Grandem Injection (Granisetron 1mg)

Grandem 1mg Injection

Grandem 1mg/ml Injection is used as the prophylaxis and treatment of chemotherapy-related emesis; may be prescribed for patients who are refractory to or have severe adverse reactions to standard antiemetic therapy.

This medicine may be prescribed for young patients (ie, <45 years of age who are more likely to develop extrapyramidal reactions to high-dose metoclopramide) who are to receive highly emetogenic chemotherapeutic agents.

Grandem 1mg/ml Injection should not be prescribed for chemotherapeutic agents with a low emetogenic potential (eg, bleomycin, busulfan, cyclophosphamide <1000 mg, etoposide, 5-fluorouracil, vinblastine, vincristine).

Grandem 1mg/ml Injection, a 5-HT3 receptor antagonist, is used for preventing vomiting and nausea caused by cancer chemotherapy. It works by blocking serotonin in the body that can cause vomiting.

Do not use Grandem 1mg/ml Injection if you are allergic to it or if you are taking apomorphine. Some medical conditions that may interfere with the action of this medicine are heart problems, blood electrolyte problems, an abnormal electrocardiogram and stomach or bowel problems.

Common side effects of this medicine are anxiety, constipation, trouble sleeping, diarrhoea, headache, dizziness, drowsiness, nausea, vomiting and weakness. Some serious side effects include severe allergic reactions, fast or irregular heartbeat, chest pain, fainting, fever, chills, stomach pain or swelling, sore throat, severe or persistent skin irritation and unusual muscle movement.

This drug is taken orally before 24 hours of a surgery or chemotherapy. It can also be taken into a vein as directed by your doctor, usually 30 minutes before cancer chemotherapy or surgery. The drug may be directly administered into a vein in 30 seconds, or it may be mixed with IV fluid and administered into a vein in 5 minutes.

This drug will be administered on days when you receive chemotherapy to reduce nausea and vomiting. If outpatient chemotherapy, you may be given oral medication to take after return home; take as directed.

You may experience drowsiness; use caution when driving. For persistent acute headache request analgesic from prescriber. Frequent mouth care, chewing gum, or sucking on lozenges may relieve persistent nausea. Report unrelieved headache, fever, diarrhea, or constipation.

Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Gastroenterologist before using this medicine.

Use

The most common use of this medication is:

Nausea

Vomiting

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Side Effects

Below are some of the common side effects of this medicine:

Headache

Dizziness

Insomnia

Anxiety

Constipation

Abdominal Pain

Diarrhoea

Weakness

Arrhythmia

Agitation

Hot Flashes

Dosage

Are there any missed dose instructions?

If you miss a dose of Grandem 1mg/ml Injection, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Work

Grandem 1mg/ml Injection is an antiemetic agent working as a selective antagonist of 5-HT3 serotonin receptors centrally as well as peripherally. Inhibition of 5-HT3 receptors directly as well as indirectly inhibits the visceral stimulation of the vomiting center in turn.