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Doceaqualip 80mg - Docetaxel Lipid Suspension For Injuction

Doceaqualip 80mg is a lipid-based Docetaxel injection used in the treatment of various cancers, including breast, lung, prostate, stomach, and head & neck cancers. This lipid suspension formulation improves drug solubility, reduces side effects, and enhances patient tolerance compared to conventional Docetaxel.

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General Information:
Generic Name: Docetaxel Lipid Suspension
Brand Name: Doceaqualip
Packing: Vial
Strength: 80 mg
Manufacturer: Intas Pharmaceuticals Ltd.
Form: Intravenous Injection
Category: Chemotherapy / Antineoplastic Agent / Taxane Derivative
Product Introduction:
Doceaqualip 80mg is a chemotherapy medication that belongs to the taxane class of anti-cancer drugs. It works by inhibiting microtubule function, leading to cancer cell death. This lipid-based formulation helps in reducing toxicity and side effects, making it a safer alternative for patients with solvent-based Docetaxel intolerance.

Uses of Doceaqualip 80mg Injection:
Doceaqualip 80mg is prescribed for the treatment of:
  1. Breast Cancer – First-line or second-line therapy for advanced or metastatic breast cancer.
  2. Non-Small Cell Lung Cancer (NSCLC) – Used alone or in combination with platinum-based chemotherapy.
  3. Prostate Cancer – Treats hormone-refractory metastatic prostate cancer (often with prednisone).
  4. Gastric (Stomach) Cancer – Used in combination therapy for advanced stomach cancer.
  5. Head & Neck Cancer – Effective for locally advanced squamous cell carcinoma.
  6. Ovarian Cancer (Off-label Use) – Used in platinum-resistant ovarian cancer cases.

Storage Instructions:
  1. Store at 2°C – 8°C (refrigerated temperature).
  2. Do not freeze or expose to extreme heat.
  3. Keep in original packaging to protect from light.
  4. Shake well before use if required.
  5. Discard any unused portion as per hospital guidelines.

How Doceaqualip 80mg Works (Mechanism of Action):
Docetaxel is a microtubule inhibitor that:
  1. Prevents cancer cell division – Stabilizes microtubules, stopping mitotic cell division.
  2. Induces apoptosis (programmed cell death) – Triggers self-destruction of cancer cells.
  3. Reduces angiogenesis – Prevents tumor blood vessel formation, slowing cancer growth.
The lipid-based suspension reduces hypersensitivity reactions and improves drug stability.

Side Effects:
Common Side Effects:
  1. Fatigue and weakness
  2. Nausea, vomiting, and diarrhea
  3. Hair loss (alopecia)
  4. Low blood counts (neutropenia, anemia, thrombocytopenia)
  5. Loss of appetite
  6. Peripheral neuropathy (numbness, tingling)
  7. Skin rash, nail changes
Severe Side Effects (Rare but Serious):
  1. Severe allergic reactions – Swelling, breathing difficulty, severe rash
  2. Febrile neutropenia – Low white blood cells with fever, leading to infections
  3. Liver toxicity – Jaundice, elevated liver enzymes
  4. Fluid retention syndrome – Swelling in limbs, lung congestion
  5. Severe neuropathy – Permanent nerve damage
Seek immediate medical attention if severe side effects occur.

Dosage (Typical Recommended Dose):
Chemotherapy Dosage (Varies by Cancer Type):
  1. Breast Cancer / Lung Cancer / Stomach Cancer / Head & Neck Cancer:
    1. 75–100 mg/m² IV infusion every 3 weeks, often with pre-medications.
  2. Prostate Cancer:
    1. 75 mg/m² IV infusion every 3 weeks + Prednisone.
  3. Dose Adjustments:
    1. 60 mg/m² IV infusion for elderly or high-risk patients.
Dosage is adjusted based on body surface area (BSA), blood test results, and patient response.

Method of Administration:
  1. Given as an intravenous (IV) infusion over 1 hour.
  2. Administered in a hospital/clinic under oncologist supervision.
  3. Pre-medication with corticosteroids (e.g., Dexamethasone) is recommended to reduce side effects.
  4. Regular hydration and blood tests are required before and after treatment.

Precautions:
  1. Pre-medications (corticosteroids) help reduce allergic reactions and fluid retention.
  2. Frequent blood tests are needed to monitor white blood cell count and liver function.
  3. Avoid live vaccines while undergoing treatment.
  4. Use contraception during and 6 months after chemotherapy (for both men and women).
  5. Not safe during pregnancy or breastfeeding.
  6. Patients with liver disease require dose adjustments.

Drug Interactions:
Doceaqualip 80mg may interact with:
  1. CYP3A4 inhibitors (Ketoconazole, Ritonavir, Clarithromycin) – Increases toxicity risk.
  2. CYP3A4 inducers (Rifampin, Carbamazepine, Phenytoin) – Lowers drug effectiveness.
  3. Blood Thinners (Warfarin, Aspirin) – Increases bleeding risk.
  4. Other Chemotherapy Drugs (Cisplatin, Doxorubicin, Capecitabine) – Requires careful dose adjustments.
  5. Live Vaccines – Can lead to severe infections due to weakened immunity.
Inform your doctor about all medications you are taking.

Allergies (Warnings for Allergic Reactions):
  1. Do not use if allergic to Docetaxel or lipid-based formulations.
  2. Symptoms of an allergic reaction: rash, swelling, breathing difficulty, dizziness.
  3. Pre-medication with corticosteroids is required to prevent severe hypersensitivity reactions.

Overdose Information:
Symptoms of Overdose:
  1. Severe neutropenia (low white blood cells)
  2. Severe nausea, vomiting, and diarrhea
  3. Liver and kidney damage
  4. Breathing difficulty or allergic reaction
What to do in case of overdose?
  1. Seek emergency medical help immediately.
  2. Supportive treatment includes IV fluids, blood transfusions, and symptom management.

Missed Dose Instructions:
  1. If a dose is missed, contact your doctor immediately.
  2. Do not self-administer or double the dose.
  3. Follow-up treatment scheduling is important to maintain effectiveness.

Additional Notes:
  1. Maintain proper hydration to prevent kidney complications.
  2. Follow a neutropenic diet to avoid infections.
  3. Liver function tests should be done regularly.
  4. Hair loss is temporary and will reverse after treatment completion.

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