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Epialfa 50mg Injection
Last updated on 31 Mar 2026 | 09:29 AM (IST)
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Introduction
Epialfa 50mg Injection contains the active substance Epirubicin Hydrochloride. It is an antineoplastic drug that belongs to the class anthracyclines. This medicine is used as adjuvant therapy in combination with other medications to treat breast cancer in patients who have had surgery to remove the tumour. It is also found useful in treating cancers of the breast, ovaries, stomach, bowel, and lung. In addition, this medicine is also used to treat cancers of the blood-forming tissues, such as malignant lymphomas, leukaemias, and multiple myeloma.
Do not take this injection if you are allergic to Epirubicin or any other ingredients of this medicine, are pregnant or breastfeeding, or have severe liver and bladder problems. Before initiating the treatment, inform your physician if you have kidney or liver problems, recent vaccination, or if you have any acute toxicities such as acute inflammation of the mouth, low white blood cell count, platelet count, or any infections. This medicine may increase your risk of blood clots. Epialfa 50mg Injection substitutes include Epithra 50, Epineon 50, or Epricin 50 injections, each containing epirubicin 50mg, but only under a doctor’s supervision.
This medicine may cause infertility in men and women; inform your physician if you are planning for pregnancy. If you are sexually active, you are advised to use effective birth control to prevent pregnancy. Your doctor will do regular lab tests to check on the effects of this medicine. Common side effects of Epialfa 50mg Injection are decreased WBC, platelets, irregular menstruation, weakness, nausea or vomiting, diarrhoea, eye infection, skin rashes, or itchiness. Epialfa 50mg Injection price in India varies by retailer and location. You can buy Epialfa 50mg Injection online on a platform like MrMed at Affordable Prices.
Uses
Breast cancer
Stomach and bowel cancer
Ovarian cancer
Lung cancer
How Epialfa 50mg Injection Works
Epialfa 50mg Injection inhibits DNA, RNA, and protein synthesis by exerting cytotoxic activity. It works by slowing or stopping the growth of the cancer cells. This medicine helps to selectively kill the cancer cells rather than the normal, healthy cells.
Interaction of Epialfa 50mg Injection with other drugs
Inform your healthcare provider about all the medicines you take, including prescription medications, over-the-counter medications, recent vaccinations, nutritional and vitamin supplements, and herbal products. Certain medications may interact with Epialfa 50mg Injection and reduce its effectiveness by causing undesirable side effects.
Storage Conditions
Store Epialfa 50mg Injection in the refrigerator (2°C to 8°C)
Do not freeze
keep the injection away from the reach of children and pets.
If you have missed any dosing appointments, inform your doctor and schedule immediately.
How to use Epialfa 50mg Injection
It should only be administered by a trained doctor or nurse experienced in giving chemotherapy. The medicine will be given as an infusion into a vein. Do not self-administer the injection. Your doctor will decide the Epialfa 50mg Injection dosage and duration of the treatment based on your disease severity and other factors.
Safety Advice for Epialfa 50mg Injection
Breast Feeding
Breastfeeding is not recommended in patients taking Epialfa 50mg Injection because the medicine passes into the breast milk in small amounts and may harm your baby.
Alcohol
It is unknown whether consuming alcohol will affect the effectiveness of Epirubicin. Consult your doctor for more advice.
Liver
Epialfa 50mg Injection should be cautiously administered in patients with severe liver diseases. Dose adjustments are necessary. Inform your physician if you have liver problems before initiating the therapy.
Lungs
It is unknown whether Epialfa 50mg Injection can be used in patients with lung disorders. Consult your doctor if you have any lung diseases before starting the treatment.
Driving
Epialfa 50mg Injection does not affect the ability to drive or operate heavy machines. If you face any difficulties in driving, please consult your doctor.
Pregnancy
Epialfa 50mg Injection is unsafe to administer in pregnant women because it may be a fetus. Inform your physician if you are pregnant, suspect pregnancy, or planning to become pregnant. Using an effective birth control method during the treatment and for 6.5 months after your last dose is necessary.
Side Effects
Side effects are unwanted symptoms caused by medicines. Even though all drugs cause side effects, not everyone gets them.
Common:
Hair loss
Flushing
Rash, itching
Diarrhea
Nausea and vomiting
Anemia
Decreased WBC and platelets
Eye infection
Irregular menstruation
Serious:
Congestive heart failure
Increased blood urea levels
Severe hypersensitivity reaction
Lung problems
Expert tips
Inform Your Doctor: Let your physician know if you are receiving radiation therapy along with this medicine.
Pregnancy Warning: This medicine may cause birth defects if used by either partner during conception or pregnancy.
Contraception Advice: Male patients with female partners of reproductive potential should use effective birth control during treatment and for 3 months after the last dose.
Breastfeeding Precaution: Do not breastfeed while on this medicine and for 7 days after the final dose.
Urine Discoloration: The medicine may cause your urine to appear red for 1–2 days after treatment — this is normal and temporary.
FAQs about Epialfa 50mg Injection
Q1.
How long should I have to take Epialfa 50mg Injection?
Epialfa 50mg Injection is given as a cycle therapy. Your doctor will decide the dose and duration of the treatment based on your disease severity and condition.
Q2.
What if Epialfa 50mg Injection does not work for me?
There are alternative medicines that may work for you based on your disease condition and other factors. Your doctor will decide on the alternative treatment that works best for you.
Q3.
What are the precautions of Epialfa 50mg Injection?
Epialfa 50mg Injection medicine may increase your risk of developing blood clots. If you have chest pain, trouble breathing, or pain, redness, or swelling in your arms or legs while using this medicine, call your doctor immediately. This medicine may turn your urine red for 1 or 2 days after your treatment.
Q4.
Is there any special diet that I should follow while taking Epialfa 50mg Injection?
There are no special restrictions on the diet. If your doctor or any other healthcare professional tells you to avoid certain foods, then avoid it. Diet restrictions may vary from patient to patient. Consult your doctor for more advice.
Fact Box
Molecule name: | Epirubicin |
Therapeutic class: | Antineoplastics |
Pharmacological class: | Antimetabolite |
Indications: | 1. Breast cancer 2. Stomach and bowel cancer 3. Ovarian cancer 4. Lung cancer |
References
- Epirubicin hydrochloride 2 mg/ml solution for injection - Summary of Product Characteristics (SmPC) - (emc). Medicines.org.uk. [revised on 2016] [cited 2023 Mar 31]. Available from: https://www.medicines.org.uk/emc/product/6361/smpc
- HIGHLIGHTS OF PRESCRIBING INFORMATION - Epirubicin. [revised on 2019] [cited 2023 Mar 31]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/050778s024s025lbl.pdf
- KD Tripathi, Essentials of Medical Pharmacology, Anticancer drugs, 7th edition, 2013, 867.
Disclaimer
MrMed’s primary intention is to ensure that its consumers get information that is reviewed by experts, accurate and trustworthy. The information and contents of this website are for informational purposes only. They are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of your doctor and discuss all your queries related to any disease or medicine. Do not disregard professional medical advice or delay in seeking it because of something you have read on MrMed. Our mission is to support, not replace, the doctor-patient relationship.
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Author Details

Written By
Sakshi Anil More
B. Pharm

Reviewed By
Dr. Tejashwin Adiga
MBBS
Last updated : 31 Mar 2026 | 09:29 AM (IST)

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