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Endokine 300 mcg Injection 1 ml is used to treat neutropenia (lack of certain white blood cells) caused by cancer, bone marrow transplant, chemotherapy, bacterial infections or other conditions. It contains Filgrastim, which stimulates the bone marrow (the tissue where new blood cells are made) to produce more white blood cells that help fight infection.

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

FILGRASTIM-300MCG

Manufacturer/Marketer :

Intas Pharmaceuticals Ltd

Consume Type :

Parenteral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Endokine 300 mcg Injection 1 ml

Endokine 300 mcg Injection 1 ml is a prescribed medicine injected to help your body produce more white blood cells, specifically neutrophils. It is primarily used to prevent or treat low white blood cell counts, a condition that often occurs after receiving chemotherapy or bone marrow transplants. By increasing these protective cells, the medicine lowers your risk of serious infections during cancer treatments.

This injection is typically given once daily, and keeping a consistent schedule is highly important for the best results. Since it is given as an injection, it is not affected by food, so you do not need to worry about taking it with meals. To support your body during treatment, it is highly recommended to practise strict hygiene and follow a clean, fully cooked diet to avoid accidental exposure to germs.

Like many medicines, Endokine 300 mcg Injection 1 ml can cause side effects, with bone pain and joint discomfort being the most common as your bone marrow works to make new cells. While these are usually manageable, you should seek medical attention immediately if you experience severe pain in your left upper stomach or shoulder, or if you develop breathing difficulties. Always consult your doctor if you experience any persistent or unusual symptoms during your treatment.

Do not take this if you have had a severe allergic reaction to this medicine or similar proteins. Before starting therapy, tell your doctor if you have sickle cell disease, spleen problems, or kidney issues, as this treatment requires careful monitoring under these conditions.

Certain medicines, especially chemotherapy given within 24 hours of your injection, can interfere with how this treatment works. It is also important to tell your doctor if you are pregnant, planning to become pregnant, breastfeeding, or if you are caring for an elderly patient who may be more sensitive to side effects.

Uses of Endokine 300 mcg Injection 1 ml

Endokine 300 mcg Injection 1 ml is injected to help your body produce more white blood cells, specifically neutrophils. The detailed uses of Endokine 300 mcg Injection 1 ml are as follows:

  • Neutropenia from chemotherapy: This medicine helps prevent infections in people receiving strong cancer chemotherapy that lowers white blood cell levels.
  • Bone marrow transplantation: It shortens the time it takes for your bone marrow to recover and start producing healthy blood cells after a transplant.
  • Severe chronic neutropenia: It helps manage and maintain safe white blood cell counts in individuals with long-term, severe natural deficits in these cells.
  • Stem cell collection: It helps release stem cells from your bone marrow into your bloodstream so they can be collected for future transplant procedures.
     

Key Benefits

Endokine 300 mcg Injection 1 ml helps stimulate the production of white blood cells, strengthening your body's ability to fight infections during treatments that suppress the immune system. By supporting healthy immune function, it helps reduce infection-related complications and allows planned treatment to continue.

  • Helps Reduce the Risk of Serious Infections: By increasing the number of infection-fighting white blood cells, Endokine 300 mcg Injection 1 ml helps lower the risk of severe infections and complications associated with low white blood cell counts.
  • Supports Recovery of White Blood Cell Counts: Endokine 300 mcg Injection 1 ml helps the bone marrow produce white blood cells more quickly, allowing your immune system to recover after chemotherapy or other treatments that reduce blood cell counts.
  • Helps Keep Cancer Treatment on Schedule: By promoting faster recovery of white blood cell levels, Endokine 300 mcg Injection 1 ml helps reduce delays in chemotherapy, allowing you to continue your cancer treatment as planned.
Side effects of Endokine 300 mcg Injection 1 ml
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.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.
  • Regular exercise, like swimming, walking, and yoga, can help reduce bone pain by strengthening muscles and releasing natural pain relievers.
  • Physical therapy, including stretching, strengthening exercises, TENS (a type of therapy using electrical pulses), and massage, can help ease bone pain and improve movement.
  • Mind-body techniques, like relaxation, meditation, and hypnosis, can reduce pain and help control muscle tension that comes with bone pain.
  • Acupuncture may help reduce bone pain by triggering the release of natural painkillers and easing nerve discomfort.
  • Avoid sitting for long periods; take short walks or stretch regularly.
  • Herbs like turmeric and ginger might help with bone pain.
  • Eat a diet rich in calcium, vitamin D, and protein for strong bones and muscles.
  • Quit smoking and limit alcohol.
  • Eat protein-rich foods like fish, poultry, eggs, and legumes.
  • Include foods with minerals and vitamins essential for hair health.
  • Join a support group to connect with others experiencing hair loss.
  • Openly discuss your feelings about hair loss.
  • Consider covering up with wigs, hats, or scarves.
  • Be patient and avoid seeking miracle cures.
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.
Here's a comprehensive approach to managing medication-triggered fever:
  • Inform your doctor immediately if you experience a fever after starting a new medication.
  • Your doctor may adjust your medication regimen or dosage as needed to minimize fever symptoms.
  • Monitor your body temperature to monitor fever progression.
  • Drink plenty of fluids, such as water or electrolyte-rich beverages, to help your body regulate temperature.
  • Get plenty of rest and engage in relaxation techniques, such as deep breathing or meditation, to help manage fever symptoms.
  • Under the guidance of your doctor, consider taking medication, such as acetaminophen or ibuprofen, to help reduce fever.
  • If your fever is extremely high (over 103°F), or if you experience severe symptoms such as confusion, seizures, or difficulty breathing, seek immediate medical attention.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.

Directions for Use

  • Follow your doctor’s recommendations on the dosage and timing of this medication to achieve optimal results.
  • Endokine 300 mcg Injection 1 ml will be administered by a healthcare professional.
  • Do not self-administer.

How Endokine 300 mcg Injection 1 ml Works

Endokine 300 mcg Injection 1 ml contains filgrastim, which works by acting like a natural protein that your body produces, known as granulocyte colony-stimulating factor. When injected, it binds to specific receptors on the stem cells inside your bone marrow. Once connected, it signals these stem cells to grow, mature, and rapidly multiply into active white blood cells called neutrophils. These newly formed cells are then released directly into your bloodstream, where they can immediately begin defending your body against bacteria and other harmful germs.
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Alcohol

Caution

Avoid alcohol consumption while taking Endokine 300 mcg Injection 1 ml. It could lead to increased dizziness and drowsiness.

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Pregnancy

Caution

It is not known whether this Endokine 300 mcg Injection 1 ml will harm an unborn baby. Inform your doctor if you are pregnant or plan to become pregnant.

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Breast Feeding

Caution

It is unknown whether Endokine 300 mcg Injection 1 ml passes over into the breast milk. Please inform your doctor if you are breastfeeding before taking Endokine 300 mcg Injection 1 ml.

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Driving

Caution

Endokine 300 mcg Injection 1 ml may cause dizziness, drowsiness, and tiredness; do not drive or operate heavy machinery if you feel dizzy.

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Liver

Caution

If you have liver problems, inform your doctor before receiving Endokine 300 mcg Injection 1 ml. Your doctor may adjust the dose based on your condition or prescribe a suitable alternative.

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Kidney

Caution

Endokine 300 mcg Injection 1 ml should be used with caution in patients with kidney diseases. Dose adjustments may be necessary. In some case, Endokine 300 mcg Injection 1 ml cause kidney injury. Inform your doctor immediately if you experience puffiness in your face or ankles, blood in your urine, or brown-coloured urine, or you notice you urinate less than usual.

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Children

Safe if prescribed

Endokine 300 mcg Injection 1 ml is used to treat children who are receiving chemotherapy or who suffer from severe low white blood cell count (neutropenia). The doctor will decide the dose of Endokine 300 mcg Injection 1 ml based on the age, body weight and condition of your child.

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Heart

Consult your doctor

Limited information is available; please consult your doctor.

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Geriatrics

Consult your doctor

Limited information available for use of Endokine 300 mcg Injection 1 ml in elderly patients. Please consult your doctor.

What if I have taken an overdose of Endokine 300 mcg Injection 1 ml

If you suspect an accidental overdose, seek emergency medical care immediately. An overdose can cause excessively high white blood cell levels, which requires monitoring by medical professionals.

Diet & Lifestyle Advise

To help support your immune system and protect your health while using Endokine 300 mcg Injection 1 ml, consider the following evidence-based tips:

  • Follow a neutropenic-safe diet: Avoid raw or undercooked meats, seafood, and eggs. Thoroughly wash all fresh fruits and vegetables, and avoid unpasteurised dairy and juices to minimise infection risks.
  • Practise meticulous hand hygiene: Wash your hands frequently with warm water and soap for at least 20 seconds, especially before meals, after using the restroom, and after being in public spaces.
  • Avoid crowded places: Stay away from large crowds and individuals who are actively sick, coughing, or showing signs of a cold or flu.
  • Maintain gentle dental care: Use a soft-bristled toothbrush to prevent bleeding gums, which can be an entry point for bacteria.
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How Soon It Starts Working

The time required for Endokine 300 mcg Injection 1 ml to start to work: The time required for Endokine 300 mcg Injection 1 ml to show its action is not clinically established. The time for which the effects of Endokine 300 mcg Injection 1 ml last: The duration of action for Endokine 300 mcg Injection 1 ml is not clinically established.

What if you forget to take Endokine 300 mcg Injection 1 ml

If you miss an injection, take it as soon as you remember. However, if it is almost time for your next scheduled injection, skip the missed dose and return to your regular routine. Do not inject a double dose to make up for a missed one. Talk to your doctor or pharmacist if you are unsure of what to do.

Storage

•Store the medicine in the refrigerator between 2°C and 8°C (36°F to 46°F). •Keep the syringes or vials in their original carton to protect them from light.
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Keep Refrigerated. Do not freeze.

Drug Warnings

  • Do not shake the medicine: Shaking the syringe or vial vigorously can damage the protein, making it ineffective. Always handle it gently.
  • Check the administration timing: Do not inject this medicine within 24 hours before or 24 hours after receiving your chemotherapy treatment, as this can interfere with how both therapies work.
  • Rotate your injection sites: Keep track of where you inject each day to avoid skin irritation, tissue damage, or scarring.
  • Inspect the solution first: Before injecting, look closely at the liquid. It should be clear and colourless; do not use if you see any floating particles or discolouration.
  • Never reuse needles or syringes: Use a brand-new syringe for every single injection, and discard it immediately after a single use into a designated sharps container.

Drug-Drug Interactions

verifiedApollotooltip
  • Chemotherapy medications: Injecting this medicine too close to chemotherapy doses (within 24 hours before or after) may interfere with the production of new white blood cells.
  • Lithium: Taking lithium alongside this treatment can cause your body to release even more white blood cells. This combination requires close monitoring by your doctor.
     
FilgrastimRomidepsin
Severe

Drug-Drug Interactions

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FilgrastimRomidepsin
Severe
How does the drug interact with Endokine 300 mcg Injection 1 ml:
Coadministration of Endokine 300 mcg Injection 1 ml with Romidepsin can reduce the effect of Endokine 300 mcg Injection 1 ml.

How to manage the interaction:
Although there is an interaction between Endokine 300 mcg Injection 1 ml and Romidepsin, they can be taken together if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Endokine 300 mcg Injection 1 ml:
Combining Endokine 300 mcg Injection 1 ml with Bleomycin can increase the risk of developing lung disorders.

How to manage the interaction:
There may be a possibility of interaction between Endokine 300 mcg Injection 1 ml and Bleomycin, it can be taken if prescribed by a doctor. Do not stop using any medications without a doctor's advice.
How does the drug interact with Endokine 300 mcg Injection 1 ml:
Coadministration of Endokine 300 mcg Injection 1 ml with Azacitidine can reduce the effects of Endokine 300 mcg Injection 1 ml.

How to manage the interaction:
Although there is an interaction between Endokine 300 mcg Injection 1 ml and azacitidine, they can be taken together if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Endokine 300 mcg Injection 1 ml:
Co-administration of Endokine 300 mcg Injection 1 ml together with Melphalan can reduce the effect of Endokine 300 mcg Injection 1 ml.

How to manage the interaction:
Although taking Endokine 300 mcg Injection 1 ml and Melphalan together can cause an interaction, it can be taken if a doctor has suggested it. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Endokine 300 mcg Injection 1 ml:
Coadministration of Endokine 300 mcg Injection 1 ml with Busulfan can reduce the effects of Endokine 300 mcg Injection 1 ml.

How to manage the interaction:
Although there is a possible interaction between Endokine 300 mcg Injection 1 ml and Busulfan, you can take these medicines together if prescribed by your doctor. Do not stop using any medications without talking to your doctor.
How does the drug interact with Endokine 300 mcg Injection 1 ml:
Using Endokine 300 mcg Injection 1 ml together with lenalidomide can reduce the effect of Endokine 300 mcg Injection 1 ml.

How to manage the interaction:
Co-administration of Endokine 300 mcg Injection 1 ml with Lenalidomide can possibly result in an interaction, but it can be taken if your doctor has advised it. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Endokine 300 mcg Injection 1 ml:
Taking Endokine 300 mcg Injection 1 ml together with Imatinib can reduce the effect of Endokine 300 mcg Injection 1 ml.

How to manage the interaction:
There may be a possibility of interaction between Endokine 300 mcg Injection 1 ml and Imatinib, but it can be taken if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Endokine 300 mcg Injection 1 ml:
Co-administration of Endokine 300 mcg Injection 1 ml together with Mercaptopurine can reduce the effects of Endokine 300 mcg Injection 1 ml.

How to manage the interaction:
Although taking Endokine 300 mcg Injection 1 ml and Mercaptopurine together can cause an interaction, it can be taken if a doctor has suggested it. Do not stop using any medications without a doctor's advice.
How does the drug interact with Endokine 300 mcg Injection 1 ml:
Using Endokine 300 mcg Injection 1 ml together with mitomycin reduce the effects of Endokine 300 mcg Injection 1 ml.

How to manage the interaction:
Co-administration of Endokine 300 mcg Injection 1 ml with Mitomycin can result in an interaction, but it can be taken if a doctor has advised it. Do not discontinue any medications without consulting a doctor.
FilgrastimPentostatin
Severe
How does the drug interact with Endokine 300 mcg Injection 1 ml:
Using Endokine 300 mcg Injection 1 ml together with pentostatin can reduce the effect of Endokine 300 mcg Injection 1 ml.

How to manage the interaction:
Although there is a possible interaction between Endokine 300 mcg Injection 1 ml and Pentostatin, you can take these medicines together if prescribed by your doctor. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

verifiedApollotooltip

No clinically significant food interactions are known with Endokine 300 mcg Injection 1 ml when used as directed.

No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[HEMATOPOIETIC]

FAQs

Endokine 300 mcg Injection 1 ml is used to treat neutropenia (lack of certain white blood cells) caused by cancer, bone marrow transplant, chemotherapy, bacterial infections or other conditions.
Endokine 300 mcg Injection 1 ml contains 'Filgrastim' is a growth factor that stimulates the bone marrow to produce white blood cells. These cells protect the body against infections.
If you have a history of spleen disease or an enlarged spleen, tell your doctor before starting Endokine 300 mcg Injection 1 ml. This medicine may increase the risk of splenic enlargement or, rarely, splenic rupture. Seek immediate medical attention if you develop pain in the upper left side of your abdomen or pain in your left shoulder.
If you are being treated for severe chronic neutropenia for a longer period, Endokine 300 mcg Injection 1 ml may cause blood in your urine (haematuria). Your doctor may regularly test your urine if you experience this side effect or if a protein is found in your urine (proteinuria).
If you have asthma or a history of allergic conditions, inform your doctor before using Endokine 300 mcg Injection 1 ml. Although uncommon, Endokine 300 mcg Injection 1 ml may cause serious allergic reactions, including wheezing, shortness of breath, or difficulty breathing. Seek immediate medical attention if you develop these symptoms.
If you have heart disease, tell your doctor before starting Endokine 300 mcg Injection 1 ml. Your doctor will decide whether this medicine is suitable for you and monitor you if necessary. Rarely, Endokine 300 mcg Injection 1 ml has been associated with inflammation of the aorta (aortitis). Contact your doctor immediately if you develop unexplained fever, abdominal pain, back pain, or persistent tiredness during treatment.
Yes, Endokine 300 mcg Injection 1 ml may interfere with certain lab tests such as bone imaging and blood tests (elevation in lactate dehydrogenase and alkaline phosphate), possibly causing false test results. Make sure your doctor and laboratory staff know you use Endokine 300 mcg Injection 1 ml.
Endokine 300 mcg Injection 1 ml is generally safe when used as prescribed by your doctor. However, like all medications, it can cause side effects, some of which may be serious. Common side effects are usually mild and temporary. Still, following your doctor's instructions and attending regular check-ups to monitor your health is essential. If you experience any unusual or persistent symptoms, contact your doctor promptly. Additionally, inform your doctor about your medical history, allergies, and other medications to minimize the risk of adverse reactions. You can minimize potential risks and ensure safe treatment by using Endokine 300 mcg Injection 1 ml as directed and under medical supervision.
There is no clear evidence that Endokine 300 mcg Injection 1 ml causes cancer. Sharing your medical history and risk factors with your doctor is crucial. They'll explain the benefits and potential risks of taking Endokine 300 mcg Injection 1 ml, including any long-term effects. If you have concerns about cancer or other health issues, consult your doctor or a qualified healthcare professional for personalized advice.
Endokine 300 mcg Injection 1 ml is used to treat children receiving chemotherapy or suffering from severe low white blood cell count (neutropenia). The doctor will decide the dose of Endokine 300 mcg Injection 1 ml based on your child's age, body weight and condition. Follow your doctor's directions to achieve better results.
Endokine 300 mcg Injection 1 ml should be used with caution if you have kidney disease. It may increase the risk of kidney problems, so your doctor will monitor you closely. They may adjust your dose or watch for signs of kidney issues. If you have kidney disease, tell your doctor before taking Endokine 300 mcg Injection 1 ml, and they'll help you use it safely.
Endokine 300 mcg Injection 1 ml may cause dizziness, drowsiness, and tiredness.do not drive or operate heavy machinery if you feel dizzy.
Common side effects of Endokine 300 mcg Injection 1 ml may include thrombocytopenia (low platelets level), anaemia (low red blood cell), headache, diarrhoea, vomiting, nausea, alopecia (unusual hair loss), tiredness, soreness, swelling of the digestive tract, fever. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
Endokine 300 mcg Injection 1 ml should only be used during pregnancy and breastfeeding if clearly needed and under a doctor's guidance. If you're pregnant or breastfeeding, consult your doctor before taking Endokine 300 mcg Injection 1 ml to discuss the benefits and risks and make an informed decision for you and your baby.
Yes, many patients or their caregivers can safely inject this medicine at home. Your healthcare provider will give you thorough training on how to prepare and inject the medicine properly before you do it yourself. Talk to your doctor if you feel uncomfortable or need a refresher on the technique.
Bone pain is a common side effect because the medicine stimulates the bone marrow (the soft tissue inside your bones) to rapidly produce new white blood cells. This increased cell production can create temporary pressure and aching. Talk to your doctor about safe over-the-counter pain relievers you can take.
Yes, you can travel with this medicine, but you must keep it cool. Carry it in an insulated travel bag with a cold pack, ensuring it does not touch the ice directly to prevent freezing. Talk to your doctor or pharmacist for more specific travel tips regarding your medication.
If the medicine is left at room temperature, it is generally safe to use for up to 24 hours, provided it is kept away from direct light and heat. If it remains at room temperature for longer than 24 hours, do not use it and discard it safely. Talk to your doctor or pharmacist if you are unsure whether a syringe is still safe to use.
Chemotherapy drugs target and destroy rapidly dividing cells, which includes the new white blood cells that this medicine helps produce. Injecting them too close together can make the medicine less effective or cause severe side effects. Talk to your doctor about your specific treatment schedule.
Your doctor will schedule regular blood tests, called a complete blood count (CBC), to measure your white blood cell levels and verify that the treatment is working. You will not feel the medicine working directly, but your lab results will show the change. Talk to your doctor to review your lab numbers.

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

Chinubhai Centre, Off. Nehru Bridge, Ashram Road, Ahmedabad - 380009. Gujarat. India.
Other Info - END0631
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