Nandrosar 25mg Injection: Comprehensive 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 or shortness of breath
- Severe abdominal pain with nausea or vomiting
- Yellowing of skin or eyes (jaundice)
- Dark urine or pale stools
- Sudden swelling of face, lips, or throat
- Decreased urine output
- Severe headache with visual changes
- Prolonged and painful erection (priapism)
If experiencing severe symptoms, call emergency services immediately.
What is nandrosar 25mg injection used for?
This medicine is an anabolic steroid injection used to treat anemia of chronic kidney disease and osteoporosis in postmenopausal women. It works by stimulating red blood cell production and increasing bone density. It must be given by a healthcare professional and is not for general use.
- Generic Name: Information coming soon
- Manufacturer: Multiple manufacturers
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 nandrosar 25mg injection के बारे में (Hindi Summary)
उपयोग: यह दवा नैंड्रोलोन फेनिलप्रोपियोनेट 25 मिलीग्राम इंजेक्शन है, जिसका उपयोग कुछ विशेष चिकित्सीय स्थितियों में किया जाता है। इसका मुख्य उपयोग क्रोनिक किडनी रोग से जुड़े एनीमिया और पोस्टमेनोपॉज़ल महिलाओं में ऑस्टियोपोरोसिस के इलाज में किया जाता है। यह दवा लाल रक्त कोशिकाओं के उत्पादन को बढ़ाकर और हड्डियों के घनत्व में सुधार करके काम करती है। यह दवा केवल एक योग्य चिकित्सक की देखरेख में ही दी जानी चाहिए और इसे स्वयं नहीं लगाना चाहिए। यह दवा बॉडीबिल्डिंग या एथलेटिक प्रदर्शन बढ़ाने के लिए नहीं है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में इंजेक्शन स्थल पर दर्द, लालिमा या सूजन, शरीर में पानी का जमाव, मुँहासे और कामेच्छा में बदलाव शामिल हैं। गंभीर दुष्प्रभावों में हृदय संबंधी घटनाएँ जैसे उच्च रक्तचाप, थ्रोम्बोएम्बोलिज्म, यकृत की समस्याएँ जैसे पीलिया और लीवर ट्यूमर, तथा हार्मोनल असंतुलन जैसे स्तन वृद्धि और अंडकोष का सिकुड़ना शामिल हैं। किसी भी असामान्य लक्षण को तुरंत डॉक्टर को बताएं।
सुरक्षा सलाह: यह दवा केवल एक स्वास्थ्य पेशेवर द्वारा इंट्रामस्क्युलर इंजेक्शन के रूप में दी जानी चाहिए। इसे स्वयं न लगाएं। इस दवा का उपयोग करते समय नियमित रूप से लीवर फंक्शन, लिपिड प्रोफाइल, हेमेटोक्रिट और पुरुषों में प्रोस्टेट-स्पेसिफिक एंटीजन (PSA) की निगरानी आवश्यक है। शराब का सेवन न करें क्योंकि इससे लीवर की विषाक्तता बढ़ सकती है। यदि आपको हृदय रोग, यकृत रोग, गुर्दा रोग या रक्त के थक्के बनने की समस्या है तो अपने डॉक्टर को बताएं। यह दवा गर्भावस्था और स्तनपान के दौरान contraindicated है।
💊 nandrosar 25mg injection Uses & Benefits
[{"condition":"Anemia of chronic kidney disease","description":"This medicine may be used to stimulate erythropoiesis in patients with anemia associated with chronic kidney disease, particularly when other treatments are ineffective or not tolerated.","evidence":"Limited evidence"},{"condition":"Osteoporosis in postmenopausal women","description":"This medicine may be prescribed to increase bone mineral density in postmenopausal women with osteoporosis, although it is not a first-line therapy.","evidence":"Limited evidence"},{"condition":"Aplastic anemia","description":"In some cases, this medicine may be used as adjunctive therapy for aplastic anemia to stimulate red blood cell production.","evidence":"Limited evidence"}]
Off-label uses: [{"condition":"Cachexia associated with chronic illness","description":"Sometimes used off-label to promote weight gain and muscle mass in patients with cachexia due to cancer or HIV/AIDS.","evidence":"Limited"},{"condition":"Hereditary angioedema","description":"Rarely used off-label to prevent attacks of hereditary angioedema by increasing C1 esterase inhibitor levels.","evidence":"Limited"}]
Primary treatment for: Anemia of chronic kidney disease
Also treats: Osteoporosis in postmenopausal women, Aplastic anemia
📋 Drug Information
| Generic Name(s) | Information coming soon |
| Brand Name | nandrosar 25mg 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 at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and freezing. Keep in the original container until ready to use. |
| Shelf Life | The shelf life of this medicine is typically 24 months from the date of manufacture. Refer to the product label for the exact expiration 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 an anabolic-androgenic steroid that binds to androgen receptors in the cytoplasm of target cells. The receptor-ligand complex then translocates to the nucleus and interacts with specific DNA sequences to modulate gene transcription. This leads to increased protein synthesis, nitrogen retention, and erythropoietin production, which collectively promote anabolic effects in muscle and bone and stimulate red blood cell production.
Mechanism Steps
💡 How to Take nandrosar 25mg injection
Strength: Nandrolone phenylpropionate 25 mg per mL injection (immediate release)
Dosage Information
| Adult Dosage | The dosage of this medicine must be individualized by a qualified clinician based on the indication, patient's age, weight, renal and hepatic function, and clinical response. For anemia of chronic kidney disease, a typical adult dose may range from 25 mg to 100 mg intramuscularly every 1 to 4 weeks. For osteoporosis, doses of 25 mg to 50 mg every 3 to 4 weeks have been used. Do not self-administer; this medicine must be given by a healthcare professional. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more susceptible to the cardiovascular and endocrine side effects of this medicine. Use with caution and monitor closely. Dose adjustment may be necessary based on renal and hepatic function. |
| Renal Impairment | No specific dose adjustment is provided in the available information. Use with caution in patients with renal impairment and monitor for fluid retention. |
| Hepatic Impairment | This medicine is contraindicated in severe liver disease. In patients with mild to moderate hepatic impairment, use with caution and monitor liver function tests regularly. Dose adjustment may be necessary. |
| Maximum Daily Dose | The maximum daily dose is not established from the available information. Dosing is typically intermittent (e.g., weekly or every few weeks) rather than daily. Follow your clinician's prescription. |
Dosage Timeline
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of nandrosar 25mg 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 | |
| Methotrexate | Major | |
| Insulin | Moderate | |
| Corticosteroids | Moderate | |
| Anticoagulants (e.g., heparin) | Moderate | |
| Cyclosporine | Moderate | |
| Tacrolimus | Moderate | |
| Lithium | Minor | |
| Antihypertensives | Moderate | |
| Probenecid | Minor |
🚨 Major Interactions
- Warfarin
- Hepatotoxic drugs (e.g., methotrexate, acetaminophen)
⚡ Moderate Interactions
- Insulin and oral hypoglycemics
- Corticosteroids
🍷 Alcohol Interaction
Alcohol should be avoided while using this medicine because both alcohol and nandrolone can stress the liver, increasing the risk of hepatotoxicity. Additionally, alcohol may exacerbate fluid retention and cardiovascular effects.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to nandrolone or any component of the formulation","Male breast cancer or prostate cancer","Pregnancy or breastfeeding","Severe liver disease","Nephrotic syndrome","Hypercalcemia"]
⚠️ Warnings & Precautions
["This medicine should only be used under the supervision of a qualified clinician.","Do not use for athletic performance enhancement or bodybuilding.","May cause fluid retention; use with caution in patients with heart failure or hypertension.","May impair glucose tolerance; monitor blood glucose in diabetic patients.","May suppress clotting factors; monitor coagulation in patients on anticoagulants.","Prolonged use may lead to dependence and withdrawal symptoms.","Women may experience virilization; discontinue if signs occur.","Use with caution in elderly patients due to increased risk of prostate hypertrophy and cardiovascular events."]
🤱 Lactation Safety
This medicine is excreted in breast milk and may cause serious adverse effects in a nursing infant. Breastfeeding is not recommended while using this medicine.
💊 Overdose Management
Overdose with this medicine is unlikely due to its intramuscular route and medical supervision. In case of accidental overdose, treatment should be symptomatic and supportive. There is no specific antidote. Monitor for signs of fluid retention, cardiovascular events, and liver toxicity. Contact a poison control center or emergency department immediately.
⏰ Missed Dose
If you miss a dose of this medicine, contact your healthcare provider for instructions. Do not double the dose to catch up. Your doctor will determine the best course of action based on your dosing schedule.
Additional Safety Advice
This medicine must only be administered by a healthcare professional via intramuscular injection. Do not self-administer. Regular monitoring of liver function, lipid profile, hematocrit, and prostate-specific antigen (in males) is essential during therapy. Avoid alcohol consumption as it may increase liver toxicity. Inform your doctor if you have a history of heart disease, liver disease, kidney disease, or blood clotting disorders. This medicine is contraindicated in pregnancy and breastfeeding. Do not share this medicine with others. Keep out of reach of children. Follow your doctor's instructions exactly regarding dose and frequency.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to the cardiovascular and endocrine side effects of this medicine. Use with caution and monitor closely. Dose adjustment may be necessary based on renal and hepatic function.
🤰 Pregnancy Planning (TTC)
This medicine is contraindicated in pregnancy and should not be used by women who are planning to become pregnant. It may cause fetal harm, including virilization of the female fetus. Discuss alternative treatments with your healthcare provider if you are planning pregnancy.
🏥 Post-Surgery Considerations
This medicine may increase the risk of thromboembolism after surgery. Use with caution in the postoperative period and monitor for signs of blood clots. Consult your surgeon and healthcare provider before using this medicine after surgery.
🦷 Dental Procedures
No specific considerations are established from the available information. Inform your dentist about this medicine before any dental procedure.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While using this medicine, you may experience fluid retention and cardiovascular effects. Avoid strenuous exercise if you have heart or kidney problems. Consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or fluid retention, which could affect your ability to drive or operate machinery. Avoid driving if you feel unwell. Discuss any work-related concerns with your healthcare provider.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your healthcare provider. If you experience serious side effects such as jaundice, chest pain, or severe allergic reactions, seek immediate medical attention and follow your doctor's advice regarding discontinuation.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to liver toxicity, including peliosis hepatis and liver tumors, cardiovascular events such as hypertension and thromboembolism, and endocrine disturbances like testicular atrophy and gynecomastia. Regular monitoring of liver function, lipid profile, hematocrit, and prostate-specific antigen (in males) is essential. The risk of dependence and withdrawal symptoms also increases with prolonged use. Therapy should be reviewed periodically by a qualified clinician.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can be used to treat anemia of chronic kidney disease.
Evidence: Well-establishedFirst-line therapy for osteoporosis in postmenopausal women.
Evidence: Well-establishedCan complement medicine for chronic pain and bone health.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are established from the available information. Consult your healthcare provider for personalized advice.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✅ DO
Protect from freezing
❌ DON'T
Do not freeze
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging along with a copy of your prescription. This medicine is a controlled substance in many countries, so check local regulations before travel. Store it at room temperature and protect it from light and freezing. If you need to adjust your dosing schedule due to time zone changes, consult your healthcare provider beforehand. Always carry enough supply for your trip and keep it in your carry-on luggage if flying.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Effects on red blood cell production may be seen within 2 to 3 weeks, while anabolic effects on muscle and bone may take several weeks to become noticeable.
A: Long-term use requires regular monitoring due to risks of liver toxicity, cardiovascular events, and endocrine disturbances. Your doctor will determine the appropriate duration of therapy.
A: No, this medicine must only be administered by a healthcare professional via intramuscular injection.
A: Report any side effects to your healthcare provider promptly. Seek immediate medical attention for serious symptoms like chest pain, jaundice, or difficulty breathing.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This medicine is safe for bodybuilding.
Fact: This medicine is a prescription anabolic steroid with serious risks and is not approved for bodybuilding or athletic performance enhancement. - Myth: This medicine can be self-administered.
Fact: This medicine must only be administered by a healthcare professional via intramuscular injection. - Myth: This medicine has no side effects.
Fact: This medicine can cause serious side effects including liver toxicity, cardiovascular events, and endocrine disturbances.