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  3. Bonspri Solution for Injection

Written By Lakshmithulasi Yarragunta , Pharm-D (PB)
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Non returnable*
COD available

Online payment accepted

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Whats That

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Composition :

OFATUMUMAB-20MG

Manufacturer/Marketer :

Novartis India Ltd

Consume Type :

PARENTERAL

Return Policy :

Not Returnable

About Bonspri Solution for Injection

Bonspri Solution for Injection is an anti-cancer medicine used in the treatment of cancer. The intravenous route of this medicine is used in combination with chlorambucil for the treatment of CLL in patients for whom fludarabine-based therapy is considered inappropriate and as an extended treatment in patients who have a partial response after at least two lines of therapy. Chronic lymphocytic leukaemia is a cancer that occurs in the bone marrow and blood. The subcutaneous route of the medicine is used in treating relapsing forms of multiple sclerosis. It is a condition in which the immune system attacks the protective covering of the nerves called myelin.

Bonspri Solution for Injection contains Ofatumumab, which belongs to the class of monoclonal antibodies. It works by inhibiting the B-cell lymphocytes that are responsible for the multiplication of cancer cells.

Bonspri Solution for Injection may cause certain side effects, such as nausea, vomiting, diarrhoea, fever, decreased platelet count, fatigue, cough, insomnia, injection site reactions and pain at the site of injection. If the side effects bother you, inform your doctor. A trained healthcare professional will administer Bonspri Solution for Injection. Hence, do not self-administer.

While taking Bonspri Solution for Injection if you experience any allergic reaction, inform your doctor. Before receiving this injection, inform your doctor if you have any pre-existing or a history of liver/kidney disease, active infections, skin problems, or any allergic conditions. Bonspri Solution for Injection is known to cause fetal B-cell depletion in neonates. Hence, inform your physician if you are pregnant beforehand. Breastfeeding mothers should avoid taking Bonspri Solution for Injection.

Uses of Bonspri Solution for Injection

Chronic Lymphocytic Leukemia, Multiple sclerosis.

Directions for Use

A trained healthcare professional will administer Bonspri Solution for Injection. Hence, do not self-administer. The dose of the medicine will be decided by your oncologist based on the severity of your condition. Chronic lymphocytic leukemia: Bonspri Solution for Injection should only be administered intravenously. Avoid giving it through the SC route or as an intravenous bolus or push.Multiple sclerosis: Bonspri Solution for Injection should be administered through subcutaneous route only. Avoid giving it via IV or IM route.

Medicinal Benefits

Bonspri Solution for Injection contains Ofatumumab, which belongs to the class of CD20-directed cytolytic antibodies. It is used in the treatment of chronic lymphocytic leukaemia. This medicine works by binding to the CD20 antibody and causes lysis of B-cell lymphocytes responsible for the multiplication of cancer cells. This causes shrinkage of tumour cells and thereby prevents the growth and further spread of cancerous or non-cancerous cells.

Storage

Store in a cool and dry place away from sunlight

Drug Warnings

Bonspri Solution for Injection should be avoided if you are allergic to it or any other components present in it. Let your doctor know about your complete medical history, including current medication, to rule out any side effects/interactions. Before receiving this injection, inform your doctor if you have any history of liver/kidney disease, active infections, skin problems, or any allergic conditions. Bonspri Solution for Injection may cause remission of active infections, severe skin reactions, tumour lysis syndrome (tumour cells release their contents into the bloodstream), hepatitis B virus reactivation, progressive multifocal leukoencephalopathy, and hypersensitivity reactions in some patients. Hence, careful monitoring should be done during the entire treatment. Bonspri Solution for Injection may cause fetal B-cell depletion in infants. Hence, if you are pregnant or planning to become pregnant, inform your doctor beforehand. Before nursing, a breastfeeding mother should ask her oncologist whether this medicine is safe for use or not. Bonspri Solution for Injection is not recommended for use in children as the safety and efficacy are not established.

Drug-Drug Interactions

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OfatumumabBaricitinib
Severe
OfatumumabCladribine
Severe

Drug-Drug Interactions

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OfatumumabBaricitinib
Severe
How does the drug interact with Bonspri Solution for Injection:
Coadministration of Bonspri Solution for Injection with Baricitinib can increase the risk of developing serious infections.

How to manage the interaction:
There may be a possibility of interaction between Bonspri Solution for Injection and Baricitinib, but it can be taken if prescribed by a doctor. However, consult a doctor if you experience fever, chills, diarrhea, sore throat, muscle pains, breathing difficulty, blood in your coughing fluid, weight loss, red or irritated skin, body sores, and discomfort or burning when you urinate. Do not stop using any medications without a doctor's advice.
OfatumumabCladribine
Severe
How does the drug interact with Bonspri Solution for Injection:
Combining Cladribine with Bonspri Solution for Injection can increase the risk of developing serious infections.

How to manage the interaction:
Although taking Cladribine and Bonspri Solution for Injection together can cause an interaction, it can be taken if your doctor has suggested it. However, if you experience fever, chills, diarrhea, sore throat, muscle pains, breathing difficulty, blood in your coughing fluid, weight loss, red or irritated skin, body sores, and discomfort or burning sensation when you urinate, consult a doctor. Do not stop using any medications without a doctor's advice.
OfatumumabClozapine
Severe
How does the drug interact with Bonspri Solution for Injection:
Co-administration of Bonspri Solution for Injection and Clozapine may increase the effect of neutropenia (low white blood count).

How to manage the interaction:
Taking Bonspri Solution for Injection with Clozapine together can possibly result in an interaction, but it can be taken if a doctor has advised it. If you're having any of these symptoms like infection, fever, chills, diarrhea, sore throat, muscle aches, weight loss, or pain while peeing, it's important to contact a doctor right away. Do not stop using any medications without a doctor's advice.
OfatumumabInfliximab
Severe
How does the drug interact with Bonspri Solution for Injection:
Combining Infliximab with Bonspri Solution for Injection can increase the risk or severity of developing serious infections.

How to manage the interaction:
Co-administration of Bonspri Solution for Injection with Infliximab can result in an interaction, but it can be taken if your doctor has advised it. If you have any of these symptoms like fever, chills, diarrhea, sore throat, muscle aches, difficulty breathing, weight loss, and pain or burning when you pee, it's important to contact a doctor right away. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • After your treatment begins, dietary adjustments can help you control side effects.
  • Anyone suffering from a chronic illness, including cancer, should consume foods high in protein, healthy fats, whole grains, and vitamins and minerals.
  • Plant-based proteins are among the greatest meals to take during chemotherapy or other cancer treatments. They have the highest concentrations of vitamins and minerals, such as nuts, seeds, beans, and legumes.
  • Eat a healthy diet and exercise regularly to maintain proper weight.
  • Include leafy vegetables, citrus fruits, fatty fish, berries, yoghurt, apples, peaches, cauliflower, cabbage, broccoli, beans, and herbs.
  • Get optimal sleep; rest well.
  • Avoid smoking and alcohol consumption.
  • Avoid fast and fried food, processed meats, refined carbs and added sugars.

Habit Forming

No

Therapeutic Class

ANTINEOPLASTIC

Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Bonspri Solution for Injection contains Ofatumumab, which works by inhibiting the B-cell lymphocytes that are responsible for the multiplication of cancer cells

Bonspri Solution for Injection may cause reactivation of serious infections, tumour lysis syndrome, hepatitis B virus reactivation, progressive multifocal leukoencephalopathy, and anaphylactic reactions in some patients. Hence, inform your oncologist about your complete medical history, including current medication, to rule out any side effects/interactions.

Special Advise

  • A blood test should be performed, such as a liver function test or renal function test, to check for liver/kidney function.
  • Weekly blood tests should be done during the treatment to check for CBC (Complete blood count).

Disease/Condition Glossary

Chronic Lymphocytic Leukaemia: It is a type of cancer that occurs in the bone marrow and blood. It increases the number of lymphocytes (a type of white blood cell). The symptoms include fever, enlarged liver, bone or joint pain, shortness of breath, weakness, and bleeding from gums or bruises.

Multiple sclerosis: Multiple sclerosis is a condition that affects the brain and spinal cord. The immune system attacks the protective covering of the nerves (myelin) and causes disrupted communication between the brain and body due to nerve damage.  This causes symptoms such as problems with sensation, balance, vision, pain, impaired coordination, and fatigue.

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