Product image of Injosetron (Palonosetron) supplied by GNH India

Injosetron

Active Ingredient:
Palonosetron
Origin:
EU

Injosetron (Palonosetron)

Palonosetron, the active ingredient in Injosetron, is a 5‑HT3 receptor antagonist presented as an intravenous solution for intravenous use. It is indicated for the prevention of both acute and delayed phases of chemotherapy‑induced nausea and vomiting, as well as postoperative nausea and vomiting, in adult patients undergoing cancer treatment or surgery.

GNH India supplies Injosetron as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, transplant facilities and pharmacies worldwide, ensuring quality‑controlled shipments, regulatory compliance and reliable cold‑chain logistics.

Manufacturer / TM Owner

Rafarm Sa.

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Indications & Clinical Uses

Injosetron (palonosetron) acts on the serotonin 5‑HT3 receptor pathway to prevent nausea and vomiting.

  • Chemotherapy‑induced nausea and vomiting: prevents both acute and delayed nausea and vomiting associated with cytotoxic chemotherapy.
  • Postoperative nausea and vomiting: reduces incidence of nausea and vomiting after surgical procedures.
  • Delayed nausea and vomiting: provides control of nausea and vomiting occurring more than 24 hours after chemotherapy administration.

How It Works

  • Palonosetron selectively binds to the ligand‑binding site of the serotonin 5‑HT3 receptor on peripheral vagal nerve terminals and central neurons, blocking serotonin from activating the receptor. This high‑affinity antagonism inhibits the emetic signaling cascade in the chemoreceptor trigger zone and the gastrointestinal tract, thereby preventing the initiation of nausea and vomiting. Its long plasma half‑life contributes to sustained antiemetic protection during both acute and delayed phases.

Side Effects

Injosetron may be associated with a range of adverse reactions, most of which are mild and reversible.

Common Side Effects

  • Headache: mild to moderate headache reported.
  • Constipation: reduced bowel movements or difficulty passing stool.
  • Fatigue: feeling of tiredness or lack of energy.
  • Injection site reactions: erythema, pain or swelling at the IV site.

Serious or Rare Side Effects

  • Anaphylaxis: severe allergic reaction with rash, swelling, airway compromise.
  • QT interval prolongation: cardiac electrical disturbance that may lead to arrhythmia.
  • Serotonin syndrome: rare condition with agitation, hyperthermia, tremor when combined with other serotonergic agents.

Precautions & Warnings

When using Injosetron, clinicians should consider several precautionary measures to ensure patient safety.

  • Renal impairment: assess renal function and monitor for accumulation.
  • Hepatic impairment: use with caution in patients with liver dysfunction.
  • Cardiac disease: monitor ECG for QT prolongation, especially in patients with known cardiac risk.
  • Concomitant serotonergic drugs: evaluate risk of serotonin syndrome when combined with SSRIs, SNRIs or tramadol.
  • Pregnancy and lactation: prescribe only if potential benefit justifies potential risk to fetus or infant.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Injosetron can interact with other medicines, altering its efficacy or safety profile.

Major Interactions (Avoid)

  • Other 5‑HT3 antagonists: concurrent use may increase risk of additive cardiac effects.
  • Cisapride: combined use can markedly prolong QT interval.
  • Domperidone: may increase risk of ventricular arrhythmias.

Moderate Interactions (Monitor Closely)

  • Corticosteroids: may enhance antiemetic effect, requiring dose adjustment.
  • Apomorphine: can potentiate hypotensive effects.
  • SSRIs, SNRIs, MAO inhibitors: monitor for signs of serotonin syndrome.

Frequently Asked Questions

Injosetron contains palonosetron and is used to prevent and treat nausea and vomiting associated with chemotherapy and surgery. It is indicated for both the acute and delayed phases of chemotherapy‑induced nausea and vomiting as well as for postoperative nausea and vomiting in adult patients.

Palonosetron works by selectively binding to the serotonin 5‑HT3 receptor on peripheral and central neurons, blocking serotonin from activating the receptor. This inhibition stops the emetic signaling cascade in the chemoreceptor trigger zone and gastrointestinal tract, thereby preventing the sensation of nausea and the act of vomiting.

The dose of Injosetron is determined by the prescribing clinician based on the specific chemotherapy regimen or surgical procedure. The prescriber selects the appropriate intravenous amount and timing to achieve optimal antiemetic protection, following local guidelines and product labeling.

The pregnancy safety category for palonosetron is not definitively established. Injosetron should be used during pregnancy or lactation only if the potential benefit to the mother outweighs any possible risk to the fetus or infant, and after careful consideration by the treating physician.

To order Injosetron, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials. The sales team then provides pricing, availability, shipping details—including cold‑chain handling if needed—and assists with import documentation.

Injosetron (palonosetron) has a longer plasma half‑life and higher receptor affinity than first‑generation 5‑HT3 antagonists such as ondansetron, providing extended protection against delayed chemotherapy‑induced nausea. It is generally well tolerated, but clinicians still consider individual patient risk factors and may combine it with other antiemetics for optimal control.

Injosetron should be stored at 2‑8 °C in a refrigerator, protected from light. The solution must not be frozen or shaken. Keep the product in its original packaging until use to maintain stability and ensure proper cold‑chain conditions during transport.

Injosetron is administered as an intravenous injection or infusion. The healthcare professional prepares the solution according to the product label and delivers it through a peripheral or central IV line, typically as a single dose given before chemotherapy or surgery, following institutional protocols.

Serious adverse reactions to Injosetron include anaphylaxis, severe allergic responses, QT interval prolongation that can lead to cardiac arrhythmias, and rare cases of serotonin syndrome when combined with other serotonergic agents. Prompt recognition and medical intervention are essential if these events occur.

Injosetron is contraindicated in patients with known hypersensitivity to palonosetron or any component of the formulation. Caution is also advised for individuals with significant cardiac conduction abnormalities, prolonged QT interval, or those receiving other drugs that markedly affect cardiac repolarization.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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