Navelbine 10mg Injection (Vinorelbine): Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Fever of 38°C or higher, chills, or shivering
- Unusual bleeding or bruising, blood in urine or stool, or vomiting blood
- Severe abdominal pain, vomiting, or inability to pass stool or gas
- New or worsening numbness, tingling, weakness, or difficulty walking
- Chest pain, palpitations, fainting, or severe breathlessness
- Swelling of the face, lips, tongue, or throat, or difficulty breathing
- Yellowing of the eyes or skin, dark urine, or severe upper abdominal pain
- Severe pain, blistering, or skin breakdown at the injection site
If experiencing severe symptoms, call emergency services immediately.
What is vinelbine 10mg injection used for?
This medicine is a prescription-only intravenous chemotherapy medicine containing vinorelbine, a vinca alkaloid used mainly for non-small cell lung cancer and some advanced breast cancers. It works by stopping cancer cells from dividing. It is given only by trained healthcare professionals and requires regular blood count monitoring.
- Generic Name: Vinorelbine (10mg)
- Manufacturer: Fresenius Kabi India Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 vinelbine 10mg injection के बारे में (Hindi Summary)
उपयोग: यह दवा विनोरेल्बिन नामक कीमोथेरेपी दवा है, जो मुख्य रूप से नॉन-स्मॉल सेल लंग कैंसर और कुछ प्रकार के एडवांस्ड ब्रेस्ट कैंसर के इलाज में इस्तेमाल की जाती है। यह कैंसर कोशिकाओं के बंटवारे को रोककर उन्हें नष्ट करने में मदद करती है। यह दवा सिर्फ नस के माध्यम से, अस्पताल या कैंसर सेंटर में प्रशिक्षित डॉक्टर या नर्स द्वारा दी जाती है। इसे घर पर खुद से नहीं लगाया जा सकता। इलाज के दौरान खून की जांच नियमित रूप से करानी पड़ती है, क्योंकि यह दवा खून की कोशिकाओं को कम कर सकती है। अगर आपको बुखार, असामान्य खून आना, हाथ-पैर में झनझनाहट या कब्ज जैसी समस्या हो, तो तुरंत अपने डॉक्टर को बताएं।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में सफेद रक्त कोशिकाओं का कम होना, खून की कमी, थकान, जी मिचलाना, उल्टी, कब्ज, दस्त, मुंह में छाले, भूख कम लगना, बाल पतले होना और हाथ-पैर में झनझनाहट या सुन्नपन शामिल हैं। कुछ लोगों में इंजेक्शन लगाने की जगह पर दर्द, लालिमा या सूजन हो सकती है। गंभीर मामलों में बुखार के साथ संक्रमण, खून बहना, तेज कब्ज या आंतों में रुकावट, सांस लेने में तकलीफ, दिल की धड़कन में गड़बड़ी और गंभीर एलर्जी हो सकती है। कोई भी असामान्य लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: यह दवा केवल अस्पताल या कैंसर सेंटर में प्रशिक्षित स्वास्थ्यकर्मी द्वारा ही दी जानी चाहिए। इसे घर पर खुद से न लगाएं। इलाज के दौरान अपने डॉक्टर को अपनी सभी दवाओं, सप्लीमेंट्स और हर्बल उत्पादों के बारे में बताएं। गर्भावस्था से बचने के लिए डॉक्टर की सलाह अनुसार उपाय अपनाएं, क्योंकि यह दवा गर्भ में पल रहे बच्चे को नुकसान पहुंचा सकती है। इलाज के दौरान लाइव वैक्सीन न लगवाएं। बुखार, ठंड लगना, गले में दर्द, मुंह के छाले, असामान्य खून आना, काला मल, तेज कब्ज, नई झनझनाहट या कमजोरी, सीने में दर्द या सांस लेने में तकलीफ हो तो तुरंत डॉक्टर को बताएं। इलाज को अपने मन से बंद या कम न करें।
💊 vinelbine 10mg injection Uses & Benefits
[{"condition":"Non-small cell lung cancer (NSCLC)","description":"This medicine is used as a single agent or in combination with platinum-based chemotherapy for locally advanced or metastatic non-small cell lung cancer in adults.","evidence":"Well-established"},{"condition":"Metastatic breast cancer","description":"This medicine is used in some treatment regimens for advanced or metastatic breast cancer, often after other treatments have been tried.","evidence":"Established"},{"condition":"Advanced ovarian cancer","description":"This medicine has been studied and used in some regimens for recurrent or advanced ovarian cancer, usually in specialist settings.","evidence":"Limited"},{"condition":"Hodgkin lymphoma","description":"This medicine has been used in some salvage or combination regimens for Hodgkin lymphoma in selected patients.","evidence":"Limited"},{"condition":"Other advanced solid tumours","description":"This medicine has been investigated in several other solid tumours, but its role is generally limited to specialist or trial settings.","evidence":"Limited"}]
Off-label uses: [{"condition":"Relapsed or refractory paediatric solid tumours","description":"This medicine has sometimes been used off-label in selected paediatric oncology protocols, but this is not a standard approved use.","evidence":"Limited"},{"condition":"Kaposi sarcoma","description":"This medicine has been reported in small studies for Kaposi sarcoma, but it is not a standard first-line treatment.","evidence":"Limited"}]
Primary treatment for: Non-small cell lung cancer
Also treats: Metastatic breast cancer, Advanced ovarian cancer, Hodgkin lymphoma
📋 Drug Information
| Generic Name(s) | Vinorelbine (10mg) |
| Brand Name | vinelbine 10mg injection |
| Manufacturer | Fresenius Kabi India Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI NEOPLASTICS |
| Action Class | Antimicrotubule agents- Vinka alkaloid |
| Route of Administration | Parenteral (intravenous). This medicine is given as a diluted intravenous infusion, usually over 6 to 10 minutes, by a trained healthcare professional. It must never be given by intrathecal, intramuscular, or subcutaneous routes |
| Storage | Store this medicine in a refrigerator at 2°C to 8°C in its original carton to protect it from light. Do not freeze. Once diluted for infusion, use the solution as soon as possible and follow the hospital pharmacy's instructions for storage and handling. Keep out of reach of children. |
| Shelf Life | The shelf life of this medicine is usually 24 months from the date of manufacture when stored correctly in its original packaging. Do not use after the expiry date printed on the vial. Once diluted, the solution should be used within the time specified by the hospital pharmacy. |
| WHO Guideline | Not established from the available information. Treatment guidelines vary by country and cancer type, and this medicine should only be used as part of a plan made by a qualified oncologist. |
| ICMR Guideline | Not established from the available information. In India, this medicine is used under the supervision of a qualified oncologist according to institutional protocols and national cancer treatment guidance. |
👨⚕️ 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 works by binding to tubulin, the protein building block of microtubules, and preventing microtubules from assembling properly. Microtubules form the mitotic spindle that separates chromosomes during cell division. When this medicine binds tubulin, the spindle cannot form correctly, the cell cycle arrests in the metaphase stage, and the cancer cell eventually dies. This medicine also affects normal cells that divide quickly, such as bone marrow cells, hair follicle cells, and nerve cells, which explains many of its side effects.
Mechanism Steps
💡 How to Take vinelbine 10mg injection
Strength: This medicine is supplied as a 10 mg concentrated injection solution in a single-use vial. It must be diluted before intravenous infusion according to the hospital pharmacy's instructions.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is determined by the treating oncologist based on the type of cancer, the treatment regimen, blood counts, liver function, and whether it is used alone or with other chemotherapy. A commonly used single-agent schedule is 25 to 30 mg per square metre of body surface area given once every week, but this is only an example and not a prescription. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and blood counts. Doses are often delayed or reduced if blood counts are low or if nerve symptoms appear. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatric oncologist. |
| Elderly Dosage | Older adults may be more sensitive to the side effects of this medicine, especially bone marrow suppression and nerve damage. The dose is usually individualized by the oncologist based on blood counts, liver and kidney function, and overall health. Close monitoring is recommended during treatment. |
| Renal Impairment | This medicine is partly eliminated through the urine, but specific dose adjustments for kidney impairment are not well established. The treating oncologist will consider kidney function when choosing the dose and will monitor closely. |
| Hepatic Impairment | People with liver impairment may need a reduced dose of this medicine because it is broken down in the liver. The dose is individualized by the oncologist based on liver function tests and the severity of impairment. |
| Maximum Daily Dose | The maximum dose of this medicine is not a fixed daily amount. It is determined by the treating oncologist based on body surface area, blood counts, liver function, and the specific treatment regimen. Do not exceed the dose prescribed by your cancer care team. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of vinelbine 10mg 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 | |
| Ketoconazole | Major | |
| Rifampicin | Major | |
| Warfarin | Moderate | |
| Cisplatin | Moderate | |
| Phenytoin | Moderate | |
| Mitomycin C | Major | |
| Clarithromycin | Major | |
| Grapefruit juice | Moderate | |
| Paracetamol | Minor |
🚨 Major Interactions
- Live vaccines
- Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, clarithromycin, and ritonavir
- Strong CYP3A4 inducers such as rifampicin, carbamazepine, and phenytoin
- Other bone marrow-suppressing chemotherapy or radiotherapy
- Mitomycin C
⚡ Moderate Interactions
- Warfarin and other blood thinners
- Cisplatin
- Phenytoin
- Grapefruit juice
🍷 Alcohol Interaction
Alcohol should be avoided while receiving this medicine. Alcohol can increase the risk of liver problems, worsen nausea and fatigue, and may add to nerve-related side effects. If you drink alcohol regularly, discuss this with your cancer care team before starting treatment.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy or severe hypersensitivity to vinorelbine or other vinca alkaloids","Absolute neutrophil count below 1,000 cells per microlitre before treatment","Platelet count below 100,000 cells per microlitre before treatment","Active serious infection that is not controlled","Severe liver impairment","Pregnancy or breastfeeding","Intrathecal, intramuscular, or subcutaneous administration"]
⚠️ Warnings & Precautions
["This medicine must only be given by trained healthcare professionals in a setting with resuscitation equipment.","Blood counts must be checked before each dose because this medicine can cause severe bone marrow suppression.","This medicine can cause nerve damage that may become permanent if not recognised early.","This medicine can harm an unborn baby, so effective contraception is required during treatment.","Live vaccines must be avoided during treatment because of the risk of serious infection.","This medicine can leak into surrounding tissue and cause severe damage if the intravenous line is not properly placed.","People with liver impairment may need a lower dose and closer monitoring.","This medicine can add to the bone marrow suppression caused by other chemotherapy or radiotherapy."]
🤱 Lactation Safety
It is not known whether this medicine passes into breast milk. Because of the potential for serious harm to a breastfed baby, breastfeeding is not recommended during treatment and for a period advised by the treating oncologist.
💊 Overdose Management
Overdose of this medicine can cause severe bone marrow suppression, serious nerve damage, and other life-threatening effects. There is no specific antidote. Treatment is supportive and may include close blood count monitoring, antibiotics for infection, blood transfusions, growth factor support, and management of nerve symptoms. Anyone who receives too much of this medicine must be monitored in a hospital setting until blood counts recover.
⏰ Missed Dose
This medicine is given by a healthcare professional, so a missed dose usually means a missed appointment. Contact your cancer care team as soon as possible if you miss an appointment. Do not try to catch up with an extra dose on your own, because the dose and timing must be decided by your oncologist based on your blood counts and overall condition.
Additional Safety Advice
This medicine must only be given by a qualified healthcare professional in a setting where resuscitation equipment and medicines are available. Never attempt to self-administer this injection, and never allow anyone without proper training to give it. Always inform your cancer care team about all other medicines, supplements, and herbal products you take, because some can increase the risk of nerve damage, bleeding, or infection. Use effective contraception during treatment and for a period advised by your doctor, since this medicine can harm an unborn baby. Avoid live vaccines while receiving treatment, and avoid close contact with people who have contagious infections when your blood counts are low. Drink enough fluids and eat small, frequent meals to help with nausea and constipation. Report fever of 38°C or higher, chills, sore throat, mouth ulcers, unusual bleeding, black stools, severe constipation, new numbness or weakness, chest pain, or difficulty breathing immediately. Do not stop or change the treatment plan on your own; all decisions about delaying, reducing, or stopping doses must be made by your oncologist.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults may be more sensitive to the side effects of this medicine, especially bone marrow suppression, fatigue, and nerve damage. The dose is individualized by the oncologist based on blood counts, liver and kidney function, and overall health. Close monitoring and early reporting of side effects are especially important in this age group.
🤰 Pregnancy Planning (TTC)
This medicine can harm an unborn baby. If you are planning a pregnancy, discuss it with your oncologist before starting or continuing treatment. Effective contraception is required for both men and women during treatment and for a period advised by the treating oncologist. If pregnancy occurs during treatment, contact your cancer care team immediately.
🏥 Post-Surgery Considerations
If you have recently had surgery, tell your oncologist and surgeon before receiving this medicine. Chemotherapy can affect wound healing and increase the risk of infection. The timing of treatment after surgery is decided by your cancer care team based on your recovery and blood counts.
🦷 Dental Procedures
Tell your dentist that you are receiving this medicine before any dental procedure. Chemotherapy can increase the risk of bleeding and infection, especially if your blood counts are low. Your oncologist may advise delaying dental work until your blood counts recover, and antibiotics may be needed before certain procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Mild to moderate activity such as short walks can help with fatigue and mood, but avoid strenuous exercise or activities that increase the risk of falls when your blood counts are low or if you have numbness or weakness in your feet. Always check with your oncologist before starting a new exercise routine during treatment.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause fatigue, nausea, and nerve symptoms that may affect your ability to work or drive. Many people need to take time off around treatment days. Avoid driving or operating heavy machinery if you feel dizzy, tired, or have numbness or weakness. Discuss your work schedule with your oncologist and employer so that treatment and rest can be planned safely.
🛑 When to Stop This Medicine
Do not stop this medicine on your own. Your oncologist will decide when to stop based on your response to treatment, side effects, blood counts, and overall health. Treatment may be stopped or changed if the cancer progresses, if side effects become severe, or if you decide together with your care team that the risks outweigh the benefits. Always discuss any concerns before making a decision.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of persistent nerve damage, especially numbness, tingling, or weakness in the hands and feet. Repeated bone marrow suppression can lead to long-lasting low blood counts in some people. Liver function should be monitored over time, especially in people with existing liver disease. Your oncologist will review the benefits and risks of continuing treatment at regular intervals and may adjust or stop treatment based on your response and side effects.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Depending on the cancer type and stage, other chemotherapy medicines or combinations may be suitable.
Evidence: Well-establishedSome cancers with specific genetic changes may respond to targeted medicines instead of or in addition to chemotherapy.
Evidence: Established for selected cancersImmunotherapy may be an option for some types of lung cancer and other cancers, depending on biomarkers and stage.
Evidence: Established for selected cancersSupportive care helps manage symptoms and improve quality of life alongside cancer treatment.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Live vaccines should be avoided during treatment with this medicine because the immune system may be suppressed. Inactivated vaccines may be given, but the response may be weaker. Discuss all vaccinations with your oncologist, and make sure family members and close contacts are up to date with their vaccines to reduce the risk of infection around you.
📦 Storage Guide
✅ DO
Store in a refrigerator at 2°C to 8°C in the original carton
❌ DON'T
Do not freeze the vial
✅ DO
Keep the vial protected from light
❌ DON'T
Do not store in direct sunlight or in a hot place
✅ DO
Keep out of reach of children
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Follow hospital pharmacy instructions after dilution
❌ DON'T
Do not use after the expiry date
✈️ Traveling with This Medicine
This medicine is given in a hospital or cancer centre, so travel planning should be discussed with your oncologist well in advance. If you need treatment while travelling, carry a copy of your prescription, treatment plan, and recent blood test reports. Keep the medicine in its original packaging and follow the storage instructions, which usually require refrigeration at 2°C to 8°C. Do not freeze the medicine. If you are flying, carry your medical documents in your hand luggage and be prepared to explain your treatment at security or customs. Plan your travel around your treatment schedule and blood test appointments, and avoid travel if your blood counts are very low or if you have an active infection.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine is given as an intravenous infusion by a trained healthcare professional in a hospital or cancer centre. It is usually given over 6 to 10 minutes after dilution.
A: Blood counts are usually checked before each dose. Your oncologist may also check liver and kidney function tests regularly.
A: No. This medicine must only be given by trained healthcare professionals in a proper medical setting.
A: Watch for fever, unusual bleeding or bruising, severe constipation, new numbness or weakness, chest pain, and difficulty breathing. Report these to your cancer care team immediately.
A: This medicine can harm an unborn baby. Use effective contraception during treatment and for the period advised by your oncologist.
A: It is best to avoid alcohol during treatment because it can worsen liver stress, fatigue, and nausea.
🤔 Common Patient Concerns
🔄 Substitutes for vinelbine 10mg injection
View AllAlternative brands with exact same active ingredient:
-
neoben 10mg injectionNeon Laboratories Ltd ₹1,088.67 63.9% CHEAPER
-
cevin 10mg injectionHealth Biotech Limited ₹2,575.00 14.5% CHEAPER
-
Relbovin 10mg InjectionMiracalus Pharma Pvt Ltd ₹2,575.00 14.5% CHEAPER
-
navelbine 10mg injectionAbbott ₹3,234.38 7.4% COSTLIER
-
vinbicel 10mg injectionCelon Laboratories Ltd ₹3,290.00 9.2% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken at home like a tablet.
Fact: This medicine is an intravenous chemotherapy medicine and must only be given by trained healthcare professionals in a proper medical setting. - Myth: This medicine cures all types of cancer.
Fact: This medicine is used for specific cancers such as non-small cell lung cancer and some advanced breast cancers. It is not a cure for all cancers. - Myth: Side effects mean the medicine is not working.
Fact: Side effects are common with chemotherapy and do not mean the medicine is failing. Your cancer care team can help manage them. - Myth: You can stop treatment once you feel better.
Fact: Treatment schedules are planned by your oncologist. Stopping early without medical advice can reduce the benefit of treatment.
🔄 Alternative Options
Generic Alternatives
- Vinorelbine injection
Brand Alternatives
- Navelbine 10mg injection