Product image of Palonosetron Fresenius Kabi (Palonosetron Hydrochloride) supplied by GNH India

Palonosetron Fresenius Kabi

Active Ingredient:
Palonosetron Hydrochloride
Origin:
EU

Palonosetron Fresenius Kabi (Palonosetron Hydrochloride)

Palonosetron hydrochloride, the active ingredient in Palonosetron Fresenius Kabi, is a selective 5‑HT3 receptor antagonist presented as a sterile injectable solution for intravenous use. It is used to prevent chemotherapy‑induced nausea and vomiting in adult cancer patients.
GNH India supplies Palonosetron Fresenius Kabi as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres and pharmacies worldwide.

Manufacturer / TM Owner

Fresenius Kabi Deutschland Gmbh

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Indications & Clinical Uses

Palonosetron Fresenius Kabi is a 5‑HT3 receptor antagonist indicated for several chemotherapy‑related indications.

  • Chemotherapy‑induced nausea and vomiting (CINV): provides effective prophylaxis of acute and delayed episodes in adult patients receiving highly emetogenic chemotherapy.
  • Post‑operative nausea and vomiting (PONV): reduces the incidence of nausea and vomiting after general anesthesia.
  • Radiotherapy‑induced nausea and vomiting: helps control nausea associated with moderate to high dose radiotherapy.
  • Antiemesis in patients receiving moderately emetogenic chemotherapy: offers prophylaxis when lower‑risk regimens are used.

How It Works

  • Palonosetron binds with high affinity to the serotonin type 3 (5‑HT3) receptor on peripheral vagal nerve terminals and centrally in the chemoreceptor trigger zone. By blocking this receptor, it prevents serotonin‑mediated activation of the vomiting centre, thereby inhibiting both acute and delayed phases of chemotherapy‑induced nausea and vomiting.

Side Effects

Palonosetron may cause adverse reactions that vary in frequency and severity.

Common Side Effects

  • Headache: mild to moderate intensity.
  • Constipation: occasional bowel movement changes.
  • Fatigue: general tiredness without specific cause.
  • Dizziness: transient light‑headed sensations.

Serious or Rare Side Effects

  • Allergic reaction: rash, itching, swelling, or anaphylaxis.
  • Cardiac arrhythmia: QT‑interval prolongation in susceptible patients.
  • Severe constipation or intestinal obstruction.
  • Serotonin syndrome: rare when combined with other serotonergic agents.

Precautions & Warnings

When using Palonosetron Fresenius Kabi, clinicians should consider several safety aspects.

  • Cardiac monitoring: assess QT interval in patients with known cardiac risk factors.
  • Concomitant serotonergic drugs: evaluate risk of serotonin syndrome.
  • Renal or hepatic impairment: adjust monitoring as drug clearance may be affected.
  • Pregnancy and lactation: use only if clearly needed after risk‑benefit assessment.
  • Allergy history: verify no prior hypersensitivity to palonosetron or other 5‑HT3 antagonists.
  • Store at ambient temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Palonosetron can interact with other medicines, requiring attention to the interaction level.

Major Interactions (Avoid)

  • QT‑prolonging agents: concurrent use may increase risk of serious cardiac arrhythmias.
  • Strong CYP3A4 inhibitors: may raise palonosetron plasma concentrations.

Moderate Interactions (Monitor Closely)

  • Other serotonergic drugs (e.g., SSRIs, tramadol): monitor for serotonin syndrome.
  • Anticholinergic agents: may exacerbate constipation.
  • Diuretics: watch for electrolyte disturbances that could affect cardiac rhythm.

Frequently Asked Questions

Palonosetron Fresenius Kabi is an injectable antiemetic that prevents nausea and vomiting associated with chemotherapy, radiotherapy and certain surgical procedures. It belongs to the 5‑HT3 receptor antagonist class and is used in adult cancer patients and in postoperative settings where control of emesis is required.

Palonosetron blocks serotonin type‑3 (5‑HT3) receptors located on vagal afferent nerves in the gut and in the brain’s chemoreceptor trigger zone. By inhibiting these receptors, it stops serotonin‑driven signaling that would otherwise activate the vomiting centre, providing protection against both acute and delayed emetic episodes.

The prescribed dose of Palonosetron Fresenius Kabi is determined by the treating physician based on the chemotherapy regimen, patient weight and clinical guidelines. The prescriber selects the appropriate amount and timing, and the medication is administered intravenously shortly before the emetogenic trigger.

Palonosetron should be used in pregnancy or while breastfeeding only if the potential benefit justifies any potential risk to the fetus or infant. Limited data are available, so clinicians assess each case individually and consider alternative antiemetics when appropriate.

To place an order, 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 if needed) and import documentation.

Palonosetron has a longer half‑life and higher receptor affinity than first‑generation 5‑HT3 antagonists such as ondansetron, allowing single‑dose coverage of both acute and delayed nausea. It is often preferred when prolonged antiemetic protection is desired, though choice depends on patient factors and treatment protocols.

The product should be stored at ambient temperature, protected from light and moisture, and kept in its original packaging until use. Do not freeze or expose the solution to extreme temperatures.

Palonosetron Fresenius Kabi is supplied as a sterile solution for intravenous injection. It is typically given as a single infusion over a few minutes, administered shortly before the start of chemotherapy, radiotherapy or anesthesia, according to the prescribing clinician’s instructions.

Serious adverse events include allergic reactions such as anaphylaxis, QT‑interval prolongation leading to cardiac arrhythmias, and rare cases of serotonin syndrome when combined with other serotonergic drugs. Patients should be monitored for signs of these conditions during and after administration.

Palonosetron is contraindicated in individuals with known hypersensitivity to palonosetron or any other 5‑HT3 antagonist. Caution is also advised for patients with significant cardiac conduction abnormalities, uncontrolled electrolyte disturbances, or those taking multiple QT‑prolonging medications.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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