Research has shown that nutritional modifications can slow the progression of cardiac disease and improve quality of life of companion animals. Strongbeat is a unique formula that contains amino acids, vitamins, minerals and anti-oxidants that provide energy & strengthen heart muscle function in pets. Strongbeat can be used in dogs and cats with pre-existing suboptimal cardiovascular functions, in breeds that are predisposed to cardiovascular stress and to support the heart in geriatric or older patients.

Milrican 10 is a brand of Milrinone Lactate Injection, manufactured by American Remedies. Milrinone is a phosphodiesterase-3 (PDE3) inhibitor that serves as both an inotropic agent and a vasodilator. ________________________________________ ✅ Primary Uses of Milrican 10 Milrican 10 is indicated for the short-term intravenous treatment of: • Severe congestive heart failure: Particularly in patients unresponsive to conventional therapies. • Acute decompensated heart failure: Including low output states following cardiac surgery. It is commonly used in intensive care units or during cardiac procedures to support heart function. ________________________________________ ⚙️ Mechanism of Action Milrinone works by inhibiting PDE3, leading to increased cyclic AMP (cAMP) levels in cardiac and vascular smooth muscle cells. This results in: • Increased myocardial contractility: Enhancing the heart's ability to pump blood. • Vasodilation: Relaxing blood vessels, which reduces the heart's workload and improves blood flow. ________________________________________ ⚠️ Important Considerations • Administration: Milrican 10 should only be administered intravenously under the supervision of a healthcare professional. • Monitoring: Patients receiving Milrican 10 require close monitoring of blood pressure, heart rate, and kidney function. • Contraindications: Not recommended for patients with severe dehydration, electrolyte imbalances, or known hypersensitivity to milrinone. • Pregnancy and Breastfeeding: Consult a doctor before use if pregnant or breastfeeding.

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.

Dobutacan 12 Injection is a brand of Dobutamine Hydrochloride 12.5 mg/mL, a synthetic catecholamine used in critical care settings to support heart function. It is administered intravenously under medical supervision. ________________________________________ 🩺 Medical Uses Dobutacan 12 Injection is indicated for: • Cardiac Decompensation: Acute heart failure due to conditions like myocardial infarction, cardiomyopathies, or post-cardiac surgery. • Cardiogenic Shock: A state of low cardiac output leading to inadequate tissue perfusion. • Septic Shock: A severe infection causing low blood pressure and organ dysfunction. • Stress Echocardiography: As a pharmacological agent to assess coronary artery disease when exercise is not feasible. It works by stimulating beta-1 adrenergic receptors, increasing heart contractility and stroke volume, thereby improving cardiac output. ________________________________________ ⚙️ Dosage and Administration Dobutacan 12 Injection is administered intravenously in a hospital setting. The typical dosage ranges from 2.5 to 10 mcg/kg/min, adjusted based on the patient's response. In some cases, doses up to 20 mcg/kg/min may be required. ________________________________________ ⚠️ Precautions and Contraindications Before using Dobutacan 12 Injection, inform your healthcare provider if you have: • Allergies to dobutamine or other components of the injection. • A history of arrhythmias or heart disease. • Kidney or liver problems. • A history of stroke or blood clots. This medication is typically administered by healthcare professionals in a clinical setting and is not intended for self-administration. It is usually given as an intramuscular (IM) or intravenous (IV) injection. ________________________________________ 💊 Side Effects Common side effects may include: • Headache • Nausea or vomiting • Dizziness or lightheadedness • Injection site reactions (pain, redness, or swelling) Serious side effects are rare but can occur. Seek immediate medical attention if you experience symptoms like chest pain, shortness of breath, or signs of gastrointestinal bleeding.

Calciglu Injection is a medicinal formulation containing Calcium Gluconate, produced by American Remedies. It is primarily used to address conditions arising from calcium deficiencies. ________________________________________ 🩺 Uses of Calciglu Injection Calciglu Injection is administered intravenously to treat: • Hypocalcemia: Low blood calcium levels due to various causes. • Hypocalcemic Tetany: Muscle spasms or cramps resulting from low calcium levels. • Hypoparathyroidism: A condition where the parathyroid glands produce insufficient parathyroid hormone, leading to low calcium levels. • Calcium Deficiency During Pregnancy or Rapid Growth: Increased calcium requirements during these periods. • Hyperkalemia: High potassium levels in the blood, where calcium gluconate can help stabilize the heart's electrical activity. Magnesium Toxicity: Overdose of magnesium sulfate, often used in obstetric care, where calcium gluconate acts as an antidote. • Cardiac Arrest: To support heart function during resuscitation efforts. • Lead or Fluoride Poisoning: Calcium gluconate can bind to certain toxins, aiding in their removal from the body. ________________________________________ ⚠️ Precautions • Administration: Should be administered by a healthcare professional via intravenous injection. • Monitoring: Regular monitoring of calcium levels is essential to avoid complications. • Kidney Function: Use with caution in patients with renal impairment, as calcium accumulation can occur. • Drug Interactions: Inform your healthcare provider of all medications you're taking to avoid potential interactions.

Bisomax 5 Tablet is used to manage heart failure, particularly in patients recovering from a heart attack. It also treats high blood pressure (hypertension), angina (chest pain), and arrhythmia (irregular rhythms). It improves heart function, reduces strain, and lowers the risk of future cardiac events. Bisomax 5 Tablet helps improve cardiac output and prevent heart failure progression. It helps regulate blood pressure, enhances blood flow, and supports overall cardiovascular health. This makes it essential to post-myocardial infarction (heart attack) care, ensuring long-term heart protection. It may also be used to relieve the symptoms caused by an overactive thyroid gland. Your doctor may prescribe Bisomax 5 Tablet as part of a comprehensive heart care plan, often alongside lifestyle modifications like a heart-healthy diet, regular exercise, and smoking cessation. It is important to take Bisomax 5 Tablet exactly as directed by your doctor. Do not stop taking this medication without consulting your doctor, as sudden discontinuation may increase heart risks.

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

LIVOMAG Injection (Magnesium Chloride Injection) is used to treat or prevent magnesium deficiency and manage various medical conditions that require magnesium supplementation. 🔹 Common Uses of LIVOMAG Injection: Magnesium Deficiency (Hypomagnesemia) Used when blood magnesium levels are low, especially in hospitalized or critically ill patients. Eclampsia & Pre-eclampsia (in pregnancy) Acts as a central nervous system depressant to prevent or treat seizures in pregnant women with eclampsia. Cardiac Arrhythmias Especially helpful in treating torsades de pointes, a specific type of irregular heartbeat. Severe Asthma (Adjunct therapy) IV magnesium can help relax bronchial muscles during acute asthma attacks when other treatments fail. Neuromuscular Function Support Used in cases of muscle cramps, spasms, or twitching due to low magnesium. Electrolyte Imbalance Correction Often part of treatment in critical care, especially in ICU settings when patients have multiple electrolyte imbalances. 💉 Dosage & Administration: Administered intravenously (IV) or intramuscularly (IM) depending on the clinical situation. Doses vary based on severity and condition being treated. ⚠️ Precautions & Side Effects: Too much magnesium can lead to low blood pressure, respiratory depression, or irregular heartbeat. Caution in patients with kidney disease, as magnesium is excreted by the kidneys. Monitor serum magnesium levels during treatment.