Ifomid M 2/400 is a brand name for Ifosfamide Mesna Injection, which is a chemotherapy medication used to treat various types of cancer. Here are some key points about the product:
Composition:
Each 2/400 injection of Ifomid M 2/400 contains:
- Ifosfamide: a chemotherapy agent that belongs to the class of alkylating agents
- Mesna: a medication that helps to prevent bladder damage caused by ifosfamide
Indications:
Ifomid M 2/400 is indicated for:
- Treatment of ovarian cancer
- Treatment of breast cancer
- Treatment of lymphoma
- Treatment of soft tissue sarcoma
Mechanism of Action:
Ifosfamide works by:
- Alkylating DNA, leading to cell death
- Inhibiting DNA repair, further enhancing its cytotoxic effect
Dosage and Administration:
The recommended dosage of Ifomid M 2/400 is:
- 1.5-2.0 grams/m² body surface area as an intravenous infusion over 30-60 minutes
- Repeat every 3-4 weeks
Side Effects:
Common side effects of Ifomid M 2/400 include:
- Nausea and vomiting
- Diarrhea
- Abdominal pain
- Fatigue
- Hair loss
- Changes in menstrual cycle
- Decreased white blood cell count (neutropenia)
- Decreased red blood cell count (anemia)
- Decreased platelet count (thrombocytopenia)
Serious side effects can include:
- Severe neutropenia or thrombocytopenia
- Hepatotoxicity (e.g., liver failure, liver damage)
- Renal toxicity (e.g., kidney failure, kidney damage)
- Cardiac toxicity (e.g., cardiac arrhythmias, cardiac failure)
- Pulmonary toxicity (e.g., respiratory failure, pneumonitis)
Contraindications:
Ifomid M 2/400 is contraindicated in patients with:
- Known hypersensitivity to ifosfamide or mesna
- Active liver disease or severe liver dysfunction
- Severe kidney disease or severe kidney dysfunction
- Pregnancy or breastfeeding (unless absolutely necessary)
Precautions:
- Patients with a history of cardiac disease or cardiac arrhythmias should be closely monitored while receiving Ifomid M 2/400.
- Patients with a history of liver disease or kidney dysfunction should receive dose reduction or close monitoring while receiving Ifomid M 2/400.
- Patients with a history of blood disorders should be closely monitored for signs of blood dyscrasias.
- Women of childbearing potential should use effective contraception while receiving Ifomid M 2/400.
Patient Counseling:
- Patients should be counseled on the importance of taking their medication as directed and not missing doses.
- Patients should be instructed to report any signs of infection, such as fever, chills, or sore throat.
- Patients should be advised to report any changes in their appetite, nausea, or vomiting.
- Patients should be informed that they may experience hair loss, fatigue, or changes in their menstrual cycle during treatment.
Storage and Handling:
- Store injections at room temperature between 15°C and 30°C (59°F and 86°F).
- Do not expose to direct sunlight or moisture.
- Use within 24 months of opening.
Please note that the dosage and administration information is based on the recommended dosage and may vary depending on individual patient needs and circumstances.
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