Product image of Mesna-Cell Stadapharm (Mesna) supplied by GNH India

Mesna-Cell Stadapharm

Active Ingredient:
Mesna
Origin:
EU

Mesna-Cell Stadapharm (Mesna)

Mesna, the active ingredient in Mesna-Cell, is a uroprotective agent presented as an injectable solution for intravenous use. It is employed to prevent hemorrhagic cystitis and other bladder toxicity that can occur during cyclophosphamide or ifosfamide chemotherapy in cancer patients.

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

Manufacturer / TM Owner

Stadapharm Gmbh

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Indications & Clinical Uses

Mesna is a uroprotective agent that reduces chemotherapy‑induced bladder toxicity.

  • Hemorrhagic cystitis (cyclophosphamide therapy): Prevents bladder inflammation and bleeding associated with cyclophosphamide chemotherapy.
  • Urotoxicity (ifosfamide therapy): Reduces the risk of bladder damage caused by ifosfamide treatment.
  • Stem‑cell transplant conditioning (high‑dose cyclophosphamide): Provides bladder protection during high‑dose cyclophosphamide regimens used for stem‑cell transplantation.

How It Works

  • Mesna delivers sulfhydryl groups that chemically bind to the toxic metabolite acrolein, a by‑product of cyclophosphamide and ifosfamide metabolism. This conjugation neutralizes acrolein, preventing it from contacting the urothelium. The resulting non‑reactive complex is excreted in the urine, thereby reducing urothelial irritation and hemorrhagic cystitis while allowing the anticancer agents to retain their therapeutic activity.

Side Effects

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

Common Side Effects

  • Nausea: mild to moderate nausea reported during infusion.
  • Vomiting: occasional vomiting following administration.
  • Headache: transient headache during or after dosing.
  • Hypotension: mild drop in blood pressure, usually self‑limiting.
  • Rash: mild skin erythema or pruritus.

Serious or Rare Side Effects

  • Anaphylaxis: severe allergic reaction requiring immediate medical attention.
  • Severe hypotension: marked blood pressure decline leading to syncope.
  • Pulmonary edema: rare accumulation of fluid in the lungs.
  • Stevens‑Johnson syndrome: rare severe skin reaction.

Precautions & Warnings

When using Mesna, several precautions should be observed to ensure safety and effectiveness.

  • Renal function: assess kidney function before initiation and monitor during therapy.
  • Urine alkalinization: consider alkalinizing urine to enhance acrolein detoxification.
  • Concomitant chemotherapy: coordinate timing with cyclophosphamide or ifosfamide to maintain protective effect.
  • Hypersensitivity: discontinue immediately if signs of allergic reaction appear.
  • Pregnancy and lactation: use only if the potential benefit justifies the potential risk to the fetus or infant.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Mesna can interact with other medicines, affecting its efficacy or safety.

Major Interactions (Avoid)

  • Antacids containing sulfhydryl groups: may compete for acrolein binding and reduce protective effect.
  • Probenecid: can decrease renal clearance of Mesna, potentially lowering its urinary concentration.

Moderate Interactions (Monitor Closely)

  • Loop diuretics: may increase risk of electrolyte disturbances when combined with Mesna.
  • ACE inhibitors or ARBs: monitor blood pressure as additive hypotensive effects may occur.
  • Other sulfhydryl‑donating drugs: observe for altered pharmacodynamics.

Frequently Asked Questions

Mesna-Cell is used as a uroprotective agent to prevent hemorrhagic cystitis and other bladder toxicity that can arise during treatment with cyclophosphamide or ifosfamide chemotherapy. It helps protect the urinary tract lining by neutralizing harmful metabolites, thereby reducing the risk of bleeding and inflammation in patients receiving these anticancer drugs.

Mesna works by supplying sulfhydryl groups that bind to acrolein, a toxic by‑product generated when cyclophosphamide or ifosfamide is metabolized. This binding forms a non‑reactive complex that is eliminated in the urine, preventing acrolein from damaging the urothelium and thus reducing the incidence of hemorrhagic cystitis.

The dose of Mesna-Cell is determined by the prescribing clinician based on the specific chemotherapy regimen, patient weight, renal function, and treatment protocol. Dosing schedules are individualized and should follow the guidance of the treating oncologist or pharmacist.

Safety data for Mesna-Cell in pregnancy and lactation are limited. It should be used only if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Healthcare providers should evaluate the risk‑benefit ratio before prescribing to pregnant or nursing patients.

To order Mesna-Cell, 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. After confirmation, the team provides pricing, availability, shipping details (including cold‑chain handling if needed) and assistance with import documentation.

Mesna is the standard uroprotective agent for preventing acrolein‑induced bladder toxicity from cyclophosphamide and ifosfamide. Alternatives such as amifostine are less specific for acrolein detoxification and are not routinely used for this indication. Consequently, Mesna remains the preferred choice for protecting the urinary tract during these chemotherapy regimens.

Mesna-Cell should be stored at 2‑8 °C (refrigerated). Keep the product in its original container, protect it from light, and avoid freezing or shaking. If the solution reaches room temperature for a short period, it may be used, but it should be returned to refrigerated conditions promptly.

Mesna-Cell is given by intravenous infusion, typically administered shortly before, during, and after the cyclophosphamide or ifosfamide infusion according to the prescribed schedule. The exact timing and infusion rate are determined by the treating physician and should follow institutional protocols for chemotherapy support.

The most serious risks include severe allergic reactions such as anaphylaxis, marked hypotension that can lead to syncope, pulmonary edema, and rare severe skin disorders like Stevens‑Johnson syndrome. Patients should be monitored closely for any signs of these reactions, and treatment should be discontinued immediately if they occur.

Mesna-Cell should not be used in individuals with a known hypersensitivity to mesna or any of its excipients. Caution is also advised for patients with severe renal impairment, as reduced clearance may diminish its protective effect. In such cases, alternative strategies or dose adjustments should be considered by the healthcare provider.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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