GRANDRED S 20 Injection 5ml

Introduction About GRANDRED S 20 INJECTION

GRANDRED S 20 INJECTION contains Iron Sucrose which belongs to the group of
medicines called Iron preparations. GRANDRED S 20 INJECTION is used to manage
iron deficiency anaemia (blood disorder marked by low iron level in blood) in
patients when iron medications become ineffective or cause illness when taken by
mouth.

GRANDRED S 20 INJECTION is not recommended for use in patients allergic to Iron
Sucrose, and/or other injectable iron preparations/medicines. It is also not
recommended for use in patients suffering from anaemia (not caused by iron
deficiency), and in patients with excess iron production in the body or problems
associated with ineffective use of iron in the body.

Before receiving GRANDRED S 20 INJECTION, inform your doctor if you have
systemic lupus erythematosus (autoimmune disease), rheumatoid arthritis (chronic
inflammatory disorder affecting joints), eczema (skin inflammation), kidney
problems (such as chronic kidney disease), and/or liver problems.

GRANDRED S 20 INJECTION should be used with caution in pregnant women only if it
is clearly necessary. It is also advised to be used with caution in
breastfeeding women. The medicine is not indicated for use in children and
adolescents (aged below 18 years) and is advised to be used with caution in
elderly patients (aged 65 years and above) after consulting the doctor.

The most common side effects of receiving GRANDRED S 20 INJECTION are changes in
taste (such as metallic taste), low/high blood pressure, nausea, and/or
pain/irritation/itching/discolouration at the injection site. Contact your
doctor if any of these symptoms worsen.

Uses Of GRANDRED S 20 INJECTION

• Manage Iron Deficiency Anaemia

How GRANDRED S 20 INJECTION Works

GRANDRED S 20 INJECTION works by replenishing iron stores in the body which
helps in the synthesis of red blood cells thus managing iron deficiency in
affected individuals.

How to use GRANDRED S 20 INJECTION

GRANDRED S 20 INJECTION will be given to you only by a doctor or a nurse into a
vein as an intravenous injection/infusion or into the venous line of dialysis
machines in dialysis patient. Your doctor will decide the correct dose and
duration for you depending upon your age, body weight and disease condition.

Side Effects Of GRANDRED S 20 INJECTION

Common

• changes in taste such as metallic taste
• low or high blood pressure
• nausea
• pain, irritation, itching, haematoma (clotted blood), and/or discolouration at the injection site followed by leakage of injection into the skin

Uncommon

• headache/dizziness
• stomach pain, diarrhoea, vomiting, constipation
• wheezing / difficulty in breathing
• itching, rash
• muscle spasms/cramps/pain
• tingling/prickling sensation, reduced sensation of touch
• inflammation of vein
• flushing, burning sensation
• joint pain, pain in limbs, back pain
• chills
• weakness, tiredness
• swelling of hands and feet, pain

Rare

• fainting, sleepiness, drowsiness
• palpitations (increased heartbeat)
• changes in urine colour
• chest pain
• increased sweating
• fever

Stop receiving GRANDRED S 20 INJECTION and contact your doctor immediately if
you experience any of the following side effects:

• allergic reactions such as Kounis syndrome, anaphylactic reaction associated with symptoms such as low blood pressure, swelling of face, difficulty in breathing, and/or chest pain

How To Manage Side Effects

Nausea/Vomiting:

Receive GRANDRED S 20 INJECTION with/just after a meal. Stick to simple meals.
Avoid eating oil rich/spicy foods, sugary snacks and drinks. Avoid drinking too
much liquid along with your meals, and drink slowly in between meals. Consult
your doctor if the condition worsens.

Itchy Skin:

Try to pat or tap your skin instead of scratching it. Hold a damp towel to cool
your skin. Wear loose clothing and avoid tight clothes, or clothes made from
wool or synthetic fabrics. Avoid using perfumed soaps, deodorants or
moisturizers and use a skin softener regularly.

Headache:

If GRANDRED S 20 INJECTION causes headache, then take rest and drink plenty of
fluids. Try to avoid drinking alcohol. Ask your doctor to recommend a
painkiller. Headaches should usually go away after the first week of receiving
GRANDRED S 20 INJECTION. If it lasts more than a week or becomes severe, then
consult and inform your doctor.

Dizziness:

Try to rest and get enough sleep. Try to avoid driving or operating any tools or
machines while you feel dizzy. Limit consum
dizziness. Consult and inform your doctor if the symptom worsens.

Diarrhoea:

Drink plenty of water and stay hydrated. Try to avoid taking any medicine on
your own to manage diarrhea. Consult and inform your doctor if the symptom
worsens.

Constipation:

Try to eat high-fiber foods such as vegetables, cereals, fresh fruit, and drink
plenty of water. Involve in regular exercise (going for a daily walk or run) and
if this does not help, consult and inform your doctor for receiving alternate
managements for constipation.

Rashes:

Do not scratch the affected area. Wear protective clothing while going outdoors.
Regularly moisturize your skin. Consult and inform your doctor if the symptom
gets worse.

Tiredness:

Make sure you take rest and drink plenty of fluids. Avoid or limit the
consum
you can sit down (or lie down) when the symptoms are at their worst. Avoid
driving or using tools or machinery until you feel well.

Warning & Precautions

!### Pregnancy

GRANDRED S 20 INJECTION should be used with caution during pregnancy only if it
is clearly necessary. Contact your doctor before receiving the medicine.

!### Breastfeeding

GRANDRED S 20 INJECTION should be used with caution in breastfeeding women.
Consult your doctor before receiving the medicine.

!### Driving and Using Machines

Do not drive or operate machines if you feel dizzy, confused, and/or
light-headedness after receiving GRANDRED S 20 INJECTION.

!### Kidney

GRANDRED S 20 INJECTION should be used with caution in patients with kidney
problems such as chronic kidney disease. Contact your doctor before receiving
GRANDRED S 20 INJECTION.

!### Liver

GRANDRED S 20 INJECTION should be used with caution in patients with liver
problems.  Consult your doctor before receiving GRANDRED S 20 INJECTION.

!### Allergy

Do not receive GRANDRED S 20 INJECTION if you are allergic to Iron Sucrose,
other injectable iron preparations/medicines, and/or any other ingredients of
this medicine.

!### Lungs

GRANDRED S 20 INJECTION should be used with caution in patients suffering from
severe asthma. Consult your doctor before receiving GRANDRED S 20 INJECTION.

Others

GRANDRED S 20 INJECTION is not recommended for use if you:

• suffer from anaemia (not caused by iron deficiency)
• have excess iron production in the body or suffer from problems associated with ineffective use of iron in the body

Before receiving GRANDRED S 20 INJECTION, inform your doctor if you:

• have systemic lupus erythematosus (autoimmune disease)
• suffer from rheumatoid arthritis (chronic inflammatory disorder affecting joints)
• suffer from eczema (skin inflammation), infections

Use in Paediatrics:

GRANDRED S 20 INJECTION is not recommended for use in children and adolescents
(aged below 18 years). Contact your doctor before receiving the medicine.

Use in Geriatrics:

GRANDRED S 20 INJECTION should be used with caution in elderly patients (aged 65
years and above). Contact your doctor before receiving the medicine.

Interactions

A. Drug-Drug interactions:

Before receiving GRANDRED S 20 INJECTION, inform your doctor if you are taking
any of the following medicines:

• medicines containing iron (Ex. ferrous sulfate)

Overdosage:

GRANDRED S 20 INJECTION will be administered to you 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 you experience any unusual symptoms.

Synopsis

Drug	:	Iron Sucrose
Pharmacological Category	:	Iron Preparations
Therapeutic Indication	:	Iron Deficiency Anaemia
Dosage Forms	:	Injection

More Information

• Keep GRANDRED S 20 INJECTION out of the sight and reach of children
• Do not store GRANDRED S 20 INJECTION above 25°C

FAQs About GRANDRED S 20 INJECTION

Q. What is GRANDRED S 20 INJECTION used for?A. GRANDRED S 20 INJECTION is used to manage iron deficiency anaemia (blood
disorder marked by low iron level in blood) in patients when iron medications
become ineffective or cause illness when taken by mouth.

Q. What are the common side effects of taking GRANDRED S 20 INJECTION?A. The most common side effects of receiving GRANDRED S 20 INJECTION are
changes in taste (such as metallic taste), low/high blood pressure, nausea,
and/or pain/irritation/itching/discolouration at the injection site. Contact
your doctor if any of these symptoms worsen.

Q. How GRANDRED S 20 INJECTION is administered?A. GRANDRED S 20 INJECTION will be given to you only by a doctor or a nurse
into a vein as an intravenous injection/infusion or into the venous line of
dialysis machines in dialysis patient. Your doctor will decide the correct dose
and duration for you depending upon your age, body weight and disease condition.

Q. What happens if GRANDRED S 20 INJECTION is received more than its required
dosage?A. GRANDRED S 20 INJECTION will be given to you only by a doctor or a nurse
into a vein as an intravenous injection/infusion or into the venous line of
dialysis machines in dialysis patient. Your doctor will decide the correct dose
and duration for you depending upon your age, body weight and disease condition.

Q. How GRANDRED S 20 INJECTION works?A. GRANDRED S 20 INJECTION works by replenishing iron stores in the body
which helps in the synthesis of red blood cells thus managing iron deficiency in
affected individuals.

Useful Diagnostic Tests

• Complete blood count