Description

INTRODUCTION
GRANITERO 3MG INJECTION contains a medicine Granisetron which belongs to a group of medicines called Anti-emetics. It is used to prevent or treat nausea (feeling sick) and vomiting (being sick) caused by other medical treatments such as chemotherapy or radiation treatment for cancer or by surgery.
Before receiving GRANITERO 3MG INJECTION inform your doctor if you have heart disease, blockage in your stomach or intestines, or electrolyte abnormalities.
GRANITERO 3MG INJECTION is not recommended for use in pregnant and breastfeeding women. Consult with your doctor before receiving it. GRANITERO 3MG INJECTION should not be given to children below 2 years of age. GRANITERO 3MG INJECTION can be used in elderly people (65 years and older). However, consult with your doctor before receiving it.
The most common side effects of receiving GRANITERO 3MG INJECTION are headache, constipation, problems sleeping (insomnia), and diarrhoea. Consult with your doctor if any of these worsen or doesn?t improve.
USES OF GRANITERO 3MG INJECTION
Prevents or treats nausea and vomiting caused by,
Chemotherapy or radiotherapy for cancer

Surgery

HOW GRANITERO 3MG INJECTION WORKS
GRANITERO 3MG INJECTION acts by inhibiting a receptor called 5-HT3 receptor which is present both in the brain and gastrointestinal tract. This inhibition of 5-HT3 receptors in turn inhibits the stimulation of the vomiting centre, preventing nausea and vomiting.
DIRECTIONS FOR USE
GRANITERO 3MG INJECTION will be given as an injection into the veins (intravenous) by your doctor or nurse. Your doctor will give the right dose depending on your age, body weight and health condition.
SIDE EFFECTS OF GRANITERO 3MG INJECTION

COMMON

Headache

Constipation

Problems sleeping (insomnia)

Changes in liver function tests (pain in the abdomen, nausea, vomiting, jaundice)

Diarrhoea

RARE
Stop receiving GRANITERO 3MG INJECTION and inform your doctor immediately if you experience any of the following side effects:
Changes in the heartbeat, chest pain, irregular heartbeat and changes seen on ECG readings (electrical recordings of the heart)

Swelling of the hands, feet, ankles, face, lips and mouth or throat, which may cause difficulty in swallowing or breathing

Rash or itching

Fainting

Serotonin syndrome symptoms such as diarrhoea, nausea, vomiting, high temperature and blood pressure, excessive sweating and rapid heartbeat, agitation, confusion, hallucination, shivering, muscle shakes, jerks or stiffness, loss of coordination and restlessness

HOW TO MANAGE SIDE EFFECTS
Diarrhoea:
Drink lots of fluids, such as water or fruit juice to keep yourself hydrated. Do not consume any medicine on your own without consulting your doctor. Ask for your doctor?s advice if diarrhoea doesn?t improve.
Headache:
Try to take rest and don?t involve yourself in exertive activities. Rest in a quiet and dark room. Apply a pain-relieving balm on your forehead. Ask for your doctor?s advice if the headache doesn?t improve.
Constipation:
Eat plenty of fiber-rich foods such as vegetables, fresh fruits, and cereals and drink plenty of water. Exercise more regularly. Ask for your doctor?s advice if constipation doesn?t improve.
WARNING & PRECAUTIONS

PREGNANCY
GRANITERO 3MG INJECTION is not recommended for use in pregnant women. Consult your doctor before receiving it.
BREASTFEEDING
GRANITERO 3MG INJECTION is not recommended for use in breastfeeding women. Consult your doctor before receiving it.
DRIVING AND USING MACHINES
GRANITERO 3MG INJECTION is not likely to affect your ability to drive or use any tools or machines.
ALLERGY
Do not receive GRANITERO 3MG INJECTION if you are allergic (hypersensitive) to Granisetron or any other ingredients of this medicine.
HEART DISEASE
GRANITERO 3MG INJECTION should be used with caution in patients suffering from heart disease. Consult your doctor for advice before receiving this medicine.
OTHERS
Before receiving GRANITERO 3MG INJECTION, inform your doctor if you have:
Blockage in the intestine (stomach-ache, wind, feeling or being sick, or difficulty passing stools)

Electrolyte abnormalities (potassium, sodium, or calcium)

Serotonin syndrome

Been or are being treated for cancer with a medicine that might cause damage to your heart
Use in pediatrics:
GRANITERO 3MG INJECTION is not recommended for use in children below 2 years of age. Consult with your child?s doctor before giving this to your child.
Use in geriatrics:
GRANITERO 3MG INJECTION can be used in elderly people (65 years and older). However, consult with your doctor before receiving.
INTERACTIONS
A. Drug ? Drug interactions:
Before receiving GRANITERO 3MG INJECTION, inform your doctor if you are taking any of the following medicines:
Other 5-HT3 receptor antagonist such as dolasetron or ondansetron (used to treat and prevent nausea and vomiting)

Diltiazem, amlodipine (medicines used to treat an irregular heartbeat)

Phenobarbital (used to treat epilepsy)

Ketoconazole (used to treat fungal infections)

Paroxetine, sertraline, fluvoxamine, citalopram, venlafaxine, duloxetine, escitalopram (used to treat depression and/or anxiety)

Erythromycin (used to treat certain bacterial infections)
Overdosage:
GRANITERO 3MG INJECTION will be administered only by a doctor or a nurse in a hospital, and so it is unlikely to receive an overdose. However, consult your doctor or nurse if there are any unusual symptoms such as headache.
SYNOPSIS

Drug :?? Granisetron

Pharmacological Category :?? ?5-HT3 Receptor Antagonist

Therapeutic Indication :?? Nausea and vomiting caused by chemotherapy or radiotherapy

Dosage Forms :?? Tablet, Syrup, Suspension, Injection

MORE INFORMATION

Keep GRANITERO 3MG INJECTION out of reach of children

Store GRANITERO 3MG INJECTION at room temperature below 30?C

FAQs ABOUT GRANITERO 3MG INJECTION
What is GRANITERO 3MG INJECTION and why is it prescribed?
GRANITERO 3MG INJECTION contains a medicine called Granisetron. It is used to prevent or treat nausea (feeling sick) and vomiting (being sick) caused by other medical treatments such as chemotherapy or radiation treatment for cancer or surgery.
Does GRANITERO 3MG INJECTION cause constipation?
Yes, GRANITERO 3MG INJECTION may cause constipation in some individuals. Eat plenty of fibre-rich foods such as fresh fruits, vegetables, and cereals and drink plenty of water. Exercise more regularly. Ask for your doctor?s advice if constipation doesn?t improve
Can I receive GRANITERO 3MG INJECTION if I have heart disease?
GRANITERO 3MG INJECTION should be used with caution in patients suffering from heart disease. Consult your doctor for advice before receiving this medicine.
What are the common side effects of GRANITERO 3MG INJECTION?
The most common side effects of receiving GRANITERO 3MG INJECTION are headache, constipation, problems sleeping (insomnia), and diarrhoea. Consult your doctor if the symptoms worry you or persist for a longer duration. Your doctor will suggest ways to cope up with these side effects and prevent them in future.
Can I stop receiving GRANITERO 3MG INJECTION on my own?
Do not stop receiving GRANITERO 3MG INJECTION unless your doctor tells you to. Stopping early may lead to a return of the symptoms. If you have any further questions on the use of GRANITERO 3MG INJECTION, ask your doctor.
How much time does it take administer GRANITERO 3MG INJECTION?
GRANITERO 3MG INJECTION will be given as injection into the veins (intravenous) by your doctor or nurse. The injection into your veins may take between 30 seconds and 5 minutes. Your doctor will give the right dose depends on your age, body weight and health condition.
REFERENCES
1. KD. Tripathi. Antiemetic, Prokinetic and Digestant Drug. Essentials of medical pharmacology. Seventh edition. 2013. Page ?669.
2. NIH National Library of Medicine, National center for biotechnology information. Granisetron. Pubchem. [Accessed on 26th November 2022]. https://pubchem.ncbi.nlm.nih.gov/compound/Granisetron-hydrochloride
3. Anh L. Ngo,?Vwaire Orhurhu,?Ivan Urits,?Edwin O. Delfin,?Medha Sharma, Mark R. Jones,?Omar Viswanath,?Richard D. Urman. Extended release granisetron: Review of pharmacologic considerations and clinical role in the perioperative setting.?NIH National Library of Medicine, National center for biotechnology information. Pubmed Central. September 2019. [Accessed on 26th November 2022]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625288/
4. Matti Aapro. Granisetron: an update on its clinical use in the management of nausea and vomiting. NIH National Library of Medicine, National center for biotechnology information. Pubmed.gov. [Accessed on 26th November 2022]. https://pubmed.ncbi.nlm.nih.gov/15561811/
5. Siegfried Hameln GmbH: Electronic Medicines Compendium (EMC) [Revised on Apr 2020] [Accessed 09 Nov 2021] https://www.medicines.org.uk/emc/files/pil.6423.pdf
6. Atnahs Pharma UK Limited. Health Products Regulatory Authority (HPRA). [Revised in June 2020]. [Accessed on 26th November 2022]. http://www.hpra.ie/img/uploaded/swedocuments/276485a0-e462-4d1d-b47b-1b3a00f59273.pdf
7. Medsafe. Granirex (Granisetron). [Revised in January 2022]. [Accessed on 26th November 2022]. https://www.medsafe.govt.nz/Profs/Datasheet/g/granirexinj.pdf
8. Atnahs Pharma UK Limited. Kytril (Granisetron). Pharmanovia. [Accessed on 26th November 2022]. https://pharmanovia.com/product/kytril/
9. Drug Bank. Granisetron. [Accessed on 26th November 2022]. https://go.drugbank.com/drugs/DB00889
USEFUL DIAGNOSTIC TESTS

Complete Blood Count

PRODUCT DETAILS

Net Qty

1 N

Item Weight

20 g

Ingredient

GRANISETRON 3 mg

Hsn Code

30049039

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