innotaxel 300mg injection - Paclitaxel (300mg) medicine

Nanoxel 300mg Injection (Paclitaxel): Comprehensive Medicine Guide

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🏭 Innova Formulations Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 27, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: High
Reviewed by
SaathiMed Expert Panel | Sep 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 face, lips, or throat during infusion
  • Fever above 38°C or chills
  • Unusual bleeding or bruising
  • Severe chest pain or palpitations
  • Severe abdominal pain or persistent vomiting
  • Yellowing of skin or eyes
  • Decreased urine output

If experiencing severe symptoms, call emergency services immediately.

What is innotaxel 300mg injection used for?

This medicine is a chemotherapy injection containing paclitaxel, used to treat breast, ovarian, lung, and other cancers. It works by stopping cancer cell division and is given intravenously by a healthcare professional.

  • Generic Name: Paclitaxel (300mg)
  • Manufacturer: Innova Formulations Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 innotaxel 300mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा पैक्लिटैक्सेल 300 मिलीग्राम इंजेक्शन है, जिसका उपयोग कैंसर के इलाज के लिए किया जाता है। यह स्तन कैंसर, डिम्बग्रंथि कैंसर, फेफड़ों के कैंसर और एड्स से संबंधित कपोसी सारकोमा के इलाज में प्रभावी है। यह दवा कैंसर कोशिकाओं के विभाजन को रोककर उन्हें नष्ट करती है। यह केवल अस्पताल या कैंसर केंद्र में डॉक्टर या नर्स द्वारा नस के माध्यम से दी जाती है। इसे स्वयं नहीं लगाया जा सकता।

साइड इफेक्ट्स: आम दुष्प्रभावों में बालों का झड़ना, मतली, उल्टी, दस्त, मुंह के छाले, जोड़ों और मांसपेशियों में दर्द, और हाथ-पैरों में सुन्नपन शामिल हैं। गंभीर दुष्प्रभावों में तेज एलर्जी, संक्रमण का खतरा, रक्तस्राव, और हृदय की धड़कन में गड़बड़ी हो सकती है। किसी भी असामान्य लक्षण को तुरंत डॉक्टर को बताएं।

सुरक्षा सलाह: यह दवा केवल योग्य स्वास्थ्य पेशेवर द्वारा ही दी जानी चाहिए। एलर्जी के लक्षण जैसे दाने, खुजली, सूजन या सांस लेने में कठिनाई हो तो तुरंत डॉक्टर को बताएं। संक्रमण से बचें क्योंकि यह दवा प्रतिरक्षा प्रणाली को कमजोर कर सकती है। गर्भावस्था के दौरान इस दवा का उपयोग न करें। टीके लगवाने से पहले डॉक्टर से सलाह लें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 innotaxel 300mg injection Uses & Benefits

[{"condition":"Breast cancer","description":"Used as part of combination chemotherapy for node-positive breast cancer after standard treatment, or as monotherapy for metastatic disease.","evidence":"Well-established"},{"condition":"Ovarian cancer","description":"Used as first-line therapy in combination with platinum-based agents for advanced ovarian carcinoma.","evidence":"Well-established"},{"condition":"Non-small cell lung cancer","description":"Used in combination with other chemotherapy drugs for advanced or metastatic non-small cell lung cancer.","evidence":"Well-established"},{"condition":"AIDS-related Kaposi's sarcoma","description":"Used as second-line therapy for advanced AIDS-related Kaposi's sarcoma.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Gastric cancer","description":"Sometimes used in combination regimens for advanced gastric cancer.","evidence":"Limited"},{"condition":"Head and neck cancer","description":"Occasionally used in combination therapy for recurrent or metastatic head and neck cancers.","evidence":"Limited"},{"condition":"Bladder cancer","description":"Investigated as part of combination therapy for advanced bladder cancer.","evidence":"Limited"}]

Primary treatment for: Cancer (breast, ovarian, lung, Kaposi's sarcoma)

Also treats: Metastatic breast cancer, Advanced ovarian cancer, Non-small cell lung cancer, AIDS-related Kaposi's sarcoma

📋 Drug Information

Generic Name(s)Paclitaxel (300mg)
Brand Nameinnotaxel 300mg injection
ManufacturerInnova Formulations Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI NEOPLASTICS
Action ClassAntimicrotubule agents- Taxanes
Route of AdministrationParenteral (intravenous infusion)
StorageStore in a refrigerator at 2°C to 8°C. Do not freeze. Protect from light. Keep in the original carton until use.
Shelf LifeRefer to the product label for the exact shelf life. Typically 24 months from the date of manufacture.
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
Premedicate with corticosteroids, antihistamines, and H2 antagonists before administering this medicine to prevent allergic reactions.
2
Monitor vital signs closely during and after the infusion.
3
Assess blood counts before each cycle and adjust dose accordingly.
4
Evaluate for peripheral neuropathy at each visit and consider dose reduction if severe.
5
Advise patients to use effective contraception during and after treatment.
6
Instruct patients to report fever, bleeding, or signs of infection immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Cancer diagnosis
This medicine is prescribed for specific types of cancer.
Likely Use
❌
Fever
This medicine is not a fever reducer; fever may indicate infection and should be reported.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is administered intravenously, so absorption is complete and immediate.
DistributionPaclitaxel is highly protein-bound and distributes widely into body tissues. It does not cross the blood-brain barrier significantly.
Protein BindingApproximately 89% to 98% bound to plasma proteins.
MetabolismMetabolised primarily in the liver by cytochrome P450 enzymes CYP2C8 and CYP3A4.
Half-LifeThe elimination half-life is biphasic, with a terminal half-life of approximately 5 to 17 hours.
ExcretionExcreted mainly in the faeces via bile, with a small amount excreted in urine.
Bioavailability100% due to intravenous administration.
Onset of ActionThe effects on cancer cells begin immediately after infusion, but clinical response may take weeks to months.
Peak Plasma TimePeak plasma concentration occurs at the end of the infusion.
Duration of ActionThe cytotoxic effect persists for several days, but the exact duration depends on the cell cycle and tumour type.

How It Works

This medicine works by binding to the beta-tubulin subunit of microtubules, which are essential structures for cell division. This binding stabilises the microtubules and prevents their normal disassembly, leading to cell cycle arrest in the G2/M phase and eventually cell death. Cancer cells are particularly sensitive to this effect because they divide rapidly.

Mechanism Steps

1
Binding to beta-tubulin: This medicine binds specifically to the beta-tubulin subunit of microtubules.
2
Microtubule stabilisation: This binding stabilises the microtubule polymer and prevents its disassembly.
3
Cell cycle arrest: The stabilised microtubules interfere with normal mitotic spindle function, causing cell cycle arrest in the G2/M phase.
4
Apoptosis: Prolonged arrest leads to programmed cell death (apoptosis) of cancer cells.

💡 How to Take innotaxel 300mg injection

Strength: Injection: 300 mg per vial

1This medicine is given by a healthcare professional as an intravenous infusion.
2Premedication with corticosteroids, antihistamines, and H2 antagonists is given before the infusion to prevent allergic reactions.
3The infusion is typically given over 3 hours.
4Vital signs are monitored before, during, and after the infusion.
5Report any discomfort or unusual symptoms to the nurse or doctor immediately.

Dosage Information

Adult DosageThe dose of this medicine is individualized by a qualified clinician based on the type of cancer, stage, prior treatments, and patient factors such as body surface area, liver function, and blood counts. Common regimens include 175 mg/m² given as a 3-hour infusion every 3 weeks, or 135 mg/m² every 3 weeks in combination with other agents. Dose adjustments are required for liver impairment, low blood counts, or severe side effects. This medicine must only be administered by a healthcare professional.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatric oncologist.
Elderly DosageElderly patients may be more susceptible to side effects such as peripheral neuropathy and bone marrow suppression. Dose adjustments may be necessary based on overall health and organ function.
Renal ImpairmentNo specific dose adjustment is recommended for renal impairment, but caution is advised in patients with severe renal impairment.
Hepatic ImpairmentDose reduction is recommended for patients with moderate to severe hepatic impairment. Monitor liver function closely.
Maximum Daily DoseThe maximum dose depends on the regimen and indication. It is determined by the treating oncologist.

Dosage Timeline

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

🍽️ Food Timing Guide

Grapefruit
Avoid
May increase drug levels by inhibiting CYP3A4.
Alcohol
Avoid
May increase liver toxicity and worsen side effects.

⏰ What to Do If You Miss a Dose

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

⚠️ Side Effects of innotaxel 300mg injection

✅ Common Side Effects

Hair loss (Very common (>10%))
Usually reversible after treatment ends. Consider wigs or scarves.
Nausea and vomiting (Common (1-10%))
Take anti-nausea medicines as prescribed. Eat small, frequent meals.
Joint and muscle pain (Common (1-10%))
Report to your doctor; pain relievers may be prescribed.
Numbness or tingling in hands and feet (Common (1-10%))
Inform your doctor; dose adjustment may be needed.
Mouth sores (Common (1-10%))
Maintain good oral hygiene; use prescribed mouth rinses.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Uncommon (0.1-1%))
Seek immediate medical attention if you experience rash, swelling, difficulty breathing, or dizziness during infusion.
Low white blood cell count (neutropenia) (Very common (>10%))
Monitor for fever, sore throat, or other signs of infection. Contact your doctor immediately if fever occurs.
Low platelet count (thrombocytopenia) (Common (1-10%))
Report unusual bleeding or bruising to your doctor.
Heart rhythm abnormalities (Uncommon (0.1-1%))
Report palpitations, chest pain, or shortness of breath immediately.
Severe skin reactions (Rare (<0.1%))
Seek immediate medical attention if you develop a severe rash, blistering, or peeling skin.

⚠️ Rare Side Effects

Hearing loss
Report any changes in hearing to your doctor.
Liver damage
Report yellowing of skin or eyes, dark urine, or severe abdominal pain.
Severe injection site reaction
Inform your nurse or doctor if you feel pain, burning, or swelling at the injection site.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Ketoconazole Major
Ritonavir Major
Gemfibrozil Major
Warfarin Moderate
Doxorubicin Moderate
Live vaccines Major

🚨 Major Interactions

  • CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
  • CYP2C8 inhibitors (e.g., gemfibrozil)
  • Live vaccines

⚡ Moderate Interactions

  • Warfarin
  • Doxorubicin

🍷 Alcohol Interaction

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

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Severe hypersensitivity to paclitaxel or other taxanes","Severe liver impairment","Baseline neutrophil count less than 1500 cells/mm³","Pregnancy","Breastfeeding"]

⚠️ Warnings & Precautions

["This medicine should be administered under the supervision of a qualified oncologist.","Premedication with corticosteroids, antihistamines, and H2 antagonists is required to prevent allergic reactions.","Blood counts should be monitored frequently.","Patients should be monitored for signs of infection.","Avoid live vaccines during treatment.","Use effective contraception during and after treatment."]

🤱 Lactation Safety

It is not known whether paclitaxel is excreted in human milk. Because of the potential for serious adverse reactions in nursing infants, breastfeeding should be discontinued during treatment and for at least 2 weeks after the last dose.

💊 Overdose Management

Overdose may cause severe bone marrow suppression, peripheral neuropathy, and mucositis. There is no specific antidote. Treatment is supportive and symptomatic. Patients should be monitored closely and given appropriate supportive care.

⏰ Missed Dose

This medicine is given by a healthcare professional in a clinical setting. If you miss an appointment for your infusion, 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 only be given by a qualified healthcare professional in a setting equipped to manage allergic reactions. Inform your doctor immediately if you experience any signs of an allergic reaction such as rash, itching, swelling, or difficulty breathing during or after the infusion. Avoid contact with people who have infections, as this medicine can lower your immunity. Use effective contraception during treatment and for some time after, as this medicine can harm an unborn baby. Do not receive live vaccines while on this medicine. Report any unusual bleeding, bruising, fever, or persistent vomiting to your doctor without delay.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to side effects such as peripheral neuropathy, bone marrow suppression, and cardiac effects. Dose adjustments and close monitoring are recommended.

🤰 Pregnancy Planning (TTC)

This medicine can harm an unborn baby. Women of childbearing potential should use effective contraception during treatment and for at least 6 months after the last dose. Men should also use contraception for at least 3 months after treatment. Discuss pregnancy planning with your doctor before starting treatment.

🏥 Post-Surgery Considerations

This medicine may affect wound healing due to its effects on cell division. Inform your surgeon if you are receiving this medicine before any surgery. Your doctor may recommend delaying surgery until blood counts recover.

🦷 Dental Procedures

This medicine can increase the risk of bleeding and infection. Inform your dentist that you are receiving this medicine before any dental procedure. Your dentist may recommend postponing non-urgent procedures until your blood counts recover.

💚 Lifestyle Tips for Better Results

🏃
Eat a balanced diet rich in protein and calories to maintain strength.
🥗
Stay hydrated by drinking plenty of fluids.
😴
Get adequate rest and sleep.
💧
Engage in light exercise as tolerated to reduce fatigue.
🧘
Avoid crowds and people with infections.
🌞
Practice good hand hygiene.
🚭
Seek emotional support from family, friends, or support groups.

🏋️ Exercise Considerations

Light exercise such as walking may help reduce fatigue, but avoid strenuous activities if you have low blood counts or feel unwell. Consult your doctor before starting any exercise program.

🥗 Diet Recommendations

Include protein-rich foods like eggs, lean meat, and legumes.
Eat small, frequent meals to manage nausea.
Avoid raw or undercooked foods to prevent infections.
Drink plenty of fluids to stay hydrated.
Limit sugary and processed foods.

💼 Impact on Daily Work & Life

You may need to take time off work during treatment cycles. Fatigue, nausea, and neuropathy can affect your ability to work. Discuss your treatment schedule with your employer and plan for flexibility.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your oncologist. Treatment may be stopped or adjusted if severe side effects occur, such as severe neuropathy, low blood counts, or allergic reactions. Your doctor will decide the appropriate course.

📅 Long-Term Use Effects

Long-term use may cause persistent peripheral neuropathy, which can affect daily activities. Regular monitoring of blood counts, liver function, and neurological status is essential. Some patients may experience lasting fatigue or hair loss that resolves after treatment ends.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Other chemotherapy agents

Depending on the cancer type, other drugs like docetaxel or platinum agents may be used.

Evidence: Well-established
Targeted therapy

For some cancers, targeted therapies may be more appropriate.

Evidence: Well-established
Immunotherapy

May be used for certain cancers, either alone or in combination.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Live vaccines should be avoided during treatment with this medicine due to the risk of infection. Inactivated vaccines may be given, but their effectiveness may be reduced. Consult your doctor before receiving any vaccine.

📦 Storage Guide

✅ DO

Store in a 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 remove from carton until use

✅ DO

Keep out of reach of children

❌ DON'T

Do not use if the solution is discoloured or contains particles

✈️ Traveling with This Medicine

This medicine is administered in a hospital or clinic, so travel is not typically required for administration. If you need to travel for treatment, carry your prescription and medical records. Store the medicine in a refrigerator at 2°C to 8°C during travel. Check customs regulations for carrying injectable medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 52-year-old woman with metastatic breast cancer
She received this medicine as part of a combination regimen. She experienced hair loss and fatigue but was able to manage with support. Her tumour shrank significantly after 4 cycles.
💡 Lesson: Adherence to the treatment schedule and close monitoring help achieve the best outcomes.
👤 A 60-year-old man with advanced lung cancer
He developed peripheral neuropathy after several cycles. His doctor reduced the dose, and his symptoms improved. He continued treatment with good tolerance.
💡 Lesson: Reporting side effects promptly allows for timely dose adjustments and better tolerability.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: The effects on cancer cells begin immediately, but clinical response may take weeks to months. Your doctor will monitor your progress with regular scans and tests.

Q: Can I drive after receiving this medicine?

A: It is not recommended to drive immediately after the infusion due to potential dizziness and fatigue. Arrange for someone to drive you home.

Q: What should I avoid while on this medicine?

A: Avoid alcohol, grapefruit, live vaccines, and contact with people who have infections. Use effective contraception.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine if I have liver problems?
  • Will this medicine affect my fertility?
  • Can I work while on this medicine?
  • How long will I need this treatment?
  • What should I do if I miss a dose?
  • Can I take other medicines with this?

🔄 Substitutes for innotaxel 300mg 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 can be taken at home.
    Fact: This medicine must be given by a healthcare professional in a clinical setting.
  • Myth: This medicine has no side effects.
    Fact: This medicine can cause significant side effects, including hair loss, low blood counts, and nerve damage.
  • Myth: This medicine can cure all cancers.
    Fact: This medicine is effective for specific types of cancer and is used as part of a comprehensive treatment plan.

🔄 Alternative Options

Generic Alternatives

  • Paclitaxel injection

Brand Alternatives

  • Nanoxel 300mg injection

📊 Comparison with Similar Medicines

[{"medicine":"Paclitaxel (this medicine)","class":"Taxane","route":"Intravenous","common_uses":"Breast, ovarian, lung, Kaposi's sarcoma"},{"medicine":"Docetaxel","class":"Taxane","route":"Intravenous","common_uses":"Breast, prostate, lung, gastric"}]

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