Endokine 300mcg Injection (Filgrastim): Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Left upper abdominal pain or shoulder tip pain
- Difficulty breathing or rapid breathing
- Swelling of face, lips, or throat
- Sudden weight gain or swelling of extremities
- Severe bone pain unresponsive to pain relievers
- Fever with painful skin lesions
- Unusual bleeding or bruising
If experiencing severe symptoms, call emergency services immediately.
What is grafeel injection used for?
This medicine is a prescription injection containing Filgrastim 300 mcg, used to stimulate the production of white blood cells, particularly neutrophils, in patients undergoing chemotherapy or with certain blood disorders. It helps reduce the risk of infections by increasing neutrophil count.
- Generic Name: Filgrastim (300mcg)
- Manufacturer: Dr Reddy's Laboratories Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 grafeel injection के बारे में (Hindi Summary)
उपयोग: यह दवा फिलग्रास्टिम 300 एमसीजी इंजेक्शन के रूप में उपलब्ध है और मुख्य रूप से कीमोथेरेपी या रेडिएशन थेरेपी से होने वाले न्यूट्रोपेनिया (श्वेत रक्त कोशिकाओं की कमी) के इलाज के लिए दी जाती है। यह अस्थि मज्जा को अधिक न्यूट्रोफिल (एक प्रकार की श्वेत रक्त कोशिका) बनाने के लिए उत्तेजित करती है, जिससे संक्रमण का खतरा कम होता है। यह गंभीर क्रोनिक न्यूट्रोपेनिया, स्टेम सेल ट्रांसप्लांटेशन और अस्थि मज्जा प्रत्यारोपण में भी उपयोग की जाती है। यह दवा केवल डॉक्टर की सलाह और निगरानी में ही दी जानी चाहिए।
साइड इफेक्ट्स: आम दुष्प्रभावों में हड्डियों में दर्द, सिरदर्द, थकान, मतली और इंजेक्शन स्थल पर लालिमा या सूजन शामिल हैं। गंभीर दुष्प्रभावों में प्लीहा का फटना, तीव्र श्वसन संकट सिंड्रोम, गंभीर एलर्जी प्रतिक्रियाएं और केशिका रिसाव सिंड्रोम शामिल हो सकते हैं। दुर्लभ दुष्प्रभावों में स्वीट्स सिंड्रोम और त्वचा वाहिकाशोथ शामिल हैं। किसी भी असामान्य लक्षण को तुरंत डॉक्टर को बताएं।
सुरक्षा सलाह: यह दवा केवल योग्य स्वास्थ्य पेशेवर की देखरेख में ही दी जानी चाहिए। बिना प्रशिक्षण के स्वयं इंजेक्शन न लगाएं। नियमित रक्त परीक्षण आवश्यक है ताकि श्वेत रक्त कोशिकाओं की संख्या की निगरानी की जा सके। यदि आपको पेट के ऊपरी बाएं हिस्से में दर्द, सांस लेने में कठिनाई, या चेहरे, होंठ या गले में सूजन हो तो तुरंत डॉक्टर को बताएं। संक्रमण वाले लोगों के संपर्क से बचें। इस दवा को फ्रिज में निर्देशानुसार रखें और कभी फ्रीज न करें।
💊 grafeel injection Uses & Benefits
[{"condition":"Chemotherapy-induced neutropenia","description":"This medicine is used to reduce the duration of neutropenia and the incidence of infection in patients receiving myelosuppressive chemotherapy.","evidence":"Well-established"},{"condition":"Severe chronic neutropenia","description":"It is used to reduce the incidence and duration of neutropenic events in patients with severe chronic neutropenia.","evidence":"Well-established"},{"condition":"Stem cell mobilization","description":"This medicine is used to mobilize hematopoietic progenitor cells into the peripheral blood for collection and subsequent autologous transplantation.","evidence":"Well-established"},{"condition":"Bone marrow transplantation","description":"It is used to reduce the time to neutrophil recovery and the duration of fever in patients undergoing bone marrow transplantation.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Aplastic anemia","description":"Sometimes used off-label to stimulate white blood cell production in patients with aplastic anemia.","evidence":"Limited"},{"condition":"HIV-related neutropenia","description":"May be used off-label to manage neutropenia in patients with HIV infection.","evidence":"Limited"}]
Primary treatment for: Chemotherapy-induced neutropenia
Also treats: Severe chronic neutropenia, Stem cell mobilization, Bone marrow transplantation
📋 Drug Information
| Generic Name(s) | Filgrastim (300mcg) |
| Brand Name | grafeel injection |
| Manufacturer | Dr Reddy's Laboratories Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI NEOPLASTICS |
| Action Class | Granulocyte-colony stimulating factor (G-CSF) |
| Route of Administration | Parenteral (subcutaneous or intravenous) |
| Storage | Store in the refrigerator at 2°C to 8°C (36°F to 46°F). Do not freeze. Keep the vial in the original carton to protect from light. Do not shake. Before use, allow the vial to reach room temperature for 30 minutes. Do not use if the solution is discolored or contains particles. |
| Shelf Life | The shelf life is typically 24 months from the date of manufacture when stored under recommended conditions. |
| 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 works by binding to specific receptors on the surface of hematopoietic cells, particularly neutrophil precursors in the bone marrow. This binding activates signaling pathways that stimulate the proliferation, differentiation, and activation of neutrophils. It also enhances the functional activity of mature neutrophils, such as phagocytosis and antibody-dependent cellular cytotoxicity. The result is an increased production of neutrophils and their release into the bloodstream, which helps the body fight infections.
Mechanism Steps
💡 How to Take grafeel injection
Strength: Injection: 300 mcg in a single-use vial
Dosage Information
| Adult Dosage | The dose of this medicine is individualized based on the indication, patient's weight, and clinical response. For chemotherapy-induced neutropenia, the usual adult dose is 5 mcg/kg per day given as a subcutaneous injection or short intravenous infusion. For stem cell mobilization, the dose may be 10 mcg/kg per day. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | No specific dose adjustment is required for elderly patients, but caution is advised due to potential age-related organ dysfunction. Dose must be individualized by a qualified clinician. |
| Renal Impairment | No specific dose adjustment is recommended for renal impairment, but caution is advised. Monitor closely. |
| Hepatic Impairment | No specific dose adjustment is recommended for hepatic impairment, but caution is advised. Monitor closely. |
| Maximum Daily Dose | The maximum daily dose has not been established. Doses up to 10 mcg/kg per day have been used in clinical trials. Dose must be individualized by a qualified clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of grafeel injection
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Lithium | Major | |
| Cyclophosphamide | Major | |
| Doxorubicin | Major | |
| Corticosteroids | Moderate |
🚨 Major Interactions
- Lithium
- Chemotherapy agents (e.g., cyclophosphamide, doxorubicin)
⚡ Moderate Interactions
- Corticosteroids
🍷 Alcohol Interaction
There is no known direct interaction between alcohol and this medicine. However, alcohol may worsen certain side effects such as fatigue and nausea. It is advisable to avoid alcohol while receiving this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to Filgrastim or any component of the formulation","Myelodysplastic syndrome","Acute myeloid leukemia (unless under specific specialist supervision)","Severe chronic neutropenia with abnormal cytogenetics"]
⚠️ Warnings & Precautions
["Splenic rupture: Rare but serious. Monitor for left upper abdominal pain.","Acute respiratory distress syndrome (ARDS): Monitor for respiratory symptoms.","Severe allergic reactions: Discontinue immediately if anaphylaxis occurs.","Capillary leak syndrome: Monitor for swelling, weight gain, and difficulty breathing.","Bone pain: Common but usually manageable with analgesics.","Leukocytosis: Monitor white blood cell count to avoid excessive increases.","Sickle cell disease: May precipitate severe vaso-occlusive crisis."]
🤱 Lactation Safety
It is not known whether this medicine is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when administered to a nursing woman.
💊 Overdose Management
There is no specific antidote for overdose with this medicine. In case of overdose, discontinue the medicine and provide supportive care. Monitor white blood cell count and other relevant parameters. Contact a poison control center or emergency department if needed.
⏰ Missed Dose
If you miss a dose of this medicine, contact your healthcare provider for instructions. Do not double the dose to catch up. The dosing schedule is critical for effectiveness, so it is important to adhere to the prescribed regimen.
Additional Safety Advice
This medicine must only be given under the supervision of a qualified healthcare professional. Do not attempt to self-administer unless you have been properly trained. Regular blood tests are essential to monitor your white blood cell count and adjust the dose. Inform your doctor immediately if you experience left upper abdominal pain, difficulty breathing, or swelling of the face, lips, or throat. Avoid contact with people who have infections while your white blood cell count is low. Do not share this medicine with anyone else. Store it in the refrigerator as instructed and never freeze it. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to side effects such as bone pain and fatigue. Monitor renal and hepatic function closely. No specific dose adjustment is required, but individualization is advised.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before starting this medicine. It should be used during pregnancy only if clearly needed. Discuss the potential risks and benefits with your healthcare provider.
🏥 Post-Surgery Considerations
This medicine may be used after surgery to promote white blood cell recovery, especially in patients who have undergone bone marrow transplantation. Follow your doctor's instructions for dosing and monitoring.
🦷 Dental Procedures
Inform your dentist that you are receiving this medicine. There is no specific contraindication for dental procedures, but your dentist may take precautions to prevent infection.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause fatigue or bone pain, which can affect your ability to exercise. Listen to your body and avoid strenuous activities if you feel unwell. Light exercise like walking may be beneficial, but consult your doctor before starting any exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause fatigue, dizziness, or bone pain, which can affect your ability to work or drive. Avoid driving or operating heavy machinery until you know how this medicine affects you. Take rest breaks as needed. Inform your employer about your condition and treatment schedule.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. The duration of treatment is determined by your condition and response to therapy. If you experience severe side effects, contact your doctor immediately; they may adjust or stop the treatment.
📅 Long-Term Use Effects
Long-term use of this medicine may be necessary for patients with severe chronic neutropenia. Regular monitoring of blood counts, spleen size, and for potential side effects is essential. Some patients may develop antibodies to Filgrastim, reducing its effectiveness. Long-term use may also increase the risk of myelodysplastic syndrome or acute myeloid leukemia in certain patients. Regular follow-up with your doctor is important.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A long-acting form of G-CSF that requires less frequent dosing.
Evidence: Well-establishedAnother G-CSF analogue with similar effects.
Evidence: Well-establishedUsed to prevent infections in neutropenic patients, but does not increase white blood cell count.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Live vaccines should be avoided while receiving this medicine due to the potential for increased risk of infection. Inactivated vaccines may be given, but their effectiveness may be reduced. Consult your doctor before receiving any vaccinations.
📦 Storage Guide
✅ DO
Store in the refrigerator at 2°C to 8°C
❌ DON'T
Do not freeze
✅ DO
Keep in the original carton to protect from light
❌ DON'T
Do not shake the vial
✅ DO
Allow the vial to reach room temperature before use
❌ DON'T
Do not use if the solution is discolored or contains particles
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging with the prescription label. Keep it in a cool, insulated bag with ice packs to maintain the temperature between 2°C and 8°C. Carry a copy of your prescription and a doctor's letter explaining the medical need. Check airline regulations for carrying injectable medicines and sharps. If crossing time zones, consult your doctor about adjusting the dosing schedule. Do not freeze the medicine during travel.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine typically starts increasing white blood cell count within 24 hours, with a peak effect in 2 to 5 days.
A: Only if you have been properly trained by a healthcare professional. Otherwise, it should be given by a healthcare provider.
A: Contact your healthcare provider for instructions. Do not double the dose.
A: No specific food restrictions are known. However, maintain a healthy diet to support your overall health.
A: Yes, but carry it in original packaging with prescription and store it properly during travel.
🤔 Common Patient Concerns
🔄 Substitutes for grafeel injection
View AllAlternative brands with exact same active ingredient:
-
granfill 300mcg injectionSamarth Life Sciences Pvt Ltd ₹375.00 48.2% CHEAPER
-
neukine 300mcg injectionIntas Pharmaceuticals Ltd ₹587.55 18.9% CHEAPER
-
grastim injectionDr Reddy's Laboratories Ltd ₹736.91 1.7% COSTLIER
-
imumax 300mcg injectionAbbott ₹1,086.23 50% COSTLIER
-
filneon 300mcg injectionNeon Laboratories Ltd ₹1,096.00 51.3% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken as a pill.
Fact: This medicine is only available as an injection and must be given parenterally. - Myth: This medicine can be self-administered without training.
Fact: It should only be administered under the supervision of a healthcare professional or by a trained individual. - Myth: This medicine is a cure for cancer.
Fact: This medicine does not treat cancer itself; it helps manage neutropenia caused by cancer treatments.
🔄 Alternative Options
Generic Alternatives
- Filgrastim (generic)
Brand Alternatives
- Neupogen
- Zarxio
- Nivestim
- Grastofil