Kyprolis 60mg Injection (Carfilzomib): 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
- Chest pain, shortness of breath, or swelling of legs
- Decreased urine output or swelling of face
- Fever, chills, or sore throat
- Unusual bleeding or bruising
- Severe headache, confusion, or vision changes
- Yellowing of skin or eyes
- Severe abdominal pain with nausea and vomiting
If experiencing severe symptoms, call emergency services immediately.
What is kyprolis 60mg injection used for?
This medicine is a prescription injection containing carfilzomib 60 mg, used to treat multiple myeloma. It works by blocking the proteasome in cancer cells, causing them to die. It is given intravenously by a healthcare professional and requires regular monitoring.
- Generic Name: Carfilzomib (60mg)
- Manufacturer: Dr Reddy's Laboratories Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 kyprolis 60mg injection के बारे में (Hindi Summary)
उपयोग: यह दवा कैंसर के इलाज में इस्तेमाल होती है, खासकर मल्टीपल मायलोमा नामक बीमारी के लिए। यह एक प्रकार की कीमोथेरेपी है जो कैंसर कोशिकाओं को बढ़ने से रोकती है और उन्हें नष्ट करती है। यह दवा डॉक्टर या नर्स द्वारा नस के माध्यम से दी जाती है, आमतौर पर अस्पताल या कैंसर सेंटर में। इसे अकेले या अन्य कैंसर दवाओं के साथ मिलाकर दिया जा सकता है। यह दवा केवल उन रोगियों के लिए है जिनका इलाज कैंसर विशेषज्ञ की देखरेख में हो रहा है।
साइड इफेक्ट्स: इस दवा के कई दुष्प्रभाव हो सकते हैं। आम दुष्प्रभावों में थकान, कम प्लेटलेट्स के कारण खून बहने की समस्या, खून की कमी, संक्रमण का खतरा, जी मिचलाना, उल्टी, दस्त, कब्ज, बुखार और सांस लेने में तकलीफ शामिल हैं। कुछ गंभीर दुष्प्रभाव भी हो सकते हैं जैसे दिल की समस्या, गुर्दे की क्षति, फेफड़ों में सूजन, और ट्यूमर लाइसिस सिंड्रोम। अगर आपको कोई भी नया या बिगड़ता लक्षण दिखे तो तुरंत डॉक्टर को बताएं।
सुरक्षा सलाह: यह दवा केवल अस्पताल या कैंसर सेंटर में डॉक्टर या नर्स द्वारा दी जानी चाहिए। इसे घर पर खुद से न लगाएं। हर खुराक से पहले डॉक्टर आपके खून, गुर्दे, लीवर और दिल की जांच करेंगे। अपने डॉक्टर को अपनी सभी दवाओं के बारे में बताएं। संक्रमण से बचने के लिए साफ-सफाई रखें और भीड़-भाड़ वाली जगहों से बचें। अगर आपको बुखार, ठंड लगना, गले में खराश या संक्रमण के कोई भी लक्षण दिखें तो तुरंत डॉक्टर से संपर्क करें। इस दवा के दौरान गाड़ी चलाने या भारी मशीन चलाने से बचें। गर्भवती होने या गर्भधारण की योजना बनाने पर डॉक्टर को तुरंत बताएं।
💊 kyprolis 60mg injection Uses & Benefits
- [{"condition":"Relapsed or refractory multiple myeloma","description":"This medicine is used to treat adults with multiple myeloma that has returned after treatment or has not responded to previous therapies.
- It is often given in combination with dexamethasone or other agents.","evidence":"Well-established"},{"condition":"Multiple myeloma as part of combination therapy","description":"This medicine is combined with lenalidomide and dexamethasone for patients with relapsed multiple myeloma who have received one to three prior lines of therapy.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Other plasma cell disorders","description":"This medicine has been studied in other plasma cell dyscrasias such as AL amyloidosis, but its use in these conditions is not approved and should only be considered in clinical trials or specialised settings.","evidence":"Limited"},{"condition":"Solid tumours","description":"Research is ongoing to evaluate this medicine in certain solid tumours, but current evidence does not support routine use outside clinical trials.","evidence":"Limited"}]
Primary treatment for: Multiple myeloma
Also treats: Relapsed multiple myeloma, Refractory multiple myeloma
📋 Drug Information
| Generic Name(s) | Carfilzomib (60mg) |
| Brand Name | kyprolis 60mg injection |
| Manufacturer | Dr Reddy's Laboratories Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI NEOPLASTICS |
| Action Class | Proteasome inhibitor |
| Route of Administration | Parenteral (intravenous infusion) |
| Storage | Store this medicine in a refrigerator at 2°C to 8°C (36°F to 46°F). Do not freeze. Keep the vial in its original carton to protect it from light. Once reconstituted, the solution should be used immediately or stored as directed by the healthcare professional. Do not use if the solution is discoloured or contains particles. |
| Shelf Life | The shelf life of this medicine is typically 24 months from the date of manufacture when stored under recommended conditions. Refer to the product packaging for the exact expiry date. Do not use after the expiry date. |
| 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 contains carfilzomib, which is a proteasome inhibitor. The proteasome is a large protein complex inside cells that breaks down damaged or unwanted proteins. Carfilzomib binds irreversibly to the beta-5 subunit of the 20S proteasome, blocking its enzyme activity. This blockade leads to the accumulation of misfolded proteins and activation of stress responses that ultimately cause cancer cells, especially myeloma cells, to undergo programmed cell death (apoptosis). Because myeloma cells produce large amounts of immunoglobulins and rely heavily on the proteasome to manage protein load, they are particularly sensitive to this effect. This medicine also inhibits the activation of nuclear factor kappa-B (NF-κB), a protein complex that promotes cancer cell survival and growth. By blocking NF-κB, carfilzomib further reduces the ability of myeloma cells to survive and multiply.
Mechanism Steps
💡 How to Take kyprolis 60mg injection
Strength: This medicine is supplied as a lyophilised powder for solution for intravenous infusion, containing 60 mg of carfilzomib per vial. After reconstitution, the solution is further diluted for infusion.
Dosage Information
| Adult Dosage | The dose of this medicine is determined by your oncologist based on your body surface area, the specific type of cancer being treated, your kidney and liver function, and how well you tolerate the treatment. It is given as an intravenous infusion over 10 to 30 minutes. A common dosing schedule for multiple myeloma is 20 mg/m² on days 1 and 2 of cycle 1, followed by 27 mg/m² on days 8, 9, 15, and 16 of a 28-day cycle, often in combination with dexamethasone. However, this is only an example. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Never adjust your dose without consulting your doctor. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatric oncologist for guidance. |
| Elderly Dosage | Elderly patients (65 years and older) may be more sensitive to the side effects of this medicine, especially heart and kidney problems. Doses are generally the same as for younger adults, but closer monitoring is recommended. Your doctor will adjust the dose if needed based on your overall health and organ function. |
| Renal Impairment | Patients with mild to moderate kidney impairment may not require a dose adjustment. However, this medicine can cause kidney damage, so kidney function should be monitored closely. For patients with severe kidney impairment or those on dialysis, the dose should be determined by a qualified clinician based on individual assessment. |
| Hepatic Impairment | Patients with mild liver impairment may not require a dose adjustment. For moderate to severe liver impairment, the dose may need to be reduced. Your doctor will determine the appropriate dose based on your liver function tests. Close monitoring is recommended. |
| Maximum Daily Dose | The maximum daily dose is not established from the available information. Doses are determined by the treatment protocol and should not exceed the prescribed amount. Always follow your oncologist's instructions. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of kyprolis 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 |
|---|---|---|
| Live vaccines | Major | |
| CYP3A4 inhibitors | Major | |
| CYP3A4 inducers | Major | |
| Antihypertensives | Moderate | |
| NSAIDs | Moderate | |
| Grapefruit juice | Minor | |
| St. John's Wort | Minor |
🚨 Major Interactions
- Live vaccines
- CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin)
- CYP3A4 inducers (e.g., rifampicin, carbamazepine)
⚡ Moderate Interactions
- Antihypertensives
- NSAIDs
🍷 Alcohol Interaction
Alcohol may increase the risk of liver problems, dizziness, and fatigue while on this medicine. It is best to avoid alcohol or limit intake significantly during treatment. Consult your doctor for personalised advice.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to carfilzomib or any component of the formulation","Pregnancy (due to risk of fetal harm)","Breastfeeding (due to potential serious adverse effects in the infant)"]
⚠️ Warnings & Precautions
["This medicine can cause serious heart problems, including heart failure. Patients with pre-existing heart disease should be monitored closely.","Kidney injury can occur. Monitor kidney function and maintain hydration.","Tumour lysis syndrome may occur, especially in patients with high tumour burden. Monitor electrolytes and uric acid.","Severe infusion-related reactions can happen. Premedication and close monitoring during infusion are required.","This medicine can suppress bone marrow function, leading to low blood counts and increased risk of infection and bleeding.","Peripheral neuropathy may develop or worsen. Report symptoms promptly.","Avoid live vaccines during treatment.","This medicine can harm an unborn baby. Use effective contraception during and after treatment."]
🤱 Lactation Safety
It is not known whether this medicine passes into breast milk. Because of the potential for serious side effects in a breastfed infant, breastfeeding is not recommended during treatment and for at least 2 weeks after the last dose. Consult your doctor for guidance.
💊 Overdose Management
There is no specific antidote for overdose with this medicine. In case of suspected overdose, treatment should be symptomatic and supportive. Monitor vital signs, blood counts, and organ function closely. Contact a poison control centre or emergency department immediately. Patients should be managed in a hospital setting.
⏰ Missed Dose
This medicine is given by a healthcare professional in a clinic or hospital. If you miss an appointment for your dose, contact your doctor or treatment centre as soon as possible to reschedule. Do not attempt to self-administer a missed dose. Your doctor will determine the best time for the next dose based on your treatment schedule.
Additional Safety Advice
This medicine must only be given by a qualified healthcare professional in a hospital or cancer care setting. Do not attempt to self-administer this injection at home. Before each dose, your doctor will check your blood counts, kidney function, liver function, and heart function. You should inform your doctor about all other medicines you are taking, including over-the-counter drugs, vitamins, and herbal supplements, because some may interact with this medicine. Avoid close contact with people who have infections, and practice good hand hygiene to reduce your risk of infection. If you develop a fever, chills, sore throat, or any signs of infection, contact your doctor immediately. This medicine can cause dizziness or fatigue, so avoid driving or operating heavy machinery until you know how it affects you. Do not receive any live vaccines while on this medicine without consulting your doctor. If you are pregnant or planning to become pregnant, inform your doctor immediately, as this medicine can harm an unborn baby. Use effective contraception during treatment and for a period after the last dose as advised by your doctor.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Patients over 65 years of age may be more susceptible to the heart, kidney, and nerve side effects of this medicine. Close monitoring of heart function, kidney function, and blood counts is recommended. Doses are generally the same as for younger adults, but your doctor may adjust based on your overall health.
🤰 Pregnancy Planning (TTC)
This medicine can cause fetal harm. Women of childbearing potential should use effective contraception during treatment and for at least 6 months after the last dose. Men with female partners of childbearing potential should use effective contraception during treatment and for at least 3 months after the last dose. If you are planning pregnancy, discuss with your doctor before starting treatment.
🏥 Post-Surgery Considerations
This medicine can increase the risk of bleeding and infection after surgery. Inform your surgeon and anaesthesiologist that you are receiving this medicine. Your doctor may advise temporarily stopping treatment before surgery. Do not schedule surgery without consulting your oncologist.
🦷 Dental Procedures
This medicine can cause low platelet counts and increase bleeding risk. Inform your dentist that you are on this medicine before any dental procedure. Your dentist may need to coordinate with your oncologist to ensure your blood counts are safe for the procedure.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can cause fatigue, dizziness, and peripheral neuropathy, which may affect your balance and coordination. Avoid high-impact or risky activities. Light walking, stretching, or swimming may be beneficial, but consult your doctor before starting any exercise programme. If you experience numbness or tingling in your feet, take extra care to prevent falls.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause fatigue, dizziness, and difficulty concentrating, which can affect your ability to work or drive. Avoid driving or operating heavy machinery until you know how this medicine affects you. You may need to adjust your work schedule around infusion appointments and recovery days. Discuss any work-related concerns with your healthcare team.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your oncologist. Treatment duration is determined by your response and tolerance. If you experience severe side effects, your doctor may temporarily interrupt or reduce the dose. In case of disease progression or unacceptable toxicity, your doctor will decide whether to stop treatment. Always seek medical advice before discontinuing.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to cumulative heart, kidney, and nerve toxicity. Regular monitoring of heart function, kidney function, and blood counts is essential. Some patients may develop peripheral neuropathy that can persist after treatment. The risk of secondary cancers may be increased. Your doctor will weigh the benefits of continued treatment against these risks and adjust therapy as needed.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Another proteasome inhibitor that can be used for multiple myeloma, given intravenously or subcutaneously.
Evidence: Well-establishedAn oral proteasome inhibitor that may be an option for some patients.
Evidence: Well-establishedThese medicines are often used in combination with proteasome inhibitors for multiple myeloma.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Live vaccines should be avoided during treatment with this medicine because of the increased risk of infection. Inactivated vaccines may be given, but their effectiveness may be reduced due to immunosuppression. Consult your doctor before receiving any vaccine.
📦 Storage Guide
✅ DO
Store in refrigerator at 2°C to 8°C
❌ DON'T
Do not freeze
✅ DO
Keep vial in original carton to protect from light
❌ DON'T
Do not expose to direct sunlight
✅ DO
Use immediately after reconstitution as directed
❌ DON'T
Do not use if solution is discoloured or contains particles
✈️ Traveling with This Medicine
This medicine is given in a hospital or clinic, so travel should be planned around your treatment schedule. If you need to travel, carry your prescription and medical records. The medicine is stored in a refrigerator, so it must be transported in a temperature-controlled container if you are moving between treatment centres. Always check with your doctor before planning travel, and ensure you have access to a medical facility that can administer the infusion and manage any complications. Carry a list of your medicines and emergency contacts.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts working within minutes to hours at the cellular level, but clinical effects such as reduction in myeloma protein levels may take several weeks to become apparent. Your doctor will monitor your response with regular blood tests.
A: It is given as an intravenous infusion by a healthcare professional in a clinic or hospital. The infusion usually takes 10 to 30 minutes.
A: Common side effects include fatigue, low blood counts, nausea, diarrhoea, and shortness of breath. Your healthcare team will help you manage these.
A: This medicine can harm an unborn baby. Use effective contraception during treatment and for at least 6 months after the last dose. Discuss family planning with your doctor.
A: Avoid grapefruit and St. John's Wort. Stay well hydrated. Otherwise, maintain a balanced diet unless your doctor advises otherwise.
🤔 Common Patient Concerns
🔄 Substitutes for kyprolis 60mg injection
View AllAlternative brands with exact same active ingredient:
-
carfilnat injectionNatco Pharma Ltd ₹9,365.00 78.9% CHEAPER
-
carzomib 60mg injectionHetero Healthcare Limited ₹11,343.00 74.4% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure multiple myeloma completely.
Fact: This medicine is effective in controlling multiple myeloma and extending survival, but it is not a permanent cure. It is used as part of ongoing treatment. - Myth: This medicine can be self-administered at home.
Fact: This medicine must be given by a healthcare professional in a clinic or hospital because it requires careful monitoring and management of potential reactions. - Myth: Side effects of this medicine are always severe.
Fact: Many side effects are manageable with supportive care and dose adjustments. Your healthcare team will help you manage them.
🔄 Alternative Options
Generic Alternatives
- Carfilzomib
Brand Alternatives
- Kyprolis