Celdaz 500 Injection (Dacarbazine 500 mg): 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
- Fever of 38 degrees Celsius or higher, or chills and shivering
- Unusual bleeding, such as nosebleeds, gum bleeding, blood in urine or stool, or vomiting blood
- Unexplained bruising or tiny red spots on the skin
- Severe or persistent vomiting that prevents you from drinking fluids
- Yellowing of the eyes or skin, dark urine, or severe abdominal pain
- Swelling, pain, or redness in one leg, or sudden chest pain and breathlessness
- Rash, swelling of the face or throat, or difficulty breathing during or after infusion
- Confusion, extreme weakness, or fainting
If experiencing severe symptoms, call emergency services immediately.
What is celdaz 500 injection used for?
This medicine is an injectable anticancer medicine containing dacarbazine 500 mg. It is given by intravenous infusion by a healthcare professional to treat certain cancers such as metastatic melanoma and Hodgkin lymphoma. It works by damaging the DNA of cancer cells and must be used under specialist supervision with regular blood test monitoring.
- Generic Name: Dacarbazine
- Manufacturer: Celon Laboratories Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 celdaz 500 injection के बारे में (Hindi Summary)
उपयोग: यह दवा एक इंजेक्शन के रूप में दी जाने वाली कैंसर रोधी दवा है, जिसमें डकारबाज़ीन 500 मिलीग्राम सक्रिय घटक होता है। इसका उपयोग मुख्य रूप से मेटास्टेटिक मेलेनोमा, हॉजकिन लिम्फोमा और कुछ सॉफ्ट टिश्यू सारकोमा के इलाज में किया जाता है। यह दवा कैंसर कोशिकाओं के डीएनए को नुकसान पहुंचाकर उनकी वृद्धि और विभाजन को रोकती है। यह दवा केवल अस्पताल या कैंसर डे-केयर सेंटर में प्रशिक्षित डॉक्टर या नर्स द्वारा नस के माध्यम से दी जाती है। इसे घर पर स्वयं नहीं लगाया जाना चाहिए। इलाज के दौरान खून की जांच, लिवर और किडनी की जांच नियमित रूप से करानी पड़ती है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में जी मिचलाना, उल्टी, भूख कम लगना, थकान और खून की कोशिकाओं की कमी शामिल हैं। गंभीर दुष्प्रभावों में गंभीर संक्रमण, खून बहना, लिवर को नुकसान और कभी-कभी गंभीर एलर्जी प्रतिक्रिया हो सकती है। अगर आपको बुखार, गले में दर्द, मुंह में छाले, असामान्य खून बहना, आंखों या त्वचा का पीला पड़ना, या सांस लेने में कठिनाई हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: यह दवा केवल योग्य डॉक्टर या नर्स द्वारा अस्पताल में ही दी जानी चाहिए। इसे घर पर स्वयं न लगाएं। इलाज से पहले और बाद में खून की जांच, लिवर और किडनी की जांच कराना जरूरी है। अपने डॉक्टर को अपनी सभी दवाओं, सप्लीमेंट्स और हर्बल उत्पादों के बारे में बताएं। इलाज के दौरान संक्रमण से बचें और भीड़-भाड़ वाली जगहों पर मास्क पहनें। गर्भवती होने या गर्भधारण की योजना बनाने पर तुरंत डॉक्टर को बताएं। इलाज के दौरान शराब न पिएं।
💊 celdaz 500 injection Uses & Benefits
[{"condition":"Metastatic malignant melanoma","description":"This medicine is used as a single agent or in combination regimens for advanced melanoma, although modern targeted and immune therapies are often preferred first.","evidence":"Established"},{"condition":"Hodgkin lymphoma","description":"This medicine is included in some combination chemotherapy regimens such as ABVD for Hodgkin lymphoma.","evidence":"Established"},{"condition":"Soft tissue sarcoma","description":"This medicine may be used in selected combination regimens for certain soft tissue sarcomas under specialist supervision.","evidence":"Limited to selected protocols"},{"condition":"Neuroendocrine tumours","description":"This medicine has been used in some combination regimens for advanced neuroendocrine tumours, though evidence is limited.","evidence":"Limited"}]
Off-label uses: [{"condition":"Other advanced solid tumours","description":"Occasionally used in selected refractory solid tumours within clinical trials or specialist protocols.","evidence":"Limited"}]
Primary treatment for: Metastatic malignant melanoma
Also treats: Hodgkin lymphoma, Soft tissue sarcoma, Neuroendocrine tumours
📋 Drug Information
| Generic Name(s) | Dacarbazine |
| Brand Name | Arzi 200mg Injection |
| Manufacturer | Celon Laboratories Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI NEOPLASTICS |
| Action Class | Alkylating agent |
| Route of Administration | Intravenous (Parenteral) |
| Storage | Store this medicine in its original container in a refrigerator at 2 to 8 degrees Celsius, protected from light. Do not freeze. Follow the manufacturer's instructions on the label and institutional pharmacy guidelines. Once reconstituted or diluted, use within the time specified by the pharmacy and do not store for later use unless instructed. |
| Shelf Life | The shelf life is usually 24 months from the date of manufacture when stored as directed. Always check the expiry date on the vial before use. Do not use if the expiry date has passed or if the solution is discoloured or contains particles. |
| 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 an alkylating agent that works by forming reactive intermediates which attach alkyl groups to DNA. These changes cross-link DNA strands and disrupt normal DNA replication and transcription. Because cancer cells divide rapidly, they are more vulnerable to this DNA damage, which leads to cell cycle arrest and programmed cell death. The effect is not selective for cancer cells alone, which explains why normal fast-dividing tissues such as bone marrow, gut lining, and hair follicles can also be affected.
Mechanism Steps
💡 How to Take celdaz 500 injection
Strength: Injection, 500 mg vial
Dosage Information
| Adult Dosage | The dose of this medicine is determined by the treating oncologist based on the type of cancer, stage, body weight or body surface area, blood counts, liver and kidney function, and whether it is used alone or in combination with other chemotherapy. It is given by intravenous infusion in a hospital or day-care setting. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not attempt to calculate or administer this medicine at home. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatric oncologist. |
| Elderly Dosage | Older adults may be more sensitive to the side effects of this medicine, especially bone marrow suppression, fatigue, and liver or kidney effects. The treating oncologist will assess overall health, organ function, and other medicines before deciding the dose. Close monitoring is recommended. |
| Renal Impairment | This medicine is excreted mainly by the kidneys. People with kidney impairment may need dose adjustment and closer monitoring of kidney function. The exact adjustment must be determined by the treating oncologist based on the degree of impairment and the treatment protocol. |
| Hepatic Impairment | This medicine is metabolised in the liver. People with liver impairment may need dose reduction or delay, and liver function should be monitored closely. The exact adjustment must be determined by the treating oncologist. |
| Maximum Daily Dose | The maximum dose is not fixed and depends on the treatment protocol, body size, and organ function. It must be determined by the treating oncologist. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of celdaz 500 injection
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Live vaccines | Major | |
| Other myelosuppressive chemotherapy | Major | |
| Phenytoin | Major | |
| Warfarin | Major | |
| CYP1A2 inhibitors | Moderate | |
| CYP2E1 inducers | Moderate | |
| Nephrotoxic medicines | Moderate | |
| Grapefruit juice | Minor | |
| St John's wort | Minor | |
| Alcohol | Moderate |
🚨 Major Interactions
- Live vaccines
- Other bone marrow suppressants
- Phenytoin
- Warfarin and other anticoagulants
⚡ Moderate Interactions
- CYP1A2 inhibitors
- CYP2E1 inducers
- Nephrotoxic medicines
🍷 Alcohol Interaction
Alcohol should be avoided during treatment with this medicine because it can increase the risk of liver injury, worsen nausea and vomiting, and add to fatigue. If you drink alcohol regularly, discuss this with your treating team before starting treatment.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known severe allergy to dacarbazine or any component of this medicine","Severe bone marrow suppression or very low blood counts","Active serious infection","Severe liver impairment","Severe kidney impairment","Pregnancy and breastfeeding","Live vaccine administration during treatment"]
⚠️ Warnings & Precautions
["This medicine must only be given by a qualified healthcare professional in a supervised setting.","Blood counts must be checked before each cycle because of the risk of bone marrow suppression.","Avoid contact with people who have active infections during treatment.","Use effective contraception during treatment and for a period after treatment as advised.","Avoid live vaccines during treatment.","Report any fever, unusual bleeding, bruising, or rash immediately.","Tell your doctor about all other medicines, supplements, and herbal products you take.","Handle and dispose of this medicine and its waste according to institutional safety guidelines."]
🤱 Lactation Safety
It is not known whether this medicine passes into breast milk. Because of the potential for serious harm to a nursing infant, breastfeeding is not recommended during treatment and for a period after treatment as advised by your doctor.
💊 Overdose Management
There is no specific antidote for an overdose of this medicine. Overdose can cause severe bone marrow suppression, nausea, vomiting, and liver or kidney injury. Treatment is supportive and may include blood product transfusions, antibiotics for infection, anti-sickness medicines, and close monitoring of blood counts and organ function. If an overdose is suspected, contact emergency medical services and your oncology team immediately.
⏰ Missed Dose
This medicine is given by a healthcare professional, so missed doses are managed by your treatment team. If you miss a scheduled appointment, contact your cancer centre as soon as possible to reschedule. Do not try to catch up on your own, and do not take extra doses.
Additional Safety Advice
This medicine must only be given by a qualified healthcare professional in a setting where emergency support is available. Do not attempt to handle or inject this medicine at home. Before each dose, your doctor will check your blood counts, liver function, and kidney function. Tell your treating team about all other medicines, supplements, and herbal products you take, because some can increase the risk of side effects. Avoid close contact with people who have active infections, and follow your oncology team's advice about vaccination. Use effective contraception during treatment and for a period after treatment as advised by your doctor, because this medicine can harm an unborn baby. If you miss a scheduled appointment, contact your cancer centre as soon as possible; do not try to catch up on your own.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults may be more sensitive to the side effects of this medicine, especially bone marrow suppression, fatigue, and liver or kidney effects. The treating oncologist will assess overall health, organ function, and other medicines before deciding the dose. Close monitoring is recommended.
🤰 Pregnancy Planning (TTC)
This medicine can harm an unborn baby. Both men and women should use effective contraception during treatment and for a period after treatment as advised by their doctor. If you are planning pregnancy, discuss it with your oncologist before starting treatment. Do not become pregnant or father a child during treatment without medical advice.
🏥 Post-Surgery Considerations
If you have recently had surgery, tell your surgeon and oncologist before starting this medicine. This medicine can affect wound healing and increase the risk of infection and bleeding. Your treatment team will decide the safest time to start treatment after surgery.
🦷 Dental Procedures
Inform your dentist that you are receiving this medicine before any dental procedure. Because this medicine can lower blood counts and increase the risk of infection and bleeding, dental work may need to be delayed or done with precautions. Your oncologist and dentist should discuss the timing.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Light to moderate exercise such as walking may help reduce fatigue, but avoid strenuous activity during treatment, especially if your blood counts are low. Avoid contact sports or activities that increase the risk of bleeding or injury. Consult your doctor before starting any new exercise programme.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause tiredness, nausea, and low blood counts, which may affect your ability to work or carry out daily activities. Discuss your work schedule with your oncologist. Avoid driving or operating heavy machinery if you feel drowsy or unwell. You may need to take time off during treatment cycles and adjust your routine to allow for rest and recovery.
🛑 When to Stop This Medicine
Do not stop treatment on your own. This medicine is given under the supervision of an oncologist, and the decision to stop or change treatment is based on your response, side effects, and overall health. Contact your doctor immediately if you develop severe side effects such as fever, bleeding, difficulty breathing, or signs of liver injury. Your doctor will decide whether treatment should be delayed, reduced, or stopped.
📅 Long-Term Use Effects
Long-term effects of this medicine can include persistent fatigue, increased risk of infections, and rarely, organ damage. Some people may experience long-lasting changes in blood counts. Regular follow-up with your oncologist is important to monitor for late effects and to assess response to treatment. Secondary cancers have been reported rarely after alkylating agent chemotherapy, so long-term surveillance is advised.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
For some melanomas with specific gene mutations, targeted medicines may be used instead of or in addition to chemotherapy.
Evidence: Well-established for selected mutationsImmune checkpoint inhibitors are used in advanced melanoma and some lymphomas and may be an alternative or additional option.
Evidence: Well-established for selected cancersMay be used for local control of tumours or symptoms in selected cases.
Evidence: Well-established for selected indicationsParticipation in a clinical trial may offer access to newer treatments.
Evidence: Varies by trial💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Live vaccines should be avoided during treatment with this medicine because of the risk of serious infection. Inactivated vaccines may be given, but the immune response may be reduced. Discuss all vaccinations with your oncologist before receiving them.
📦 Storage Guide
✅ DO
Store in the refrigerator at 2 to 8 degrees Celsius
❌ DON'T
Do not freeze the vial
✅ DO
Keep in the original carton to protect from light
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Check the expiry date before use
❌ DON'T
Do not use if expired or if the solution is discoloured or contains particles
✅ DO
Follow institutional pharmacy guidelines for reconstituted solution
❌ DON'T
Do not store reconstituted solution for later use unless instructed
✅ DO
Dispose of unused medicine and waste as cytotoxic waste
❌ DON'T
Do not throw vials or needles in regular household trash
✈️ Traveling with This Medicine
This medicine is given in a hospital or cancer day-care centre, so travel should be planned around your treatment schedule. Carry a copy of your prescription and a letter from your oncologist explaining your diagnosis and treatment. Keep the medicine in its original packaging if you are carrying it, and follow the storage instructions. If you are travelling across time zones, discuss your treatment schedule with your oncologist in advance. Check customs regulations for carrying injectable medicines and carry a medical certificate if needed. Do not miss scheduled blood tests or treatment appointments during travel.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine is given by intravenous infusion by a qualified healthcare professional in a hospital or cancer day-care setting. It is not taken at home.
A: The duration of treatment depends on the type and stage of cancer, your response to treatment, and your overall health. Your oncologist will decide the number of cycles.
A: Watch for fever, unusual bleeding or bruising, severe vomiting, yellowing of the eyes or skin, and any signs of allergic reaction such as rash or difficulty breathing. Report these immediately.
A: This medicine can cause tiredness or dizziness. Avoid driving or operating machinery if you feel unwell or drowsy.
A: This medicine can harm an unborn baby and is not recommended during pregnancy. Use effective contraception during treatment and for a period after treatment as advised by your doctor.
A: Contact your cancer centre as soon as possible to reschedule. Do not try to catch up on your own.
🤔 Common Patient Concerns
🔄 Substitutes for celdaz 500 injection
View AllAlternative brands with exact same active ingredient:
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dacarb 500mg injectionGetwell Oncology Pvt Ltd ₹540.90 2.4% CHEAPER
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dabaz 500 injectionIntas Pharmaceuticals Ltd ₹554.23 SAME PRICE
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melarylz 500mg injectionTaj Pharma India Ltd ₹915.00 65.1% COSTLIER
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dacarex 500mg injectionAlkem Laboratories Ltd ₹919.54 66% COSTLIER
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dacarba 500mg injectionChandra Bhagat Pharma Pvt Ltd ₹950.00 71.5% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken as a tablet at home.
Fact: This medicine is an injection that must be given by a healthcare professional in a supervised setting. - Myth: This medicine has no side effects because it is given in a hospital.
Fact: This medicine can cause significant side effects, including low blood counts, nausea, and liver problems, which is why monitoring is needed. - Myth: This medicine can be used for any type of cancer.
Fact: This medicine is used only for specific cancers and must be prescribed by an oncologist based on the type and stage of cancer. - Myth: Herbal medicines are safe to take with this medicine.
Fact: Some herbal products can interact with this medicine or increase side effects. Always tell your doctor about everything you take.
🔄 Alternative Options
Generic Alternatives
- Dacarbazine 500 mg injection
Brand Alternatives
- Celdaz 500 injection