etoplast 100mg injection - Etoposide (100mg) medicine

Etosid 100mg Injection (Etoposide): Comprehensive Medicine Guide

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🏭 Neon Laboratories Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 25, 2026
⚠️ Hepatotoxicity Risk 🤰 Pregnancy Category Not assigned. This medicine is contraindicated during pregnancy due to risk of fetal harm. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: High for approved indications.
Reviewed by
SaathiMed Expert Panel | Oct 25, 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

  • Fever above 100.4°F (38°C) or chills
  • Unusual bleeding or bruising
  • Shortness of breath or difficulty breathing
  • Severe abdominal pain
  • Swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Decreased urine output
  • Severe headache or confusion

If experiencing severe symptoms, call emergency services immediately.

What is etoplast 100mg injection used for?

This medicine is a chemotherapy injection containing etoposide, used to treat small cell lung cancer, testicular cancer, lymphoma, and other cancers. It works by blocking an enzyme needed for cancer cell division. It is given intravenously by a healthcare professional.

  • Generic Name: Etoposide (100mg)
  • Manufacturer: Neon Laboratories Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 etoplast 100mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा एटोपोसाइड का इंजेक्शन है, जिसका उपयोग कैंसर के इलाज में किया जाता है। यह छोटे सेल फेफड़ों के कैंसर, टेस्टिकुलर कैंसर, लिम्फोमा और अन्य कैंसर के इलाज के लिए दी जाती है। यह दवा कैंसर कोशिकाओं को बढ़ने और फैलने से रोकती है। यह इंजेक्शन के रूप में नस के माध्यम से दी जाती है और इसे केवल डॉक्टर या नर्स द्वारा ही लगाया जाता है।

साइड इफेक्ट्स: आम दुष्प्रभावों में बुखार, थकान, बालों का झड़ना, मतली, उल्टी, दस्त, मुंह में छाले, और रक्त कोशिकाओं की संख्या में कमी शामिल है। गंभीर दुष्प्रभावों में गंभीर संक्रमण, रक्तस्राव, और एलर्जी प्रतिक्रिया शामिल हो सकती है। कोई भी असामान्य लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: यह दवा केवल अस्पताल या कैंसर डे-केयर सेंटर में डॉक्टर की देखरेख में ही दी जानी चाहिए। इसे घर पर स्वयं न लगाएं। इलाज के दौरान संक्रमण से बचें, भीड़-भाड़ वाली जगहों पर मास्क पहनें। गर्भवती महिलाओं को यह दवा नहीं दी जानी चाहिए। इलाज के दौरान और बाद में भी गर्भधारण से बचें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 etoplast 100mg injection Uses & Benefits

[{"condition":"Small cell lung cancer","description":"Used in combination with other chemotherapy agents as first-line or second-line treatment.","evidence":"Well-established"},{"condition":"Testicular cancer","description":"Part of combination regimens for advanced testicular germ cell tumors.","evidence":"Well-established"},{"condition":"Lymphoma (Hodgkin and non-Hodgkin)","description":"Used in various combination chemotherapy regimens.","evidence":"Well-established"},{"condition":"Acute myeloid leukemia (AML)","description":"Used in some induction or consolidation regimens.","evidence":"Well-established"},{"condition":"Ovarian cancer","description":"Sometimes used in combination therapy for recurrent or refractory ovarian cancer.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Gestational trophoblastic neoplasia","description":"Occasionally used in combination regimens for resistant cases.","evidence":"Limited"},{"condition":"Brain tumors","description":"Sometimes used in high-dose regimens for certain brain tumors.","evidence":"Limited"}]

Primary treatment for: Small cell lung cancer

Also treats: Testicular cancer, Lymphoma, Acute myeloid leukemia, Ovarian cancer

📋 Drug Information

Generic Name(s)Etoposide (100mg)
Brand Nameetoplast 100mg injection
ManufacturerNeon Laboratories Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI NEOPLASTICS
Action ClassAlkaloids-cytotoxic agents
Route of AdministrationParenteral (intravenous infusion)
StorageStore at 2-8°C (refrigerate). Do not freeze. Protect from light. Keep in original carton until use. Diluted solutions should be used immediately or stored as per institutional guidelines.
Shelf LifeRefer to the product label for the exact shelf life. Typically 24 months from the date of manufacture when stored properly.
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 in a setting with resuscitation equipment available.
2
Monitor blood counts before each cycle and adjust dose as needed.
3
Premedicate with antiemetics to reduce nausea and vomiting.
4
Ensure adequate hydration before and after infusion.
5
Monitor for signs of extravasation during infusion and stop immediately if suspected.
6
Advise patients to use effective contraception during and after treatment.
7
Avoid live vaccines during treatment.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Cancer diagnosis
This medicine is prescribed for certain cancers.
Likely Use
❌
Fever
This medicine is not a fever reducer; fever may indicate infection.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is administered intravenously, so absorption is not applicable. It is completely bioavailable after intravenous infusion.
DistributionEtoposide distributes widely into body tissues. It has a volume of distribution of approximately 7-17 L/m². It crosses the blood-brain barrier to a limited extent. Protein binding is high, approximately 97%.
Protein BindingApproximately 97% bound to plasma proteins, mainly albumin.
MetabolismEtoposide is metabolized in the liver, primarily by cytochrome P450 enzymes (CYP3A4) and also by glucuronidation. Some metabolites may have cytotoxic activity.
Half-LifeThe terminal elimination half-life is approximately 6-12 hours in patients with normal renal and hepatic function. It may be prolonged in patients with liver or kidney impairment.
ExcretionEtoposide is excreted primarily in the urine (approximately 40-60% as unchanged drug and metabolites) and to a lesser extent in bile and feces.
Bioavailability100% after intravenous administration.
Onset of ActionThe cytotoxic effect begins within hours of infusion, but clinical response may take weeks to become evident.
Peak Plasma TimePeak plasma concentration is reached immediately at the end of intravenous infusion.
Duration of ActionThe cytotoxic effect persists for several days, but the plasma half-life is 6-12 hours. The duration of clinical effect depends on the dosing schedule and tumor sensitivity.

How It Works

This medicine works by inhibiting the enzyme topoisomerase II, which is essential for DNA replication and repair. By stabilizing the enzyme-DNA complex, it prevents the re-ligation of DNA strands, leading to double-strand breaks. These breaks trigger cell cycle arrest and apoptosis, particularly in rapidly dividing cancer cells.

Mechanism Steps

1
Binding to topoisomerase II: This medicine binds to the topoisomerase II enzyme and DNA complex.
2
Stabilization of the cleavable complex: It stabilizes the enzyme-DNA intermediate, preventing DNA re-ligation.
3
DNA double-strand breaks: Persistent breaks accumulate, leading to DNA damage.
4
Cell cycle arrest: The damaged DNA triggers cell cycle checkpoints, arresting cells in G2 phase.
5
Apoptosis: If damage is irreparable, the cell undergoes programmed cell death.

💡 How to Take etoplast 100mg injection

Strength: 100 mg/5 mL concentrated injection solution

1This medicine is given by a healthcare professional in a hospital or clinic setting.
2It is administered as an intravenous infusion over 30-60 minutes.
3You will be monitored for allergic reactions during and after the infusion.
4Drink plenty of fluids before and after treatment unless told otherwise.
5Report any side effects to your healthcare team immediately.

Dosage Information

Adult DosageThe dose of this medicine is highly individualized and depends on the type of cancer, stage, combination regimen, and patient factors such as blood counts, liver and kidney function. Common regimens include 50-100 mg/m²/day for 3-5 days every 3-4 weeks, or 100-200 mg/m² as a single dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatric oncologist.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine, especially bone marrow suppression. Dose adjustment may be necessary based on organ function and overall health. Close monitoring is recommended.
Renal ImpairmentDose adjustment may be needed in patients with renal impairment. Monitor renal function closely. Consult a clinician for specific dosing.
Hepatic ImpairmentDose reduction may be necessary in patients with hepatic impairment. Monitor liver function closely. Consult a clinician for specific dosing.
Maximum Daily DoseThe maximum daily dose varies by regimen. Common maximum is 200 mg/m² per dose. Do not exceed the dose prescribed by your doctor.

Dosage Timeline

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

🍽️ Food Timing Guide

Grapefruit
Avoid
May increase drug levels and toxicity.

⏰ What to Do If You Miss a Dose

📌 You miss your scheduled appointment for infusion
→ Contact your doctor or clinic as soon as possible to reschedule.
💡 Do not attempt to self-administer.

⚠️ Side Effects of etoplast 100mg injection

✅ Common Side Effects

Low white blood cell count (neutropenia) (Very common (>10%))
Your doctor will monitor blood counts. Report any fever or signs of infection immediately.
Low platelet count (thrombocytopenia) (Very common (>10%))
Report any unusual bruising or bleeding. Avoid activities that may cause injury.
Nausea and vomiting (Common (1-10%))
Your doctor may prescribe anti-nausea medicines. Take them as directed.
Hair loss (Common (1-10%))
Hair usually grows back after treatment ends. Consider a wig or scarf if desired.
Fatigue (Common (1-10%))
Get plenty of rest. Pace your activities and ask for help when needed.

🚨 Serious Side Effects

Severe infection (sepsis) (Uncommon (0.1-1%))
Seek immediate medical attention if you have fever, chills, rapid heartbeat, or confusion.
Severe bleeding (Uncommon (0.1-1%))
Go to the emergency room if you have uncontrolled bleeding, blood in vomit or stool, or severe headache.
Anaphylaxis (severe allergic reaction) (Rare (<0.1%))
Seek emergency help if you have difficulty breathing, swelling of face or throat, or a severe rash.
Secondary leukemia (Rare (<0.1%))
This is a late effect. Your doctor will monitor you long-term. Report any unusual fatigue, fever, or bleeding.

⚠️ Rare Side Effects

Severe skin reactions (Stevens-Johnson syndrome)
Seek immediate medical attention if you develop a painful rash, blisters, or peeling skin.
Heart rhythm abnormalities
Report palpitations, dizziness, or fainting to your doctor immediately.
Liver damage
Your doctor will monitor liver function. Report yellowing of eyes or skin, dark urine, or abdominal pain.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Ketoconazole Major
Rifampin Moderate
Phenytoin Moderate
Live vaccines Major

🚨 Major Interactions

  • Live vaccines
  • Warfarin
  • CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin)

⚡ Moderate Interactions

  • CYP3A4 inducers (e.g., rifampin, phenytoin)
  • Other myelosuppressive agents

🍷 Alcohol Interaction

Alcohol may increase the risk of liver toxicity and worsen side effects such as nausea and fatigue. It is best to avoid alcohol during treatment.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known severe hypersensitivity to etoposide or any component of the formulation","Severe bone marrow suppression","Severe liver impairment","Pregnancy (especially first trimester)","Breastfeeding"]

⚠️ Warnings & Precautions

["This medicine should be administered only by healthcare professionals experienced in cancer chemotherapy.","Severe myelosuppression can occur; monitor blood counts closely.","Anaphylactic reactions can occur; emergency equipment should be available.","Avoid live vaccines during treatment.","Use effective contraception during and after treatment.","Avoid pregnancy and breastfeeding.","Caution in patients with liver or kidney impairment; dose adjustment may be needed.","Extravasation can cause tissue damage; administer with care."]

🤱 Lactation Safety

It is not known whether etoposide passes into breast milk. Because of the potential for serious adverse reactions in nursing infants, breastfeeding should be discontinued during treatment.

💊 Overdose Management

There is no specific antidote for etoposide overdose. Management should be symptomatic and supportive. Monitor blood counts, liver and kidney function, and provide supportive care as needed. In case of overdose, contact a poison control center or emergency room immediately.

⏰ Missed Dose

This medicine is given by a healthcare professional. If you miss an appointment for your dose, contact your doctor or clinic as soon as possible to reschedule. Do not attempt to self-administer.

Additional Safety Advice

General Safety

This medicine must be given only by a healthcare professional in a setting where emergency equipment is available. Do not attempt to administer it at home. Before each dose, your doctor will check your blood counts, liver function, and kidney function. Tell your doctor if you have any signs of infection such as fever, sore throat, or cough. Avoid close contact with people who have colds or infections. Do not receive live vaccines while on this medicine. Use effective contraception during treatment and for several months after, as this medicine can harm an unborn baby. Avoid pregnancy and breastfeeding during treatment. Drink plenty of fluids unless told otherwise. Report any new or worsening symptoms to your doctor right away.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to side effects, especially bone marrow suppression. Close monitoring and dose adjustments may be needed.

🤰 Pregnancy Planning (TTC)

This medicine can harm an unborn baby. Use effective contraception during treatment and for several months after. Consult your doctor before planning pregnancy.

🏥 Post-Surgery Considerations

This medicine may affect wound healing and increase infection risk. Inform your surgeon if you are on this medicine before any surgery.

🦷 Dental Procedures

Inform your dentist that you are receiving this medicine. It may increase the risk of bleeding and infection. Your dentist may recommend postponing non-urgent procedures.

💚 Lifestyle Tips for Better Results

🏃
Get plenty of rest and pace your activities.
🥗
Eat a balanced diet to maintain strength.
😴
Stay hydrated by drinking fluids regularly.
💧
Avoid crowds and people with infections.
🧘
Practice good hand hygiene.
🌞
Use sunscreen and protective clothing when outdoors.

🏋️ Exercise Considerations

Mild exercise like walking may help with fatigue, but avoid strenuous activities if you have low blood counts or feel unwell. Consult your doctor before starting any exercise program.

🥗 Diet Recommendations

Eat small, frequent meals to manage nausea.
Include protein-rich foods to support recovery.
Avoid raw or undercooked foods to prevent infection.
Drink plenty of fluids unless told otherwise.

💼 Impact on Daily Work & Life

You may need to take time off work during treatment cycles. Fatigue and risk of infection may limit your ability to work. Discuss with your employer about flexible arrangements.

🛑 When to Stop This Medicine

Do not stop treatment without consulting your oncologist. Stopping prematurely may reduce the effectiveness of treatment. Your doctor will decide when to stop based on your response and side effects.

📅 Long-Term Use Effects

Long-term effects may include secondary leukemia, infertility, and organ damage. Regular follow-up with your oncologist is essential to monitor for late effects.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Clinical trials

May offer alternative treatment options for some patients.

Evidence: Varies
Palliative care

Focuses on symptom relief and quality of life.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Live vaccines should be avoided during treatment. Inactivated vaccines may be given but may be less effective. Consult your doctor before any vaccination.

📦 Storage Guide

✅ DO

Store in refrigerator at 2-8°C

❌ DON'T

Do not freeze

✅ DO

Keep in original carton to protect from light

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Use diluted solution immediately

❌ DON'T

Do not store diluted solution for long periods

✈️ Traveling with This Medicine

This medicine is given in a hospital setting, so travel is not applicable for administration. If you are traveling between treatment cycles, carry your prescription and medical records. Store the medicine as directed by your healthcare provider. Do not carry it in checked luggage if you need to transport it. Consult your doctor before planning any travel during treatment.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 58-year-old man with small cell lung cancer
He received this medicine as part of a combination chemotherapy regimen. He experienced fatigue and hair loss but completed treatment successfully. His tumor shrank significantly after four cycles.
💡 Lesson: Adherence to the prescribed schedule and close monitoring helped manage side effects and achieve a good response.
👤 A 32-year-old woman with testicular cancer
She was treated with this medicine along with other agents. She had nausea and low blood counts but recovered with supportive care. She is now in remission.
💡 Lesson: Reporting side effects promptly allows timely management and prevents complications.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: The effects on cancer cells begin within hours, but clinical response may take weeks to become evident.

Q: Can I drive after treatment?

A: This medicine can cause fatigue and dizziness. Avoid driving if you feel unwell.

Q: What if I miss a dose?

A: Contact your doctor to reschedule. Do not attempt to self-administer.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine at home?
  • Will I lose my hair?
  • How long will I need treatment?
  • Can I work during treatment?
  • What should I do if I miss a dose?
  • Is it safe to be around pregnant women while on this medicine?

🔄 Substitutes for etoplast 100mg injection

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Etoposide injection can be self-administered at home.
    Fact: No, it must be given by a healthcare professional in a clinical setting.
  • Myth: Etoposide injection is safe during pregnancy.
    Fact: No, it can harm the unborn baby and is contraindicated during pregnancy.

🔄 Alternative Options

Generic Alternatives

  • Etoposide injection

Brand Alternatives

  • Etoposide injection

📊 Comparison with Similar Medicines

[{"medicine":"Etoposide","class":"Topoisomerase II inhibitor","route":"Intravenous","main_use":"Small cell lung cancer, testicular cancer"},{"medicine":"Teniposide","class":"Topoisomerase II inhibitor","route":"Intravenous","main_use":"Leukemia, lymphoma"}]

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