peg-adrim 50mg injection - Doxorubicin (Liposomal) (50mg) medicine

Lippod 50mg Injection: Comprehensive Medicine Guide

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🏭 Fresenius Kabi India Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 16, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established
Reviewed by
SaathiMed Expert Panel | Oct 16, 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

  • Chest pain or shortness of breath
  • Severe allergic reaction (swelling of face, lips, throat)
  • Fever, chills, or signs of infection
  • Unusual bleeding or bruising
  • Pain, redness, or swelling at the infusion site
  • Yellowing of skin or eyes
  • Decreased urine output

If experiencing severe symptoms, call emergency services immediately.

What is peg-adrim 50mg injection used for?

This medicine is a liposomal form of doxorubicin, a chemotherapy drug used to treat ovarian cancer, AIDS-related Kaposi's sarcoma, and multiple myeloma. It is given intravenously by a healthcare professional and works by interfering with cancer cell growth.

  • Generic Name: Doxorubicin (Liposomal) (50mg)
  • Manufacturer: Fresenius Kabi India Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 peg-adrim 50mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा लिपोसोमल डॉक्सोरूबिसिन का एक इंजेक्शन है, जिसका उपयोग कैंसर के इलाज के लिए किया जाता है। यह मुख्य रूप से डिम्बग्रंथि कैंसर, एड्स से जुड़े कपोसी सारकोमा और मल्टीपल मायलोमा के इलाज में प्रयोग की जाती है। यह दवा कैंसर कोशिकाओं की वृद्धि को रोकती है और उन्हें नष्ट करती है। यह केवल एक योग्य कैंसर विशेषज्ञ द्वारा अस्पताल में ही दी जानी चाहिए।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, भूख न लगना, मुँह के छाले, थकान और रक्त कोशिकाओं की कमी शामिल हैं। गंभीर दुष्प्रभावों में हृदय की क्षति, गंभीर अस्थि मज्जा दमन और इंजेक्शन से जुड़ी प्रतिक्रियाएँ हो सकती हैं। किसी भी असामान्य लक्षण को तुरंत डॉक्टर को बताएं।

सुरक्षा सलाह: यह दवा केवल अस्पताल में एक स्वास्थ्य पेशेवर द्वारा दी जानी चाहिए। इलाज के दौरान नियमित रूप से रक्त की जांच, हृदय की कार्यप्रणाली और लीवर/किडनी की जांच करवानी चाहिए। संक्रमण से बचें और लाइव वैक्सीन न लगवाएं। गर्भनिरोधक उपाय अपनाएं।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 peg-adrim 50mg injection Uses & Benefits

[{"condition":"Ovarian cancer","description":"Used as part of combination chemotherapy for advanced ovarian cancer.","evidence":"Well-established"},{"condition":"AIDS-related Kaposi's sarcoma","description":"Indicated for the treatment of Kaposi's sarcoma in patients with AIDS.","evidence":"Well-established"},{"condition":"Multiple myeloma","description":"Used in combination with other agents for multiple myeloma.","evidence":"Well-established"},{"condition":"Breast cancer","description":"Sometimes used in the treatment of metastatic breast cancer.","evidence":"Established"}]

Off-label uses: [{"condition":"Non-Hodgkin lymphoma","description":"Occasionally used off-label as part of salvage regimens.","evidence":"Limited"},{"condition":"Soft tissue sarcoma","description":"May be used off-label in some sarcoma protocols.","evidence":"Limited"}]

Primary treatment for: Ovarian cancer

Also treats: AIDS-related Kaposi's sarcoma, Multiple myeloma, Breast cancer

📋 Drug Information

Generic Name(s)Doxorubicin (Liposomal) (50mg)
Brand Namepeg-adrim 50mg injection
ManufacturerFresenius Kabi India Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI NEOPLASTICS
Action ClassAlkaloids-cytotoxic agents
Route of AdministrationIntravenous (IV) infusion
StorageStore refrigerated at 2°C to 8°C (36°F to 46°F). Do not freeze. Protect from light. Keep in original packaging.
Shelf LifeRefer to the product label for the exact shelf life. Typically 18-24 months from the date of manufacture when stored properly.
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
Administer this medicine only under the supervision of a qualified oncologist.
2
Monitor cardiac function regularly with echocardiogram or MUGA scan.
3
Check complete blood counts before each cycle.
4
Premedicate with antiemetics to reduce nausea and vomiting.
5
Inspect the infusion site frequently for signs of extravasation.
6
Advise patients to use effective contraception during treatment.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Cancer diagnosis
This medicine is used for specific types of cancer.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionNot applicable; this medicine is administered intravenously and enters the bloodstream directly.
DistributionThe liposomal formulation distributes primarily to tumor tissue and the mononuclear phagocyte system. It has a smaller volume of distribution compared to conventional doxorubicin.
Protein BindingDoxorubicin is approximately 70% bound to plasma proteins, but the liposomal formulation may alter this profile.
MetabolismDoxorubicin is metabolized in the liver, primarily by cytochrome P450 enzymes and other reductases, to active and inactive metabolites.
Half-LifeThe elimination half-life of liposomal doxorubicin is approximately 50-80 hours, which is longer than conventional doxorubicin.
ExcretionThe drug and its metabolites are excreted mainly in bile and feces, with a smaller amount in urine.
BioavailabilityNot applicable; intravenous administration provides 100% bioavailability.
Onset of ActionThe anticancer effects begin after the drug enters the bloodstream and reaches tumor tissue, typically within hours to days, but clinical response may take weeks.
Peak Plasma TimePeak plasma concentrations occur at the end of the intravenous infusion.
Duration of ActionThe effects are prolonged due to the liposomal formulation, with detectable drug levels lasting for several days to weeks.

How It Works

This medicine contains doxorubicin, which intercalates into DNA and inhibits topoisomerase II, leading to blockade of DNA replication and transcription. The liposomal formulation alters the distribution of the drug, increasing its concentration in tumor tissue and reducing exposure to normal tissues such as the heart.

Mechanism Steps

1
Liposomal encapsulation: Doxorubicin is encapsulated in liposomes, which are microscopic fat bubbles that protect the drug and help it evade rapid clearance by the immune system.
2
Tumor accumulation: The liposomes tend to leak out of blood vessels in tumor tissue, which is more permeable than normal tissue, leading to higher drug concentrations at the cancer site.
3
Drug release: Once in the tumor microenvironment, the liposomes break down and release doxorubicin, which then enters cancer cells.
4
DNA intercalation and topoisomerase II inhibition: Inside the cell, doxorubicin inserts itself between DNA base pairs and blocks the action of topoisomerase II, an enzyme needed for DNA replication and repair.
5
Cell death: The interference with DNA function triggers programmed cell death (apoptosis) and stops the cancer cells from multiplying.

💡 How to Take peg-adrim 50mg injection

Strength: 50 mg liposomal doxorubicin injection

1This medicine is given by a healthcare professional in a clinic or hospital.
2It is administered as an intravenous infusion over 30-60 minutes.
3You will be monitored for any reactions during and after the infusion.
4Follow your doctor's instructions for pre-medications to reduce side effects.
5Report any discomfort at the infusion site immediately.

Dosage Information

Adult DosageThe dose of this medicine is determined by the oncologist based on the type of cancer, body surface area, and other treatments. It is usually given as an intravenous infusion over 30-60 minutes. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-administer.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatric oncologist.
Elderly DosageElderly patients may be more sensitive to the side effects of this medicine. Dose adjustments may be necessary based on kidney, liver, and heart function. Close monitoring is required.
Renal ImpairmentDose adjustment may be needed in patients with severe kidney impairment. Consult the prescribing oncologist.
Hepatic ImpairmentDose reduction is recommended in patients with liver impairment. Monitor liver function tests closely.
Maximum Daily DoseThe maximum cumulative dose is determined by the oncologist and depends on the patient's heart function and previous treatments. Do not exceed the prescribed dose.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
No specific restrictions
This medicine is given intravenously, so food timing does not affect it.
Grapefruit
Avoid
May increase drug levels by inhibiting CYP3A4.

⏰ What to Do If You Miss a Dose

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

⚠️ Side Effects of peg-adrim 50mg injection

✅ Common Side Effects

Nausea and vomiting (Common (10-30%))
Take anti-nausea medicines as prescribed. Eat small, frequent meals.
Mouth sores (Common (10-30%))
Maintain good oral hygiene. Use prescribed mouth rinses. Avoid spicy or acidic foods.
Fatigue (Common (10-30%))
Rest when needed. Balance activity with rest periods.
Low blood cell counts (Common (10-30%))
Regular blood tests are required. Report fever, chills, or unusual bleeding immediately.

🚨 Serious Side Effects

Cardiotoxicity (heart damage) (Uncommon (1-10%))
Seek immediate medical attention if you experience chest pain, shortness of breath, or swelling in the legs.
Severe bone marrow suppression (Common (10-30%))
Report any signs of infection (fever, sore throat) or bleeding (bruising, nosebleeds) immediately.
Infusion-related reactions (Uncommon (1-10%))
Tell your nurse or doctor immediately if you feel flushing, shortness of breath, or chest tightness during infusion.

⚠️ Rare Side Effects

Severe allergic reaction (anaphylaxis)
Seek emergency medical help if you have difficulty breathing, swelling of the face or throat, or a severe rash.
Tissue necrosis if extravasation occurs
Report any pain, burning, or redness at the injection site immediately.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Live vaccines Major
Trastuzumab Major
Ketoconazole Moderate
Rifampin Moderate
Warfarin Minor

🚨 Major Interactions

  • Live vaccines
  • Cardiotoxic drugs (e.g., trastuzumab)

⚡ Moderate Interactions

  • CYP3A4 inhibitors (e.g., ketoconazole)
  • CYP3A4 inducers (e.g., rifampin)

🍷 Alcohol Interaction

Avoid alcohol while receiving this medicine, as it may worsen liver toxicity and increase nausea and vomiting.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to doxorubicin or any component of the formulation","Severe bone marrow suppression","Severe heart disease","Previous treatment with high cumulative doses of anthracyclines"]

⚠️ Warnings & Precautions

["This medicine can cause severe heart damage; regular monitoring is required.","It can suppress bone marrow, increasing risk of infection and bleeding.","Avoid contact with people who have infections.","Do not receive live vaccines during treatment.","Use effective contraception during and after treatment.","Report any signs of infection, bleeding, or heart problems immediately."]

🤱 Lactation Safety

It is not known if liposomal doxorubicin passes into breast milk. Because of the potential for serious adverse reactions in nursing infants, breastfeeding should be discontinued during treatment.

💊 Overdose Management

Overdose may cause severe bone marrow suppression and cardiotoxicity. Treatment is supportive and symptomatic. There is no specific antidote. Patients should be monitored closely in a hospital setting.

⏰ Missed Dose

This medicine is given by a healthcare professional in a clinic or hospital. If you miss an appointment, contact your doctor as soon as possible to reschedule. Do not attempt to self-administer.

Additional Safety Advice

General Safety

This medicine must be given only by a healthcare professional in a controlled setting. Regular monitoring of blood counts, heart function, and liver/kidney tests is essential. Report any chest pain, shortness of breath, unusual bleeding, or signs of infection immediately. Avoid contact with people who have infections. Do not receive live vaccines while on this medicine. Use effective contraception during treatment and for several months after.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to side effects. Close monitoring of heart, kidney, and liver function is required. Dose adjustments may be necessary.

🤰 Pregnancy Planning (TTC)

This medicine can harm a fetus. Use effective contraception during treatment and for several months after. Discuss pregnancy planning with your doctor before starting treatment.

🏥 Post-Surgery Considerations

This medicine may affect wound healing and increase infection risk. Inform your surgeon that you are receiving this medicine before any surgery.

🦷 Dental Procedures

Inform your dentist that you are receiving this medicine. It may increase the risk of bleeding and infection. Your dentist may recommend postponing non-urgent procedures.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy diet rich in fruits and vegetables.
🥗
Stay hydrated by drinking plenty of fluids.
😴
Get adequate rest and sleep.
💧
Avoid alcohol and smoking.
🧘
Practice good hand hygiene to prevent infections.
🌞
Engage in light exercise as tolerated.

🏋️ Exercise Considerations

Consult your doctor before starting any exercise program. Avoid strenuous activities if you have low blood counts or fatigue. Light walking and stretching may be beneficial.

🥗 Diet Recommendations

Eat small, frequent meals to manage nausea.
Include protein-rich foods to support recovery.
Avoid spicy, acidic, or hard foods if you have mouth sores.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine may cause fatigue, nausea, and low blood counts, which can affect your ability to work or drive. Avoid driving if you feel dizzy or tired. Discuss work adjustments with your doctor.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your oncologist. Treatment duration is determined by your doctor based on your response and side effects.

📅 Long-Term Use Effects

Long-term use may increase the risk of heart damage, secondary cancers, and infertility. Regular monitoring of heart function, blood counts, and liver/kidney function is required. Discuss any concerns with your oncologist.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Other chemotherapy agents

Depending on the cancer type, other chemotherapy drugs may be used.

Evidence: Well-established
Targeted therapy

Some cancers may respond to targeted therapies.

Evidence: Established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Avoid live vaccines during treatment and for several months after. Inactivated vaccines may be given, but consult your doctor first.

📦 Storage Guide

✅ DO

Store refrigerated at 2°C to 8°C

❌ DON'T

Do not freeze

✅ DO

Keep in original packaging

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Protect from light

❌ DON'T

Do not store at room temperature

✈️ Traveling with This Medicine

This medicine is administered in a hospital setting, so travel is not applicable. If you need to travel for treatment, carry your prescription and medical records. Store the medicine refrigerated at 2°C to 8°C during transport. Check with your doctor before planning any travel.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 55-year-old woman with recurrent ovarian cancer
She received this medicine as part of her chemotherapy regimen. She experienced mild nausea and fatigue but was able to manage with anti-nausea medicines. Her tumor markers decreased significantly after three cycles.
💡 Lesson: Regular monitoring and supportive care can help manage side effects and improve treatment outcomes.
👤 A 40-year-old man with AIDS-related Kaposi's sarcoma
He was treated with this medicine and noticed improvement in his skin lesions after two cycles. He reported some mouth sores but they resolved with proper oral care.
💡 Lesson: Adherence to treatment and prompt reporting of side effects are key to successful therapy.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: The anticancer effects begin within hours to days, but clinical response may take weeks. Your doctor will monitor your progress.

Q: Can I take this medicine at home?

A: No, this medicine must be given by a healthcare professional in a clinic or hospital.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my heart?
  • Can I drive after taking this medicine?
  • Does it interact with my other medicines?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for peg-adrim 50mg 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 self-administered at home.
    Fact: No, it must be given by a healthcare professional in a clinic or hospital.
  • Myth: Liposomal doxorubicin has no side effects.
    Fact: It can cause serious side effects, including heart damage and low blood counts.

📊 Comparison with Similar Medicines

[{"feature":"Formulation","this_medicine":"Liposomal","conventional_doxorubicin":"Non-liposomal"},{"feature":"Cardiotoxicity","this_medicine":"Lower risk","conventional_doxorubicin":"Higher risk"},{"feature":"Half-life","this_medicine":"Longer","conventional_doxorubicin":"Shorter"}]

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