Nandomed 50mg Injection: 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
- Yellowing of the eyes or skin, dark urine, or right upper abdominal pain
- Sudden leg pain or swelling, chest pain, or difficulty breathing
- Rapid weight gain, worsening ankle swelling, or shortness of breath
- Severe allergic reaction with rash, swelling of the face or throat, or difficulty breathing
- Painful erection lasting more than four hours
- Severe mood changes or thoughts of harming yourself
- Unusual bleeding or bruising
- Decreased urine output or severe fatigue
If experiencing severe symptoms, call emergency services immediately.
What is nandomed 50mg injection used for?
This medicine is a 50 mg intramuscular injection of nandrolone decanoate, an anabolic steroid used under specialist supervision for selected patients with kidney-related anaemia, aplastic anaemia, and some wasting conditions. It is not a general tonic and must be given only by a healthcare professional.
- Generic Name: Information coming soon
- Manufacturer: Multiple manufacturers
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 nandomed 50mg injection के बारे में (Hindi Summary)
उपयोग: यह दवा नैंड्रोलोन डेकानोएट का 50 मिलीग्राम इंजेक्शन है, जो एक एनाबॉलिक स्टेरॉयड है। इसका उपयोग डॉक्टर की देखरेख में कुछ खास तरह के एनीमिया, जैसे किडनी की बीमारी से जुड़े एनीमिया, और शरीर में प्रोटीन की कमी या वेस्टिंग की स्थिति में किया जाता है। यह दवा शरीर में लाल रक्त कोशिकाओं के निर्माण को बढ़ावा देती है और मांसपेशियों में प्रोटीन बनने में मदद करती है। यह कोई सामान्य टॉनिक या बॉडीबिल्डिंग सप्लीमेंट नहीं है। इसे सिर्फ योग्य डॉक्टर या नर्स द्वारा मांसपेशी में इंजेक्शन के रूप में लगाया जाता है। इसे घर पर खुद नहीं लगाना चाहिए।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में इंजेक्शन की जगह पर दर्द, लालिमा या सूजन, शरीर में पानी रुकना, पैरों या चेहरे पर सूजन, मुंहासे, तेल वाली त्वचा, मूड में बदलाव, और बालों का बढ़ना शामिल हैं। कुछ मामलों में जी मिचलाना, सिरदर्द, या यौन इच्छा में बदलाव हो सकता है। गंभीर दुष्प्रभाव कम होते हैं, लेकिन इनमें लिवर की समस्या, पीलिया, गहरे रंग का पेशाब, खून के थक्के, सांस लेने में तकलीफ, हृदय की समस्या, और हार्मोन संबंधी बदलाव शामिल हो सकते हैं। कोई भी असामान्य लक्षण दिखे तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: यह दवा सिर्फ योग्य डॉक्टर या नर्स द्वारा ही लगाई जानी चाहिए। इसे घर पर खुद न लगाएं। अपने डॉक्टर को अपनी सभी बीमारियों और दवाओं के बारे में बताएं, खासकर दिल की बीमारी, हाई ब्लड प्रेशर, लिवर या किडनी की बीमारी, डायबिटीज, और खून पतला करने वाली दवाएं। इलाज के दौरान शराब का सेवन न करें। नियमित जांच कराते रहें ताकि डॉक्टर खून, लिवर, किडनी, और ब्लड प्रेशर की निगरानी कर सकें। अगर आप गर्भवती हैं, गर्भधारण की योजना बना रही हैं, या स्तनपान करा रही हैं, तो डॉक्टर को पहले बताएं। सूजन, सांस लेने में तकलीफ, पीलिया, या गहरे पेशाब जैसे लक्षण दिखें तो तुरंत डॉक्टर से मिलें।
💊 nandomed 50mg injection Uses & Benefits
[{"condition":"Anaemia associated with chronic kidney disease","description":"This medicine may be used under specialist supervision to stimulate red blood cell production in selected patients with kidney-related anaemia when other treatments are not adequate.","evidence":"Established in selected specialist settings"},{"condition":"Aplastic anaemia","description":"This medicine has been used as part of treatment for some patients with aplastic anaemia, usually in combination with other therapies and specialist monitoring.","evidence":"Limited and specialist use"},{"condition":"Catabolic or wasting states","description":"This medicine may be considered in some patients with severe protein loss or wasting due to chronic illness, but only when nutritional and other standard treatments have not been sufficient.","evidence":"Limited"},{"condition":"Osteoporosis in selected patients","description":"This medicine has been used in some specialist settings to support bone mineral density in selected patients, but it is not a first-line treatment for osteoporosis.","evidence":"Limited"}]
Off-label uses: [{"condition":"HIV-related wasting","description":"Sometimes prescribed off-label under specialist care to support weight and lean body mass in patients with HIV-related wasting, alongside nutrition and antiretroviral therapy.","evidence":"Limited"},{"condition":"Hereditary angioedema","description":"This medicine has been used off-label in some patients with hereditary angioedema to reduce attack frequency, but this is not a standard first-line use.","evidence":"Limited"}]
Primary treatment for: Anaemia associated with chronic kidney disease
Also treats: Aplastic anaemia, Wasting or catabolic states, Osteoporosis in selected patients
📋 Drug Information
| Generic Name(s) | Information coming soon |
| Brand Name | nandomed 50mg injection |
| Manufacturer | Multiple manufacturers |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | HORMONES |
| Action Class | Anabolic steroid |
| Route of Administration | Parenteral (intramuscular injection) |
| Storage | Store this medicine at room temperature, between 15°C and 30°C. Protect it from light and do not freeze it. Keep it in its original carton and container until it is time to use it. |
| Shelf Life | The shelf life is usually 24 to 36 months from the date of manufacture, but the exact expiry date is printed on the pack. Do not use the medicine 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 is a long-acting anabolic-androgenic steroid. After injection, the active ingredient binds to androgen receptors inside target cells. The receptor-hormone complex moves into the cell nucleus and changes the production of specific proteins. In the kidney, this action increases erythropoietin production, which tells the bone marrow to make more red blood cells. In muscle and bone, it increases protein synthesis and nitrogen retention, which can improve lean body mass and bone mineral density. In some tissues, it also reduces protein breakdown. These effects are the reason this medicine is used in selected anaemia and wasting conditions, but they also explain many of its side effects, including fluid retention, acne, and changes in sexual and reproductive function.
Mechanism Steps
💡 How to Take nandomed 50mg injection
Strength: 50 mg injection (single-dose vial or ampoule)
Dosage Information
| Adult Dosage | The dose of this medicine is not fixed for all patients. It depends on the condition being treated, the patient's age, kidney function, liver function, and response to treatment. For anaemia associated with chronic kidney disease, a specialist may give 50 mg to 100 mg by intramuscular injection every week for a few weeks, then reduce the frequency. For other conditions, the dose and schedule are decided by the treating doctor. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Never self-inject this medicine. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Older patients may be more sensitive to the fluid-retaining and blood-pressure-raising effects of this medicine. The dose should be kept as low as possible and kidney function, liver function, blood pressure, and prostate health should be checked regularly. Dose must be individualized by a qualified clinician. |
| Renal Impairment | This medicine can cause fluid retention and raise blood pressure, which may worsen kidney function. In patients with kidney disease, it should be used only under specialist supervision with close monitoring of kidney function, blood pressure, and fluid status. Dose must be individualized by a qualified clinician. |
| Hepatic Impairment | This medicine is metabolized in the liver and can cause liver injury. It should be avoided in severe liver disease. In patients with mild to moderate liver disease, it should be used only if clearly needed and with regular liver function tests. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The maximum daily dose is not established from the available information because this medicine is usually given as a single intramuscular injection at intervals of one to four weeks, not daily. The total dose and frequency must be decided by a qualified clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of nandomed 50mg injection
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Insulin | Major | |
| Corticosteroids | Major | |
| Cyclosporine | Moderate | |
| Thyroid hormone | Moderate | |
| Oxyphenbutazone | Moderate | |
| Paracetamol | Minor | |
| Antacids | Minor |
🚨 Major Interactions
- Warfarin and other anticoagulants
- Insulin and oral diabetes medicines
- Corticosteroids
- Hepatotoxic medicines
⚡ Moderate Interactions
- Cyclosporine
- Thyroid hormone
- Oxyphenbutazone
🍷 Alcohol Interaction
Heavy alcohol use should be avoided while receiving this medicine because alcohol can increase the risk of liver problems and worsen fluid retention. Occasional small amounts may be acceptable for some patients, but this should be discussed with the treating doctor.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Pregnancy or breastfeeding","Known allergy to nandrolone or any ingredient in the injection","Prostate cancer or breast cancer in men","Severe liver disease","Heart failure that is not well controlled","History of blood clots or high risk of clotting","Nephrotic syndrome or severe kidney disease with fluid overload"]
⚠️ Warnings & Precautions
["This medicine must be given only by a qualified healthcare professional.","Do not use this medicine for bodybuilding or athletic performance.","Tell your doctor about all medicines you take, especially blood thinners and diabetes medicines.","Avoid heavy alcohol use during treatment.","Report any new swelling, chest pain, or difficulty breathing immediately.","Regular blood tests are needed to check liver, kidney, and blood counts.","This medicine can suppress natural hormone production and affect fertility.","Women may experience irreversible voice deepening and hair growth.","Use with caution in older men because of prostate risks.","Do not share this medicine or injection equipment with anyone."]
🤱 Lactation Safety
This medicine may pass into breast milk and could affect the nursing infant. Breastfeeding is not recommended while receiving this medicine unless a specialist advises otherwise.
💊 Overdose Management
Overdose with this medicine is unlikely to cause sudden severe symptoms because it is given by injection under medical supervision. If too much is given, the patient should be monitored for fluid retention, high blood pressure, liver problems, and changes in blood counts. Treatment is supportive and based on the symptoms. There is no specific antidote. Seek medical help if you notice severe swelling, chest pain, or difficulty breathing after an injection.
⏰ Missed Dose
Because this medicine is given by a healthcare professional, missed doses are managed by the clinic. If you miss a scheduled injection, contact your doctor or clinic as soon as possible to arrange the next dose. Do not try to catch up by taking extra doses on your own.
Additional Safety Advice
This medicine must be given only by a trained healthcare professional, usually into a large muscle such as the buttock or thigh. Do not attempt to inject this medicine at home. Tell your doctor about all your medical conditions, especially heart failure, high blood pressure, liver disease, kidney disease, diabetes, prostate problems, breast cancer, or a history of blood clots. Tell your doctor about every medicine you take, including blood thinners, diabetes medicines, corticosteroids, and any other hormone products. Do not drink alcohol heavily while receiving this medicine because alcohol can increase liver stress. Do not share this medicine or any injection equipment with anyone else. Keep all follow-up appointments so your doctor can check your blood counts, liver tests, kidney function, blood pressure, and lipid levels. If you are pregnant, planning pregnancy, or breastfeeding, tell your doctor before receiving this medicine. Report any new swelling, chest pain, shortness of breath, yellowing of the eyes or skin, dark urine, or severe leg pain immediately.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older patients are more likely to have heart, kidney, liver, and prostate problems. This medicine should be used with caution, at the lowest effective dose, and with regular monitoring of blood pressure, fluid status, liver function, kidney function, and prostate health.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended for women who are pregnant or planning pregnancy. It can harm the developing baby and may affect fertility. Women who may become pregnant should use effective contraception during treatment. If you are planning pregnancy, discuss alternative treatments with your doctor before starting or continuing this medicine.
🏥 Post-Surgery Considerations
This medicine may affect wound healing and increase the risk of blood clots after surgery. Tell your surgeon and anaesthetist if you are receiving this medicine. It should generally be stopped before major surgery unless a specialist advises otherwise.
🦷 Dental Procedures
Tell your dentist if you are receiving this medicine, especially if you are having a procedure that may cause bleeding. This medicine can increase bleeding risk when combined with blood thinners. Your dentist may need to consult your doctor before the procedure.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
You can usually continue light to moderate exercise as advised by your doctor. Avoid heavy weightlifting or intense training without medical clearance, especially if you have heart or kidney problems. Stop and seek medical help if you feel chest pain, severe shortness of breath, or dizziness during exercise.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is given in a clinic or hospital, so it may require time off for appointments. Most people can continue their usual work, but avoid driving or operating heavy machinery if you feel dizzy, weak, or unwell after the injection. Tell your employer about any work restrictions advised by your doctor.
🛑 When to Stop This Medicine
Do not stop this medicine on your own. Your doctor will decide when to stop based on your condition, response to treatment, and side effects. If you develop serious side effects such as liver problems, blood clots, or severe fluid retention, your doctor may stop the medicine immediately. Always consult your doctor before stopping.
📅 Long-Term Use Effects
Long-term use of this medicine can cause liver problems, including rare but serious conditions such as peliosis hepatis and liver tumours. It can also cause fluid retention, high blood pressure, worsening heart failure, abnormal cholesterol levels, and suppression of natural hormone production. In men, it can cause testicular shrinkage, reduced sperm production, and prostate changes. In women, it can cause menstrual irregularity and irreversible voice deepening. Regular monitoring of liver function, kidney function, blood counts, blood pressure, and lipids is needed during long-term treatment.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A different treatment for anaemia in kidney disease that works by stimulating red blood cell production.
Evidence: Well-establishedCorrecting iron, vitamin B12, and folate deficiency can improve some types of anaemia.
Evidence: Well-establishedA high-protein diet and nutritional supplements can help in wasting states.
Evidence: Well-establishedCan help maintain muscle strength and function in patients with wasting conditions.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no specific vaccine interactions known for this medicine. However, patients with chronic kidney disease or anaemia should follow their doctor's advice about recommended vaccines, such as influenza and pneumococcal vaccines. Tell your doctor about your treatment before receiving any vaccine.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C
❌ DON'T
Do not freeze the injection
✅ DO
Keep in the original carton and container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Protect from direct sunlight
❌ DON'T
Do not store in a hot place or near a flame
✅ DO
Check the expiry date before use
❌ DON'T
Do not use if the solution is cloudy or has particles
✈️ Traveling with This Medicine
If you need to travel while receiving this medicine, carry it in its original packaging with the prescription and a letter from your doctor explaining why it is needed. Keep it in your hand luggage if possible, and store it at room temperature away from direct sunlight. Check the customs rules of your destination country before travelling, because anabolic steroids are controlled in many countries. If your injection is due during travel, arrange for a qualified healthcare professional to give it at your destination.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Some effects may be noticed within a few days, but changes in blood counts usually take 2 to 4 weeks. Your doctor will monitor your response with blood tests.
A: It is given as an intramuscular injection by a healthcare professional, usually into the buttock or thigh.
A: No. This medicine must be given only by a qualified healthcare professional using proper technique.
A: No. This medicine is not recommended during pregnancy because it can harm the developing baby.
A: No. This medicine is not approved for bodybuilding and can cause serious health problems.
A: Avoid heavy alcohol use, high-salt foods, and other medicines that can harm the liver without telling your doctor.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This medicine is a safe way to build muscle.
Fact: This medicine is a prescription anabolic steroid with serious risks and is not approved for bodybuilding. - Myth: This medicine can be injected at home without training.
Fact: This medicine must be given by a qualified healthcare professional using proper technique. - Myth: This medicine has no long-term effects.
Fact: Long-term use can cause liver problems, heart problems, hormone suppression, and other serious effects. - Myth: This medicine is safe for everyone with anaemia.
Fact: It is used only for selected types of anaemia under specialist care, not for all anaemias.
🔄 Alternative Options
Generic Alternatives
- Nandrolone decanoate 50 mg injection
Brand Alternatives
- Nandomed 50mg injection