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Zoladex 3.6mg - Goserelin Acetate Injection

Zoladex 3.6mg is a long-acting hormonal therapy injection used primarily in the treatment of hormone-sensitive cancers and certain gynecological disorders. It works by suppressing hormone production to control disease progression.

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General Information:
Generic Name: Goserelin Acetate
Brand Name: Zoladex
Packing: Prefilled syringe (1 implant)
Strength: 3.6mg
Manufacturer: AstraZeneca
Form: Subcutaneous Implant (Injection)
Category: Hormonal Therapy / Anti-Cancer Drug
Product Intro:
Zoladex 3.6mg is a subcutaneous implant injection containing Goserelin Acetate, a gonadotropin-releasing hormone (GnRH) agonist. It is used to reduce hormone levels in patients with hormone-dependent cancers or gynecological issues such as endometriosis.

Uses:
Zoladex 3.6mg is used in the treatment of:
  1. Prostate cancer
  2. Breast cancer (hormone-sensitive)
  3. Endometriosis
  4. Uterine fibroids (as part of pre-surgical treatment)
  5. Fertility treatments (as part of controlled ovarian hyperstimulation)
  6. Menorrhagia (heavy menstrual bleeding)

Storage Instructions:
  • Store below 25°C
  • Protect from light and moisture
  • Do not freeze
  • Keep out of reach of children

How it Works (Mechanism of Action):
Goserelin is a GnRH agonist. Initially, it stimulates the pituitary gland to increase LH and FSH, causing a temporary rise in estrogen/testosterone levels. Continued use leads to downregulation of receptors, significantly reducing sex hormone levels, mimicking a chemical menopause or castration.

Side Effects:
Common Side Effects:
  • Hot flashes
  • Mood swings
  • Decreased libido
  • Vaginal dryness (in women)
  • Erectile dysfunction (in men)
  • Sweating
Severe Side Effects:
  • Bone density loss (osteoporosis with long-term use)
  • Depression
  • Tumor flare in early stages of treatment
  • Injection site reactions
  • Blood clots (rare)

Dosage (Typical Recommended Dose):
  • 3.6mg subcutaneously every 28 days
  • Administered under the skin in the abdominal wall
  • Dosage and duration depend on the condition being treated

Method of Administration:
  • Administered via subcutaneous injection using a prefilled syringe
  • Must be given by a healthcare professional
  • Rotating injection sites is not required for this formulation

Precautions:
  • Not recommended during pregnancy or breastfeeding
  • Monitor bone mineral density in long-term use
  • Caution in patients with depression, diabetes, or cardiovascular conditions
  • Tumor flare prevention in prostate cancer patients may require anti-androgens during initiation
  • Regular hormone level monitoring may be necessary

Drug Interactions:
  • No significant interactions with most drugs
  • May interact with hormone therapies or fertility medications
  • Always inform your doctor of all current medications and supplements

Allergies:
  • Do not use if allergic to Goserelin or other GnRH analogs
  • Symptoms of allergic reaction include rash, itching, swelling, dizziness, and difficulty breathing

Overdose Information:
  • Overdose is unlikely due to controlled release formulation
  • Symptoms could include prolonged hormone suppression and associated side effects
  • Seek immediate medical attention if overdose is suspected

Missed Dose Instructions:
  • Contact your healthcare provider if a scheduled dose is missed
  • Do not attempt self-injection or delay medical consultation
  • Timely administration is crucial for continuous hormone suppression

Additional Notes:
  • Bone health supplements (calcium, vitamin D) may be recommended
  • Patients should be aware of signs of depression or bone pain
  • Can temporarily worsen symptoms before improvement begins ("tumor flare")
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