Andiflex 50mg Injection: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Yellowing of the skin or eyes (jaundice)
- Severe abdominal pain or swelling
- Chest pain or shortness of breath
- Sudden weakness or difficulty speaking
- Blood in vomit or black, tarry stools
- Decreased urine output or swelling in legs
- Severe headache with vision changes
If experiencing severe symptoms, call emergency services immediately.
What is andiflex 50mg injection used for?
This medicine is an anabolic steroid injection containing nandrolone decanoate, used under medical supervision for conditions like anemia of chronic kidney disease and wasting syndromes. It is not for athletic performance enhancement.
- Generic Name: Nandrolone Decanoate
- Manufacturer: Quest Pharmaceuticals
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 andiflex 50mg injection के बारे में (Hindi Summary)
उपयोग: यह दवा नैंड्रोलोन डेकानोएट नामक एक एनाबॉलिक स्टेरॉयड है, जिसका उपयोग कुछ विशेष चिकित्सीय स्थितियों में किया जाता है। यह गुर्दे की बीमारी से जुड़े एनीमिया, वेस्टिंग सिंड्रोम और कुछ प्रकार के ऑस्टियोपोरोसिस के इलाज में मदद कर सकती है। यह दवा मांसपेशियों की वृद्धि और लाल रक्त कोशिकाओं के उत्पादन को बढ़ावा देती है। इसका उपयोग केवल डॉक्टर की देखरेख में ही किया जाना चाहिए। इसे इंजेक्शन के रूप में मांसपेशियों में दिया जाता है। गर्भवती महिलाओं, स्तनपान कराने वाली महिलाओं, प्रोस्टेट कैंसर या स्तन कैंसर वाले पुरुषों और गंभीर यकृत रोग वाले रोगियों को यह दवा नहीं दी जानी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में इंजेक्शन स्थल पर दर्द, सूजन, तरल पदार्थ का जमाव, मुँहासे और सिरदर्द शामिल हैं। गंभीर दुष्प्रभावों में यकृत विषाक्तता, हृदय संबंधी समस्याएं, रक्त के थक्के और हार्मोनल असंतुलन शामिल हो सकते हैं। पुरुषों में अंडकोष का सिकुड़ना और स्तन वृद्धि हो सकती है, जबकि महिलाओं में आवाज भारी होना और चेहरे पर बाल बढ़ना जैसे पुरुषीकरण के लक्षण हो सकते हैं। किसी भी असामान्य लक्षण को तुरंत डॉक्टर को बताएं।
सुरक्षा सलाह: यह दवा केवल योग्य डॉक्टर की देखरेख में ही दी जानी चाहिए। इसे स्वयं न लगाएं और न ही शरीर सौष्ठव के लिए उपयोग करें। उपचार से पहले अपने सभी चिकित्सीय इतिहास, विशेषकर हृदय, यकृत, गुर्दे और प्रोस्टेट की समस्याओं के बारे में डॉक्टर को बताएं। उपचार के दौरान नियमित रूप से यकृत और गुर्दे की कार्यप्रणाली, रक्त गणना और लिपिड प्रोफाइल की जांच कराएं। शराब का सेवन न करें क्योंकि इससे यकृत को नुकसान हो सकता है। गर्भावस्था से बचने के लिए प्रभावी गर्भनिरोधक उपाय करें।
💊 andiflex 50mg injection Uses & Benefits
[{"condition":"Anemia of chronic kidney disease","description":"This medicine can stimulate erythropoiesis and improve hemoglobin levels in some patients with anemia associated with chronic kidney disease, though it is not a first-line treatment.","evidence":"Limited"},{"condition":"Wasting syndrome associated with HIV/AIDS","description":"It may be used to promote weight gain and lean body mass in patients with HIV-related wasting, but only as part of a comprehensive treatment plan.","evidence":"Limited"},{"condition":"Osteoporosis in selected patients","description":"This medicine may be used to increase bone mineral density in certain forms of osteoporosis, such as corticosteroid-induced osteoporosis, but other agents are generally preferred.","evidence":"Limited"},{"condition":"Hereditary angioedema","description":"Nandrolone decanoate has been used off-label to prevent attacks of hereditary angioedema by increasing C1 esterase inhibitor levels, but this is not a standard approved use.","evidence":"Limited"}]
Off-label uses: [{"condition":"Male hypogonadism","description":"Sometimes used off-label for testosterone replacement, but it is not a preferred therapy due to its adverse effect profile and potential for abuse.","evidence":"Limited"},{"condition":"Athletic performance enhancement","description":"This is an illegal and unsafe off-label use. It is not recommended and can cause serious health harm.","evidence":"Not established from the available information."}]
Primary treatment for: Anemia of chronic kidney disease
Also treats: Wasting syndrome, Osteoporosis, Hereditary angioedema
📋 Drug Information
| Generic Name(s) | Nandrolone Decanoate |
| Brand Name | Alkem Nandrolone 50mg Injection |
| Manufacturer | Quest Pharmaceuticals |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | HORMONES |
| Action Class | Anabolic steroid |
| Route of Administration | Intramuscular |
| Storage | Store this medicine at room temperature between 15°C and 30°C, away from direct sunlight and moisture. Do not freeze. |
| Shelf Life | The shelf life of this medicine is typically 24 months from the date of manufacture, but refer to the product label for the exact expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine is a synthetic anabolic-androgenic steroid that binds to androgen receptors in target tissues, leading to increased protein synthesis, positive nitrogen balance, and enhanced erythropoietin production. It also has progestational activity and can suppress gonadotropin secretion.
Mechanism Steps
💡 How to Take andiflex 50mg injection
Strength: This medicine is available as a 50 mg/ml intramuscular injection.
Dosage Information
| Adult Dosage | The dosage of this medicine must be individualized by a qualified clinician based on the indication, patient's age, weight, renal and hepatic function, and clinical response. Typical adult doses range from 25 mg to 100 mg intramuscularly every 2 to 4 weeks, but this is for educational reference only. Do not self-administer. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more susceptible to the cardiovascular and hepatic side effects of this medicine. Dose adjustments should be made cautiously by a clinician. |
| Renal Impairment | This medicine should be used with caution in patients with renal impairment. Dose adjustment may be necessary based on renal function. |
| Hepatic Impairment | This medicine is contraindicated in severe liver disease. In mild to moderate hepatic impairment, dose reduction and close monitoring are advised. |
| Maximum Daily Dose | The maximum daily dose is not established from the available information. Dosing is typically intermittent (every 2-4 weeks) rather than daily. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of andiflex 50mg injection
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Insulin | Major | |
| Corticosteroids | Moderate | |
| Cyclosporine | Moderate |
🚨 Major Interactions
- Warfarin
- Insulin
- Hepatotoxic drugs
⚡ Moderate Interactions
- Corticosteroids
- Cyclosporine
🍷 Alcohol Interaction
Alcohol should be avoided while using this medicine because it can increase the risk of liver toxicity and may worsen fluid retention.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Pregnancy","Breastfeeding","Prostate cancer in men","Breast cancer in men","Hypercalcemia","Severe liver disease","Known hypersensitivity to nandrolone decanoate"]
⚠️ Warnings & Precautions
["This medicine should be used with caution in patients with cardiovascular disease, as it can cause fluid retention and hypertension.","Hepatic function should be monitored regularly due to the risk of liver toxicity.","Men should be monitored for prostate changes and advised to report urinary symptoms.","Women may experience virilization effects such as deepening of voice and increased facial hair; these may be irreversible.","This medicine can suppress natural testosterone production and cause testicular atrophy.","Use with caution in patients with diabetes, as it may affect blood glucose control.","This medicine may increase the risk of bleeding when used with anticoagulants."]
🤱 Lactation Safety
This medicine is excreted in breast milk and may cause serious adverse effects in a nursing infant. Breastfeeding is not recommended during treatment.
💊 Overdose Management
Overdose with this medicine is unlikely due to its intramuscular route and medical supervision. In case of accidental overdose, seek immediate medical attention. Treatment is supportive and symptomatic.
⏰ Missed Dose
If you miss a scheduled dose of this medicine, contact your healthcare provider to reschedule. Do not attempt to double the dose to catch up.
Additional Safety Advice
This medicine must only be used under the supervision of a qualified healthcare professional. Do not self-administer or use it for bodybuilding or athletic performance. Before starting treatment, inform your doctor about all your medical conditions, especially heart disease, liver disease, kidney disease, prostate problems, or bleeding disorders. Regular monitoring of liver function, kidney function, blood counts, and lipid profile is essential during therapy. Avoid alcohol consumption as it can increase the risk of liver damage. Use effective contraception during treatment and for at least 6 months after stopping if you are of childbearing potential. Do not share this medicine with others. Keep all follow-up appointments and report any side effects promptly. Store this medicine as directed and never use it after the expiry date.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of cardiovascular and hepatic side effects. Close monitoring and dose adjustments are recommended.
🤰 Pregnancy Planning (TTC)
This medicine is contraindicated during pregnancy and should be avoided if you are planning to become pregnant. Use effective contraception during treatment and for at least 6 months after stopping.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist if you are taking this medicine, as it may affect healing and increase the risk of complications. It may need to be stopped before surgery.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it may affect bleeding and healing. Your dentist may recommend postponing elective dental work.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Consult your doctor before starting any exercise program. Avoid strenuous activities if you have heart or kidney problems. Low-impact exercises like walking or swimming are generally safer.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fatigue in some patients. Avoid driving or operating heavy machinery until you know how it affects you. Inform your employer if your job involves such activities.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. Your doctor will determine when to stop based on your response and any side effects. If you experience serious side effects, seek immediate medical attention.
📅 Long-Term Use Effects
Long-term use of this medicine can lead to liver toxicity, cardiovascular complications, hormonal imbalances, and suppression of natural testosterone production. Regular monitoring of liver function, renal function, lipid profile, and blood counts is essential. The risk of adverse effects increases with prolonged use, so the lowest effective dose should be used for the shortest duration necessary.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
These are often used for anemia of chronic kidney disease and may be safer alternatives.
Evidence: Well-establishedFor wasting syndromes, nutritional support and appetite stimulants may be used.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no specific vaccine interactions known with this medicine. However, consult your doctor before receiving any vaccine while on this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate or freeze
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging along with a copy of your prescription. Keep it in your carry-on luggage to avoid temperature extremes. Check the customs regulations of your destination country regarding anabolic steroids, as they may be controlled substances. Store it at room temperature and avoid direct sunlight. If you need to adjust the timing of your dose due to time zone changes, consult your doctor for guidance.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Effects of this medicine may begin within 1 to 2 weeks, but full benefits may take several weeks to months.
A: Report any side effects to your doctor immediately. Do not stop the medicine without consulting your doctor.
A: No, this medicine is contraindicated during pregnancy as it may harm the fetus.
🤔 Common Patient Concerns
🔄 Substitutes for andiflex 50mg injection
View AllAlternative brands with exact same active ingredient:
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is safe for bodybuilding.
Fact: This medicine is a prescription drug with serious risks and is not approved for bodybuilding. It can cause liver damage, heart problems, and hormonal imbalances. - Myth: This medicine is a vitamin injection.
Fact: This medicine is an anabolic steroid, not a vitamin. It has potent hormonal effects and must be used only under medical supervision.
🔄 Alternative Options
Generic Alternatives
- Nandrolone decanoate
Brand Alternatives
- Andiflex 50mg injection