ujvira 100mg injection - Trastuzumab (100mg) medicine

Ujvira 100mg Injection (Trastuzumab): Complete Medicine Guide

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🏭 Zydus Cadila 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 25, 2026
⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: High
Reviewed by
SaathiMed Expert Panel | Oct 25, 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

  • Difficulty breathing or shortness of breath
  • Swelling of the face, lips, tongue, or throat
  • Chest pain or a fast, irregular heartbeat
  • Sudden weight gain or swelling of the legs or ankles
  • Fever with chills or a severe infection-like feeling
  • New or worsening cough
  • Severe dizziness or fainting

If experiencing severe symptoms, call emergency services immediately.

What is ujvira 100mg injection used for?

This medicine is a targeted cancer treatment given by intravenous infusion. It contains trastuzumab, which attaches to the HER2 protein on certain cancer cells and helps stop their growth. It is used mainly for HER2-positive breast and stomach cancers and requires regular heart monitoring.

  • Generic Name: Trastuzumab (100mg)
  • Manufacturer: Zydus Cadila
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 ujvira 100mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा ट्रास्टुज़ुमैब नामक सक्रिय तत्व वाला एक इंजेक्शन है, जिसे HER2-पॉज़िटिव स्तन कैंसर और पेट के कैंसर के इलाज में इस्तेमाल किया जाता है। यह कैंसर कोशिकाओं की सतह पर मौजूद HER2 प्रोटीन से जुड़कर उनकी वृद्धि को धीमा करती है और शरीर की प्रतिरक्षा प्रणाली को उन्हें नष्ट करने में मदद करती है। यह दवा केवल डॉक्टर की देखरेख में नस के माध्यम से ड्रिप द्वारा दी जाती है। इलाज से पहले यह जांचना ज़रूरी है कि ट्यूमर में HER2 की मात्रा अधिक है या नहीं।

साइड इफेक्ट्स: इस दवा से कुछ सामान्य दुष्प्रभाव हो सकते हैं, जैसे बुखार, ठंड लगना, सिरदर्द, जी मिचलाना, उल्टी, दस्त, थकान और ड्रिप के दौरान चकत्ते या चक्कर आना। कुछ गंभीर दुष्प्रभाव भी हो सकते हैं, जैसे दिल की कार्यक्षमता कम होना, सांस लेने में तकलीफ, फेफड़ों में सूजन, गंभीर एलर्जी या संक्रमण। कोई भी नया या बढ़ता लक्षण दिखे तो तुरंत डॉक्टर को बताएं।

सुरक्षा सलाह: यह दवा केवल अस्पताल या कैंसर डे-केयर सेंटर में योग्य स्वास्थ्यकर्मी द्वारा ही दी जानी चाहिए। इलाज से पहले और इलाज के दौरान दिल की जांच कराना बहुत ज़रूरी है। अपने डॉक्टर को अपनी सभी दवाओं, सप्लीमेंट्स और पुरानी बीमारियों के बारे में बताएं। गर्भावस्था या स्तनपान के दौरान इस दवा का इस्तेमाल न करें। बुखार, सांस फूलना, पैरों में सूजन या अत्यधिक थकान होने पर तुरंत डॉक्टर से संपर्क करें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 ujvira 100mg injection Uses & Benefits

[{"condition":"HER2-positive early breast cancer","description":"Used as part of a treatment plan, often with chemotherapy, to reduce the risk of the cancer coming back after surgery.","evidence":"Well-established"},{"condition":"HER2-positive metastatic breast cancer","description":"Used to slow the growth of cancer that has spread to other parts of the body and to help control symptoms.","evidence":"Well-established"},{"condition":"HER2-positive metastatic gastric or gastro-oesophageal junction cancer","description":"Used in combination with chemotherapy for cancers of the stomach or the area where the food pipe meets the stomach that have high HER2 levels.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Other HER2-positive solid tumours","description":"Occasionally used in selected HER2-positive cancers such as certain salivary, lung, or bladder cancers, based on specialist judgement.","evidence":"Limited"}]

Primary treatment for: HER2-positive breast cancer

Also treats: HER2-positive metastatic breast cancer, HER2-positive metastatic gastric or gastro-oesophageal junction cancer

📋 Drug Information

Generic Name(s)Trastuzumab (100mg)
Brand Nameujvira 100mg injection
ManufacturerZydus Cadila
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI NEOPLASTICS
Action ClassHER2/neu (ErbB2) Inhibitor- Monoclonal antibody
Route of AdministrationParenteral (intravenous infusion)
StorageStore this medicine in a refrigerator at 2°C to 8°C. Do not freeze. Keep the vial in its original carton to protect it from light. Once prepared for infusion, use it as directed by the healthcare professional.
Shelf LifeThe shelf life is usually 24 to 36 months from the date of manufacture when stored correctly. Check the expiry date on the vial before use.
WHO GuidelineTrastuzumab is included in World Health Organization essential medicines lists for certain HER2-positive cancers. Specific recommendations should be confirmed with the latest WHO guidance and your treating specialist.
ICMR GuidelineIndian Council of Medical Research guidelines for breast and gastric cancer management include HER2 testing and trastuzumab-based therapy for HER2-positive disease. Always follow the advice of your treating oncologist.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always check HER2 status before starting this medicine, as it only works for HER2-positive cancers.
2
Assess heart function with an echocardiogram or MUGA scan before the first dose and at regular intervals during treatment.
3
Give the first infusion slowly over 90 minutes and observe the patient closely for infusion-related reactions.
4
Premedicate with paracetamol and an antihistamine if your protocol recommends it to reduce infusion reactions.
5
Review all other medicines, especially anthracyclines, before starting treatment to reduce the risk of heart damage.
6
Counsel women of childbearing age about effective contraception during and after treatment.
7
Document any infusion reaction and adjust future infusion rates accordingly.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
HER2-positive breast cancer
This medicine is commonly prescribed for this condition.
Likely Use
✅
HER2-positive stomach cancer
This medicine is used for HER2-positive gastric or gastro-oesophageal junction cancer.
Likely Use
❌
Fever
This medicine is not a fever reducer. Fever may be a side effect and should be reported.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is given directly into a vein, so absorption from the stomach or other tissues does not apply.
DistributionAfter intravenous administration, trastuzumab distributes mainly within the bloodstream and the fluid around body tissues. It is a large protein molecule and does not easily cross into the brain or other organs in large amounts.
Protein BindingNot established from the available information.
MetabolismAs a protein, this medicine is broken down in the body into small peptides and amino acids by normal protein recycling pathways. It is not processed by the liver enzymes that handle many other medicines.
Half-LifeThe elimination half-life of trastuzumab is approximately 28 to 38 days after steady state is reached, but this can vary between patients.
ExcretionThe breakdown products of this medicine are removed from the body through normal protein turnover and are not excreted unchanged in urine or stool to a significant extent.
BioavailabilityBecause this medicine is given intravenously, its bioavailability is considered to be 100%.
Onset of ActionThe effects of this medicine begin after it is given into the vein, but measurable benefits on the cancer usually take weeks to months to become apparent.
Peak Plasma TimeAfter an intravenous infusion, the highest blood level is reached at the end of the infusion.
Duration of ActionThe effect of a single dose lasts for several weeks because the medicine remains in the body for a long time. This is why doses are usually given once every one to three weeks depending on the treatment plan.

How It Works

This medicine is a monoclonal antibody that binds with high affinity to the extracellular part of the human epidermal growth factor receptor 2, known as HER2. By attaching to HER2, it blocks the signals that tell cancer cells to grow and divide. It also marks the cancer cells so that the body's immune system can attack and destroy them through a process called antibody-dependent cellular cytotoxicity. In some patients, this medicine also helps to prevent HER2 from being cut off the cell surface, which further reduces growth signals.

Mechanism Steps

1
Binding to HER2: This medicine attaches to the HER2 protein on the surface of cancer cells.
2
Blocking growth signals: By occupying HER2, it prevents growth factors from stimulating the cancer cells to divide.
3
Immune-mediated destruction: The attached antibody marks the cancer cell for attack by immune cells, leading to cell death.
4
Reduced receptor shedding: It also decreases the release of a cut form of HER2 that can promote cancer growth.

💡 How to Take ujvira 100mg injection

Strength: 100 mg single-use vial for intravenous infusion

1This medicine is given by a healthcare professional as an intravenous infusion in a hospital or cancer day-care setting.
2You do not need to do anything to prepare the medicine yourself.
3Wear comfortable clothing that allows easy access to a vein in your arm.
4Tell the nurse if you feel feverish, dizzy, or short of breath during the infusion.
5Stay for the recommended observation time after the infusion before going home.
6Follow all instructions given by your cancer care team.

Dosage Information

Adult DosageThe dose of this medicine is decided by a cancer specialist and depends on the type of cancer, the treatment plan, and whether it is given weekly or every three weeks. It is given as an intravenous infusion, often over 30 to 90 minutes, with the first dose given more slowly. Dose must be individualized by a qualified clinician based on indication, age, weight, heart function, and other treatments being used.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatric oncologist.
Elderly DosageOlder adults can receive this medicine, but they may be more sensitive to its effects, especially on the heart. Heart function should be checked carefully before and during treatment. Dose must be individualized by a qualified clinician.
Renal ImpairmentNo specific dose adjustment is usually needed for kidney problems, but your doctor will consider your overall health. Dose must be individualized by a qualified clinician.
Hepatic ImpairmentNo specific dose adjustment is usually needed for liver problems, but your doctor will consider your overall health. Dose must be individualized by a qualified clinician.
Maximum Daily DoseNot applicable, as this medicine is given on a scheduled basis rather than daily. The maximum dose is determined by the treating specialist.

Dosage Timeline

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

🍽️ Food Timing Guide

No specific food restrictions
Eat a normal, balanced diet unless your doctor advises otherwise.
This medicine is given intravenously and does not interact directly with food.
Alcohol
Limit or avoid
Alcohol can worsen tiredness, nausea, and liver strain during cancer treatment.

⏰ What to Do If You Miss a Dose

📌 You miss your scheduled infusion appointment
→ Contact your cancer care team as soon as possible to reschedule.
💡 Do not try to make up for the missed dose on your own.
📌 You are unsure whether to take the next dose
→ Call your doctor or nurse for advice.
💡 Your doctor will decide the best timing for the next dose.

⚠️ Side Effects of ujvira 100mg injection

✅ Common Side Effects

Fever and chills (Common (10-40%))
This often happens during the first infusion. Tell your nurse or doctor, who can slow the drip and give medicines to ease it.
Nausea (Common (10-30%))
Take anti-nausea medicines as prescribed and eat small, frequent meals.
Diarrhoea (Common (10-30%))
Drink plenty of fluids and inform your doctor if it lasts more than a day or is severe.
Tiredness (Common (10-30%))
Rest when needed and plan your activities. Report severe tiredness to your doctor.
Headache (Common (10-20%))
Simple pain relief may help, but check with your doctor before taking any medicine.
Infusion-related reaction such as flushing, rash, or dizziness (Common (10-40%))
These usually happen during or soon after the drip. Tell the nurse immediately so the infusion can be adjusted and treatment given.

🚨 Serious Side Effects

Heart problems, including reduced pumping function of the heart (heart failure) (Uncommon (1-10%))
Seek medical attention if you develop breathlessness, swelling of the legs, or unusual tiredness. Regular heart scans are needed during treatment.
Severe infusion reaction (Uncommon (1-10%))
This can include difficulty breathing, severe rash, or low blood pressure. It is treated immediately by the healthcare team.
Lung problems such as inflammation of the lungs (Rare (<1%))
Report new or worsening cough, breathlessness, or fever promptly.
Severe allergic reaction (anaphylaxis) (Rare (<1%))
Seek emergency help if you have swelling of the face, lips, or throat, or difficulty breathing.
Serious infections (Uncommon (1-10%))
Contact your doctor if you have fever, chills, or feel unwell, as this may need urgent treatment.

⚠️ Rare Side Effects

Kidney problems
Report decreased urine output or swelling. Blood tests may be needed.
Severe skin reactions
Seek medical help if you develop a severe rash, blisters, or peeling skin.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Doxorubicin Major
Paclitaxel Moderate

🚨 Major Interactions

  • Anthracycline chemotherapy medicines such as doxorubicin

⚡ Moderate Interactions

  • Paclitaxel

🍷 Alcohol Interaction

There is no known direct interaction between this medicine and alcohol. However, alcohol can worsen tiredness, nausea, and liver strain, so it is best to avoid or limit alcohol during cancer treatment. Always ask your treating doctor for personal advice.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Severe allergic reaction to trastuzumab or any ingredient of this product","Severe uncontrolled heart failure or other serious heart conditions","Pregnancy, unless the potential benefit clearly outweighs the risk, as decided by the treating specialist"]

⚠️ Warnings & Precautions

["This medicine must only be given by a healthcare professional in a setting equipped to manage emergencies.","Heart function must be checked before and regularly during treatment.","Infusion-related reactions can occur, especially with the first dose, and need close observation.","Tell your doctor about all other medicines, including chemotherapy, before starting treatment.","Avoid pregnancy during treatment and for several months after the last dose.","Do not breastfeed during treatment and for several months after the last dose.","Report any new or worsening symptoms such as breathlessness, fever, or swelling without delay."]

🤱 Lactation Safety

It is not known whether this medicine passes into breast milk. Because of the potential for harm to the baby, breastfeeding is not recommended during treatment and for several months after the last dose. Discuss feeding options with your doctor.

💊 Overdose Management

There is no specific antidote for an overdose of this medicine. Because it is given by a healthcare professional, overdose is unlikely. If too much is given, the patient should be monitored closely for side effects, especially heart and infusion-related effects, and treated supportively.

⏰ Missed Dose

If you miss a scheduled appointment for this injection, contact your cancer care team as soon as possible to arrange a new appointment. Do not try to make up for a missed dose on your own. Your doctor will decide the best time for the next dose.

Additional Safety Advice

General Safety

This medicine must only be given by a qualified healthcare professional in a setting where emergency equipment is available. Always inform your doctor about all other medicines, supplements, and herbal products you are taking, and about any history of heart disease, lung disease, or allergies. Regular heart tests, usually an echocardiogram or MUGA scan, are needed before and during treatment. Do not try to self-administer this injection. If you are pregnant, planning pregnancy, or breastfeeding, tell your doctor before starting treatment. Keep all follow-up appointments and report any fever, chills, breathlessness, chest discomfort, swelling of the legs, or unusual tiredness without delay.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Older adults may be more sensitive to the heart effects of this medicine. Heart function should be checked carefully before and during treatment. Your doctor will also consider other health conditions and medicines you are taking when deciding on treatment.

🤰 Pregnancy Planning (TTC)

This medicine may harm an unborn baby. Women who could become pregnant should use effective contraception during treatment and for several months after the last dose. If you are planning pregnancy, discuss it with your cancer specialist before stopping contraception. Men should also use contraception during treatment and for several months after the last dose.

🏥 Post-Surgery Considerations

This medicine is often used after surgery as part of adjuvant treatment for HER2-positive breast cancer. Follow your surgeon's and oncologist's advice about wound care, activity, and when to start or continue treatment after surgery.

🦷 Dental Procedures

Tell your dentist that you are receiving this medicine. There is no direct interaction with dental procedures, but your overall health and any blood count changes should be considered. Your dentist may consult your cancer doctor before doing any procedure.

💚 Lifestyle Tips for Better Results

🏃
Eat a balanced diet rich in fruits, vegetables, and lean protein to support your strength during treatment.
🥗
Stay physically active with gentle exercise such as walking, as advised by your doctor.
😴
Get enough rest and sleep to help your body cope with treatment.
💧
Avoid smoking and limit alcohol, as these can worsen your overall health.
🧘
Keep all your appointments for infusions and heart checks.
🌞
Reach out to family, friends, or support groups for emotional support.

🏋️ Exercise Considerations

Gentle exercise such as walking is usually encouraged, but avoid strenuous activity if you feel tired or breathless. If you have heart problems, ask your doctor what level of exercise is safe for you. Stop exercising and seek medical advice if you develop chest pain, severe breathlessness, or dizziness.

🥗 Diet Recommendations

Eat small, frequent meals if you feel nauseated.
Drink plenty of fluids to stay hydrated, especially if you have diarrhoea.
Include protein-rich foods to help maintain strength.
Limit alcohol and avoid very spicy or greasy foods if they upset your stomach.

💼 Impact on Daily Work & Life

You may feel tired after infusions, so plan rest days around your treatment schedule. Most people can continue light work, but avoid driving or operating machinery if you feel dizzy or unwell. Discuss your work schedule with your doctor and employer to make adjustments as needed.

🛑 When to Stop This Medicine

Do not stop this medicine on your own. Your cancer specialist will decide when to stop based on your response to treatment, side effects, and heart function. If you develop serious side effects such as heart problems or severe infusion reactions, your doctor may pause or stop treatment. Always discuss any concerns before making changes.

📅 Long-Term Use Effects

Long-term use of this medicine may be associated with a small ongoing risk of heart problems, so heart function is usually checked periodically even after treatment ends. Most other side effects improve after treatment is stopped. Some patients may experience lasting tiredness. Your doctor will advise on how long to continue treatment and what follow-up is needed.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Pertuzumab

Another HER2-targeted medicine that may be used in combination with trastuzumab for some patients.

Evidence: Well-established
Trastuzumab emtansine

A medicine that combines trastuzumab with a chemotherapy payload, used in certain settings.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Talk to your doctor before receiving any vaccine while on this medicine. Live vaccines should generally be avoided during cancer treatment because the immune system may be weakened. Inactivated vaccines may be given, but their effectiveness can vary. Follow your doctor's advice.

📦 Storage Guide

✅ DO

Store in a refrigerator at 2°C to 8°C

❌ DON'T

Do not freeze the vial

✅ DO

Keep the vial in its original carton to protect from light

❌ DON'T

Do not expose to direct sunlight

✅ DO

Check the expiry date before use

❌ DON'T

Do not use if the solution is cloudy or contains particles

✈️ Traveling with This Medicine

If you need to travel while receiving this medicine, carry a copy of your prescription and a letter from your doctor explaining your treatment. This medicine is given in a hospital or clinic, so plan your travel around your infusion schedule. Keep the medicine in its original packaging and store it in a refrigerator at 2°C to 8°C if you are carrying it. Do not freeze it. Check airline and customs rules for carrying prescription medicines, and carry enough supply for your trip. Inform your doctor before travelling so that arrangements can be made for your next dose.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 52-year-old woman with HER2-positive early breast cancer
She received this medicine as part of her treatment plan after surgery. Her first infusion caused mild fever and chills, which were managed by slowing the drip and giving paracetamol. She continued regular heart scans and completed her course without serious problems. She advises other patients to report any new symptom to the nurse immediately.
💡 Lesson: Infusion reactions are common but manageable when reported early, and regular heart monitoring helps keep treatment safe.
👤 A 61-year-old man with HER2-positive stomach cancer
He was started on this medicine along with chemotherapy. After a few cycles, he noticed increasing tiredness and mild leg swelling. His doctor ordered a heart scan, which showed a small drop in heart function. Treatment was paused, and after his heart recovered, it was restarted at a lower dose with careful monitoring.
💡 Lesson: Heart problems can develop during treatment, so reporting symptoms like leg swelling and tiredness early allows timely management.

💬 Questions Patients Often Ask

Q: How is this medicine given?

A: This medicine is given by a healthcare professional as an intravenous infusion, usually in a hospital or cancer day-care setting. It is not given as a tablet or at home.

Q: How often will I receive this medicine?

A: The schedule is decided by your cancer specialist. It may be given once a week or once every three weeks, depending on your treatment plan.

Q: What should I expect during the infusion?

A: You may feel feverish, chilly, or dizzy during or shortly after the infusion. Tell your nurse immediately if you feel unwell, as the drip can be slowed and medicines can be given to help.

Q: Will this medicine affect my heart?

A: This medicine can reduce the heart's pumping ability in some people. Heart function is checked before and during treatment. Report breathlessness, leg swelling, or unusual tiredness right away.

Q: Can I become pregnant while on this medicine?

A: This medicine may harm an unborn baby. Use effective contraception during treatment and for several months after the last dose. Talk to your doctor if you are planning pregnancy.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine at home?
  • Will this medicine affect my heart?
  • How long will I need to take this medicine?
  • Can I work while on this treatment?
  • What should I do if I miss an appointment?
  • Is this medicine safe during pregnancy?

🛑 Myths vs. Facts

  • Myth: This medicine can be taken as a tablet at home.
    Fact: This medicine is given only as an intravenous infusion by a healthcare professional in a hospital or cancer day-care setting.
  • Myth: This medicine works for all types of breast cancer.
    Fact: This medicine works only for cancers that have high levels of HER2. Your tumour must be tested before treatment.
  • Myth: Once you feel better, you can stop treatment.
    Fact: Stopping treatment early can reduce its benefit. Always discuss any changes with your cancer specialist.

🔄 Alternative Options

Generic Alternatives

  • Trastuzumab

Brand Alternatives

  • Ujvira 100mg injection

📊 Comparison with Similar Medicines

[{"medicine":"This medicine (trastuzumab)","class":"Monoclonal antibody","route":"Intravenous","main_use":"HER2-positive breast and gastric cancers"},{"medicine":"Pertuzumab","class":"Monoclonal antibody","route":"Intravenous","main_use":"HER2-positive breast cancer, often with trastuzumab"}]

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