Product image of Navelbine (Vinorelbine Tartrate) supplied by GNH India

Navelbine

Active Ingredient:
Vinorelbine Tartrate
Origin:
EU

Navelbine (Vinorelbine Tartrate)

Vinorelbine, the active ingredient in Navelbine, is a Vinca alkaloid presented as an injectable solution for intravenous use. It treats certain types of cancer, specifically non‑small cell lung cancer and breast cancer, in adult patients.
GNH India supplies Navelbine as a licensed, GDP‑compliant international pharmaceutical supplier serving oncology centres, hospitals and pharmacies worldwide.

Manufacturer / TM Owner

Pierre Fabre Medicament

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Indications & Clinical Uses

Vinorelbine is used in the treatment of solid tumours, particularly those that are responsive to antimitotic therapy.

  • Non‑small cell lung cancer: used as first‑line or second‑line therapy to control tumour growth.
  • Breast cancer: employed in metastatic settings, often combined with other agents to delay progression.
  • Solid tumours in combination regimens: incorporated with other chemotherapeutics to enhance antitumour activity in various advanced cancers.

How It Works

  • Vinorelbine binds to the vinca site on tubulin, preventing microtubule polymerisation. This blocks formation of the mitotic spindle, causing cell‑cycle arrest in the M phase and leading to apoptosis of rapidly dividing cancer cells while sparing most non‑dividing tissues.

Side Effects

Vinorelbine may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal upset.
  • Fatigue: persistent tiredness affecting daily activities.
  • Neutropenia: reduced white blood cell count increasing infection risk.
  • Constipation: difficulty passing stools.

Serious or Rare Side Effects

  • Severe neutropenia with fever: potentially life‑threatening infection.
  • Thrombocytopenia: low platelet count leading to bleeding.
  • Pulmonary toxicity: interstitial pneumonitis or fibrosis.

Precautions & Warnings

When using Navelbine, several precautions should be observed.

  • Monitor blood counts: regular CBC to detect neutropenia or anemia.
  • Assess liver function: adjust therapy if hepatic impairment is present.
  • Evaluate cardiac status: baseline ECG recommended due to potential arrhythmias.
  • Avoid concurrent myelosuppressive agents: reduces risk of severe bone‑marrow suppression.
  • Pregnancy and lactation: contraindicated unless benefits outweigh risks; discuss with specialist.
  • Store at 2‑8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Vinorelbine interacts with several drug classes and should be managed accordingly.

Major Interactions (Avoid)

  • CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): may increase vinorelbine exposure.
  • Strong CYP3A4 inducers (e.g., rifampicin, carbamazepine): may reduce efficacy.
  • Concurrent myelosuppressive chemotherapy: heightens risk of severe neutropenia.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (e.g., warfarin): increased bleeding risk due to thrombocytopenia.
  • Radiotherapy: may exacerbate bone‑marrow suppression.
  • P‑glycoprotein substrates (e.g., digoxin): potential alteration in plasma levels.

Frequently Asked Questions

Navelbine (vinorelbine tartrate) is an antineoplastic agent indicated for the treatment of adult patients with non‑small cell lung cancer and metastatic breast cancer. It is administered as part of chemotherapy regimens to control tumour growth and improve disease outcomes.

Vinorelbine binds to tubulin at the vinca‑binding site, blocking microtubule assembly. This disrupts the mitotic spindle, arrests cells in the M phase of the cell cycle, and triggers apoptosis in rapidly dividing cancer cells, thereby exerting its antitumour effect.

The dose of Navelbine is individualized by the prescribing oncologist based on factors such as the patient’s body surface area, type and stage of cancer, prior therapies, and laboratory parameters. Exact dosing regimens are not publicly disclosed and must follow the prescriber’s order.

Vinorelbine is classified as contraindicated in pregnancy and breastfeeding unless the potential therapeutic benefit justifies the risk. It may cause fetal harm, and women of child‑bearing potential should use effective contraception during treatment and for a period thereafter.

To order Navelbine, 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 (including cold‑chain where required) and necessary import documentation.

Compared with other Vinca alkaloids such as vincristine, vinorelbine has a distinct toxicity profile, showing relatively lower neurotoxicity but higher rates of neutropenia. Its efficacy in non‑small cell lung cancer and breast cancer is comparable to other microtubule‑targeting agents, and it is often chosen for combination regimens based on tolerability and physician preference.

Navelbine must be stored refrigerated at 2‑8 °C, protected from light, and should never be frozen or shaken. The product should be kept in its original packaging until use, and any prepared infusion should be administered promptly according to aseptic technique.

Navelbine is supplied as an injectable solution for intravenous infusion. It is administered by a qualified healthcare professional, typically over a short infusion period, following the dosing schedule prescribed by the treating oncologist. Infusion bags must be prepared under sterile conditions.

The most serious risks include severe neutropenia with fever, which can lead to life‑threatening infections, thrombocytopenia causing bleeding, and pulmonary toxicity such as interstitial pneumonitis or fibrosis. Patients should be monitored closely for signs of infection, bleeding, or respiratory distress.

Navelbine should not be used in patients with known hypersensitivity to vinorelbine or other Vinca alkaloids, in those with severe hepatic impairment, or in pregnant or nursing women unless the benefit outweighs the risk. It is also contraindicated in patients with uncontrolled infections or severe bone‑marrow suppression.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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