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Victoza Solution for Injection is a medicine used to lower blood sugar levels in adults with type 2 diabetes mellitus. This helps to prevent serious complications of diabetes like kidney damage and blindness. Proper control of diabetes also helps to lower your chances of a heart attack or a stroke. Victoza Solution for Injection belongs to the GLP-1 (glucagon-like peptide) group of diabetes medicines. It works by helping your body produce insulin and by reducing appetite. It also helps to reduce weight in some people. This medicine should be stored in a refrigerator until you need it but do not freeze it. It is normally injected under the skin once daily. The dose will depend on your condition and what other diabetes medicines you are taking. You can use it at any time of the day with or without food but try to use it at the same time each day to get the most benefit. Your doctor or nurse will show you how and where to inject the medicine. Follow the instructions carefully. Do not stop taking this medicine without talking to your doctor. If you do, your blood sugar levels may increase and put you at risk of serious complications. Remember that it is only part of a treatment program that should also include a healthy diet and regular exercise as advised by your doctor. Your lifestyle plays a big part in controlling diabetes. The most common side effects of this medicine include nausea, diarrhea, vomiting, decreased appetite, indigestion, and constipation. It can also lead to low blood sugar levels (hypoglycemia) especially if you are also taking other medicines like insulin or sulphonylureas for treatment of diabetes. To prevent this, it is important to have regular meals and always carry a fast-acting source of glucose such as sugary candy or glucose candy with you. Before using it, let your doctor know if you have any pancreas or stomach problems or severe dehydration (loss of body water), or diabetic ketoacidosis (a complication of diabetes characterized by too much acid and ketones in your blood). This medicine may not be suitable. Pregnant or breastfeeding women should also consult their doctor before using this medicine. If you experience blurred vision, dizziness, or drowsiness due to extremely low or high blood sugar, do not drive, use machinery or do any activity that requires alertness or clear vision until you are sure you can do them safely. Uses of Victoza Solution for Injection Type 2 diabetes mellitus

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

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.

Piratacan 200 Injection contains Piracetam 200 mg, a nootropic medication that enhances cognitive function and neurological health. It is used in both adults and children above 8 years of age for various neurological conditions. ________________________________________ 🧠 Common Uses 1. Cognitive Disorders in the Elderly Piratacan 200 Injection is used to manage memory loss, lack of concentration, mood changes, and behavioral alterations associated with aging. 2. Myoclonus (Movement Disorders) It is effective in treating myoclonus, a condition characterized by involuntary muscle jerks. 3. Vertigo (Dizziness) The injection helps alleviate dizziness and balance issues, improving overall stability. 4. Dyslexia in Children In children above 8 years, Piratacan 200 Injection is used to treat learning difficulties, particularly those related to reading and understanding text. ________________________________________ ⚙️ Mechanism of Action Piracetam, the active ingredient in Piratacan 200 Injection, acts on the brain and nervous system by: Enhancing the activity of acetylcholine, a neurotransmitter vital for memory and learning. • Improving oxygen and glucose utilization in the brain. • Protecting against shortness of oxygen, thereby supporting overall brain function. ________________________________________ 💉 Administration Piratacan 200 Injection is administered intravenously or intramuscularly by a healthcare professional. The dosage and frequency depend on the specific condition being treated and the patient's response to therapy. ________________________________________ ⚠️ Side Effects Common side effects may include: • Nausea or vomiting • Headache • Abdominal pain • Pain at the injection site • These side effects are generally mild and temporary. However, if they persist or worsen, consult your healthcare provider. ________________________________________ ⚠️ Precautions Before receiving Piratacan 200 Injection, inform your doctor if you have: • Kidney or liver disease • Bleeding disorders • Allergies to piracetam or any other ingredients in the injection. • Additionally, disclose any other medications you are taking, as interactions may occur. Pregnant or breastfeeding individuals should consult their healthcare provider before use.

Zyrop 5000IU injection contains active components such as Recombinant human erythropoietin alfa/epoetin alfa. It is a medication that belongs to a class of drugs called erythropoiesis-stimulating agents (ESAs). This medication treats anemia caused by chronic kidney disease (CKD), cancer chemotherapy, or HIV infection treatment with zidovudine. It also reduces the need for red blood cell transfusions in patients at high risk for blood loss due to planned surgery or other procedures. Zyrop 5000IU injection should not be used in patients with hypersensitivity to it or any of its components, uncontrolled hypertension, active thrombotic microangiopathy (TMA), pure red cell aplasia (PRCA), uncontrolled seizures, pregnancy, or lactation. It should also be used cautiously in patients with a history of blood clots, heart disease, stroke, kidney disease, liver disease, thalassemia, sickle cell anemia, myelodysplastic syndrome, leukemia, or cancer. It should only be used in children under 18 if the benefits outweigh the risks. Older adults taking this medication should be closely monitored for side effects. Before starting this medication, it is important to talk to your doctor about the risks and benefits of Zyrop 5000IU injection.

Celginase 10000 Injection belongs to the class of medicines called antineoplastic (anticancer) agents used in the treatment of acute lymphoblastic leukaemia (a type of blood and bone marrow cancer). Acute lymphoblastic leukaemia (ALL) is the most common childhood cancer. It is a type of blood cancer which causes excessive production of lymphocytes (a type of white blood cells) by the bone marrow. Celginase 10000 Injection contains L Asparaginase which works by lowering asparagine levels in the body, which is necessary for the survival of cancer cells. Thus, Celginase 10000 Injection stops the cancer cells from dividing and growing. Celginase 10000 Injection will be administered by a healthcare professional; do not self-administer. Sometimes, Celginase 10000 Injection may cause common side effects such as nausea, weight loss, generalised pain or muscle pain, infections or a decrease in normal blood content. Most of these side effects of Celginase 10000 Injection do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor. If you are allergic to L asparaginase or other medicines, please tell your doctor. You are recommended to avoid breastfeeding during treatment with Celginase 10000 Injection as there may be a risk to the feeding child. If you are pregnant or planning pregnancy, please inform your doctor before receiving Celginase 10000 Injection. Also, you are recommended to use effective contraceptive methods before and for at least 3 months after treatment with Celginase 10000 Injection to prevent pregnancy. Celginase 10000 Injection is given to children in doses as advised by the doctor, depending on the age. Avoid driving after receiving Celginase 10000 Injection as it may cause drowsiness or dizziness.

Neosurf 5ml Suspension for Injection is a medicine used to treat cholestatic liver diseases, alcoholic and non-alcoholic fatty liver. It works by protecting the liver from harmful chemical substance and also increases the alcohol elimination from blood and tissues. Neosurf 5ml Suspension for Injection should be given as an injection by the healthcare professional. The dose will depend on what you are being treated for and your body weight. This medicine needs to be taken regularly to get the most benefit and you may have to take it for several months or longer, so try to get into a routine. Keep using it as prescribed even if your symptoms disappear. The most common side effects are nausea, rash, hair loss, stomach upset and diarrhea. Not everyone gets side effects. If you are worried about them, or they do not go away, let your doctor know. If you have problems with diarrhea your doctor may reduce the dose or stop the treatment. Drink enough water or fluids to stay hydrated in case of severe diarrhea.

Neosurf 3ml Suspension for Injection is a medicine used to treat cholestatic liver diseases, alcoholic and non-alcoholic fatty liver. It works by protecting the liver from harmful chemical substance and also increases the alcohol elimination from blood and tissues. Neosurf 3ml Suspension for Injection should be given as an injection by the healthcare professional. The dose will depend on what you are being treated for and your body weight. This medicine needs to be taken regularly to get the most benefit and you may have to take it for several months or longer, so try to get into a routine. Keep using it as prescribed even if your symptoms disappear. The most common side effects are nausea, rash, hair loss, stomach upset and diarrhea. Not everyone gets side effects. If you are worried about them, or they do not go away, let your doctor know. If you have problems with diarrhea your doctor may reduce the dose or stop the treatment. Drink enough water or fluids to stay hydrated in case of severe diarrhea.