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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Bortenat 2 mg Injection is used to treat cancers like multiple myeloma and mantle cell lymphoma. It contains Bortezomib which works by preventing the cancer cells from growing and eventually killing them. In some cases, this medicine may cause side effects such as constipation, vomiting, low white blood cell count, and low platelet count. Inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.
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Whats That

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Composition :

BORTEZOMIB-2MG

Manufacturer/Marketer :

Natco Pharma Ltd

Consume Type :

PARENTERAL

Return Policy :

Not Returnable

Expires on or after :

About Bortenat 2 mg Injection

Bortenat 2 mg Injection belongs to a group of anti-cancer medicines used to treat adult patients with multiple myeloma and mantle cell lymphoma who have received at least one prior therapy. Multiple myeloma, also known as myeloma, is a type of bone marrow cancer it affects several areas of the body, such as the spine, skull, pelvis, and ribs. Mantle cell lymphoma (MCL) is a rare type of non-Hodgkin lymphoma (NHL). It develops when B-cells (also called B-lymphocytes) become abnormal. B-cells are white blood cells that fight infection.

Bortenat 2 mg Injection contains 'Bortezomibx' that works by interfering with how proteasomes work, which may cause cancer cells to die and may stop cancer from growing and eventually kills them.

Bortenat 2 mg Injection is prescribed by a doctor experienced in the use of medications to treat cancer. It is administered by a healthcare professional as an injection into your vein (intravenously or IV) or under your skin (subcutaneously or SC). Bortenat 2 mg Injection must not be administered into your spinal fluid (intrathecally). You may experience nausea, diarrhoea, thrombocytopenia (a low platelet count), neutropenia (low white blood cell count), peripheral neuropathy (nerves malfunction), fatigue, neuralgia, anaemia, leukopenia, constipation, vomiting, lymphopenia, rash, pyrexia, and anorexia. Most of these side effects of Bortenat 2 mg Injection do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

To treat your condition effectually, continue taking Bortenat 2 mg Injection for as long as your doctor has prescribed. Do not stop the Bortenat 2 mg Injection midway. Talk to your doctor before taking Bortenat 2 mg Injection if you have allergies or if you are suffering from peripheral neuropathy (nerves malfunction), hypotension, cardiac disorders, severe lung problems, pulmonary disorders, posterior reversible encephalopathy syndrome disorders, gastrointestinal disorders, thrombocytopenia (a low platelet count), neutropenia (low white blood cell count), tumour lysis syndrome (metabolic abnormalities that can occur as a complication during the treatment of cancer), hepatic disorders. Avoid taking Bortenat 2 mg Injection if you are pregnant or breastfeeding because this Bortenat 2 mg Injection can cause harmful effects on the unborn baby. Both women and men using this Bortenat 2 mg Injection should use birth control to avoid pregnancy.

Uses of Bortenat 2 mg Injection

Treatment of Multiple myeloma and Mantle cell lymphoma.

Directions for Use

Bortenat 2 mg Injection will be administered by a qualified healthcare professional. Kindly do not self-administer.

Medicinal Benefits

Bortenat 2 mg Injection contains the active substance bortezomib, also-called ‘proteasome inhibitor. Proteasomes play an important role in controlling cell function and growth. By interfering with their function, thereby it can kill cancer cells. Bortenat 2 mg Injection is used to treat multiple myeloma (a cancer of the bone marrow) and mantle cell lymphoma (a type of cancer affecting the lymph nodes) in 18 years or older patients. It can be used alone or together with other medicines.

How Bortenat 2 mg Injection Works

Bortenat 2 mg Injection contains 'Bortezomibx' that works by interfering with how proteasomes work, which may cause cancer cells to die and may stop cancer from growing and eventually kills them.

Storage

Store in a cool and dry place away from sunlight
Side effects of Bortenat 2 mg Injection
  • Managing a low platelet count (thrombocytopenia) caused by medication usage requires a multi-step approach. Here are some steps to help manage the condition:
  • Inform your doctor about your low platelet count and medication usage. They will assess the situation and guide the best course of action.
  • Your doctor may recommend adjusting or stopping the medication that is causing a low platelet count. This could involve switching to alternative medication or reducing the dosage.
  • Monitor your platelet count regularly through blood tests to track any changes. This will help the doctor determine the effectiveness of the treatment plan.
  • If an underlying condition, such as infection or inflammation, contributes to the low platelet count, your doctor will treat it.
  • In some cases, alternative treatments like platelet transfusions or medications that stimulate platelet production may be necessary.
  • Avoid risky activities and certain medications; eat a balanced diet with plenty of water to reduce bleeding risk and boost overall health.
  • If you experience severe bleeding or bruising, seek emergency medical attention immediately.
  • Talk to your doctor about medicines to manage neutropenia based on the underlying cause.
  • Avoid contact with people who are sick.
  • Wash your hands regularly with soap and water.
  • Avoid unpasteurized dairy products.
  • Include iron-rich foods like dark leafy vegetables, lean red meat, legumes and fish in your diet.
  • Consume vitamin C-rich foods as they aid iron absorption.
  • Limit tea, cocoa, and coffee as these can slow iron absorption.
  • Exercise regularly; however, do not overdo it.
  • Boost your immunity by including immune rich foods in your diet and always remember to stay hydrated.
  • Get sufficient sleep and manage stress which helps in improving white blood cell count.
  • Consult your doctor for an effective treatment to improve the blood cell count and get regular body check up to monitor changes in the count.
  • Try to prevent the factors that cause a decrease in the white blood cells that may lead to impaired immunity.
  • Nourish your body with a balanced diet with protein-rich foods like fish, eggs, and beans. Fruits, vegetables, and nuts provide essential vitamins and minerals. If necessary, consider vitamin B12 and folate supplements.
  • Practice good hygiene to protect yourself from infections. Wash your hands often, stay up-to-date on vaccinations, avoid crowded areas, and take care when handling food, pets, and diapers.
  • Aim for a good night's sleep, targeting 8 hours of sleep. Find calm through stress-reducing practices like yoga, meditation, or deep breathing. Regular physical activity can also help.
  • Stay healthy by drinking plenty of water, eating probiotic-rich foods like yoghurt, and limiting processed foods and sugars. Consult your doctor, if you are having difficulties or concerns.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.

What if I have taken an overdose of Bortenat 2 mg Injection

Since this medication is given by a healthcare professional, an overdose is unlikely to occur. However, seek medical attention if you experience symptoms of overdose such as dizziness, blurred vision, unusual bruising or bleeding, and fainting.

Drug Warnings

To treat your condition effectually, continue taking Bortenat 2 mg Injection for as long as your doctor has prescribed. Do not stop the Bortenat 2 mg Injection midway. Talk to your doctor before taking Bortenat 2 mg Injection if you have allergies or if you are suffering from peripheral neuropathy (nerves malfunction), hypotension, cardiac disorders, severe lung problems, pulmonary disorders, posterior reversible encephalopathy syndrome disorders, gastrointestinal disorders, thrombocytopenia (a low platelet count), neutropenia (low white blood cell count), tumour lysis syndrome (metabolic abnormalities that can occur as a complication during the treatment of cancer), hepatic disorders. And also, inform your doctor if you have diabetes because this medicine can affect your blood glucose levels. Your doctor may require close monitoring of your blood glucose levels and change your diabetes medicine dose while being treated with Bortenat 2 mg Injection. Avoid taking Bortenat 2 mg Injection if you are pregnant because this Bortenat 2 mg Injection can cause harmful effects on the unborn baby. Both women and men using this Bortenat 2 mg Injection should use birth control to avoid pregnancy and for at least six months following treatment. Do not breastfeed during treatment with Bortenat 2 mg Injection and four months after your final dose of Bortenat 2 mg Injection.

Drug-Drug Interactions

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BortezomibBCG vaccine
Severe
BortezomibSamarium (153sm) lexidronam
Severe

Drug-Drug Interactions

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BortezomibBCG vaccine
Severe
How does the drug interact with Bortenat 2 mg Injection:
Coadministration of the BCG vaccine and Bortenat 2 mg Injection can increase the risk of infection or decrease the vaccine response.

How to manage the interaction:
Taking Bortenat 2 mg Injection with the BCG vaccine together can possibly result in an interaction, but it can be taken if your doctor has advised it. Do not stop using any medications without first talking to your doctor.
BortezomibSamarium (153sm) lexidronam
Severe
How does the drug interact with Bortenat 2 mg Injection:
Using samarium (153sm) lexidronam together with Bortenat 2 mg Injection may increase the risk of side effects

How to manage the interaction:
Co-administration of Bortenat 2 mg Injection with Samarium (153sm) lexidronam can possibly result in an interaction; they can be taken if your doctor has advised it. However, consult a doctor if you experience fatigue, dizziness, fever, chills, diarrhea, sore throat, muscle aches, red or inflamed skin, and pain or burning during urination. Do not stop using any medications without a doctor's advice.
BortezomibLeflunomide
Severe
How does the drug interact with Bortenat 2 mg Injection:
Coadministration of leflunomide and Bortenat 2 mg Injection may increase the risk of infections.

How to manage the interaction:
Although using Bortenat 2 mg Injection and Leflunomide together can possibly result in an interaction, they can be taken together if advised by your doctor. However, contact a doctor if you experience symptoms such as fever, chills, diarrhea, sore throat, muscle aches, red or irritated skin, or burning during urination. Do not stop taking any medications without consulting a doctor.
BortezomibTofacitinib
Severe
How does the drug interact with Bortenat 2 mg Injection:
Taking tofacitinib and Bortenat 2 mg Injection may increase the risk of infections.

How to manage the interaction:
Although using Bortenat 2 mg Injection and Tofacitinib together can possibly result in an interaction, they can be taken together if advised by your doctor. However, contact a doctor if you experience fever, chills, diarrhea, sore throat, muscle aches, red or irritated skin, or burning during urination. Do not stop taking any medications without consulting a doctor.
BortezomibTalimogene laherparepvec
Severe
How does the drug interact with Bortenat 2 mg Injection:
Taking Bortenat 2 mg Injection together with talimogene laherparepvec increases the risk of developing infection.

How to manage the interaction:
Although using Bortenat 2 mg Injection and Talimogene laherparepvec together can possibly result in an interaction, they can be taken together if advised by your doctor. Do not stop taking any medications without consulting a doctor.
BortezomibRifapentine
Severe
How does the drug interact with Bortenat 2 mg Injection:
Coadministration of bortezumib and rifapentine may reduce the blood levels of Bortenat 2 mg Injection, which may make the medication less effective in treating your condition.

How to manage the interaction:
Although using Bortenat 2 mg Injection and Rifapentine together can possibly result in an interaction, they can be taken together if advised by your doctor. Do not stop taking any medications without consulting a doctor.
BortezomibFingolimod
Severe
How does the drug interact with Bortenat 2 mg Injection:
Coadministration of fingolimod and Bortenat 2 mg Injection may increase the risk of infections.

How to manage the interaction:
Although using Bortenat 2 mg Injection and Fingolimod together can possibly result in an interaction, they can be taken together if advised by your doctor. However, contact a doctor if you experience fever, chills, diarrhea, sore throat, muscle aches, red or irritated skin, or burning during urination. Do not stop taking any medications without consulting a doctor.
BortezomibTeriflunomide
Severe
How does the drug interact with Bortenat 2 mg Injection:
Coadministration of teriflunomide and Bortenat 2 mg Injection may increase the risk of infections and may also cause liver problems.

How to manage the interaction:
Although using Bortenat 2 mg Injection and teriflunomide together can result in an interaction, they can be taken together if advised by your doctor. However, contact a doctor if you experience fever, chills, diarrhea, sore throat, muscle aches, burning during urination, skin rash, fatigue, dark-colored urine, light-colored stools, or yellowing of the skin or eyes. Do not stop taking any medications without consulting a doctor.
BortezomibPhenobarbital
Severe
How does the drug interact with Bortenat 2 mg Injection:
Coadministration of Bortenat 2 mg Injection and phenobarbital may reduce the blood levels of Bortenat 2 mg Injection, which may make the medication less effective in treating a condition.

How to manage the interaction:
Although using Bortenat 2 mg Injection and Phenobarbital together can result in an interaction, they can be taken together if advised by a doctor. However, consult a doctor if your condition worsens. Do not stop taking any medications without consulting a doctor.
BortezomibClozapine
Severe
How does the drug interact with Bortenat 2 mg Injection:
Coadministration of clozapine with Bortenat 2 mg Injection may increase the risk of infections.

How to manage the interaction:
Although using Bortenat 2 mg Injection and Clozapine together can possibly result in an interaction, they can be taken together if advised by your doctor. However, contact a doctor if you experience fever, chills, diarrhoea, sore throat, muscle aches, red or irritated skin, or burning during urination. Do not stop taking any medications without consulting a doctor.

Drug-Food Interactions

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BORTEZOMIB-2MGCaffeine containing foods/drinks, Fiber rich foods
Moderate

Drug-Food Interactions

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BORTEZOMIB-2MGCaffeine containing foods/drinks, Fiber rich foods
Moderate
Common Foods to Avoid:
Green Tea, Oranges

How to manage the interaction:
Vitamin C or vitamin-containing foods and green tea diminish the effectiveness of Bortenat 2 mg Injection Avoid or limit the consumption of Vitamin C or vitamin-containing foods and green tea.

Diet & Lifestyle Advise

  • Eat a healthy diet and exercise regularly to maintain proper weight.
  • Include leafy vegetables, citrus fruits, fatty fish, berries, yoghurt, apples, peaches, cauliflower, cabbage, broccoli, beans, and herbs in your diet.
  • Get optimal sleep, and rest well.
  • Performing yoga may also help in improving both physical and mental health.
  • Maintain a healthy weight by performing regular low-strain exercises and eating healthy food.
  • De-stress yourself by meditating, reading books, taking a warm bubble bath, or listening to soothing music.
  • Avoid smoking and alcohol consumption.
  • Avoid fast, fried, processed meats, refined carbs, and added sugars.

Habit Forming

No

Therapeutic Class

CHEMOTHERAPY

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Alcohol

Caution

You are recommended to avoid alcohol consumption while taking Bortenat 2 mg Injection. It could lead to avoiding unpleasant side effects.

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Pregnancy

Unsafe

Bortenat 2 mg Injection should not be used during pregnancy because it causes harm to the fetus (newborn baby). Both women of childbearing potential and men must use an effective contraception method while taking Bortenat 2 mg Injection and at least six months afterwards. Please discuss with your doctor any concerns regarding this.

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Breast Feeding

Unsafe

Bortenat 2 mg Injection should not be taken during breastfeeding as it passes into the breastmilk and may harm the nursing baby. It is contraindicated in breastfeeding mothers.

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Driving

Caution

Bortenat 2 mg Injection may affect your reactions and your ability to drive. Possible side effects of chemotherapy with Bortenat 2 mg Injection may occur, such as nausea and vomiting. If you are affected by these side effects, you should not drive and/or operate machines that require you to be alert.

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Liver

Caution

If you have a history or evidence of liver-related diseases, inform the doctor before prescribing the Bortenat 2 mg Injection. Your doctor will weigh the benefits and potential risks before prescribing them.

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Kidney

Caution

If you have a history or evidence of kidney-related diseases, inform the doctor before prescribing the Bortenat 2 mg Injection. Your doctor will weigh the benefits and potential risks before prescribing them.

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Children

Unsafe

Bortenat 2 mg Injection should not be used by children below 18 years of age, as efficacy and safety have not been established.

FAQs

Bortenat 2 mg Injection is used to treat multiple myeloma (a cancer of plasma cells) and mantle cell lymphoma (blood cancer).

Bortenat 2 mg Injection contains the active substance bortezomib, also-called ‘proteasome inhibitor. Proteasomes play an important role in controlling cell function and growth. By interfering with their function, thereby it can kill cancer cells.

Bortenat 2 mg Injection is prescribed by a doctor experienced in the use of medications to treat cancer. It is administered by a healthcare professional as an injection into your vein (intravenously or IV) or under your skin (subcutaneously, or SC). Bortenat 2 mg Injection must not be administered into your spinal fluid (intrathecally).

Yes, Bortenat 2 mg Injection can cause low neutrophils levels, a type of white blood cells that help fight infections. If your white blood cells become low, you can be at higher risk for infections. Tell your doctor if you develop a fever or believe you have an infection.

Avoid taking Bortenat 2 mg Injection if you are pregnant because Bortenat 2 mg Injection can cause harmful effects on the unborn baby. Females should follow effective birth control methods during treatment and at least six months after the final dose of Bortenat 2 mg Injection.

Before you receive treatment with Bortenat 2 mg Injection, tell your doctor about all of your medical conditions. You should not receive Bortenat 2 mg Injection if you are allergic to bortezomib or any contents in Bortenat 2 mg Injection.

If not given an inappropriate dose, Bortenat 2 mg Injection can cause toxic effects, although not everyone gets it. So, Bortenat 2 mg Injection is prescribed by a doctor experienced in using medications to treat cancer only.

Bortenat 2 mg Injection contains bortezomib as its active substance. It belongs to a group of anti-cancer medicines.

No, Bortenat 2 mg Injection does not have any habit-forming potential.

Your doctor decides the dose of Bortenat 2 mg Injection based on your medical condition. Taking a double dose can lead to potential side effects.

You should call your doctor right away if you experience side effects like wheezing, chest tightness, swelling of the face or throat, difficulty breathing, seizures, or any unusual skin reactions. Also, seek immediate medical help if you have a sudden change in vision, numbness or tingling, severe stomach issues, unexplained bruising or bleeding, or if your symptoms worsen. Always contact your doctor if you notice any concerning changes in your condition.

You will know if Bortenat 2 mg Injection is working by noticing improvements in your condition. Regular scans will show if your tumor is reacting to the treatment. Your doctor will decide when these scans should be done. Always follow the doctor's advice as they will monitor your progress to assess its effectiveness.

To minimize the risk of infection while using Bortenat 2 mg Injection, maintain good hygiene, wash your hands frequently, and avoid contact with sick people. Protect any open wounds and be cautious with food handling. Take care not to harm yourself when using sharp objects like razor or nail cutters. Use a toothbrush with soft bristles to stop gum bleeding.

Bortenat 2 mg Injection may affect your lungs. However, it might cause allergies with symptoms like trouble breathing or chest tightness. If this happens, stop using Bortenat 2 mg Injection and get medical attention immediately

Yes, Bortenat 2 mg Injection may cause hair loss. If you experience unexpected hair thinning or loss, consult your doctor to avoid potential causes or talk if you have any concerns.

Avoid putting prolonged pressure on your limbs, maintain proper posture, be cautious when moving around and follow your doctor's recommendations for managing the symptoms. If you experience tingling or numbness in your arms or legs, inform your doctor immediately, as these could indicate nerve-related issues.

It is important to avoid prolonged sun exposure and UV light, as Bortenat 2 mg Injection can make your skin more sensitive. Wear protective clothing, sunglasses, and sunscreen to shield your skin. Keep track of your symptoms and consult your doctor to determine if Bortenat 2 mg Injection is the cause. Your doctor may adjust your treatment or suggest ways to manage the skin changes. Always follow their advice to ensure the treatment remains safe and effective.

To relieve constipation during treatment, focus on eating more fibre, staying hydrated, and staying active with light exercise. You can also consider using stool softeners after consulting your doctor. Establishing a routine for bowel movements and avoiding strain can also help. Always talk to your healthcare provider before trying new remedies.

You may experience nausea and extreme tiredness due to Bortenat 2 mg Injection, as these are among the side effects.These do not require any medical treatment as they will gradually reduce over time. However, please contact a doctor if these persist longer.

If you are experiencing a change in taste while using Bortenat 2 mg Injection, try staying hydrated, by using sugar-free gum or mint. Practicing good oral hygiene by brushing your teeth and tongue can also help. If the issue persists, consult your doctor for further advice on managing the side effect.

Country of origin

INDIA

Manufacturer/Marketer address

Natco House, Road No.2, Banjara Hills, Hyderabad-500 034, India
Other Info - BOR0020

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