Product Introduction:
Mylodec 50mg is an anti-cancer chemotherapy drug used primarily to treat myelodysplastic syndromes (MDS) and acute myeloid leukemia (AML). It is a DNA methyltransferase inhibitor that helps in reactivating tumor suppressor genes, leading to cell cycle arrest and apoptosis in cancerous blood cells.
Uses of Mylodec 50mg Injection:
Mylodec 50mg is used in the treatment of:
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Myelodysplastic Syndromes (MDS) – Includes different types such as refractory anemia and chronic myelomonocytic leukemia (CMML).
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Acute Myeloid Leukemia (AML) – Particularly in elderly patients who are ineligible for intensive chemotherapy.
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Chronic Myelomonocytic Leukemia (CMML) – A rare type of leukemia affecting white blood cells.
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Off-Label Uses – Research indicates potential use in solid tumors and other blood cancers.
Storage Instructions:
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Store at 2°C – 8°C (Refrigerated).
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Protect from light and keep in the original vial until use.
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Do not freeze the reconstituted solution.
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Discard any unused portion after reconstitution.
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Keep out of reach of children and pets.
How Mylodec 50mg Works (Mechanism of Action):
Decitabine works as a DNA methyltransferase inhibitor, meaning it reduces the abnormal methylation of DNA. This results in:
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Reactivation of tumor suppressor genes
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Inhibition of cancer cell proliferation
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Induction of cell differentiation and apoptosis (programmed cell death)
Decitabine incorporates into the DNA during replication and prevents DNA methylation, which is a key process in cancer cell survival.
Side Effects:
Common Side Effects:
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Nausea and vomiting
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Fatigue and weakness
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Fever and chills
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Loss of appetite
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Low blood cell counts (Anemia, Neutropenia, Thrombocytopenia)
Severe Side Effects (Rare but Serious):
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Severe infections due to low white blood cell count
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Internal bleeding (GI bleeding, nosebleeds, brain hemorrhage)
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Liver and kidney toxicity
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Heart problems (Chest pain, abnormal heartbeat)
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Lung infections or pneumonia
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Severe allergic reactions
Seek immediate medical attention if severe side effects occur.
Dosage (Typical Recommended Dose):
For Myelodysplastic Syndromes (MDS):
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20 mg/m² IV infusion over one hour for 5 consecutive days every 4 weeks.
For Acute Myeloid Leukemia (AML):
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15-20 mg/m² IV infusion for 5–10 days every 4 weeks.
Important:
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Dose adjustments are required based on blood cell counts and liver/kidney function.
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Do not stop or adjust the dose without consulting a doctor.
Method of Administration:
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Administered as an IV infusion under medical supervision.
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Infusion duration: 1-2 hours, depending on dosage.
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Pre-medication (anti-nausea drugs) may be given before administration.
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Monitor blood counts regularly before and after infusion.
Precautions:
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Regular blood tests are required to monitor blood cell levels.
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Risk of infections – Avoid crowded places and sick individuals.
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Caution in patients with liver or kidney disease.
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Avoid pregnancy & breastfeeding – Can cause birth defects.
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Do not receive live vaccines while on this medication.
Drug Interactions:
Mylodec 50mg may interact with:
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Blood Thinners (Warfarin, Heparin, Aspirin) – Increases bleeding risk.
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Antibiotics & Antifungals – May alter drug metabolism.
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Immunosuppressants & Chemotherapy Drugs – Can increase toxicity.
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Live Vaccines (MMR, Chickenpox, Polio) – Avoid, as it can cause severe infections.
Inform your doctor about all medications you are taking.
Allergies (Warnings for Allergic Reactions):
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Do not use if allergic to Decitabine or any inactive ingredients.
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Symptoms of an allergic reaction: rash, swelling, difficulty breathing, dizziness.
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Seek emergency medical help if severe allergic reactions occur.
Overdose Information:
Symptoms of overdose:
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Severe drop in blood cell counts
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Uncontrolled bleeding or bruising
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Severe fatigue or weakness
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Organ failure (Liver or kidney damage)
What to do in case of overdose?
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Seek immediate medical attention.
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Supportive care includes blood transfusions and infection management.
Missed Dose Instructions:
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If a dose is missed, the doctor will reschedule it based on blood count levels.
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Do not double the dose to make up for the missed one.
Additional Notes:
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Frequent monitoring of blood counts is essential.
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Patients may need blood transfusions to manage low blood cell counts.
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Avoid alcohol consumption during treatment.
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Long-term treatment may require heart and lung function tests.
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Patients should maintain good hygiene to avoid infections.