bdsure 3.75mg injection - Leuprolide (3.75mg) medicine

Bdsure 3.75mg Injection: Complete Medicine Guide

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🏭 BDR Pharmaceuticals Internationals Pvt 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 27, 2026
🤰 Pregnancy Category This medicine is contraindicated in pregnancy. It may cause harm to the developing fetus. Women of childbearing potential should use effective non-hormonal contraception during treatment and for at least 3 months after the last dose. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for approved indications.
Reviewed by
SaathiMed Expert Panel | Oct 27, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or swelling of the face, lips, or throat
  • Sudden severe headache, vision changes, or confusion
  • Back pain with weakness or numbness in the legs
  • Chest pain, palpitations, or fainting
  • Severe allergic rash or hives
  • Signs of infection at the injection site (increasing pain, redness, swelling, fever)

If experiencing severe symptoms, call emergency services immediately.

What is bdsure 3.75mg injection used for?

This medicine contains leuprolide 3.75 mg, a GnRH agonist given as an intramuscular injection every 28 days. It is used to treat advanced prostate cancer, endometriosis, uterine fibroids, and central precocious puberty by suppressing hormone production.

  • Generic Name: Leuprolide
  • Manufacturer: BDR Pharmaceuticals Internationals Pvt
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 bdsure 3.75mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा ल्यूप्रोलाइड 3.75 मिलीग्राम इंजेक्शन के रूप में उपलब्ध है और इसे हर 28 दिन में एक बार मांसपेशी में इंजेक्शन द्वारा दिया जाता है। यह मुख्य रूप से पुरुषों में प्रोस्टेट कैंसर के इलाज, महिलाओं में एंडोमेट्रियोसिस और गर्भाशय फाइब्रॉएड के लक्षणों को कम करने, और बच्चों में समय से पहले यौवन को रोकने के लिए उपयोग की जाती है। यह दवा शरीर में हार्मोन के स्तर को नियंत्रित करके काम करती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में गर्म लहरें (हॉट फ्लैश), मूड में बदलाव, थकान, और इंजेक्शन की जगह पर दर्द या सूजन शामिल हैं। पुरुषों में स्तन में कोमलता और यौन इच्छा में कमी हो सकती है। महिलाओं में योनि में सूखापन या अनियमित रक्तस्राव हो सकता है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, हड्डियों की घनत्व में कमी, या अचानक तेज सिरदर्द हो सकता है। कोई भी असामान्य लक्षण होने पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: यह दवा केवल डॉक्टर या नर्स द्वारा इंजेक्शन के रूप में दी जानी चाहिए। इसे स्वयं न लगाएं। इलाज के दौरान नियमित जांच कराते रहें। गर्भवती महिलाओं को यह दवा नहीं लेनी चाहिए। यह गर्भनिरोधक नहीं है, इसलिए इलाज के दौरान अन्य गर्भनिरोधक तरीके अपनाएं। शराब का सेवन कम करें। दवा को कमरे के तापमान पर, धूप से दूर, मूल पैकेजिंग में रखें।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 bdsure 3.75mg injection Uses & Benefits

[{"condition":"Advanced prostate cancer","description":"Used as palliative therapy to reduce testosterone levels, which slows tumour growth and relieves symptoms in hormone-sensitive prostate cancer.","evidence":"Well-established"},{"condition":"Endometriosis","description":"Helps shrink endometrial tissue and reduce pain associated with endometriosis by suppressing estrogen production.","evidence":"Well-established"},{"condition":"Uterine fibroids","description":"Reduces the size of fibroids and associated symptoms such as heavy bleeding and pelvic pressure before surgery.","evidence":"Well-established"},{"condition":"Central precocious puberty","description":"Delays premature puberty in children by suppressing gonadotropin release until an appropriate age.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Hormone receptor-positive breast cancer in premenopausal women","description":"Sometimes used to induce ovarian suppression as part of endocrine therapy, but this is not a standard approved indication for all patients.","evidence":"Limited"},{"condition":"Gender-affirming hormone therapy","description":"May be used off-label to suppress endogenous hormone production in certain protocols, always under specialist supervision.","evidence":"Limited"}]

Primary treatment for: Advanced prostate cancer

Also treats: Endometriosis, Uterine fibroids, Central precocious puberty

📋 Drug Information

Generic Name(s)Leuprolide
Brand NameAgopride Injection
ManufacturerBDR Pharmaceuticals Internationals Pvt
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGYNAECOLOGICAL
Action ClassGNRH agonists/analogue
Route of AdministrationIntramuscular injection
StorageStore in the original carton at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Do not freeze.
Shelf LifeRefer to the expiry date printed on the packaging. Do not use after the expiry date.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Administer this medicine only as an intramuscular injection by a trained healthcare professional.
2
Monitor patients for initial flare of symptoms, especially in prostate cancer with bone metastases.
3
Assess bone mineral density periodically in patients on long-term therapy.
4
Use effective non-hormonal contraception in women of childbearing potential during treatment.
5
Monitor ECG in patients with cardiac risk factors or those taking QT-prolonging drugs.
6
Educate patients about the importance of adhering to the 28-day injection schedule.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Advanced prostate cancer
This medicine is commonly prescribed for this condition.
Likely Use
✅
Pelvic pain due to endometriosis
This medicine helps reduce endometrial tissue and pain.
Likely Use
✅
Heavy menstrual bleeding due to fibroids
This medicine can shrink fibroids and reduce bleeding.
Likely Use
✅
Early puberty signs in children
This medicine is used to delay premature puberty.
Likely Use
❌
Common cold
This medicine is not used for infections or colds.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is administered by intramuscular injection and is absorbed from the injection site into the bloodstream. The absorption is generally rapid and consistent when given as an immediate-release formulation.
DistributionLeuprolide distributes into the extracellular fluid and is taken up by target tissues, including the pituitary gland. It has a relatively small volume of distribution.
Protein BindingApproximately 43% to 49% of leuprolide is bound to plasma proteins.
MetabolismLeuprolide is metabolised in the body, primarily in the liver, through enzymatic degradation into smaller peptide fragments.
Half-LifeThe elimination half-life of leuprolide is approximately 3 hours after a single intramuscular dose.
ExcretionMetabolites are excreted mainly in the urine, with a smaller fraction eliminated in faeces.
BioavailabilityBioavailability is high after intramuscular injection, though exact values depend on the formulation and individual patient factors.
Onset of ActionSuppression of testosterone or estrogen typically occurs within 2 to 4 weeks of continuous therapy, but the initial flare can occur within days.
Peak Plasma TimePeak plasma concentration is reached within 1 to 2 hours after intramuscular injection of the immediate-release formulation.
Duration of ActionThe hormonal suppressive effect lasts approximately 28 days, which is why the injection is usually given once every 28 days.

How It Works

This medicine is a synthetic nonapeptide analogue of naturally occurring gonadotropin-releasing hormone (GnRH). It binds to GnRH receptors in the anterior pituitary gland and, when given continuously, causes downregulation and desensitization of these receptors. This leads to suppressed secretion of luteinizing hormone and follicle-stimulating hormone, which in turn reduces gonadal steroid production. The initial stimulation can cause a transient rise in testosterone or estrogen, but continuous therapy results in profound suppression.

Mechanism Steps

1
Binding to GnRH receptors: This medicine binds to GnRH receptors on the surface of pituitary gonadotroph cells.
2
Initial stimulation: Short-term binding stimulates the release of luteinizing hormone and follicle-stimulating hormone, causing a temporary increase in sex hormones.
3
Receptor downregulation: With continuous exposure, the receptors become desensitized and downregulated, reducing their responsiveness to GnRH.
4
Suppression of gonadotropins: As a result, the pituitary secretes much less luteinizing hormone and follicle-stimulating hormone.
5
Reduced gonadal steroid production: Lower gonadotropin levels lead to decreased testosterone production in men and decreased estrogen production in women, which is the therapeutic effect.

💡 How to Take bdsure 3.75mg injection

Strength: 3.75 mg immediate-release intramuscular injection

1This medicine is given by a healthcare professional as an intramuscular injection.
2The injection is typically administered into the buttock or upper arm muscle.
3You do not need to do anything special before the injection, but inform your doctor of any allergies or medications.
4After the injection, you may resume normal activities, but avoid rubbing the injection site.
5Keep a record of your injection dates to ensure you do not miss a dose.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 3.75 mg administered as a single intramuscular injection once every 28 days. For prostate cancer, endometriosis, and uterine fibroids, the same dose is typically used. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and clinical response. Do not self-administer; injections must be given by a healthcare professional.
Pediatric DosagePediatric dosing for central precocious puberty is not established from available information for this specific 3.75 mg immediate-release formulation. Consult a pediatric endocrinologist for appropriate dosing and monitoring.
Elderly DosageNo specific dose adjustment is required for elderly patients based on age alone. However, elderly patients may be more susceptible to bone loss and cardiac effects. Monitor renal and hepatic function and adjust therapy as clinically indicated.
Renal ImpairmentDose adjustment is not well established for renal impairment. Use with caution in patients with severe renal impairment and monitor for adverse effects.
Hepatic ImpairmentDose adjustment is not well established for hepatic impairment. Use with caution and monitor liver function periodically.
Maximum Daily DoseThe maximum recommended dose is 3.75 mg per 28-day cycle for this formulation. Higher doses or different formulations may be used for other indications under specialist supervision.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

No specific food restrictions
Normal diet
This medicine is given by injection and does not interact with food.
Alcohol
Limit or avoid
May worsen side effects like hot flashes and fatigue.

⏰ What to Do If You Miss a Dose

📌 Less than 14 days since missed injection
→ Contact your healthcare provider to reschedule the injection as soon as possible.
💡 Do not wait until the next scheduled date.
📌 More than 14 days since missed injection
→ Contact your healthcare provider immediately for guidance.
💡 The treatment schedule may need to be adjusted.

⚠️ Side Effects of bdsure 3.75mg injection

✅ Common Side Effects

Hot flashes (Common (10-30%))
Dress in layers, avoid triggers like spicy food and caffeine, and consult your doctor if they become bothersome.
Injection site pain or redness (Common (5-15%))
Apply a cold pack to the area and avoid rubbing the site. Report persistent pain or swelling.
Mood swings or irritability (Common (5-10%))
Practice stress-reduction techniques and discuss with your doctor if mood changes affect daily life.
Decreased libido (Common (5-10%))
This is expected due to hormone suppression. Talk to your doctor if it is distressing.
Fatigue (Common (5-10%))
Ensure adequate rest and hydration. Consult your doctor if fatigue is severe or persistent.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help immediately if you experience difficulty breathing, swelling of the face or throat, or a widespread rash.
Pituitary apoplexy (Very rare (<0.01%))
Go to the emergency department if you develop sudden severe headache, vision changes, or confusion.
Spinal cord compression in patients with bone metastases (Rare (<0.1%))
Seek immediate medical attention if you experience back pain, weakness, or numbness in the legs.
Decreased bone mineral density with long-term use (Uncommon (1-10%))
Discuss calcium and vitamin D supplementation and periodic bone density monitoring with your doctor.

⚠️ Rare Side Effects

Peripheral oedema
Elevate legs and reduce salt intake. Consult your doctor if swelling persists.
Muscle or joint pain
Gentle stretching and over-the-counter pain relief may help. Report severe pain to your doctor.
Insomnia
Maintain good sleep hygiene. Consult your doctor if sleep problems continue.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Degarelix Major
QT-prolonging drugs Major
Corticosteroids Moderate
Warfarin Moderate

🚨 Major Interactions

  • GnRH antagonists (e.g., degarelix)
  • Drugs that prolong QT interval (e.g., certain antiarrhythmics, antipsychotics)

⚡ Moderate Interactions

  • Corticosteroids
  • Anticoagulants (e.g., warfarin)

🍷 Alcohol Interaction

Alcohol may exacerbate side effects such as hot flashes, mood changes, and fatigue. It is advisable to limit or avoid alcohol while receiving this medicine, especially if you have liver disease or are taking other medications.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to leuprolide or any component of the formulation","Pregnancy","Breastfeeding","Undiagnosed abnormal vaginal bleeding","Use in children under 2 years of age for central precocious puberty (safety not established)"]

⚠️ Warnings & Precautions

["May cause initial flare of symptoms in prostate cancer patients, which can worsen bone pain or urinary obstruction. Close monitoring is required during the first few weeks.","Long-term use may lead to decreased bone mineral density and increased risk of osteoporosis.","May cause QT prolongation; use with caution in patients with cardiac disease.","Not a contraceptive; women of childbearing potential must use effective non-hormonal contraception.","Injection must be given by a healthcare professional; do not self-administer.","May affect blood glucose levels; monitor if diabetic.","Rare cases of pituitary apoplexy have been reported; seek immediate care for sudden severe headache or vision changes."]

🤱 Lactation Safety

It is not known whether leuprolide is excreted in human breast milk. Because of the potential for serious adverse reactions in nursing infants, breastfeeding is not recommended during treatment.

💊 Overdose Management

Overdose with leuprolide is unlikely due to its injectable route and medical supervision. If accidental overdose occurs, seek immediate medical attention. Treatment is supportive and symptomatic. Monitor vital signs and hormone levels.

⏰ Missed Dose

If you miss a scheduled injection, contact your healthcare provider as soon as possible to reschedule. Do not attempt to double the dose. The dosing interval may need to be adjusted to maintain therapeutic effect.

Additional Safety Advice

General Safety

This medicine must only be given by a healthcare professional as an intramuscular injection. Do not attempt to self-administer. Keep all scheduled appointments for monitoring of hormone levels, prostate-specific antigen (PSA) in men, and bone density if treatment is long-term. Use a reliable non-hormonal method of contraception during treatment, as this medicine is not a contraceptive and can harm a developing fetus. Avoid alcohol and inform your doctor about all other medicines, especially those affecting heart rhythm or hormone levels. Do not stop treatment abruptly without consulting your specialist, as symptoms may return. Store the injection in its original packaging at room temperature, away from direct sunlight and moisture.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to bone loss and cardiac effects. Regular monitoring of bone density, renal function, and cardiac status is advised.

🤰 Pregnancy Planning (TTC)

This medicine is contraindicated in pregnancy. Women planning pregnancy should discuss alternative treatments with their doctor. Use effective non-hormonal contraception during treatment and for at least 3 months after the last dose.

🏥 Post-Surgery Considerations

If you are scheduled for surgery, inform your surgeon and anaesthesiologist about this medicine. It may affect hormone levels and could interact with anaesthetic agents. Follow your doctor's advice regarding when to resume treatment after surgery.

🦷 Dental Procedures

Inform your dentist about this medicine before any dental procedure. No specific precautions are established, but it is important for your dental team to be aware of your medication.

💚 Lifestyle Tips for Better Results

🏃
Maintain a balanced diet rich in calcium and vitamin D to support bone health.
🥗
Engage in weight-bearing exercises to help prevent bone loss.
😴
Stay hydrated and avoid excessive caffeine and spicy foods to reduce hot flashes.
💧
Practice stress-reduction techniques like yoga or meditation to manage mood swings.
🧘
Get adequate sleep and maintain a regular sleep schedule.
🌞
Avoid smoking and limit alcohol consumption.

🏋️ Exercise Considerations

Regular exercise is encouraged, but avoid high-impact activities if you have bone metastases or osteoporosis. Consult your doctor before starting any new exercise regimen.

🥗 Diet Recommendations

Include calcium-rich foods like dairy, leafy greens, and fortified cereals.
Ensure adequate vitamin D through sunlight or supplements as advised.
Limit processed foods and excess salt to reduce fluid retention.
Stay well hydrated throughout the day.

💼 Impact on Daily Work & Life

This medicine may cause fatigue, dizziness, or mood changes that could affect your ability to drive or operate machinery. Avoid driving if you feel unwell. Most patients can continue their normal work activities, but listen to your body and rest when needed.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your specialist. Treatment duration depends on the condition and your response. Your doctor will determine when to stop based on clinical assessment and monitoring.

📅 Long-Term Use Effects

Long-term use of this medicine may lead to decreased bone mineral density and increased risk of osteoporosis. Regular monitoring of bone health, hormone levels, and cardiac function is recommended. Some patients may experience persistent hot flashes or mood changes. Discuss any long-term concerns with your specialist.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Other GnRH agonists (e.g., goserelin, triptorelin)

Similar hormonal suppression with different administration routes or frequencies.

Evidence: Well-established
Surgical intervention

For certain conditions like uterine fibroids or endometriosis, surgery may be an option.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are established. However, consult your doctor before receiving any live vaccines 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 carton to protect from light

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep out of reach of children

❌ DON'T

Do not use after expiry date

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with the prescription label intact. Keep a copy of your prescription and a letter from your doctor explaining the medical need. Store at room temperature and protect from light. If travelling across time zones, maintain the 28-day schedule as closely as possible; consult your doctor for adjustments. Check customs regulations for injectable medicines before travelling internationally.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 68-year-old man with advanced prostate cancer
He started this medicine as a monthly injection. After an initial increase in bone pain during the first two weeks, his symptoms gradually improved. His PSA levels dropped significantly over three months. He experienced hot flashes but found them manageable by avoiding caffeine and spicy foods.
💡 Lesson: Initial flare of symptoms is common and temporary. Adherence to the monthly schedule is crucial for optimal response.
👤 A 32-year-old woman with severe endometriosis
She received this medicine every 28 days for six months. Her pelvic pain decreased markedly, and she could resume normal activities. She experienced menopausal symptoms like hot flashes and vaginal dryness, which were managed with lifestyle changes and lubricants. Her doctor monitored her bone density.
💡 Lesson: This medicine can significantly improve quality of life in endometriosis, but side effects require proactive management and monitoring.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Hormone suppression typically occurs within 2 to 4 weeks of continuous therapy, but initial flare of symptoms may occur in the first weeks.

Q: Is this medicine a contraceptive?

A: No, this medicine is not a contraceptive. Use effective non-hormonal contraception during treatment.

Q: Can I self-administer this injection?

A: No, this medicine must be given by a healthcare professional as an intramuscular injection.

Q: What should I do if I miss my injection?

A: Contact your healthcare provider as soon as possible to reschedule. Do not double the dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my bone health?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while on this medicine?

🔄 Substitutes for bdsure 3.75mg injection

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine is a contraceptive.
    Fact: This medicine is not a contraceptive. It suppresses hormones but does not prevent pregnancy. Use effective non-hormonal contraception during treatment.
  • Myth: This medicine can be self-administered at home.
    Fact: This medicine must be given by a healthcare professional as an intramuscular injection. Do not attempt to self-administer.
  • Myth: This medicine works immediately.
    Fact: It may take 2 to 4 weeks for full hormone suppression. Initial flare of symptoms can occur in the first weeks.

🔄 Alternative Options

Generic Alternatives

  • Leuprolide acetate 3.75 mg injection

Brand Alternatives

  • Lupride 3.75 mg injection
  • Leuprolide 3.75 mg injection (various manufacturers)

📊 Comparison with Similar Medicines

[{"medicine":"This medicine (leuprolide 3.75 mg)","class":"GnRH agonist","route":"Intramuscular","frequency":"Every 28 days","main_uses":"Prostate cancer, endometriosis, fibroids, precocious puberty"},{"medicine":"Goserelin 3.6 mg","class":"GnRH agonist","route":"Subcutaneous","frequency":"Every 28 days","main_uses":"Prostate cancer, breast cancer, endometriosis"}]

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