Cabapan Injection (Cabazitaxel 60mg): 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°C or higher, chills, or shivering
- Difficulty breathing, chest tightness, or swelling of the face, lips, or throat
- Severe or watery diarrhea that does not stop
- Persistent vomiting or inability to drink fluids
- Unusual bleeding, bruising, black stool, or vomiting blood
- Yellowing of the eyes or skin, dark urine, or severe abdominal pain
- Decreased urine output or swelling of the legs and feet
- Confusion, fainting, palpitations, or irregular heartbeat
If experiencing severe symptoms, call emergency services immediately.
What is jevatax 60mg injection used for?
This medicine is an injectable chemotherapy medicine containing cabazitaxel. It is used to treat metastatic castration-resistant prostate cancer in adults whose cancer has worsened after docetaxel treatment. It is given by intravenous infusion every three weeks in a hospital or cancer center, along with premedication to reduce allergic reactions. It works by blocking microtubules inside cancer cells, which stops them from dividing. Close blood count monitoring is essential because it can lower infection-fighting white blood cells.
- Generic Name: Cabazitaxel (60mg)
- Manufacturer: Cipla Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 jevatax 60mg injection के बारे में (Hindi Summary)
उपयोग: यह दवा कैबाज़िटैक्सल नामक सक्रिय तत्व वाली एक कीमोथेरेपी इंजेक्शन है। इसका उपयोग मुख्य रूप से उन वयस्क पुरुषों में किया जाता है जिन्हें मेटास्टेटिक कैस्ट्रेशन-रेसिस्टेंट प्रोस्टेट कैंसर है और डोसेटैक्सल वाली कीमोथेरेपी के बाद भी बीमारी बढ़ रही है। यह दवा नस के माध्यम से अस्पताल या कैंसर सेंटर में डॉक्टर या नर्स द्वारा दी जाती है। यह कैंसर कोशिकाओं के विभाजन को रोककर उन्हें नष्ट करने में मदद करती है। इसे हर तीन सप्ताह में एक बार दिया जाता है। इलाज से पहले और बाद में खून की जांच करना बहुत जरूरी है क्योंकि यह दवा शरीर की रोग-प्रतिरोधक क्षमता को कम कर सकती है। इस दवा को घर पर स्वयं नहीं लगाया जा सकता।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में सफेद रक्त कोशिकाओं की कमी, संक्रमण का खतरा, खून की कमी, थकान, जी मिचलाना, उल्टी, दस्त, कब्ज, भूख न लगना, स्वाद में बदलाव, बाल झड़ना, जोड़ों और मांसपेशियों में दर्द, हाथ-पैरों में झनझनाहट और सूजन शामिल हैं। गंभीर दुष्प्रभावों में बुखार के साथ संक्रमण, गंभीर दस्त, इंजेक्शन के दौरान एलर्जी, गुर्दे की समस्या और दिल की धड़कन में बदलाव हो सकते हैं। अगर आपको बुखार, ठंड लगना, सांस लेने में तकलीफ, लगातार उल्टी या दस्त, या असामान्य खून आना हो तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: यह दवा केवल अस्पताल या कैंसर सेंटर में प्रशिक्षित डॉक्टर या नर्स द्वारा ही दी जानी चाहिए। हर खुराक से पहले खून की जांच, लीवर और किडनी की जांच करवाना जरूरी है। अगर आपको बुखार, ठंड लगना, गले में दर्द, मुंह के छाले, असामान्य थकान, आसानी से चोट लगना, खून आना, पानी जैसा दस्त, उल्टी, चकत्ते, सीने में तकलीफ या सांस लेने में परेशानी हो तो तुरंत अपनी मेडिकल टीम को बताएं। इलाज के दौरान और उसके बाद डॉक्टर की सलाह अनुसार गर्भनिरोधक उपाय अपनाएं। इस दवा के दौरान स्तनपान न करें। पर्याप्त पानी पिएं, खासकर दस्त या उल्टी होने पर। बिना डॉक्टर की सलाह के कोई नई दवा, हर्बल उत्पाद या सप्लीमेंट न लें।
💊 jevatax 60mg injection Uses & Benefits
- [{"condition":"Metastatic castration-resistant prostate cancer","description":"This medicine is used in adults with hormone-refractory metastatic prostate cancer that has worsened during or after treatment with a docetaxel-containing regimen.
- It is given together with a corticosteroid such as prednisone or prednisolone to reduce certain side effects.","evidence":"Well-established"},{"condition":"Prostate cancer previously treated with docetaxel","description":"It is indicated for patients whose prostate cancer has progressed despite prior docetaxel-based chemotherapy and ongoing androgen deprivation therapy.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Other advanced solid tumors","description":"Cabazitaxel has been studied in some other advanced cancers, but it is not approved for these uses and should only be given within a clinical trial or specialist decision.","evidence":"Limited"}]
Primary treatment for: Metastatic castration-resistant prostate cancer
Also treats: Prostate cancer previously treated with docetaxel, Hormone-refractory prostate cancer
📋 Drug Information
| Generic Name(s) | Cabazitaxel (60mg) |
| Brand Name | jevatax 60mg injection |
| Manufacturer | Cipla Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI NEOPLASTICS |
| Action Class | Alkaloids-cytotoxic agents |
| Route of Administration | Parenteral (intravenous infusion) |
| Storage | Store this medicine in its original carton in a refrigerator at 2°C to 8°C. Do not freeze. Protect it from light. Once prepared for infusion, the solution should be used according to the instructions provided by the hospital pharmacy. Keep it out of reach of children. |
| Shelf Life | The shelf life of this medicine is usually 24 to 36 months from the date of manufacture when stored correctly. The exact expiry date is printed on the carton. Do not use it after the expiry date. |
| WHO Guideline | Not established from the available information. Cabazitaxel is included in some international oncology guidelines for metastatic castration-resistant prostate cancer after docetaxel, but specific WHO recommendations should be verified from the latest WHO publications. |
| ICMR Guideline | Not established from the available information. Please refer to the latest ICMR or national oncology guidelines for prostate cancer management. |
👨⚕️ 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 tubulin, the protein building block of microtubules. It promotes the assembly of microtubules and prevents their normal disassembly. Because microtubules must dynamically shorten and lengthen for a cell to divide, this interference blocks mitosis and causes cancer cells to arrest in the G2/M phase of the cell cycle and then die. This medicine also affects other microtubule-dependent functions in the cell, which contributes to its anticancer effect.
Mechanism Steps
💡 How to Take jevatax 60mg injection
Strength: This medicine is supplied as a sterile concentrate for solution for intravenous infusion containing 60 mg of cabazitaxel in a single vial. The dosage form is an injection, and the route is parenteral.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 25 mg per square meter of body surface area, given as an intravenous infusion over one hour every three weeks. Some patients may receive a lower starting dose, such as 20 mg per square meter, depending on their general condition, liver function, and risk of side effects. Premedication with an antihistamine, a corticosteroid, and an H2 blocker is given before each infusion. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, blood counts, and response to treatment. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatric oncologist. |
| Elderly Dosage | Older adults, especially those above 65 years, may be more sensitive to the side effects of this medicine, particularly low blood counts, infections, fatigue, and dehydration. Doctors often monitor older patients more closely and may adjust the dose or schedule based on their general health, kidney function, liver function, and blood counts. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Mild to moderate kidney impairment usually does not require a dose change, but this medicine should be used with caution because kidney problems can worsen during treatment. Patients with severe kidney impairment should be monitored closely, and the dose should be individualized by a qualified clinician. Not established from the available information for specific dose adjustments in severe renal impairment. |
| Hepatic Impairment | Patients with mild liver impairment may need a lower dose of this medicine. This medicine is not recommended in patients with severe liver impairment. Liver function tests should be checked before each cycle, and the dose must be individualized by a qualified clinician based on the degree of liver impairment. |
| Maximum Daily Dose | The maximum dose of this medicine is determined by the treating oncologist based on body surface area, blood counts, liver function, and tolerability. It is not a medicine that is taken daily. The usual maximum dose in adults is 25 mg per square meter given once every three weeks, but lower doses may be used. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of jevatax 60mg injection
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ketoconazole | Major | |
| Ritonavir | Major | |
| Rifampicin | Major | |
| Carbamazepine | Major | |
| Phenytoin | Major | |
| St John's wort | Major | |
| Warfarin | Moderate | |
| Live vaccines | Major | |
| Other myelosuppressive chemotherapy | Major | |
| QT-prolonging medicines | Moderate |
🚨 Major Interactions
- Strong CYP3A4 inhibitors
- Strong CYP3A4 inducers
- Live vaccines
- Other myelosuppressive chemotherapy or radiotherapy
⚡ Moderate Interactions
- Warfarin and other anticoagulants
- CYP2C8 inhibitors
- Medicines that cause kidney injury
- Medicines that prolong the QT interval
🍷 Alcohol Interaction
Alcohol should be avoided or strictly limited while receiving this medicine. Alcohol can increase the risk of liver problems, dehydration, dizziness, and fatigue. It can also worsen nausea, vomiting, and diarrhea. If you drink alcohol regularly, discuss this with your oncology team before starting treatment.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known severe allergic reaction to cabazitaxel or to any ingredient of this medicine, including polysorbate 80","Very low neutrophil count before treatment","Severe liver impairment","Pregnancy or breastfeeding without specialist advice","Concurrent use of live vaccines","Previous severe reaction to a taxane medicine that was not controlled with standard premedication"]
⚠️ Warnings & Precautions
["This medicine must be given only by a healthcare professional trained in cancer chemotherapy.","Premedication with an antihistamine, a corticosteroid, and an H2 blocker is usually given before each infusion to reduce allergic reactions.","Blood counts must be checked before every cycle because this medicine can cause severe neutropenia.","Patients should report fever of 38°C or higher immediately, because it may be a sign of a life-threatening infection.","This medicine can cause severe diarrhea and dehydration, so fluid intake and anti-diarrheal treatment should be discussed with the doctor.","Effective contraception is required for men and women during treatment and for a period after the last dose.","Live vaccines should be avoided during treatment.","This medicine can affect the ability to drive or operate machinery if the patient feels tired, dizzy, or unwell.","Patients with liver or kidney problems may need a lower dose or may not be able to receive this medicine.","Do not stop or change the treatment schedule without speaking to your oncologist."]
🤱 Lactation Safety
It is not known whether this medicine passes into breast milk. Because of the potential for serious harm to a breastfed baby, breastfeeding should be stopped during treatment and for a period after the last dose, as advised by your doctor.
💊 Overdose Management
Overdose of this medicine is a medical emergency. Symptoms may include severe low blood counts, infection, bleeding, diarrhea, dehydration, and organ damage. There is no specific antidote. Treatment is supportive and may include hospital admission, blood count monitoring, antibiotics, fluids, and management of specific complications. If an overdose is suspected, contact the treating hospital or emergency services immediately.
⏰ Missed Dose
This medicine is given by a healthcare professional, so a missed dose usually means a missed appointment. Contact your cancer treatment center as soon as possible to reschedule. Do not try to catch up by taking extra doses. Your doctor will decide the next safe dose and timing based on your blood counts and general condition.
Additional Safety Advice
This medicine must be given only by a qualified healthcare professional in a setting equipped to manage allergic reactions and serious complications. Before every dose, your doctor will check your blood counts, liver function, kidney function, and general fitness for treatment. Tell your care team immediately if you develop fever, chills, sore throat, mouth ulcers, unusual tiredness, easy bruising, bleeding, watery diarrhea, vomiting, rash, chest discomfort, or difficulty breathing. Use effective contraception during treatment and for a period advised by your oncologist, because this medicine can harm an unborn baby. Avoid live vaccines during treatment unless your doctor specifically approves them. Do not breastfeed while receiving this medicine. Drink enough fluids to stay hydrated, especially if you have diarrhea or vomiting. Do not self-medicate with any new prescription, over-the-counter, or herbal product without checking with your oncology team, because some medicines can increase the toxicity of this medicine.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Patients above 65 years may be more sensitive to the side effects of this medicine, especially low blood counts, infections, fatigue, dehydration, and heart rhythm changes. Doctors often monitor older patients more closely and may adjust the dose or schedule based on general health, kidney function, liver function, and blood counts. Falls and confusion should be reported promptly. Family support and regular follow-up are especially important for older patients.
🤰 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 the last dose, as advised by the oncologist. If you or your partner are planning a pregnancy, discuss it with your doctor before starting treatment. Do not attempt to conceive while receiving this medicine or during the advised waiting period after treatment.
🏥 Post-Surgery Considerations
If you have surgery planned, tell your surgeon and oncologist that you are receiving this medicine. It can affect wound healing and increase the risk of infection and bleeding. Your doctor may advise delaying surgery until your blood counts recover and may adjust the treatment schedule. Follow your medical team's instructions about when to stop and restart treatment around surgery.
🦷 Dental Procedures
Tell your dentist that you are receiving this medicine before any dental procedure. This medicine can lower blood counts and increase the risk of infection and bleeding. Your dentist and oncologist may recommend delaying non-urgent dental work until your blood counts are safe. Good oral hygiene and regular gentle dental care can help prevent problems during treatment.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Light exercise such as walking may help reduce fatigue and improve mood, but you should avoid strenuous activity, heavy lifting, or contact sports during treatment. If you have low blood counts, dizziness, shortness of breath, or peripheral neuropathy, exercise only after discussing it with your doctor. Stop exercising and seek medical advice if you feel chest pain, severe weakness, or unusual breathlessness.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause fatigue, dizziness, and reduced concentration, which may affect your ability to drive or operate machinery. You may need to take time off work around infusion days and during periods of low blood counts. Avoid driving if you feel unwell, dizzy, or tired. Discuss your work schedule with your employer and oncologist so that treatment and rest can be balanced. Many patients are able to continue light work between cycles if they feel well and their blood counts are safe.
🛑 When to Stop This Medicine
Do not stop this medicine on your own. Your oncologist may stop treatment if the cancer progresses, if side effects become severe or life-threatening, if blood counts do not recover between cycles, or if you develop serious liver, kidney, or heart problems. Always discuss any decision to stop treatment with your cancer care team. They will help you understand the risks and benefits and plan the next steps.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to persistent fatigue, peripheral neuropathy, reduced blood counts, and increased risk of infections. Some patients may develop kidney or liver problems over time. Regular blood tests, liver and kidney function tests, and neurological checks are needed throughout treatment. The risk of long-term effects increases with the number of cycles and the total dose received. Your oncologist will review the benefits and risks regularly and may stop treatment if side effects become difficult to manage or if the cancer stops responding.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Oral hormone therapies that may be used before or after chemotherapy in advanced prostate cancer.
Evidence: Well-establishedA radioactive medicine used for prostate cancer that has spread to the bones.
Evidence: Well-established in selected patientsFocused on relieving symptoms and improving quality of life alongside cancer treatment.
Evidence: Well-establishedNew treatments may be available through clinical trials for advanced prostate cancer.
Evidence: Varies by trial💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Live vaccines should be avoided during treatment with this medicine because the immune system may be weakened. Inactivated vaccines may be given, but their response may be reduced. Discuss all vaccinations with your oncologist before receiving them. Family members and close contacts should also follow their doctor's advice about vaccines to reduce the risk of passing infections to you.
📦 Storage Guide
✅ DO
Store in the refrigerator at 2°C to 8°C in the original carton.
❌ DON'T
Do not freeze the vial.
✅ DO
Protect the vial from light.
❌ DON'T
Do not leave the vial in direct sunlight.
✅ DO
Keep the medicine out of reach of children.
❌ DON'T
Do not store it in a bathroom cabinet or near heat sources.
✅ DO
Use the prepared infusion solution as instructed by the hospital pharmacy.
❌ DON'T
Do not use the medicine after the expiry date or if the solution looks cloudy or has particles.
✈️ Traveling with This Medicine
This medicine is given in a hospital or cancer center, so travel should be planned around your treatment schedule. Carry a copy of your prescription, treatment summary, and emergency contact details at all times. If you need to travel between cycles, discuss the timing with your oncologist and arrange blood tests at your destination if needed. This medicine is stored in a refrigerator, so it should not be carried by patients for self-administration. If you are carrying it for any reason, use the original packaging and follow the storage instructions. Check airline and customs rules for carrying prescription medicines, and keep a doctor's letter explaining that the medicine is for personal medical use.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts working after the first infusion, but it may take several weeks to months before your doctor can see a response on scans or blood tests. Your oncologist will monitor your prostate-specific antigen level and symptoms regularly.
A: This medicine is given as an intravenous infusion over one hour in a hospital or cancer day-care center. You will receive premedication before the infusion to reduce the risk of allergic reactions.
A: The most important side effects are fever with low white blood cell counts, severe diarrhea, allergic reactions during infusion, and unusual bleeding. Report these to your medical team immediately.
A: No. This medicine must be given by a trained healthcare professional in a hospital or cancer center. It cannot be self-administered at home.
A: It is best to avoid alcohol during treatment because it can worsen liver stress, dehydration, fatigue, nausea, and diarrhea.
A: This medicine can harm an unborn baby and is not recommended during pregnancy. Effective contraception is required for both men and women during treatment and for a period after the last dose.
🤔 Common Patient Concerns
🔄 Substitutes for jevatax 60mg injection
View AllAlternative brands with exact same active ingredient:
-
z-texel injectionBDR Pharmaceuticals Internationals Pvt ₹11,896.85 67% CHEAPER
-
cabapan injectionPanacea Biotec Ltd ₹18,700.78 48.1% CHEAPER
-
cabazirix 60mg injectionTherdose Pharma Pvt Ltd ₹19,272.29 46.5% CHEAPER
-
cabocyta 60mg injectionAlkem Laboratories Ltd ₹31,500.00 12.5% CHEAPER
-
arbaz 60mg injectionAdley Formulations ₹48,000.00 33.3% 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 intravenous injection and must be given by a trained healthcare professional in a hospital or cancer center. - Myth: This medicine cures prostate cancer completely in all patients.
Fact: This medicine can slow cancer growth and improve symptoms in some patients, but it is not a guaranteed cure. Response varies from person to person. - Myth: If side effects occur, the medicine should be stopped immediately without telling the doctor.
Fact: Never stop treatment on your own. Some side effects can be managed with dose adjustments or supportive medicines. Always speak to your oncologist first. - Myth: This medicine weakens the immune system permanently.
Fact: The effect on blood counts is temporary and usually recovers between cycles. Your doctor monitors blood counts to keep treatment safe.
🔄 Alternative Options
Generic Alternatives
- Cabazitaxel
Brand Alternatives
- Cabapan Injection