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'anemia management in dialysis patients'

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General Medicine

Nitrocan 25 Injection is a brand of Nitroglycerin Injection 25 mg/5 mL, manufactured by American Remedies. It is primarily used in hospital settings for the management of certain cardiovascular conditions. ________________________________________ ✅ Primary Uses Nitrocan 25 Injection is indicated for: • Angina Pectoris: To treat and prevent chest pain caused by reduced blood flow to the heart. • Acute Myocardial Infarction (Heart Attack): To alleviate chest pain and improve blood flow to the heart muscle. Hypertension During Surgery: To control high blood pressure during and after surgical procedures. • Congestive Heart Failure: To reduce the workload on the heart and improve symptoms. ________________________________________ ⚙️ Mechanism of Action Nitroglycerin is a nitrate that, once administered, is converted into nitric oxide in the body. This leads to the relaxation and dilation of blood vessels, improving blood flow and reducing the heart's workload. ________________________________________ ⚠️ Precautions • Contraindications: Should not be used in patients with severe anemia, hypotension, or those taking medications for erectile dysfunction (e.g., sildenafil, tadalafil) due to the risk of a significant drop in blood pressure. • Monitoring: Requires careful monitoring of blood pressure and heart rate during administration. • Administration: Administered intravenously under medical supervision; dosage and duration are determined by the healthcare provider. ________________________________________ 💊 Common Side Effects • Headache • Dizziness or lightheadedness • Hypotension (low blood pressure) • Nausea or vomiting • Flushing

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Kidney Disease Medicine

Larinject 500mg injection contains the active substance Ferric carboxymaltose. It belongs to the group of medications called iron replacement products. It is used to treat iron-deficiency anemia (decreased RBC due to lower levels of iron in the body) in adults and pediatric patients who cannot tolerate oral iron or when oral iron supplements are ineffective. It is also indicated to treat iron deficiency anemia in adults with chronic kidney disease who are not on dialysis. This medicine is not recommended for pediatric patients less than one year of age. Do not take this medicine if you are allergic to ferric carboxymaltose or any of the other ingredients of this medicine. Do not receive Larinject 500mg injection if you have anemia that is not caused by iron deficiency, an iron overload (too much iron in the body), or difficulties in using iron. Inform your physician if you have rheumatoid arthritis, severe asthma, eczema, infection, liver disorders, or low phosphate levels in the blood. Incorrect administration of this injection may cause irritation and long-lasting discoloration at the administration site.

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Anti Cancer Medicine

INTRODUCTION ABOUT I DOX 20MG INJECTION I DOX 20MG INJECTION contains Doxorubicin which belongs to the group of medicines called Anti-cancer agents. It is used to manage certain types of cancers. It is used either alone or along with other anti-cancer medicines. Cancer is a disease in which some of the cells of the body grow uncontrollably and spread to other parts of the body. Before receiving I DOX 20MG INJECTION, inform your doctor if you have or ever had heart disease, either before or during radiotherapy, had or having live or live-attenuated vaccinations, are currently taking or have recently taken Trastuzumab (used in the management of certain cancers). There are no adequate and well-controlled studies in pregnant women. Consult your doctor during breast-feeding before starting management with this medicine as it may pass through the breast milk and possibly harm your child. Consult your doctor for advice before receiving the medicine. The most common side effects of I DOX 20MG INJECTION are infection, lack of appetite, inflammation in the mouth, diarrhea, nausea, vomiting, reddening, swelling, pain, numbness and tingling in the palms and feet may also occur whilst being managed with this medicine. Hair loss is very common and may be quite severe, beard growth may stop in men, fever, feeling weak, chills, abnormal ECG (electrical trace of the heart) results, raised levels of liver enzymes (as detected by a blood test) can determine if the medicine is having an abnormal effect on your liver, weight increased in patients with early breast cancer. USES OF I DOX 20MG INJECTION Used to manage certain types of cancer HOW I DOX 20MG INJECTION WORKS I DOX 20MG INJECTION works by suppressing the activity of an enzyme (topoisomerase II) involved in the DNA multiplication of the cancer cells. On the other hand, this also forms harmful chemicals (free radicals) which cause damage to the DNA. This slowdown the growth of cancer cells and eventually works against them. DIRECTIONS FOR USE I DOX 20MG INJECTION will be administered intravenously (IV) into the vein by your doctor or nurse. Your doctor will administer the correct dose and duration for you depending upon your age, body weight and disease condition. SIDE EFFECTS OF I DOX 20MG INJECTION COMMON infection lack of appetite inflammation in the mouth diarrhea nausea, vomiting hair loss beard growth may stop (in men) redness, swelling and blistering on the palms of the hands and soles of the feet (palmar-plantar erythrodysesthesia syndrome) chills weakness abnormal ECG raised levels of liver enzymes weight increased in patients with early breast cancer blood poisoning heart problems conjunctivitis (red watery eyes) lacrimation, excess tear production shortness of breath and swelling of the ankles increased heart rate inflammation of the throat and gullet stomach pain skin rashes, redness, hives nails and skin may appear darker than usual injection site reactions such as redness and swelling neutropenia thrombocytopenia malaise/asthenia infertility (in women) absence or decrease in sperm count (in men) UNCOMMON embolism (blockage in the bloodstream) RARE Stop receiving I DOX 20MG INJECTION and contact your doctor immediately if you experience any of the following side effects: dizzy, feverish, short of breath with a tight chest or throat or having an itchy rash anemia (low red blood cell count) decrease in white blood cell counts which in turn causes an increase in infections and a raised temperature (fever) platelets can be affected which could make a bruise or bleed more easily decreased activity in bone marrow reddening of urine dehydration inflammation of veins irritation or bleeding in the intestines inflammation of the lining of the stomach heartburn soreness or ulcers in the mouth

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Anti Cancer Medicine

Marketer Getwell Pharma (I) Pvt Ltd SALT COMPOSITION Irinotecan (100mg) Storage Store below 25°C Uses of Rinowel Injection Ovarian cancer Small cell lung cancer Cervical cancer Cancer of colon and rectum Uses of Rinowel Injection Ovarian cancer Small cell lung cancer Cervical cancer Cancer of colon and rectum Side effects of Rinowel Injection 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 Rinowel Fatigue Nausea Vomiting Weakness Hair loss Fever Anemia (low number of red blood cells) Diarrhea Decreased white blood cell count (neutrophils) Decreased appetite Mucosal inflammation How to use Rinowel Injection Your doctor or nurse will give you this medicine. Kindly do not self administer. How Rinowel Injection works Rinowel 100mg Injection is an anti-cancer medication. It works by suppressing the activity of an enzyme (topoisomerase I) involved in DNA multiplication of the cancer cells. This slows the growth of cancer cells and eventually kills them. Safety advice warnings Alcohol CONSULT YOUR DOCTOR It is not known whether it is safe to consume alcohol with Rinowel 100mg Injection. Please consult your doctor. warnings Pregnancy CONSULT YOUR DOCTOR Rinowel 100mg Injection is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor. warnings Breast feeding UNSAFE Rinowel 100mg Injection is unsafe to use during breastfeeding. Data suggests that the drug may cause toxicity to the baby. warnings Driving UNSAFE Rinowel 100mg Injection may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur. warnings Kidney SAFE IF PRESCRIBED Rinowel 100mg Injection is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Rinowel 100mg Injection may not be needed in these patients. Please consult your doctor. Use of this medicine is not recommended for patients on dialysis. warnings Liver CONSULT YOUR DOCTOR There is limited information available on the use of Rinowel 100mg Injection in patients with liver disease. Please consult your doctor.

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Anti Cancer Medicine

Introduction to Cytraze 1000mg Injection Cytraze 1000mg injection contains the active substance Cytarabine. It is an antineoplastic drug that belongs to the class antimetabolite. It is used alone or with other chemotherapy medications to treat certain types of leukemias (a type of blood cancer with too many white blood cells), including acute myeloid leukemia (AML) and chronic myelogenous leukemia (CML). It is also indicated to use alone or with other chemotherapy drugs to treat and prevent meningeal leukemia (cancer in the membrane that covers and protects the spinal cord and brain). Do not take Cytraze 1000mg injection if you are allergic to Cytarabine or any other ingredients of this medicine. Inform your physician if you have difficulties in body coordination, or taking any other anti-cancer medications, decreased bone marrow functioning, have liver problems, or have undergone dialysis immediately before or after treatment with this medicine. Cytraze 1000mg injection may cause an increased uric acid level in your blood, your doctor will tell you if you need to take any medicine to control this. Notify your physician if you have sudden signs of allergy, such as rash, itching, or hives on the skin, swelling of the face, lips, mouth, or throat, shortness of breath, or wheezing. It is unknown whether this medicine can be administered in patients with kidney failure, inform your doctor if you have any kidney diseases. Uses of Cytraze 1000mg Injection Acute myeloid leukemia (AML) Chronic myelogenous leukemia (CML) Meningeal leukemia Therapeutic Effects of Cytraze 1000mg Injection Cytraze 1000mg injection is a cytotoxic drug that acts by primarily killing cells undergoing DNA synthesis. It works by slowing or stopping the growth of cancer cells in your body. Interaction of Cytraze 1000mg Injection with other drugs Inform your healthcare provider about all the medicines you take, including prescription medications, over-the-counter medications, nutritional and vitamin supplements, vaccines, and herbal products. Certain medications may interact with the effects of Cytraze 1000mg injection and reduce its effectiveness by causing undesirable side effects. Inform your physician if you are using digoxin. More Information about Cytraze 1000mg Injection Store Cytraze 1000mg injection at room temperature (25°C) Do not refrigerate or freeze. Keep the injection away from the reach of children and pets. If you forgot to take a dose on the scheduled day, contact your physician and reschedule the dose. Do not take a double dose to make up for a forgotten dose. How to consume Cytraze 1000mg Injection Cytraze 1000mg injection will be given to you in a hospital setting by a trained healthcare professional. This medicine may be given by solution for injection/infusion (using a syringe) under the skin (subcutaneous) or into a vein (intravenously) or into a muscle (intramuscularly), or into the spine (intrathecal). Your doctor will decide the dose, route of administration, and duration of the treatment based on your disease condition, severity, and other factors. Safety Advices for Cytraze 1000mg Injection Image Not Available Pregnancy Cytraze 1000mg injection is unsafe to administer in pregnant women because it may cause birth defects. Inform your physician if you are pregnant, suspect pregnancy, or planning to become pregnant. Using an effective birth control method during the treatment and for 6 months after your last dose is necessary. Image Not Available Breast Feeding Breastfeeding is not recommended in patients taking Cytraze 1000mg injection because the medicine passes into the breast milk in small amounts and may harm your baby. Image Not Available Lungs It is unknown whether Cytraze 1000mg injection can be used in patients with lung disorders. Consult your doctor if you have any lung diseases before starting the treatment. Image Not Available Liver It is unknown whether Cytraze 1000mg injection can be used in patients with liver disorders. Consult your doctor if you have any liver diseases before starting the treatment. Image Not Available Alcohol It is not known whether it is safe to consume alcohol with Cytraze 1000mg injection. Please consult your doctor. Image Not Available Driving Cytraze 1000mg injection does not affect your ability to drive or use machinery. If you are affected, consult your doctor for more advice. Side Effects of Cytraze 1000mg Injection Side effects are unwanted symptoms caused by medicines. Even though all drugs cause side effects, not everyone gets them. Common Fever Loss of appetite, abdominal pain Swallowing difficulties Nausea, vomiting Diarrhoea Inflammation or ulceration in the mouth or anus High blood uric acid levels Hair loss Skin rashes Speaking difficulties Inflammation in the vein Serious Swelling and irritation of the skin Increased blood uric acid levels Blisters of the skin Irregular heartbeat Lung diseases Anemia

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General Medicine

L-Carnitine Injection is the injectable form of L-carnitine, a naturally occurring amino acid derivative involved in the metabolism of fatty acids. It plays a crucial role in the transport of fatty acids into the mitochondria, where they are burned for energy. L-Carnitine injections are typically used when the body has a deficiency or when enhanced fat metabolism is needed for therapeutic purposes. 🔹 Common Uses of L-Carnitine Injection: 🔋 Fatigue & Energy Production Often used to improve fat metabolism, especially in cases of chronic fatigue or low energy, as it helps the body utilize fat as an energy source more effectively. ⚖️ Weight Loss Support Can be used as an adjunct to weight loss programs to enhance fat burning (though the evidence for significant weight loss with L-carnitine injections alone is limited). 🧠 Cognitive Function & Mental Clarity L-carnitine has shown potential benefits in improving mental clarity and cognitive function, especially in older adults or individuals with Alzheimer's disease or age-related cognitive decline. ❤️ Heart Health May be used in patients with heart disease or heart failure, as it helps improve the efficiency of heart muscle cells by providing them with more energy to function. Supports fat metabolism in heart cells, which is vital for optimal heart function. 🧬 Muscle Recovery & Performance Commonly used by athletes and those undergoing intensive physical training to reduce muscle damage and enhance recovery. It helps in the transport of fatty acids for energy during exercise, reducing reliance on glycogen stores. 🍖 Primary and Secondary Carnitine Deficiency In individuals with genetic disorders or other conditions that impair carnitine production or transport, L-carnitine injections can be used to treat primary carnitine deficiency or to address deficiencies due to renal disease or dialysis. 🍏 Metabolic Disorders (in some cases) Used to support people with metabolic disorders that impair fat oxidation or in cases of dialysis-related carnitine deficiency. 💉 How It’s Administered: Usually given intravenously (IV) or intramuscularly (IM), depending on the clinical scenario. Typically administered in hospital or clinical settings, though outpatient clinics sometimes offer it for weight management or athletic performance. ⚠️ Precautions & Side Effects: Generally safe, but excessive use can lead to: Nausea or abdominal discomfort Muscle weakness or cramping Fishy body odor (a common side effect of high-dose carnitine) Increased risk of seizures (in people with certain conditions like epilepsy) Use with caution in renal patients since carnitine is primarily excreted by the kidneys. Consult a doctor before use in individuals with heart disease, since excess carnitine may have unwanted effects on heart rhythms. ✅ Summary: Condition Use of L-Carnitine Injection Fatigue & Energy Support ✅ Yes Weight Loss (Adjunct Therapy) ✅ Yes (with exercise/diet) Muscle Recovery & Athletic Performance ✅ Yes Heart Health (Heart Failure) ✅ Yes Cognitive Function & Mental Clarity ✅ In age-related decline Carnitine Deficiency ✅ Yes

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Steroid/Hormones Medicines

Primobol is a reliable hormone supplement that contains 100mg of Methenolone Enanthate and is manufactured to be instrumental in muscle growth and the improvement of metabolism. Primobol 100 acts through nitrogen fixation in tissues that enhance protein synthesis, which, in turn, causes hypertrophy in growing tissues. Uses Muscle growth: Primobol is widespread among bodybuilders and athletes to acquire qualitative muscles with a minimum of liquid and subcutaneous fat. Fat loss: It helps in fat loss by sparing lean muscle through the stimulation of metabolic increases under conditions of caloric restriction. Performance improvement: The general physical condition will improve, allowing the individual to achieve the desired fitness through more effective and tougher workouts. Treatment of osteoporosis: Methenolone enanthate was under research at the dose of 100 mg for its ability to increase bone strength and reduce osteoporosis risk. Through bone mineralization, Primobol can help retain the density of bones to stop bone loss. Management of anemia: Primobolan is even postulated to be effective as an anemia management particularly in patients with renal insufficiency or with chronic kidney disease. As one of what stimulates the production of red blood cells, Primobol may be taken to boost hemoglobin levels and improve symptoms, such as anemia, fatigue, and weakness, in people suffering from low hemoglobin levels. Incorporating Primobol into your fitness regimen can help you achieve your muscle-building and performance goals effectively. Remember to consult with a healthcare provider for personalized advice and to ensure the safe and proper use of Primobol.

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Steroid/Hormones Medicines

Primobol is a reliable hormone supplement that contains 100mg of Methenolone Enanthate and is manufactured to be instrumental in muscle growth and the improvement of metabolism. Primobol 100 acts through nitrogen fixation in tissues that enhance protein synthesis, which, in turn, causes hypertrophy in growing tissues. Uses Muscle growth: Primobol is widespread among bodybuilders and athletes to acquire qualitative muscles with a minimum of liquid and subcutaneous fat. Fat loss: It helps in fat loss by sparing lean muscle through the stimulation of metabolic increases under conditions of caloric restriction. Performance improvement: The general physical condition will improve, allowing the individual to achieve the desired fitness through more effective and tougher workouts. Treatment of osteoporosis: Methenolone enanthate was under research at the dose of 100 mg for its ability to increase bone strength and reduce osteoporosis risk. Through bone mineralization, Primobol can help retain the density of bones to stop bone loss. Management of anemia: Primobolan is even postulated to be effective as an anemia management particularly in patients with renal insufficiency or with chronic kidney disease. As one of what stimulates the production of red blood cells, Primobol may be taken to boost hemoglobin levels and improve symptoms, such as anemia, fatigue, and weakness, in people suffering from low hemoglobin levels. Incorporating Primobol into your fitness regimen can help you achieve your muscle-building and performance goals effectively. Remember to consult with a healthcare provider for personalized advice and to ensure the safe and proper use of Primobol.

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Eye Care

Tropicamide Ophthalmic Solution USP 0.5% is a sterile, anticholinergic eye drop used primarily for diagnostic purposes in ophthalmology. ________________________________________ 🔍 Primary Uses 1. Pupillary Dilation (Mydriasis): Tropicamide 0.5% is employed to dilate the pupil, facilitating detailed examination of the retina, optic nerve, and other internal eye structures during procedures like fundoscopy and slit-lamp assessments. 2. Cycloplegia: It temporarily paralyzes the ciliary muscle, preventing accommodation (focusing), which is useful in refractive error assessments. 3. Management of Uveitis: Tropicamide 0.5% is utilized in treating conditions like acute and subacute iridocyclitis, chronic iridocyclitis, and to prevent adhesions and disruptions of the iris and ciliary body. ________________________________________ ⚠️ Side Effects While generally well-tolerated, potential side effects may include: • Temporary stinging or burning sensation upon instillation • Blurred vision • Sensitivity to light (photophobia) • Dry mouth • Headache • Nausea or vomiting • Pale skin • Central nervous system disturbances, including agitation or confusion, especially in pediatric patients ________________________________________ 🧪 Usage Instructions • Administration: Instill one or two drops into the affected eye(s) as directed by your healthcare provider. • Contact Lenses: Remove contact lenses before application. • Hygiene: Avoid touching the dropper tip to any surface to prevent contamination. • Post-application: Apply gentle pressure to the inner corner of the eye for 1–3 minutes to minimize systemic absorption. ________________________________________ ⚠️ Precautions • Driving and Operating Machinery: Avoid engaging in activities requiring clear vision, such as driving, until the effects of the medication have worn off. • Pediatric Use: Use with caution in children, as anticholinergic drugs may cause CNS disturbances. • Pregnancy and Breastfeeding: Consult your healthcare provider before use during pregnancy or while breastfeeding.

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