdomen or left shoulder, as these symptoms require prompt medical assessment.

Before treatment, tell your doctor if you have kidney problems, as your dose may need to be reduced. Also tell your doctor if you have leukaemia, are pregnant or planning a pregnancy, or are breastfeeding. Plerixafor is not intended for stem cell collection in people with leukaemia because leukaemia cells may also be released into the bloodstream.

Uses of Admastem-24 Injection 1.2 ml

Your doctor may prescribe Admastem-24 Injection 1.2 ml to help with stem cell collection before an autologous stem cell transplant:

  • Stem cell collection in non-Hodgkin lymphoma: Admastem-24 Injection 1.2 ml helps move blood-forming stem cells from the bone marrow into the bloodstream so they can be collected for a future transplant.
  • Stem cell collection in multiple myeloma: This medicine helps increase the number of stem cells available in the blood for collection before transplantation.

Key Benefits

Admastem-24 Injection 1.2 ml helps increase the number of blood-forming stem cells available in the bloodstream for collection before an autologous stem cell transplant.

  • Improves stem cell collection: It helps move more stem cells into the blood, increasing the number available for collection.
  • Helps reach the collection target: It may help people who have difficulty producing enough circulating stem cells collect the number needed for transplantation.
  • Supports the transplant process: Collecting enough healthy blood-forming stem cells allows them to be stored and later returned to the body after treatment.
  • May reduce the need for additional collection sessions: Increasing the number of stem cells in the blood may help some people reach their collection target more efficiently.
     

Directions for Use

  • Follow your doctor’s instructions on the dosage and timing of this medication. Typically, it is injected once a day, 11 hours prior to blood cell removal, for up to 4 days in a row.
  • Admastem-24 Injection 1.2 ml will be administered under the skin by a doctor or nurse in a medical facility.
  • Do not self-administer.

How Admastem-24 Injection 1.2 ml Works

Admastem-24 Injection 1.2 ml contains plerixafor. It blocks a protein called CXCR4, which normally helps keep blood-forming stem cells inside the bone marrow. By blocking CXCR4, plerixafor temporarily releases more stem cells from the bone marrow into the bloodstream. Once these cells are circulating in the blood, they can be collected using a process called apheresis, in which a machine separates the needed stem cells from the blood.
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Alcohol

Unsafe

It is unknown whether Admastem-24 Injection 1.2 ml interacts with alcohol or not. Please consult your doctor.

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Pregnancy

Unsafe

Admastem-24 Injection 1.2 ml is not recommended for use in pregnancy as it may harm your fetus. Hence, if you are pregnant or planning pregnancy, inform your doctor before receiving Admastem-24 Injection 1.2 ml. Effective birth control is necessary during treatment and for one week after your last dose.

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Breast Feeding

Unsafe

Admastem-24 Injection 1.2 ml is not recommended if you are breastfeeding. You should not breastfeed while taking this medication and for one week after your last dose.

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Driving

Caution

Admastem-24 Injection 1.2 ml is generally administered to hospitalized patients. Driving is not advised after taking this medicine.

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Liver

Caution

If you have a pre-existing or a history of liver disease, inform your doctor before receiving Admastem-24 Injection 1.2 ml. A dose adjustment may be made, or a suitable alternative may be advised based on your condition.

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Kidney

Caution

If you have a pre-existing or a history of kidney disease, inform your doctor before receiving Admastem-24 Injection 1.2 ml. A dose adjustment may be made, or a suitable alternative may be advised based on your condition.

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Children

Unsafe

Admastem-24 Injection 1.2 ml is not recommended for use in children as the safety and efficacy are not established.

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Heart

Caution

If you have a history of heart disease, please inform the doctor before receiving Admastem-24 Injection 1.2 ml.

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Geriatrics

Caution

Elderly patients may require caution and dose adjustments, as Admastem-24 Injection 1.2 ml may increase the risk of side effects.

What if I have taken an overdose of Admastem-24 Injection 1.2 ml

Because this medicine is generally given under medical supervision, an overdose is unlikely. If you receive or inject more than the prescribed amount, contact your healthcare team promptly. You may need monitoring and treatment for any symptoms that develop.

Diet & Lifestyle Advise

  • Stay hydrated: Drink enough fluids unless your healthcare team has advised you to limit your fluid intake.
  • Eat a balanced diet: Choose nutritious foods that provide enough energy and protein to support your body during transplant preparation.
  • Follow food-safety advice: If your immune system is weakened, carefully follow your healthcare team's instructions for preparing, cooking, and storing food.
  • Avoid strenuous activity when advised: Ask your healthcare team about exercise during stem cell mobilisation, particularly if there are concerns about enlargement of the spleen.
  • Get enough rest: Stem cell mobilisation and your underlying treatment may cause tiredness, so balance daily activity with adequate rest.
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How Soon It Starts Working

The time required for Admastem-24 Injection 1.2 ml to start to work: Admastem-24 Injection 1.2 ml ideally shows its action within 30 to 60 minutes after administration. The time for which the effects of Admastem-24 Injection 1.2 ml last: The effect of Admastem-24 Injection 1.2 ml lasts for 4 to 8 hours.

What if you forget to take Admastem-24 Injection 1.2 ml

The timing of this medicine is closely linked to your stem cell collection. If you miss an injection or collection appointment, contact your healthcare team as soon as possible. They will tell you when the medicine and collection procedure should be rescheduled. Do not take an extra dose yourself.

Storage

•Admastem-24 Injection 1.2 ml is usually stored and handled by healthcare professionals according to the instructions for the specific product, typically between 20°C and 25°C.

Drug Warnings

  • Keep to your collection schedule: The timing of your injection is coordinated with your stem cell collection, so attend all appointments as scheduled.
  • Report abdominal or shoulder pain: Consult your doctor right away if you develop pain in the upper left side of your abdomen or left shoulder, as this may indicate a problem with your spleen.
  • Tell your doctor about kidney problems: Your dose may need to be reduced if your kidneys are not working normally.
  • Mention a history of leukaemia: Plerixafor is not intended for stem cell mobilisation in people with leukaemia because cancerous cells may also be released from the bone marrow into the blood.
  • Watch for allergic reactions: Seek medical care for difficulty breathing, swelling, hives, severe dizziness, or fainting.
  • Avoid driving if you feel dizzy: Do not drive or operate machinery if the medicine makes you dizzy, light-headed, or faint.
  • Keep all blood tests and collection appointments: Your healthcare team will monitor the number of stem cells in your blood and determine whether further doses or collection sessions are needed.
     

verifiedApollotooltip
  • Filgrastim: Plerixafor is commonly given with filgrastim to increase the number of blood-forming stem cells available for collection. This is an intended part of the treatment rather than a harmful interaction.
  • Other medicines used during transplant preparation: Your healthcare team will review all medicines used before stem cell collection and transplantation to make sure they can be used safely together.
     

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verifiedApollotooltip
  • Food: No clinically important food interaction is expected because this medicine is injected under the skin. Follow any dietary advice provided by your transplant team.

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Habit Forming

No

Therapeutic Class

[CHEMOTHERAPY]

FAQs

Admastem-24 Injection 1.2 ml is used to treat Multiple Myeloma, Non-Hodgkin’s Disease.
Admastem-24 Injection 1.2 ml contains Plerixafor, which works by binding to the chemokine receptor CXCR4 and inhibits the binding of its cognate ligand CXCL12.
Admastem-24 Injection 1.2 ml may cause tumor cell mobilization and haematological effects such as increased lymphocytes, decreased platelet count, and splenic rupture in some patients. Hence, inform your oncologist about your complete medical history, including current medication, to rule out any side effects/interactions.
No. Plerixafor is used to help collect stem cells for transplantation. It is not used to kill cancer cells or directly treat the underlying cancer.
This medicine is injected under the skin before your scheduled stem cell collection. Your healthcare team will coordinate the timing of the injection with your collection procedure.
Filgrastim helps increase the production and release of blood-forming stem cells, while plerixafor helps release additional stem cells from the bone marrow into the bloodstream. Using them together can increase the number of cells available for collection.
You may be able to receive it, but your dose may need to be reduced depending on how well your kidneys are working. Your doctor will assess your kidney function before deciding the appropriate dose.
Rarely, stem cell mobilisation can be associated with enlargement or rupture of the spleen. Pain in the upper left abdomen or left shoulder can be a warning sign and requires prompt medical assessment.
The number of doses depends on your stem cell collection plan and how many cells are collected. Your healthcare team will decide whether additional doses and collection sessions are needed.
Plerixafor may harm an unborn baby. Tell your doctor if you are pregnant, think you may be pregnant, or are planning a pregnancy. Your doctor will advise you about appropriate contraception during treatment.
Tell your doctor if you are breastfeeding. Your healthcare team will advise whether breastfeeding should be stopped based on the potential risk to the baby and your treatment needs.
Some people may feel dizzy, light-headed, or tired. Do not drive or operate machinery if you experience symptoms that could affect your ability to do so safely.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

Sco 84, Sector 5, Panchkula (Haryana) 134112 India.
Other Info - ADM0089
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