Product image of Megace (Megestrol Acetate) supplied by GNH India

Megace

Active Ingredient:
Megestrol Acetate
Origin:
EU

Megace (Megestrol Acetate)

Megestrol acetate, the active ingredient in Megace, is a progestin presented as an oral tablet for oral use. It treats cachexia and weight loss associated with cancer or AIDS and is employed in certain hormone‑responsive cancers such as advanced breast and endometrial cancer.

GNH India supplies Megace as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Bausch Health Ireland Limited

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Indications & Clinical Uses

Megace is a synthetic progestogen used in conditions where appetite stimulation or hormonal control of tumor growth is required.

  • Cachexia/weight loss associated with cancer or AIDS: helps increase appetite and promote weight gain.
  • Advanced breast cancer: provides antineoplastic activity to slow disease progression.
  • Endometrial cancer: used as hormonal therapy to control tumor growth.

How It Works

  • Megestrol acetate is a synthetic progestogen that binds to progesterone receptors in target tissues. This receptor activation exerts antineoplastic effects by inhibiting hormone‑driven tumor proliferation and may also produce glucocorticoid‑like activity that stimulates appetite and alters metabolic pathways, contributing to weight gain.

Side Effects

Megace may cause a range of adverse reactions, from mild to serious.

Common Side Effects

  • Nausea
  • Fatigue
  • Peripheral edema
  • Increased blood glucose levels
  • Headache
  • Dyspepsia

Serious or Rare Side Effects

  • Thromboembolic events (deep vein thrombosis, pulmonary embolism)
  • Adrenal insufficiency or cortisol suppression
  • Severe allergic reactions, including anaphylaxis

Precautions & Warnings

Before initiating therapy, clinicians should evaluate several safety aspects.

  • Monitor blood glucose: patients with diabetes may require dose adjustments.
  • Assess thromboembolic risk: avoid in individuals with a history of clotting disorders.
  • Evaluate liver function: hepatic impairment can alter drug metabolism.
  • Use caution in pregnancy: potential fetal risk, prescribe only if benefits outweigh risks.
  • Store at ambient temperature below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Megace can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Anticoagulants (e.g., warfarin): may increase clotting risk.
  • CYP3A4 inducers (e.g., rifampin, phenytoin): can reduce Megace effectiveness.
  • Antidiabetic agents (insulin, sulfonylureas): may exacerbate hyperglycemia.

Moderate Interactions (Monitor Closely)

  • Corticosteroids: additive glucocorticoid effects may increase adverse events.
  • Hormonal contraceptives: Megace may diminish contraceptive efficacy.

Frequently Asked Questions

Megace (megestrol acetate) is prescribed to stimulate appetite and promote weight gain in patients experiencing cachexia due to cancer or AIDS. It is also used as a hormonal therapy for advanced breast cancer and endometrial cancer, where it helps control tumor growth.

Megestrol acetate is a synthetic progestogen that binds to progesterone receptors. This binding produces antineoplastic effects by inhibiting hormone‑driven tumor proliferation and exerts glucocorticoid‑like activity that increases appetite and alters metabolism, leading to weight gain.

The dose of Megace is individualized by the prescribing clinician based on the patient’s condition, severity of cachexia, and overall treatment plan. Dosage may vary widely, and the prescriber determines the appropriate strength and schedule for each case.

Safety data for Megace in pregnancy and lactation are limited. It is generally avoided unless the potential benefit justifies the potential risk to the fetus or infant. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their healthcare provider.

To request Megace, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Megace is often compared with corticosteroids such as dexamethasone, which also stimulate appetite. While both can increase weight, Megace provides additional antineoplastic hormone activity useful in certain cancers, whereas steroids have broader anti‑inflammatory effects but may carry a different side‑effect profile.

Megace tablets should be stored at ambient temperature below 25 °C, in their original packaging, and protected from moisture and direct sunlight. Do not store in a refrigerator or freezer, and keep out of reach of children.

Megace is taken orally as a tablet, usually with a glass of water. It can be taken with or without food, but consistent administration with respect to meals helps maintain stable drug levels. Patients should follow the prescribing clinician’s instructions for timing and frequency.

Serious risks include thromboembolic events such as deep‑vein thrombosis or pulmonary embolism, adrenal insufficiency due to cortisol suppression, and severe hyperglycemia that may require medical intervention. Patients should seek immediate medical attention if they experience unexplained swelling, shortness of breath, or signs of infection.

Megace should not be used by individuals with known hypersensitivity to megestrol acetate or any tablet excipients, those with active thromboembolic disease, uncontrolled diabetes, or severe hepatic impairment. Pregnant women should avoid it unless clearly indicated, and it is contraindicated in patients requiring anticoagulation without close monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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