Introduction to Bdocterio 30mg Injection Bdocterio 30mg injection contains the active substance octreotide. It is a synthetic compound derived from somatostatin, a substance naturally found in the human body that inhibits the effects of certain hormones, such as growth hormones. It is used to reduce the amount of growth hormone produced by people with acromegaly (a condition in which the body produces too much growth hormone, causing enlargement of the hands, feet, and facial features; joint pain; and other symptoms) who cannot be treated with surgery, radiation, or another medication. It is also used to control diarrhea and flushing caused by carcinoid tumors (slow-growing tumors that release natural substances that can cause symptoms) and vasoactive intestinal peptide-secreting adenomas (VIP-omas; tumors that form in the pancreas and release natural substances that can cause symptoms). It is used to prevent complications following surgery of the pancreas gland. It is also indicated to stop bleeding and to protect from re-bleeding from ruptured gastro-esophageal varices in patients suffering from chronic liver disease. This medicine is used to treat people with pituitary tumors that produce too much thyroid-stimulating hormone (TSH) when other types of treatment (surgery or radiotherapy) are not suitable or have not worked and after radiotherapy, to cover the interim period until the radiotherapy becomes fully effective. Do not use this medicine if you are allergic to octreotide or any of the other ingredients of this medicine. Inform your physician if you have gallstones, high or low blood sugar levels, vitamin B12 deficiency, and liver diseases. Bdocterio 30mg injection may lower your heart rate, and very high doses can cause abnormal heart rhythm, so your doctor may monitor your heart function regularly during the treatment. Inform your physician if you are pregnant or breastfeeding before initiating the treatment. Uses of Bdocterio 30mg Injection To treat acromegaly Relieve symptoms associated with some tumors of the GI tract To prevent complications following surgery of the pancreas gland To treat pituitary tumors that produce too much TSH Therapeutic Effects of Bdocterio 30mg Injection Bdocterio 30mg injection acetate, a cyclic octapeptide agent, inhibits growth hormone, glucagon, and insulin more effectively than the natural hormone somatostatin. The drug also reduces growth hormone and IGF-I (somatomedin C) in acromegaly, inhibits gallbladder contractions, reduces bile secretion, and suppresses thyroid stimulating hormone (TSH) secretion. Interaction of Bdocterio 30mg Injection with other drugs Inform your healthcare provider about all the medicines you take, including prescription, over-the-counter, nutritional or vitamin supplements, and herbal products. Certain medications interact with Bdocterio 30mg injection and reduce their effectiveness by causing undesirable side effects. More Information about Bdocterio 30mg Injection Store the Bdocterio 30mg injection in the refrigerator at 2°C to 8°C Do not freeze Protect the medicine from light and excessive moisture. Keep the medicine out of reach of children and pets If you forgot to take the injection, inform your healthcare professional immediately and reschedule the appointment. How to consume Bdocterio 30mg Injection Always use this medicine as exactly prescribed by your doctor. Depending on the condition being treated, an infusion of Bdocterio 30mg injection is given by either subcutaneous (under the skin) injection, intramuscularly (into the muscle of the buttocks), or intravenous (into a vein). A healthcare professional will always administer intravenous and intramuscular injections. If you are prescribed a subcutaneous injection, your doctor or other healthcare professional will explain how to inject the medicine under the skin. Safety Advices for Bdocterio 30mg Injection Image Not Available Pregnancy Bdocterio 30mg injection will only be given during pregnancy if needed. Inform your physician if you are pregnant, suspecting pregnancy, or planning to get pregnant during the treatment. Use effective contraception during the treatment. Image Not Available Breast Feeding Breastfeeding is not recommended in patients taking Bdocterio 30mg injection because the medicine passes into the breast milk in small amounts and may harm your baby. Do not breastfeed during the treatment. Image Not Available Lungs It is unknown whether Bdocterio 30mg 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 Bdocterio 30mg injection is contraindicated in patients with acute liver failure. Dose adjustments are necessary if you have liver problems. Inform your physician if you have any liver disease before initiating the therapy.

Introduction to Dacsted 200mg Injection Dacsted 200mg injection is an antineoplastic drug belonging to the class of alkylating agents, containing the active ingredient dacarbazine. It is used to prevent and treat metastatic malignant melanoma (skin cancer), Hodgkin's disease (cancer that forms in the lymph system, part of the immune system). It is often combined with cisplatin, an cytotoxic agent, to treat certain types of cancers for the treatment of Hodgkin's lymphoma, and dacarbazine with temozolomide for the treatment of melanoma. There may be an increased risk of certain types of skin cancer (non-melanoma skin cancer) with the use of this medicine. This drug is contraindicated in pregnant women, and women of childbearing potential should use effective contraception during and for at least 6 months after treatment with the drug. It is not known whether dacsted 200mg injection is excreted in human milk, so breastfeeding should be avoided during treatment with the drug. It should also be used with caution in patients with pre-existing liver or kidney dysfunction. You should not have a live vaccine if you are having dacsted 200mg injection. This is because dacsted 200mg injection may weaken your immune system and make you more likely to catch a serious infection. Consult your doctor immediately for more advice. Dacsted 200mg injection may cause pain along the vein. If you feel pain, tell your nurse straight away so that the infusion site can be checked. They may give the drug more slowly or flush it through with more fluids to reduce pain. Treatment should not be started if your white blood cells (leukocytes) have fallen to counts below determined levels. Your doctor will determine these values at regular intervals. This medicine should not be used if you are allergic to dacarbazine. Before each administration you will have blood tests to check that you have enough blood cells to receive this medicine. It is usually administered once every three to four weeks. Tell your physician about all the medications you have been taking recently, including herbal medicines and supplements, before taking dacsted 200mg injection. Uses of Dacsted 200mg Injection Metastatic malignant melanoma Hodgkin’s disease Therapeutic Effects of Dacsted 200mg Injection It is a type of alkylating agent, which works majorly through the process of alkylation. It enters the cancer cells after getting activated by the liver and inhibits DNA synthesis. This process disrupts the normal cell cycle and DNA function, leading to arrest in cancer cell growth and multiplication. Interaction of Dacsted 200mg Injection with other drugs Inform your healthcare provider about all the medicines you take, including prescription medications, over-the-counter medications, nutritional or vitamin supplements, and herbal products. Certain medications may interact with Dacsted 200mg injection and reduce effectiveness by causing undesirable side effects. More Information about Dacsted 200mg Injection Store Dacsted 200mg injection in the refrigerator (2°-8°C). Do not freeze. Keep it out of reach from children and pets. How to consume Dacsted 200mg Injection The medicine will be administered to you by a healthcare professional in a hospital setting. This injection will be given intravenously into a vein in your arm or hand. Do not self-administer this medicine. The specific dose and schedule of administration depend on the type and stage of cancer being treated. Dacsted 200mg injection Injection is usually given about 30 minutes before you receive your anti-cancer medicine (chemotherapy). During the infusion, you will be monitored for any side effects or reactions to the medication. It is important to get the dose at the scheduled time. If you missed the schedule, contact your doctor and reschedule the dose. Safety Advices for Dacsted 200mg Injection Image Not Available Pregnancy Dacsted 200mg injection is not recommended for pregnant women as it may cause fetal harm. Consult your doctor if you are pregnant or planning for pregnancy during the treatment. Image Not Available Breast Feeding It is not known if dacsted 200mg injection Injection passes into your breast milk or if it will affect your baby. Please consult your doctor before breastfeeding. Image Not Available Lungs No Data Image Not Available Liver Inform your doctor if you have any liver problems before taking dacsted 200mg injection. Regular monitoring of liver function tests is recommended. Image Not Available Alcohol Consuming alcohol may affect the effectiveness of dacsted 200mg injection. Stop consuming alcohol if you are taking this medicine. Image Not Available Driving It is unsafe to drive vehicles or operate heavy machinery after taking dacsted 200mg injection Injection, it may cause dizziness and impair your concentration.

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

Fortose FCM Injection is for an intravenous iron therapy, typically containing Ferric Carboxymaltose (FCM). Here's what it's used for: 💉 Uses of Fortose FCM Injection Treatment of Iron Deficiency Anemia (IDA) Especially when: Oral iron supplements are ineffective or not tolerated Rapid iron replenishment is needed There's a need to avoid gastrointestinal side effects Commonly used in conditions like: Chronic Kidney Disease (CKD) Heavy menstrual bleeding Postpartum anemia Inflammatory bowel diseases (like Crohn’s or ulcerative colitis) Heart failure with reduced ejection fraction (HFrEF) (in some cases) ⚠️ Important Notes Given as an intravenous infusion or slow injection under medical supervision Dosing depends on body weight and severity of iron deficiency Side effects may include: Headache Nausea Injection site reactions Hypophosphatemia (low phosphate levels in blood)

Clocivir 500 Injection is an intravenous formulation containing Acyclovir 500 mg, manufactured by American Remedies. It is primarily used to treat severe viral infections caused by herpes viruses. ________________________________________ 🩺 Uses of Clocivir 500 Injection Clocivir 500 Injection is indicated for: • Herpes Simplex Infections in Immunocompromised Patients: Including severe primary or non-primary genital herpes. • Herpes Simplex Encephalitis: A serious brain infection caused by the herpes simplex virus. • Neonatal Herpes Simplex Virus Infection: In newborns. • Varicella-Zoster Infections in Immunocompromised Patients: Such as severe cases of chickenpox or shingles. • Severe Herpes Zoster (Shingles): In immunocompetent patients with very severe acute local or systemic manifestations. ________________________________________ 💊 Mechanism of Action Acyclovir, the active ingredient in Clocivir, is a synthetic purine nucleoside analogue. It exerts its antiviral effects by inhibiting viral DNA synthesis, thereby preventing the replication of herpes viruses. Acyclovir is converted to its active form, Acyclovir Triphosphate, within infected cells, which then interferes with viral DNA polymerase. ________________________________________ ⚠️ Precautions • Administration: Clocivir 500 Injection should be administered by a healthcare professional through slow intravenous infusion over a 1-hour period to minimize the risk of kidney damage. • Hydration: Adequate hydration is essential during treatment to prevent dehydration and kidney damage. • Kidney Function: Use with caution in patients with pre-existing kidney conditions. • Pregnancy and Breastfeeding: Consult your doctor if you are pregnant, planning to conceive, or breastfeeding.

Clocivir 250 Injection is an intravenous formulation containing Acyclovir 250 mg, manufactured by American Remedies. It is primarily used to treat severe viral infections caused by herpes viruses. ________________________________________ 🩺 Uses of Clocivir 250 Injection Clocivir 250 Injection is indicated for: • Herpes Simplex Virus Infections: Including severe cases in immunocompromised patients. • Genital Herpes: Especially primary or non-primary severe cases. • Herpes Zoster (Shingles): In immunocompetent patients with severe manifestations. • Chickenpox (Varicella Zoster Virus Infection): Particularly in immunocompromised individuals. • Herpes Simplex Encephalitis: A severe brain infection caused by the herpes simplex virus. ________________________________________ 💊 Mechanism of Action Acyclovir, the active ingredient in Clocivir, is a synthetic purine nucleoside analogue. It exerts its antiviral effects by inhibiting viral DNA synthesis, thereby preventing the replication of herpes viruses. Acyclovir is converted to its active form, Acyclovir Triphosphate, within infected cells, which then interferes with viral DNA polymerase . ________________________________________ ⚠️ Precautions • Administration: Clocivir 250 Injection should be administered by a healthcare professional through slow intravenous infusion over a 1-hour period to minimize the risk of kidney damage . • Hydration: Adequate hydration is essential during treatment to prevent dehydration and kidney damage. • Pregnancy and Breastfeeding: Consult your doctor if you are pregnant, planning to conceive, or breastfeeding. • Drug Interactions: Inform your healthcare provider about all other medications you are taking to avoid potential interactions.

Acetylcysteine (N-Acetylcysteine or NAC) Injection is a medication with various clinical uses, particularly in treating acute poisoning and respiratory conditions. It is the injectable form of NAC, which is also available in oral and inhalation formulations. 🔹 Common Uses of Acetylcysteine Injection (NAC Injection): 💊 Acetaminophen (Paracetamol) Overdose: Primary and well-established use: Acetylcysteine is the antidote for acetaminophen toxicity (overdose). It works by replenishing glutathione, a crucial antioxidant in the liver, thus preventing liver damage caused by acetaminophen metabolism. Early administration is key: Can prevent or minimize liver damage if administered within 8–10 hours of overdose. 🫁 Chronic Obstructive Pulmonary Disease (COPD) / Respiratory Conditions: Mucolytic action: NAC helps to break down and thin mucus in the lungs, making it easier to cough up. Often used in COPD, chronic bronchitis, asthma, and other conditions where thick mucus obstructs airways. Nebulized NAC is sometimes used for inhalation to directly treat respiratory conditions. 🧬 Kidney Protection (Preventing Contrast-Induced Nephropathy): Prophylactic use in patients who are at high risk of contrast-induced kidney damage (e.g., before receiving contrast media in imaging procedures like CT scans). NAC may help protect kidney function from damage caused by the contrast agents used during these procedures. 🔬 Antioxidant Therapy in Critical Care: NAC is used as an antioxidant to reduce oxidative stress in various conditions such as sepsis, acute respiratory distress syndrome (ARDS), and other critical illnesses. It helps to reduce inflammation and cell damage by neutralizing free radicals. 🧪 Treatment of Cystic Fibrosis (CF): While primarily in oral or nebulized form, acetylcysteine may sometimes be used intravenously to help manage mucus buildup in the airways in CF patients, although this is less common. 🍸 Alcohol-Induced Liver Injury: NAC has been investigated in treating alcohol-induced liver damage, as it helps with glutathione replenishment and reduces oxidative stress. It’s sometimes used in the hospital setting for patients with alcoholic liver disease. 💉 How It’s Administered: Intravenously (IV) is the most common method for acetaminophen overdose or critical care. It is usually given as a slow infusion, with the dosage adjusted based on the severity of the condition being treated (e.g., for acetaminophen toxicity, a specific dosing regimen is followed). ⚠️ Precautions & Side Effects: Common Side Effects: Nausea or vomiting (especially with high doses) Rash Fever Hypotension (low blood pressure) during IV administration Severe Reactions: Rarely, an allergic reaction (e.g., anaphylaxis) may occur. Bronchospasm (tightening of the airways) in patients with a history of asthma, though this is less common with IV use. Kidney function should be monitored, especially in patients at high risk of renal issues or those receiving contrast agents. ✅ Summary of Acetylcysteine Injection Uses: Condition Use of Acetylcysteine (NAC) Injection Acetaminophen overdose ✅ Primary antidote Mucolytic (thinning mucus) for respiratory conditions ✅ COPD, chronic bronchitis, asthma Kidney protection in contrast nephropathy ✅ Prevent contrast-induced kidney damage Antioxidant therapy in critical care ✅ Sepsis, ARDS, oxidative stress Cystic Fibrosis (mucus management) ✅ Less common, but used Alcohol-induced liver injury ✅ Investigational (glutathione replenishment)

INTRODUCTION ABOUT RITUXIREL 100 INJECTION RITUXIREL 100 INJECTION contains Rituximab which belongs to the group of medicines called Anticancer drugs. It is used to manage blood cancer (leukaemia) and lymph cancer (lymphoma). It can also be used to manage various auto-immune disease conditions such as rheumatoid arthritis, granulomatosis with polyangiitis or microscopic polyangiitis (inflammation of blood vessels) and pemphigus vulgaris (severe skin blistering and peeling especially on the mouth, nose, throat, eyes and genitals). It is mostly used in combination with other cytotoxic anticancer agents to achieve better results. It is suitable for use both in adults and in children (aged 6 months or older). RITUXIREL 100 INJECTION will be administered to you only by an oncologist or a trained professional into your vein (as intravenous infusion). Before receiving RITUXIREL 100 INJECTION inform your doctor if you have any heart problems (such as chest pain, heart attack, heart failure or abnormal heartbeat). You must also inform your doctor if you currently have or previously had hepatitis B infection or any other mild infections (including minor cough and cold) as a precaution. RITUXIREL 100 INJECTION is not recommended for use in pregnant or breastfeeding women. Both men and women receiving RITUXIREL 100 INJECTION must use a suitable contraceptive method to avoid pregnancy while undergoing therapy with RITUXIREL 100 INJECTION. The most common side effects of receiving this medicine are fever, chills, skin rashes with itching, shortness of breath and low blood pressure. Consult your doctor if any of these side effect worsens. USES OF RITUXIREL 100 INJECTION It is used to manage: Blood cancer (Chronic lymphocytic leukaemia) Lymph cancer (Non-Hodgkin’s Lymphoma) Rheumatoid arthritis (joint pain and inflammation) Granulomatosis with polyangiitis or microscopic polyangiitis (inflammation of blood vessels) Pemphigus vulgaris (severe skin blistering and peeling especially on the mouth, nose, throat, eyes and genitals) HOW RITUXIREL 100 INJECTION WORKS RITUXIREL 100 INJECTION is a monoclonal antibody. It destroys the immune cells (B-cells) that triggers cancer formation. It also reduces the production of certain chemicals within the body (such as rheumatoid factor, T-cells, cytokines) that causes inflammation, pain and swelling which helps in managing various autoimmune diseases. DIRECTIONS FOR USE RITUXIREL 100 INJECTION will be given to you only by a doctor or a nurse into the vein (intravenously). Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition. SIDE EFFECTS OF RITUXIREL 100 INJECTION COMMON increased infections (bacterial, viral or fungal) low RBC, WBC and platelet counts in blood nausea, vomiting, diarrhea, stomach pain, constipation, indigestion mouth ulcers hair loss fever, chills, pneumonia, shingles, cold, sinusitis thrush, urinary tract infection headache, dizziness, tiredness, weakness hepatitis B infection high blood sugar and cholesterol levels weight loss, lack of appetite numbness, tingling, pricking, burning sensation on the skin restlessness, problems in falling asleep, anxiety, depression flushing (skin redness) eye inflammation or watery eyes ringing sound in the ears, ear pain uneven or fast heart rate, high or low blood pressure shortness of breath, runny nose, nasal itching and repeated sneezing increased sweating, night sweats muscle pain, joint pain, back pain, neck pain pain while passing urine fungal foot infection (athlete’s foot) tremors (shakiness) swelling of the hands or ankles UNCOMMON blood clotting problems changes in taste slow heart rate chest tightness and lung problems RARE Contact your doctor immediately if you experience any of the following side effects: fever, chills, shivering, nausea, vomiting, skin rashes with blisters and itching, flushing, pain at the infusion site, headache, tiredness, wheezing, high blood pressure, palpitations, swelling of throat or tongue, runny or itchy nose and chest pain fever, cough, sore throat, burning pain while passing urine, feeling weak or generally unwell signs of brain problem (such as memory loss, trouble thinking, difficulty in walking or vision problems) signs of severe skin reactions (such as severe skin blistering and redness that may appear on the on the mucous membranes, such as inside the mouth, the genital areas or the eyelids, with fever)

INTRODUCTION ABOUT RITUXIREL 500MG INJECTION RITUXIREL 500MG INJECTION contains Rituximab which belongs to the group of medicines called Anticancer drugs. It is used to manage blood cancer (leukaemia) and lymph cancer (lymphoma). It can also be used to manage various auto-immune disease conditions such as rheumatoid arthritis, granulomatosis with polyangiitis or microscopic polyangiitis (inflammation of blood vessels) and pemphigus vulgaris (severe skin blistering and peeling especially on the mouth, nose, throat, eyes and genitals). It is mostly used in combination with other cytotoxic anticancer agents to achieve better results. It is suitable for use both in adults and in children (aged 6 months or older). RITUXIREL 500MG INJECTION will be administered to you only by an oncologist or a trained professional into your vein (as intravenous infusion). Before receiving RITUXIREL 500MG INJECTION inform your doctor if you have any heart problems (such as chest pain, heart attack, heart failure or abnormal heartbeat). You must also inform your doctor if you currently have or previously had hepatitis B infection or any other mild infections (including minor cough and cold) as a precaution. RITUXIREL 500MG INJECTION is not recommended for use in pregnant or breastfeeding women. Both men and women receiving RITUXIREL 500MG INJECTION must use a suitable contraceptive method to avoid pregnancy while undergoing therapy with RITUXIREL 500MG INJECTION. The most common side effects of receiving this medicine are fever, chills, skin rashes with itching, shortness of breath and low blood pressure. Consult your doctor if any of these side effect worsens. USES OF RITUXIREL 500MG INJECTION It is used to manage: Blood cancer (Chronic lymphocytic leukaemia) Lymph cancer (Non-Hodgkin’s Lymphoma) Rheumatoid arthritis (joint pain and inflammation) Granulomatosis with polyangiitis or microscopic polyangiitis (inflammation of blood vessels) Pemphigus vulgaris (severe skin blistering and peeling especially on the mouth, nose, throat, eyes and genitals) HOW RITUXIREL 500MG INJECTION WORKS RITUXIREL 500MG INJECTION is a monoclonal antibody. It destroys the immune cells (B-cells) that triggers cancer formation. It also reduces the production of certain chemicals within the body (such as rheumatoid factor, T-cells, cytokines) that causes inflammation, pain and swelling which helps in managing various autoimmune diseases. DIRECTIONS FOR USE RITUXIREL 500MG INJECTION will be given to you only by a doctor or a nurse into the vein (intravenously). Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition. SIDE EFFECTS OF RITUXIREL 500MG INJECTION COMMON increased infections (bacterial, viral or fungal) low RBC, WBC and platelet counts in blood nausea, vomiting, diarrhea, stomach pain, constipation, indigestion mouth ulcers hair loss fever, chills, pneumonia, shingles, cold, sinusitis thrush, urinary tract infection headache, dizziness, tiredness, weakness hepatitis B infection high blood sugar and cholesterol levels weight loss, lack of appetite numbness, tingling, pricking, burning sensation on the skin restlessness, problems in falling asleep, anxiety, depression flushing (skin redness) eye inflammation or watery eyes ringing sound in the ears, ear pain uneven or fast heart rate, high or low blood pressure shortness of breath, runny nose, nasal itching and repeated sneezing increased sweating, night sweats muscle pain, joint pain, back pain, neck pain pain while passing urine fungal foot infection (athlete’s foot) tremors (shakiness) swelling of the hands or ankles UNCOMMON blood clotting problems changes in taste slow heart rate chest tightness and lung problems RARE Contact your doctor immediately if you experience any of the following side effects: fever, chills, shivering, nausea, vomiting, skin rashes with blisters and itching, flushing, pain at the infusion site, headache, tiredness, wheezing, high blood pressure, palpitations, swelling of throat or tongue, runny or itchy nose and chest pain fever, cough, sore throat, burning pain while passing urine, feeling weak or generally unwell signs of brain problem (such as memory loss, trouble thinking, difficulty in walking or vision problems) signs of severe skin reactions (such as severe skin blistering and redness that may appear on the on the mucous membranes, such as inside the mouth, the genital areas or the eyelids, with fever) HOW TO MANAGE SIDE EFFECTS Constipation Try to eat more high-fibre foods such as fresh fruit, vegetables, cereals, and drink plenty of water. Try doing exercise regularly (going for a daily walk or run). If this does not help, inform your doctor for receiving alternate managements for constipation.