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Gemtero 1g - Gemcitabine For Injection

Gemtero 1g is a powerful anti-cancer chemotherapy injection containing Gemcitabine, widely used in the treatment of multiple cancers such as pancreatic, lung, and breast cancers. It works by interfering with the DNA replication process in cancer cells.

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General Information:
Generic Name: Gemcitabine Hydrochloride
Brand Name: Gemtero
Packing: Single-use vial
Strength: 1g (1000mg)
Manufacturer: Hetero Healthcare Ltd.
Form: Lyophilized Powder for Injection
Category: Anticancer (Antineoplastic), Antimetabolite
Product Intro:
Gemtero 1g is a sterile, lyophilized powder for intravenous use. It contains 1 gram of Gemcitabine Hydrochloride, a nucleoside analog used extensively in oncology to manage solid tumors. It is administered under strict medical supervision.

Uses:
Gemtero 1g is indicated for the treatment of:
  1. Non-Small Cell Lung Cancer (NSCLC)
  2. Pancreatic Cancer
  3. Breast Cancer
  4. Ovarian Cancer
  5. Bladder Cancer
  6. Cholangiocarcinoma (bile duct cancer)

Storage Instructions:
  1. Store at a temperature below 25°C
  2. Keep in a dry place away from light
  3. Once reconstituted, store at 2°C to 8°C and use within 24 hours
  4. Do not freeze the reconstituted solution

How it Works (Mechanism of Action):
Gemcitabine mimics a nucleoside and gets incorporated into DNA during replication. This disrupts DNA chain elongation and leads to apoptosis (programmed cell death), particularly in rapidly dividing cancer cells. It also inhibits ribonucleotide reductase, which reduces the deoxynucleotide pool required for DNA synthesis.

Side Effects:
Common Side Effects:
  1. Nausea and vomiting
  2. Fatigue
  3. Mild fever
  4. Anemia and thrombocytopenia
  5. Injection site pain or redness
Severe Side Effects:
  1. Liver toxicity
  2. Lung complications (pneumonitis, pulmonary edema)
  3. Kidney dysfunction
  4. Severe myelosuppression
  5. Rare: Hemolytic uremic syndrome

Dosage (Typical Recommended Dose):
  1. Usually administered at 1000mg/m² IV on days 1, 8, and 15 of a 28-day cycle
  2. The actual dose may vary depending on patient body surface area and cancer type
  3. Dose adjustments are made based on hematological parameters and organ function

Method of Administration:
  1. Reconstitute with sterile water for injection
  2. Administer as an intravenous infusion over approximately 30 minutes
  3. Only to be administered by trained healthcare professionals in a clinical setting

Precautions:
  1. Not recommended during pregnancy or breastfeeding
  2. Regular blood count monitoring is necessary
  3. Use caution in patients with liver or kidney impairment
  4. Avoid contact with people having infections
  5. Effective contraception must be used during and after treatment

Drug Interactions:
  1. Enhanced toxicity with concurrent use of Cisplatin
  2. May increase anticoagulant effects of warfarin
  3. Use caution with nephrotoxic drugs (e.g., NSAIDs, aminoglycosides)

Allergies:
  1. Contraindicated in patients allergic to Gemcitabine or excipients
  2. Signs of allergic reactions include hives, difficulty breathing, and swelling

Overdose Information:
  1. Overdose may cause severe bone marrow suppression, organ toxicity, and death
  2. Immediate symptomatic treatment and supportive care are essential
  3. No specific antidote is available

Missed Dose Instructions:
  1. If a dose is missed, consult the oncologist promptly
  2. Do not double the dose or self-adjust the treatment schedule
  3. The physician will decide whether to reschedule or modify treatment

Additional Notes:
  1. Treatment should always be accompanied by regular monitoring (CBC, liver and renal function tests)
  2. Patients should stay hydrated and avoid alcohol
  3. Inform your doctor immediately if you develop signs of infection, bleeding, or shortness of breath
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