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Ceftamide-M 1gm - Ifosfamide For Injection With Mesna Injection

Ceftamide-M 1gm is a combination of Ifosfamide, a chemotherapy drug, and Mesna, a uroprotective agent. This formulation is primarily used for treating various cancers, especially solid tumors and lymphomas, while preventing bladder toxicity caused by Ifosfamide.

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General Information:
Generic Name: Ifosfamide and Mesna
Brand Name: Ceftamide-M
Packing: Vial of 1gm powder for injection (may be accompanied by Mesna ampoule)
Strength: Ifosfamide 1gm + Mesna (as per recommended dose)
Manufacturer: Health Biotech Limited
Form: Powder for Injection (to be reconstituted)
Category: Antineoplastic / Alkylating Agent with Uroprotective Support
Product Intro:
Ceftamide-M 1gm is an anticancer injectable therapy that combines Ifosfamide, a powerful alkylating agent, with Mesna, which protects the urinary tract. This dual approach ensures effective cancer treatment while minimizing urological side effects such as hemorrhagic cystitis.

Uses:
Ceftamide-M is used to treat various types of cancers, including:
  1. Testicular cancer
  2. Soft tissue sarcoma
  3. Lymphoma (e.g., Hodgkin and non-Hodgkin lymphoma)
  4. Osteosarcoma
  5. Lung cancer
  6. Cervical and ovarian cancer

Storage Instructions:
  1. Store below 25°C in a cool, dry place
  2. Protect from light
  3. Reconstituted solution should be used immediately or stored as per product guidelines
  4. Keep out of reach of children

How it Works (Mechanism of Action):
Ifosfamide works by cross-linking DNA strands, disrupting DNA synthesis and function in cancer cells, which leads to cell death.
Mesna (2-mercaptoethane sulfonate) binds to the toxic metabolites of Ifosfamide in the urinary tract, especially acrolein, preventing damage to the bladder lining.

Side Effects:
Common Side Effects:
  1. Nausea and vomiting
  2. Hair loss (alopecia)
  3. Fatigue
  4. Diarrhea
  5. Decreased blood counts (anemia, neutropenia)
Severe Side Effects:
  1. Hemorrhagic cystitis (prevented by Mesna)
  2. Neurotoxicity (confusion, somnolence)
  3. Nephrotoxicity
  4. Infections due to immunosuppression
  5. Pulmonary toxicity

Dosage (Typical Recommended Dose):
  1. Dosage depends on the type of cancer, body surface area, and treatment protocol
  2. Usually given in cycles with rest periods in between
  3. Mesna dose is typically 60-100% of the Ifosfamide dose and administered at specific intervals before and after Ifosfamide
Note: Only to be administered by experienced oncology professionals

Method of Administration:
  1. Administered intravenously (IV infusion)
  2. Mesna is given via IV or orally before and after Ifosfamide to protect the bladder
  3. Adequate hydration is essential during treatment

Precautions:
  1. Monitor kidney and liver function during treatment
  2. Frequent urinalysis to detect hematuria
  3. Avoid in patients with known CNS disorders unless clearly indicated
  4. Use with caution in patients with renal or hepatic impairment
  5. Not recommended during pregnancy or breastfeeding unless absolutely necessary

Drug Interactions:
  1. CYP3A4 inducers/inhibitors can affect Ifosfamide metabolism
  2. Increased risk of toxicity when combined with nephrotoxic or neurotoxic agents
  3. Interaction with anticoagulants or antiepileptics should be monitored

Allergies:
  1. Contraindicated in patients with known hypersensitivity to Ifosfamide, Mesna, or related compounds
  2. Signs of allergic reactions may include rash, itching, dizziness, or difficulty breathing

Overdose Information:
  1. Symptoms may include severe bone marrow suppression, CNS toxicity, hemorrhagic cystitis
  2. Requires immediate medical attention, supportive treatment, and possibly dialysis
  3. Hospital monitoring is essential

Missed Dose Instructions:
  1. If a dose is missed, consult the oncologist immediately
  2. Do not attempt to self-administer or adjust dosage

Additional Notes:
  1. Ensure adequate hydration and frequent urination during therapy
  2. Routine blood tests are essential to monitor response and manage toxicity
  3. Patients should be informed about signs of infection, bleeding, or neurological changes
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