xtide 50mg injection - Oxaliplatin (50mg) medicine

Adplatin 50mg Injection (Oxaliplatin): Complete Medicine Guide

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🏭 Biocon 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for colorectal cancer; moderate for some other cancers.
Reviewed by
SaathiMed Expert Panel | Oct 21, 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

  • Fever, chills, or signs of infection
  • Unusual bleeding or bruising
  • Severe or persistent vomiting or diarrhea
  • Chest tightness, rash, or difficulty breathing during or after infusion
  • New or worsening numbness, weakness, or difficulty with daily tasks
  • Reduced urine output or swelling
  • Yellowing of skin or eyes
  • Severe abdominal pain

If experiencing severe symptoms, call emergency services immediately.

What is xtide 50mg injection used for?

This medicine is a platinum-based chemotherapy injection containing oxaliplatin 50 mg. It is given intravenously by oncology professionals to treat colorectal cancer and some other cancers. It works by damaging cancer cell DNA and must be used under close medical supervision.

  • Generic Name: Oxaliplatin (50mg)
  • Manufacturer: Biocon
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 xtide 50mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा ऑक्सालिप्लाटिन 50 मिलीग्राम इंजेक्शन के रूप में उपलब्ध है और इसे कीमोथेरेपी के लिए अस्पताल या कैंसर डे-केयर सेंटर में नस के माध्यम से दिया जाता है। इसका उपयोग मुख्य रूप से कोलोरेक्टल कैंसर, पेट के कैंसर और कुछ अन्य कैंसर के इलाज में किया जाता है। यह कैंसर कोशिकाओं के डीएनए को नुकसान पहुंचाकर उनकी वृद्धि को रोकती है। यह दवा केवल कैंसर विशेषज्ञ की देखरेख में ही दी जानी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, दस्त, कब्ज, थकान, भूख में कमी, मुंह के छाले और खून की कोशिकाओं की कमी शामिल हैं। ठंडी चीजों के संपर्क में आने पर हाथ-पैरों में झुनझुनी, सुन्नपन या गले में तकलीफ हो सकती है। गंभीर दुष्प्रभावों में बुखार के साथ संक्रमण, लगातार बढ़ती नसों की समस्या, सांस लेने में तकलीफ और किडनी या लीवर की समस्या शामिल हो सकती है। कोई भी नई या बढ़ती समस्या होने पर तुरंत डॉक्टर को बताएं।

सुरक्षा सलाह: यह दवा केवल प्रशिक्षित कैंसर विशेषज्ञ द्वारा अस्पताल या डे-केयर सेंटर में ही दी जानी चाहिए। इसे घर पर स्वयं न लगाएं। इंजेक्शन के कुछ दिनों तक ठंडे पेय, बर्फ और ठंडे संपर्क से बचें। बुखार, कंपकंपी, असामान्य रक्तस्राव, लगातार उल्टी या दस्त, और हाथ-पैरों में सुन्नपन होने पर तुरंत डॉक्टर से संपर्क करें। नियमित रूप से खून, किडनी और लीवर की जांच करवाएं। इलाज के दौरान गर्भधारण से बचें और डॉक्टर की सलाह का पालन करें।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 xtide 50mg injection Uses & Benefits

[{"condition":"Stage III colon cancer after surgery","description":"This medicine is used as adjuvant chemotherapy, often combined with other agents, to reduce the risk of cancer returning after surgical removal of the tumour.","evidence":"Well-established"},{"condition":"Metastatic colorectal cancer","description":"This medicine is used in combination regimens for advanced or metastatic colorectal cancer to shrink tumours and control disease progression.","evidence":"Well-established"},{"condition":"Advanced gastric and gastroesophageal junction cancer","description":"This medicine may be used in some chemotherapy combinations for advanced stomach and food-pipe cancers under specialist supervision.","evidence":"Moderate"},{"condition":"Pancreatic cancer","description":"This medicine is included in some combination regimens for selected patients with advanced pancreatic cancer.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Ovarian cancer","description":"This medicine has been used in some specialist regimens for selected ovarian cancer patients, but it is not a standard first-choice treatment.","evidence":"Limited"},{"condition":"Lymphoma","description":"This medicine has been studied in certain lymphoma subtypes in specialist settings, but evidence is not strong enough for routine use.","evidence":"Limited"}]

Primary treatment for: Colorectal cancer

Also treats: Gastric cancer, Gastroesophageal junction cancer, Pancreatic cancer

📋 Drug Information

Generic Name(s)Oxaliplatin (50mg)
Brand Namextide 50mg injection
ManufacturerBiocon
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI NEOPLASTICS
Action ClassPlatinum compounds-Anticancer
Route of AdministrationParenteral (intravenous infusion)
StorageStore this medicine in its original packaging in a refrigerator at 2 to 8 degrees Celsius, protected from light. Do not freeze. Follow the storage instructions provided by the manufacturer and the hospital pharmacy.
Shelf LifeThe shelf life is as printed on the product label and is usually 24 to 36 months from the date of manufacture when stored under recommended conditions.
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
This medicine must only be administered by trained oncology staff in a hospital or day-care setting.
2
Advise patients to avoid cold drinks, ice, and cold exposure for a few days after each dose to reduce cold-related tingling and throat discomfort.
3
Check complete blood counts, kidney function, and liver function before each cycle and adjust the dose as needed.
4
Ask patients to report fever, chills, unusual bleeding, bruising, or persistent numbness immediately.
5
Review all concomitant medicines, supplements, and herbal products for potential interactions before each cycle.
6
Discuss contraception and pregnancy planning with patients of childbearing age before starting treatment.
7
Document any infusion reactions and manage them promptly with standard protocols.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Colorectal cancer
This medicine is commonly prescribed for this condition.
Likely Use
✅
Gastric cancer
This medicine may be used in some treatment regimens.
Likely Use
❌
Fever
This medicine is not a fever reducer and can cause low blood counts.
Not Primary
❌
Common cold
This medicine is not used for viral infections.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is given directly into the bloodstream as an intravenous infusion, so absorption from the gastrointestinal tract does not apply.
DistributionAfter intravenous administration, oxaliplatin distributes rapidly into body fluids and tissues. It binds extensively to plasma proteins and to red blood cells. Platinum-containing species can persist in tissues for a long time after treatment.
Protein BindingOxaliplatin and its biotransformation products bind extensively to plasma proteins, and a large fraction of platinum in the blood is bound to red blood cells.
MetabolismOxaliplatin undergoes non-enzymatic chemical transformation in the body rather than metabolism by liver enzymes. It is converted into several reactive and inactive platinum-containing species.
Half-LifeThe terminal elimination half-life of total platinum is long and can extend over several days, while ultrafilterable platinum is cleared more quickly. Exact values vary between patients and are not fixed.
ExcretionThis medicine and its platinum-containing products are excreted mainly through the kidneys in the urine. Some platinum may also be eliminated in bile and faeces.
BioavailabilityBioavailability is not applicable because this medicine is administered directly into the bloodstream by the parenteral route.
Onset of ActionThe anticancer effect begins after the medicine enters the bloodstream and reaches cancer cells, but measurable tumour response usually takes weeks and is assessed by scans and clinical evaluation.
Peak Plasma TimePeak plasma platinum levels occur at or shortly after the end of the intravenous infusion.
Duration of ActionThe biological effect of this medicine lasts beyond the infusion because platinum-DNA adducts persist in cells. The clinical effect is assessed over treatment cycles rather than by a fixed duration.

How It Works

This medicine works after its active ingredient, oxaliplatin, enters cells and undergoes chemical conversion into reactive platinum species. These reactive species bind to DNA and form cross-links between DNA strands, especially between guanine bases. The cross-linked DNA cannot separate properly during replication and transcription, which blocks cancer cell division and triggers programmed cell death. Because cancer cells divide faster than most normal cells, they are more vulnerable to this DNA damage, although normal tissues with rapid turnover can also be affected.

Mechanism Steps

1
Cellular uptake: Oxaliplatin enters cancer cells through transport proteins and passive diffusion.
2
Activation: Inside the cell, oxaliplatin is converted into reactive platinum compounds that can bind to DNA.
3
DNA binding: The reactive platinum species bind mainly to guanine bases in DNA and form cross-links between DNA strands.
4
Replication block: The cross-linked DNA cannot unwind and separate properly, so DNA replication and transcription are blocked.
5
Cell death: Persistent DNA damage triggers programmed cell death pathways in the cancer cell.

💡 How to Take xtide 50mg injection

Strength: Injection, 50 mg

1This medicine is given by a trained healthcare professional as an intravenous infusion.
2Do not attempt to self-administer this medicine at home.
3Arrive for your appointment on time and inform the staff about all medicines you take.
4Tell the infusion staff immediately if you feel chest tightness, rash, dizziness, or breathing difficulty.
5Follow your oncology team's advice about cold avoidance and hydration after the infusion.
6Attend all scheduled blood tests and follow-up visits.

Dosage Information

Adult DosageThe dose of this medicine is individualized by a qualified oncologist based on the type and stage of cancer, the treatment regimen, body surface area, blood counts, kidney function, liver function, and previous side effects. It is usually given as an intravenous infusion over a period of hours in a hospital or day-care setting, often once every two to three weeks as part of a combination regimen. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
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, especially nerve-related effects and low blood counts. The dose and monitoring plan must be individualized by the treating oncologist based on overall health, kidney function, and other medicines being taken.
Renal ImpairmentThis medicine is excreted mainly through the kidneys, so patients with kidney impairment may need dose reduction or closer monitoring. The exact dose adjustment must be determined by the treating oncologist based on kidney function tests.
Hepatic ImpairmentPatients with significant liver impairment may need closer monitoring and possible dose adjustment. The treating oncologist will decide the appropriate dose based on liver function tests and overall clinical status.
Maximum Daily DoseThe maximum dose is not fixed and depends on the treatment protocol, body surface area, and clinical status. It must be determined by the treating oncologist.

Dosage Timeline

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

🍽️ Food Timing Guide

Cold drinks and ice
Avoid for a few days after each dose
Cold exposure can trigger tingling and throat discomfort.
Warm fluids
Prefer warm drinks
Warm fluids are usually better tolerated and help with hydration.
Alcohol
Avoid
Alcohol can worsen nausea, dehydration, and liver stress.

⏰ What to Do If You Miss a Dose

📌 You miss a scheduled infusion appointment
→ Contact your cancer centre as soon as possible to reschedule.
💡 Do not attempt to self-administer this medicine.
📌 You are unable to attend due to illness
→ Inform your oncology team and follow their advice.
💡 Your next dose may need to be delayed or adjusted based on your condition.

⚠️ Side Effects of xtide 50mg injection

✅ Common Side Effects

Nausea and vomiting (Common)
Take anti-nausea medicines as prescribed and inform your doctor if vomiting persists.
Cold-related tingling or numbness in hands and throat (Common)
Avoid cold drinks, ice, and cold exposure for a few days after each dose, and report persistent symptoms.
Fatigue (Common)
Rest adequately and plan activities around treatment days.
Diarrhea or constipation (Common)
Stay hydrated and inform your doctor if symptoms are severe or persistent.
Mouth sores (Common)
Maintain oral hygiene and use prescribed mouth care products.
Low blood counts (Common)
Get regular blood tests and report fever, bleeding, or unusual bruising immediately.

🚨 Serious Side Effects

Severe bone marrow suppression with fever or infection (Uncommon but serious)
Seek immediate medical attention if you develop fever, chills, or signs of infection.
Persistent or worsening peripheral neuropathy (Uncommon but serious)
Report numbness, weakness, or difficulty with fine tasks to your oncologist promptly.
Severe allergic or infusion reaction (Uncommon)
Infusion staff monitor for reactions; tell them immediately if you feel chest tightness, rash, or breathing difficulty.
Lung injury (Rare)
Report new or worsening cough or breathlessness to your doctor.
Kidney problems (Uncommon)
Regular kidney function tests are needed; report reduced urine output or swelling.

⚠️ Rare Side Effects

Blood clots
Seek urgent care for leg swelling, chest pain, or sudden breathlessness.
Severe diarrhea with dehydration
Contact your doctor immediately if diarrhea is severe or you feel dizzy or very weak.
Hearing changes
Report any new ringing or reduced hearing to your doctor.
Liver enzyme abnormalities
Regular liver function tests are done during treatment.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Aminoglycosides Major
Live vaccines Major
Clozapine Moderate
Phenytoin Moderate
Amphotericin B Moderate
Cisplatin Moderate
Loop diuretics Moderate
Herbal supplements Minor
Grapefruit juice Minor

🚨 Major Interactions

  • Other nephrotoxic medicines such as aminoglycosides or amphotericin B
  • Live vaccines
  • Warfarin and other anticoagulants

⚡ Moderate Interactions

  • Clozapine
  • Phenytoin
  • Nephrotoxic or ototoxic antibiotics

🍷 Alcohol Interaction

Alcohol should be avoided while receiving this medicine because it can worsen nausea, dehydration, and liver stress, and may increase the risk of stomach and nerve-related side effects.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known severe hypersensitivity to oxaliplatin or other platinum compounds","Severe bone marrow suppression","Significant kidney impairment","Active severe infection","Pregnancy and breastfeeding","Severe peripheral neuropathy"]

⚠️ Warnings & Precautions

["This medicine must only be given by trained oncology professionals.","Avoid cold exposure and cold drinks for a few days after each dose if you experience cold-related symptoms.","Report fever, chills, unusual bleeding, or bruising immediately.","Regular blood tests are needed to monitor blood counts, kidney function, and liver function.","Use effective contraception during treatment and for a period advised by your doctor.","Inform your doctor about all other medicines, supplements, and herbal products you take.","Do not receive live vaccines during treatment without approval from your oncologist."]

🤱 Lactation Safety

Breastfeeding is not recommended during treatment with this medicine because it may pass into breast milk and harm the infant. Discuss safe feeding options with your doctor.

💊 Overdose Management

Overdose with this medicine can cause severe bone marrow suppression, nerve toxicity, and other serious effects. Treatment is supportive and must be given in a hospital setting with close monitoring of blood counts, kidney function, and neurological status. There is no specific antidote, so management focuses on treating symptoms and complications.

⏰ Missed Dose

This medicine is given by a healthcare professional in a hospital or day-care setting, so missed doses are managed by the treating oncology team. If an appointment is missed, contact the cancer centre as soon as possible to reschedule. Do not attempt to self-administer this medicine.

Additional Safety Advice

General Safety

This medicine must only be given by a qualified oncology professional in a properly equipped facility. Do not attempt to self-administer this injection. Inform your doctor about all medicines, supplements, and herbal products you take before starting treatment. Avoid cold drinks, ice, and cold exposure for a few days after each dose if you experience cold-related tingling or throat discomfort. Use warm fluids and keep hands and feet covered in cold weather. Report fever, chills, unusual bleeding or bruising, persistent vomiting, diarrhea, numbness, or difficulty with daily tasks immediately. Regular blood tests are needed to check blood counts, kidney function, and liver function. Use effective contraception during treatment and for a period advised by your doctor. This medicine may harm a developing baby, so pregnancy should be avoided during treatment.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the side effects of this medicine, especially nerve-related effects, low blood counts, and fatigue. Close monitoring and individualized dose adjustment are important.

🤰 Pregnancy Planning (TTC)

This medicine can harm a developing baby. Women of childbearing age should use effective contraception during treatment and for a period advised by their doctor. Men should also use contraception during and after treatment as advised. Discuss pregnancy planning with your oncologist before starting treatment.

🏥 Post-Surgery Considerations

This medicine is often used after surgery for colon cancer as adjuvant treatment. Your oncology team will decide the timing of treatment based on your recovery from surgery and overall health.

🦷 Dental Procedures

Inform your dentist that you are receiving this medicine before any dental procedure. Low blood counts and mouth sores may increase the risk of bleeding or infection, so your oncology team should be consulted before dental work.

💚 Lifestyle Tips for Better Results

🏃
Keep hands and feet warm in cold weather to reduce tingling.
🥗
Drink warm fluids and avoid ice and cold drinks for a few days after each dose.
😴
Rest adequately and plan activities around treatment days.
💧
Maintain good oral hygiene to reduce mouth sores.
🧘
Eat small, frequent meals if you have nausea or loss of appetite.
🌞
Stay hydrated with warm or room-temperature fluids.
🚭
Report any new symptoms to your oncology team promptly.

🏋️ Exercise Considerations

Light activity such as walking may help with fatigue, but avoid activities that could cause injury if you have numbness, tingling, or balance problems. Discuss an appropriate exercise plan with your oncology team.

🥗 Diet Recommendations

Eat small, frequent meals to manage nausea.
Choose warm, well-cooked foods that are easy to digest.
Stay hydrated with warm or room-temperature fluids.
Include protein-rich foods to support recovery.
Avoid alcohol and very cold foods or drinks during treatment.

💼 Impact on Daily Work & Life

This medicine is given in a hospital or day-care setting, so you will need time off for infusions and recovery. Fatigue, nausea, and nerve symptoms may affect your ability to work or drive. Discuss your work schedule and safety-sensitive tasks with your oncology team.

🛑 When to Stop This Medicine

Do not stop or change your treatment schedule on your own. Your oncologist will decide when to stop or modify treatment based on your response, side effects, and overall health. Contact your doctor immediately if you develop severe side effects.

📅 Long-Term Use Effects

Long-term effects of this medicine may include persistent peripheral neuropathy with numbness or tingling in the hands and feet, which can affect daily activities. Some patients may experience ongoing fatigue or changes in kidney function. Regular follow-up with your oncology team is important to monitor for late effects and to adjust treatment as needed.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Other chemotherapy regimens

Depending on the cancer type and stage, other chemotherapy combinations may be considered by your oncologist.

Evidence: Well-established
Targeted therapy or immunotherapy

Some patients may be suitable for targeted or immunotherapy medicines based on tumour testing.

Evidence: Moderate to well-established depending on the cancer type

💉 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 based on your doctor's advice. Discuss all vaccinations with your oncology team.

📦 Storage Guide

✅ DO

Store in a refrigerator at 2 to 8 degrees Celsius

❌ DON'T

Do not freeze

✅ DO

Keep in original packaging and protect from light

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Follow hospital pharmacy instructions

❌ DON'T

Do not store at room temperature for long periods unless instructed

✈️ Traveling with This Medicine

If you need to travel during treatment, carry this medicine only if your oncology team has approved it and provided proper storage instructions. In general, this medicine is stored in a refrigerator at 2 to 8 degrees Celsius and must not be frozen. Carry a copy of your prescription and treatment summary. For air travel, check airline and customs rules for carrying injectable medicines and keep them in original packaging with a doctor's letter. Plan travel around your treatment schedule and ensure you have access to a hospital in case of side effects.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 58-year-old man with stage III colon cancer after surgery
He received this medicine as part of adjuvant chemotherapy in a day-care centre. He experienced tingling in his hands when touching cold objects and learned to use warm gloves and avoid cold drinks. His blood counts were monitored regularly, and the dose was adjusted when his counts dropped. He completed his planned cycles under close supervision.
💡 Lesson: Following cold-avoidance advice and attending regular blood tests helps patients complete chemotherapy more safely.
👤 A 62-year-old woman with metastatic colorectal cancer
She received this medicine in combination with other chemotherapy agents. She reported nausea and fatigue after infusions, which were managed with anti-nausea medicines and rest. She was advised to report any new numbness or breathing difficulty immediately. Her treatment was continued with dose adjustments based on her tolerance.
💡 Lesson: Reporting side effects early allows the oncology team to adjust treatment and improve tolerability.

💬 Questions Patients Often Ask

Q: How is this medicine given?

A: This medicine is given as an intravenous infusion by a trained healthcare professional in a hospital or day-care setting.

Q: How long does the infusion take?

A: The infusion duration is decided by your oncology team and may take a few hours depending on the regimen.

Q: What are the most common side effects?

A: Common side effects include nausea, fatigue, low blood counts, and cold-related tingling or numbness in the hands and throat.

Q: Can I drink cold water after the infusion?

A: Many patients are advised to avoid cold drinks and ice for a few days after each dose because cold can trigger tingling and throat discomfort.

Q: Do I need regular blood tests?

A: Yes, regular blood tests are needed to check blood counts, kidney function, and liver function during treatment.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine at home?
  • Will this medicine cause permanent nerve damage?
  • How long will I need this treatment?
  • Can I work during chemotherapy?
  • What should I eat during treatment?
  • Can I travel during treatment?
  • Will this medicine affect my fertility?
  • What if I miss an appointment?

🔄 Substitutes for xtide 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 taken as a tablet at home.
    Fact: This medicine is an injection that must be given by a trained healthcare professional in a hospital or day-care setting.
  • Myth: Cold drinks are safe during treatment.
    Fact: Cold drinks and cold exposure can trigger tingling and throat discomfort in many patients, so they are often avoided for a few days after each dose.
  • Myth: This medicine has no serious side effects.
    Fact: This medicine can cause serious side effects such as low blood counts, nerve damage, and infusion reactions, so close monitoring is required.

🔄 Alternative Options

Generic Alternatives

  • Oxaliplatin 50 mg injection

Brand Alternatives

  • Adplatin 50mg injection

📊 Comparison with Similar Medicines

[{"medicine":"Oxaliplatin","class":"Platinum chemotherapy","common_use":"Colorectal cancer","route":"Intravenous"},{"medicine":"Cisplatin","class":"Platinum chemotherapy","common_use":"Testicular, lung, bladder cancers","route":"Intravenous"},{"medicine":"Carboplatin","class":"Platinum chemotherapy","common_use":"Ovarian, lung cancers","route":"Intravenous"}]

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