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Keytruda 100mg/4ml Injection Pembrolizumab

Keytruda 100mg injection contains (prebrolizumab) which is now available in Pakistan at Jasmeds. The price range of the Keytruda 100mg injection is Rs 150,000 to Rs 300,000/-.

Product Description

Brand: Pembrolizumab
Form: Injection
Packet Size: 1’s injection
Active ingredient: Pembrolizumab
Manufacturer: MSD
Treatment: Cancer

Original price was: ₨ 270,000.Current price is: ₨ 200,000.

Description

How Does Keytruda 100mg Injection Work? 

Keytruda (pembrolizumab) operates through a mechanism known as immune checkpoint inhibition. Here’s how it works:

Targeting PD-1: Keytruda is a monoclonal antibody that specifically binds to the programmed cell death protein 1 (PD-1) receptor found on T cells, a type of immune cell.

Blocking Interaction: By binding to PD-1, Keytruda prevents this receptor from interacting with its ligands, PD-L1 and PD-L2, which are often expressed on cancer cells. This interaction typically inhibits T cell activity, allowing cancer cells to evade the immune response.

Enhancing Immune Response: With the PD-1 pathway blocked, T cells are “unleashed,” enabling them to recognize and attack cancer cells more effectively. This enhances the body’s natural immune response against tumors.

How Should You Take Keytruda 100mg Injection?

Keytruda (pembrolizumab) should be taken as follows:

Administration Method: Keytruda is administered as an intravenous (IV) infusion. It must not be given as an IV push or bolus injection.

Infusion Duration: The infusion typically lasts for 30 minutes.

Dosage Schedule: The recommended dose is generally 2 mg/kg every 3 weeks, or a fixed dose of 200 mg for certain cancers, depending on the specific indication. Patients may continue treatment until disease progression or unacceptable toxicity occurs.

Before administration, Keytruda must be diluted in either 0.9% Sodium Chloride Injection or 5% Dextrose Injection.

The diluted solution should have a final concentration between 1 mg/mL and 10 mg/mL.

Visually inspect the solution for clarity and color; discard if any particulate matter is observed.

Additional Details

Uses of the Keytruda 100mg Injection

Melanoma: Treatment for unresectable or metastatic melanoma, including adjuvant therapy post-surgery for certain stages.

Non-Small Cell Lung Cancer (NSCLC): Used as a first-line treatment for metastatic NSCLC and for patients with high PD-L1 expression.

Classical Hodgkin Lymphoma: Indicated for patients with relapsed or refractory disease.

Urothelial Carcinoma: Treatment for advanced bladder cancer that has spread or is not surgically removable.

Gastric Cancer: Used in combination with chemotherapy for advanced cases.

Head and Neck Squamous Cell Carcinoma: Treatment for advanced disease.

Cervical Cancer: Indicated for advanced cases, often in combination with chemotherapy.

Primary Mediastinal Large B-cell Lymphoma: Treatment for relapsed or refractory cases.

Endometrial Cancer: For patients with mismatch repair deficiency (dMMR) or microsatellite instability-high (MSI-H) tumors.

Triple-Negative Breast Cancer (TNBC): Used in combination with chemotherapy as neoadjuvant treatment and as adjuvant therapy post-surgery.

Combination Therapy: It is often used in conjunction with other antiviral agents to enhance effectiveness, particularly in patients with specific HCV genotypes.

Warnings and Precautions of Keytruda 100mg Injection

Keytruda (pembrolizumab) has several important warnings and precautions associated with its use:

Immune-Mediated Adverse Reactions: Keytruda can cause the immune system to attack normal organs and tissues, leading to potentially severe or fatal conditions. This may affect any organ system, including:

Pneumonitis:
Symptoms include cough, shortness of breath, and chest pain.

Colitis: Symptoms include diarrhea, abdominal pain, and blood in stools.

Hepatitis: Signs include jaundice and severe nausea.

Endocrinopathies: May cause hormone imbalances affecting the thyroid, adrenal glands, and pancreas.

Nephritis: Symptoms include decreased urine output and swelling in extremities.

Dermatologic Reactions: Includes rash and severe skin reactions.

Infusion-Related Reactions: These can be severe or life-threatening. Symptoms may include fever, chills, rash, or difficulty breathing. Immediate medical attention is required for such reactions.

Embryofetal Toxicity: Keytruda may cause fetal harm. Women of reproductive potential should be advised of this risk.

Possible Side Effects of Keytruda 100mg Injection

Keytruda (pembrolizumab) can cause a range of side effects, which may vary from mild to severe. Here are the possible side effects:

Common Side Effects:

Fatigue or excessive tiredness

Nausea and vomiting

Diarrhea

Loss of appetite

Rash or itching

Constipation

Shortness of breath

Cough

Fever

Pain (including abdominal, muscle, bone, or joint pain)

Serious Side Effects:

Keytruda can lead to severe immune-mediated reactions, which may affect various organs:

Pneumonitis:
Inflammation of the lungs, causing cough and shortness of breath.

Colitis: Inflammation of the intestines, leading to diarrhea and abdominal pain.

Hepatitis: Liver inflammation, indicated by jaundice, dark urine, and severe nausea.

Endocrinopathies: Hormonal imbalances affecting glands such as the thyroid and adrenal glands.

Nephritis: Kidney inflammation, which may cause decreased urine output and swelling.

Severe skin reactions: Such as rash, blistering, or peeling skin.

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