Marketer Cipla Ltd SALT COMPOSITION Abiraterone Acetate (250mg) Storage Store below 30°C Uses of Xbira Tablet Sickle cell anemia Prostate cancer Blood cancer (Acute lymphocytic leukemia) Soft tissue sarcoma Hodgkin’s disease Product introduction Xbira 250mg Tablet is used in the treatment of cancer of the prostate gland. It may be also used to treat other conditions, as determined by the doctor. It is sometimes used with certain other medicines as part of combination chemotherapy. Xbira 250mg Tablet should not be taken on an empty stomach. Taking it with food may cause side effects. Your doctor will decide what dose is necessary and how often you need to take it. This will depend on what you are being treated for and may change from time to time. You should take it exactly as your doctor has advised. Taking it in the wrong way or taking too much can cause very serious side effects. It may take several weeks or months for you to see or feel the benefits but do not stop taking it unless your doctor tells you to. The most common side effects of this medicine include vomiting, decreased potassium level in blood, edema (swelling), decreased white blood cell count, fatigue and increased liver enzymes. If these bother you or appear serious, let your doctor know. There may be ways of reducing or preventing them. Other than this, yellowing of skin, loss of appetite, shortness of breath, dark urine and nausea can happen, which indicate some liver problem. Your doctor might check you for liver function, blood pressure, and the level of potassium in your blood. Before taking it, tell your doctor if have high blood pressure, heart problem, liver, or kidney problems or are taking any medicines to treat infections. Many other medicines can affect, or be affected by, this medicine so let your doctor know all medications you are using. This medicine is not recommended during pregnancy or while breastfeeding. It may harm your baby. The use of effective contraception by both males and females during treatment is important to avoid pregnancy. You may be asked for regular monitoring of blood glucose level while on treatment. There is a Patient Support Program/Patient Assistance Program available in India for this medicine, being managed by Tata 1mg. Please contact your prescribing doctor to know more about the same. You may also call on (1800-102-1618) for more details. Side effects of Xbira Tablet Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them Common side effects of Xbira Edema (swelling) Vomiting Decreased potassium level in blood Fatigue Anemia (low number of red blood cells) Urinary tract infection Diarrhea High blood pressure Cough Joint swelling How to use Xbira Tablet Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Xbira 250mg Tablet is to be taken empty stomach. How Xbira Tablet works Xbira 250mg Tablet is an anticancer medication. It works by preventing androgen (male hormone) production in man. This is done by inhibiting an enzyme (CYP17) that is responsible for the production of androgen. This is how it slows down the growth of prostate cancer.

Marketer Cipla Ltd SALT COMPOSITION Abiraterone Acetate (500mg) Storage Store below 30°C Uses of Xbira Tablet Sickle cell anemia Prostate cancer Blood cancer (Acute lymphocytic leukemia) Soft tissue sarcoma Hodgkin’s disease Product introduction Xbira 500 Tablet is used in the treatment of cancer of the prostate gland. It may be also used to treat other conditions, as determined by the doctor. It is sometimes used with certain other medicines as part of combination chemotherapy. Xbira 500 Tablet should not be taken on an empty stomach. Taking it with food may cause side effects. Your doctor will decide what dose is necessary and how often you need to take it. This will depend on what you are being treated for and may change from time to time. You should take it exactly as your doctor has advised. Taking it in the wrong way or taking too much can cause very serious side effects. It may take several weeks or months for you to see or feel the benefits but do not stop taking it unless your doctor tells you to. The most common side effects of this medicine include vomiting, decreased potassium level in blood, edema (swelling), decreased white blood cell count, fatigue and increased liver enzymes. If these bother you or appear serious, let your doctor know. There may be ways of reducing or preventing them. Other than this, yellowing of skin, loss of appetite, shortness of breath, dark urine and nausea can happen, which indicate some liver problem. Your doctor might check you for liver function, blood pressure, and the level of potassium in your blood. Before taking it, tell your doctor if have high blood pressure, heart problem, liver, or kidney problems or are taking any medicines to treat infections. Many other medicines can affect, or be affected by, this medicine so let your doctor know all medications you are using. This medicine is not recommended during pregnancy or while breastfeeding. It may harm your baby. The use of effective contraception by both males and females during treatment is important to avoid pregnancy. You may be asked for regular monitoring of blood glucose level while on treatment. There is a Patient Support Program/Patient Assistance Program available in India for this medicine, being managed by Tata 1mg. Please contact your prescribing doctor to know more about the same. You may also call on (1800-102-1618) for more details. Side effects of Xbira Tablet Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them Common side effects of Xbira Edema (swelling) Vomiting Decreased potassium level in blood Fatigue Anemia (low number of red blood cells) Urinary tract infection Diarrhea High blood pressure Cough Joint swelling How to use Xbira Tablet Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Xbira 500 Tablet is to be taken empty stomach. How Xbira Tablet works Xbira 500 Tablet is an anticancer medication. It works by preventing androgen (male hormone) production in man. This is done by inhibiting an enzyme (CYP17) that is responsible for the production of androgen. This is how it slows down the growth of prostate cancer.

Bluecan Injection is a brand of Methylene Blue Injection, primarily used in medical settings for its diagnostic and therapeutic properties. ________________________________________ 🩺 Uses of Bluecan Injection 1. Treatment of Methemoglobinemia: Methylene Blue is the first-line treatment for methemoglobinemia, a condition where methemoglobin levels are elevated, impairing oxygen delivery to tissues. It acts as a reducing agent, converting methemoglobin back to hemoglobin, thereby restoring normal oxygen transport. 2. Urinary Tract Infections (UTIs): It is sometimes used as a urinary antiseptic to treat UTIs, although its use for this purpose has become less common with the advent of more effective antibiotics. 3. Surgical Dye: In surgical procedures, Methylene Blue is used as a dye to delineate tissues, identify sentinel lymph nodes, or assess organ perfusion. 4. Diagnostic Tool: It is used in diagnostic procedures to assess the function of certain organs, such as the kidneys, and to evaluate the patency of ducts. ________________________________________ ⚠️ Side Effects While generally well-tolerated, potential side effects of Methylene Blue Injection include: • Injection site reactions (pain, redness, swelling) • Headache • Dizziness • Nausea or vomiting • Skin discoloration (temporary blue or greenish tint) • In rare cases, serotonin syndrome, especially if used with serotonergic drugs ________________________________________ 💊 Mechanism of Action Methylene Blue acts by accepting electrons and donating them to reduce methemoglobin back to hemoglobin. This process restores the oxygen-carrying capacity of the blood. It also inhibits certain enzymes and has antimicrobial properties, which contribute to its use in treating infections. ________________________________________ ⚠️ Precautions • Drug Interactions: Avoid concurrent use with serotonergic drugs (e.g., SSRIs, SNRIs, MAO inhibitors) to prevent serotonin syndrome. • Pregnancy and Breastfeeding: Consult a healthcare provider before use during pregnancy or breastfeeding. • G6PD Deficiency: Use with caution in individuals with glucose-6-phosphate dehydrogenase deficiency, as it may cause hemolysis. • Renal Impairment: Dosage adjustments may be necessary in patients with kidney dysfunction

Cranber UTI Tablets typically contain cranberry extract, which is commonly used as a natural remedy for urinary tract health. Cranberries are rich in proanthocyanidins, which may help prevent the adhesion of bacteria (such as E. coli) to the walls of the urinary tract, reducing the risk of infections. 🔹 Common Uses of Cranber UTI Tablets: 🦠 Prevention of Urinary Tract Infections (UTIs): Cranber UTI Tablets are most commonly used to help prevent recurrent urinary tract infections (UTIs), especially in individuals who experience frequent UTIs. Cranberry extract may reduce the risk of bacteria adhering to the urinary tract walls, thus helping to reduce infection frequency. 💧 Urinary Tract Health Maintenance: Taken as a supplement for maintaining general urinary tract health and preventing infections, especially in individuals with a history of UTIs or those prone to urinary issues. 🩸 Supporting Bladder Health: Cranberry extract may also have a mild diuretic effect, helping flush out the urinary system and supporting bladder health. 🌿 Natural Support During UTI Treatment: While cranberries do not treat an existing infection, they are often used as a complementary approach during antibiotic therapy to help prevent future UTIs or reduce the frequency of occurrences. ✨ Antioxidant Benefits: Cranberries are rich in antioxidants, which may help reduce inflammation in the urinary tract and support overall immune function. 💊 How It's Taken: Usually taken orally in the form of tablets or capsules, as directed by a healthcare provider or as recommended on the product packaging. The typical dosage will depend on the formulation and concentration of the cranberry extract. ⚠️ Precautions and Side Effects: Side Effects are generally rare but can include: Gastrointestinal discomfort (e.g., nausea, upset stomach) if taken in high doses. Possible interaction with medications: High doses of cranberry supplements may interact with certain medications, like blood thinners (e.g., warfarin), so it’s important to consult with a healthcare provider if you're on such medications. Not a Substitute for Antibiotics: While cranberry may help prevent UTIs, it should not replace antibiotic treatment for active infections. Always follow your doctor's advice if you have a UTI. ✅ Summary of Cranber UTI Tablet Uses: Condition Use of Cranber UTI Tablets Prevention of Urinary Tract Infections (UTIs) ✅ Commonly used for prevention General Urinary Tract Health ✅ Supports bladder health Recurrent UTIs ✅ Helps reduce frequency Complementary Support during UTI Treatment ✅ Helps with prevention post-treatment Antioxidant Support ✅ Provides antioxidants for overall health

Cephavet contains Cephalexin and is indicated for superficial or deep pyoderma, urinary tract infections, pyometra and infectious otitis in dogs. It can also be used in cats for soft tissue infections and systemic infections.

Advaren is a urinary stone breaker syrup. It helps to break urinary stones and support kidney health. Advaren contains 3 clinically proven and safe ingredients – Phyllanthus niruri, Tribulus terrestris and Grape seed extract. Phyllanthus niruri prevents stone formation, reduces aggregation of crystals and helps in easy elimination of crystals. Tribulus terrestris acts as a diuretic, which helps to remove excess water from the body and Grape seed is a safe and effective anti-oxidant. Advaren is indicated in dogs and cats with urinary stones and also after surgical removal of stones to prevent recurrence.

HYLA FRESH (Sodium Hyaluronate) Eye Drops are designed to provide relief for dry, tired, or irritated eyes. These drops combine sodium hyaluronate with Euphrasia officinalis (Eyebright) extract, offering a soothing effect for various eye discomforts. ________________________________________ 🔍 Uses • Dry Eye Relief: HYLA FRESH helps alleviate dryness caused by environmental factors such as air conditioning, heating, or prolonged screen time. • Contact Lens Comfort: Provides lubrication to reduce discomfort associated with contact lens wear. Environmental Irritation: Soothes eyes irritated by wind, dust, or pollen exposure. Post-Surgical Care: Assists in the healing process following eye surgeries by maintaining moisture and reducing irritation. ________________________________________ 💧 Dosage and Administration • General Dosage: Instill 1–2 drops into the affected eye(s) as needed. • Application Method: 1. Wash your hands thoroughly. 2. Tilt your head back and gently pull down the lower eyelid to create a small pocket. 3. Place the dropper tip near the eye without touching it. 4. Squeeze the bottle to release the prescribed number of drops. 5. Close your eye and blink several times to spread the solution evenly. ________________________________________ ⚠️ Side Effects and Precautions • Common Side Effects: o Temporary blurred vision. o Mild burning or stinging sensation upon application. • Serious Side Effects: o Persistent eye discomfort or redness. o Signs of an allergic reaction (rash, itching, swelling). • Precautions: o Consult a healthcare provider before use if you have any known allergies to the ingredients. o Avoid touching the dropper tip to any surface to prevent contamination. o If you wear contact lenses, remove them before applying the drops unless otherwise directed by your doctor.

Blink Plus (Polyethylene & Propylene Glycol) Ophthalmic Solution is an over-the-counter eye drop formulation designed to provide relief for dry or irritated eyes. Here's an overview of its uses, dosage, side effects, and safety considerations: ________________________________________ 🔍 Uses Blink Plus combines two lubricating agents: • Polyethylene Glycol 400 (0.4%): Acts as a lubricant to relieve dryness and irritation by providing moisture to the eyes. It creates a protective layer on the eye's surface, reducing discomfort and enhancing tear film stability. Propylene Glycol (0.3%): Functions as a solvent and humectant, helping to dissolve and stabilize the active ingredients while attracting moisture to the eye, aiding in hydration and alleviating dryness. This combination is used to treat dry eye symptoms caused by environmental factors such as wind, sun, air conditioning, or prolonged screen time. ________________________________________ 💧 Dosage and Administration • General Dosage: Instill one or two drops into the affected eye(s) as needed. • Application Method: 1. Wash your hands thoroughly before use. 2. Tilt your head back slightly and pull down the lower eyelid to form a pouch. 3. Hold the dropper above the eye and instill the prescribed number of drops. 4. Close the eye gently and apply gentle pressure to the inner corner of the eye for 1 to 2 minutes to prevent the medication from draining away. 5. Avoid touching the dropper tip to any surface, including the eye, to prevent contamination. ________________________________________ ⚠️ Safety and Side Effects • Common Side Effects: o Temporary blurred vision. o Mild burning or stinging sensation upon application. o Eye discomfort or irritation. • Redness or watering of the eyes. • Serious Side Effects: o Persistent eye pain or swelling. o Allergic reactions such as rash, itching, swelling, or severe dizziness. • Precautions: o Consult your doctor if you are pregnant or breastfeeding, as the safety of Blink Plus during these periods is not well-established. o Use with caution if you have a history of eye infections or other eye conditions. o Avoid driving or operating machinery if you experience blurred vision or visual disturbances.

Pipracan 4.5 Injection is a combination antibiotic medication containing Piperacillin (4 g) and Tazobactam (0.5 g). This formulation is used to treat a wide range of serious bacterial infections that may not respond to other antibiotics. ________________________________________ 🔹 Common Uses Pipracan 4.5 Injection is prescribed for: • Hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP) • Urinary tract infections (UTIs) • Intra-abdominal infections (e.g., peritonitis) • Skin and soft tissue infections, including diabetic foot infections • Gynecological infections, such as uterine infections • Bone and joint infections • Bloodstream infections (bacteremia) It is also used for prophylactic treatment in surgical procedures to prevent infections. ________________________________________ 🔹 How It Works • Piperacillin is a broad-spectrum penicillin antibiotic that inhibits bacterial cell wall synthesis, leading to bacterial cell death. • Tazobactam is a beta-lactamase inhibitor that protects piperacillin from degradation by beta-lactamase enzymes produced by certain bacteria, thereby enhancing its efficacy. This combination allows Pipracan 4.5 to target a wide array of bacteria, including those resistant to other antibiotics. ________________________________________ 🔹 Administration Pipracan 4.5 Injection is administered intravenously by a healthcare professional. The dosage and duration of treatment depend on the type and severity of the infection, as well as the patient's medical condition. Self-administration is not recommended. ________________________________________ 🔹 Side Effects Common side effects may include: • Nausea or vomiting • Diarrhea • Rash or itching • Pain, redness, or swelling at the injection site Serious side effects are rare but can include allergic reactions, liver enzyme abnormalities, or blood disorders. Seek immediate medical attention if you experience symptoms like difficulty breathing, swelling of the face or throat, or unusual bruising or bleeding. ________________________________________ 🔹 Precautions Before using Pipracan 4.5 Injection, inform your doctor if you have: Allergies to penicillins or beta-lactam antibiotics • Kidney or liver disease • A history of gastrointestinal diseases, such as colitis • Bleeding disorders • Undergoing dialysisUse during pregnancy and breastfeeding should be discussed with your healthcare provider. The medication should only be used if the potential benefits justify the potential risks.