Xgeva 120mg (Denosumab) Injection

Xgeva contains Denosumab which is now available in Pakistan at Jasmeds. The price range of the Xgeva injection is Rs 35,000/- to Rs 45,000/-.

Product Description

Brand: Xgeva
Form:  Injection
Strength: 120mg Injection
Size: 1’s Injection
Active Ingredient: Denosumab
Manufacturer Amgen LTD
Treatment: Bone Health

 40,000

Description

How Does Xgeva 120mg Injection Works?

Xgeva 120mg injection works by targeting a protein called RANKL, which plays a crucial role in bone breakdown. Here’s how it works:

RANKL Inhibition: Xgeva contains denosumab, a monoclonal antibody that binds to RANKL. This prevents RANKL from activating its receptor, RANK, on cells called osteoclasts. Osteoclasts are responsible for breaking down bone tissue.

Reduced Bone Breakdown: By blocking RANKL, Xgeva reduces the activity of osteoclasts. This leads to less bone breakdown and helps to maintain bone density.

Increased Bone Strength: With less bone breakdown, bones become stronger and less prone to fractures. This is particularly important in conditions like osteoporosis, where bones are weakened and brittle.

Treatment of Giant Cell Tumor of Bone: Xgeva is also used to treat giant cell tumor of bone, a rare noncancerous tumor that can destroy bone tissue. By inhibiting RANKL, Xgeva can help to slow down the growth of these tumors.

How Should You Take Xgeva 120mg Works?

Injection Site: Xgeva can be injected into the thigh, abdomen, or upper arm. The healthcare professional will choose the appropriate site and rotate injection sites to minimize skin reactions.

Administration: The healthcare professional will use a sterile needle and syringe to administer the injection. They will clean the injection site with an antiseptic solution and then insert the needle under the skin. The medication will be slowly injected, and the needle will be withdrawn.

Post-Injection Care: After the injection, the healthcare professional may apply gentle pressure to the injection site to prevent bleeding. They will also dispose of the needle and syringe properly.

 

Additional Details

Uses of the Xgeva 120mg Injection 

Xgeva 120 mg Injection, containing the active ingredient denosumab, is primarily used for the following medical conditions:

Prevention of Skeletal-Related Events: Bone Metastases: Xgeva is indicated for adults with bone metastases from solid tumors to prevent complications such as fractures, spinal cord compression, and the need for radiation or surgery to the bone.

Giant Cell Tumor of Bone: It is used to treat adults and skeletally mature adolescents with unresectable giant cell tumors of the bone or when surgical resection could lead to severe morbidity.

Hypercalcemia of Malignancy: Xgeva is also indicated for treating hypercalcemia (high calcium levels) associated with malignancy, particularly when refractory to bisphosphonate therapy.

Bone Loss in Cancer Patients: It helps manage bone loss in patients with prostate cancer undergoing hormone therapy or those experiencing bone loss due to long-term glucocorticoid treatment.

Warnings and Precautions of Xgeva 120mg Injection

Xgeva 120 mg Injection (denosumab) has several important warnings and precautions that patients and healthcare providers should be aware of:

Hypocalcemia: Xgeva can cause severe symptomatic hypocalcemia. It is crucial to correct any pre-existing low calcium levels before starting treatment. Patients should be monitored for calcium levels, especially during the initial weeks of therapy, and should receive adequate calcium and vitamin D supplementation.

Osteonecrosis of the Jaw (ONJ): There is a risk of osteonecrosis of the jaw in patients receiving Xgeva. An oral examination should be conducted before starting treatment, and invasive dental procedures should be avoided during therapy. Patients should be monitored for symptoms such as jaw pain or swelling.

Atypical Femoral Fractures: Patients should be evaluated for femoral fractures if they experience thigh or groin pain, as atypical femoral fractures have been reported in those taking Xgeva.

Dental Procedures: Patients with unhealed wounds from dental or oral surgery should not receive Xgeva until these wounds are healed to minimize the risk of complications.

Pregnancy and Fetal Risk: Xgeva may cause fetal harm if administered during pregnancy. Women of childbearing potential should be advised about potential risks and should inform their healthcare provider if they become pregnant while on treatment.

Allergic Reactions: Patients should be monitored for signs of severe allergic reactions, including rash, itching, or difficulty breathing, and should seek immediate medical attention if these occur.

Drug Interactions: Inform healthcare providers about all medications being taken, as certain drugs may interact with Xgeva.

Possible Side Effects of Xgeva 120mg Injection

Xgeva 120 mg Injection (denosumab) can cause a range of side effects, both common and serious. Here’s a concise overview of the possible side effects associated with its use:

Common Side Effects:

Fatigue: General tiredness or lack of energy.

Nausea: Feelings of sickness that may lead to vomiting.

Back Pain: Discomfort in the back area.

Joint Pain: Pain in the joints, which can be severe.

Diarrhea: Increased frequency of bowel movements.

Headache: General pain in the head.

Weakness: Reduced strength or energy levels.

Hypophosphatemia: Low phosphate levels in the blood.

Cough and Shortness of Breath: Respiratory symptoms that may occur.

Serious Side Effects:

Osteonecrosis of the Jaw (ONJ): A condition where bone tissue in the jaw dies, often associated with dental procedures.

Hypocalcemia: Low calcium levels in the blood, which can cause symptoms like numbness, muscle spasms, or seizures.

Atypical Femoral Fractures: Unusual breaks in the thigh bone, particularly after long-term use.

Hypercalcemia: High calcium levels that may occur after discontinuation of treatment, leading to symptoms like nausea and confusion.

Pneumonia: Respiratory infections that can be serious.

Rare Side Effects 

Allergic Reactions: Symptoms may include rash, itching, swelling of the face or throat, and difficulty breathing. Immediate medical attention is necessary if these occur.

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