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  3. Romstim 500mcg Injection

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Quick summary
Quick Summary

Romstim 500mcg Injection

Prescription Required
Cold Chain Required
romiplostim
Written By:P. Thirumal ReddyB. Pharm Reviewed By:Dr. Abhishaanth PrabuMBBS

Last updated on 30 May 2026 | 07:27 AM (IST)

₹3290

MRP: ₹7312.5

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Romstim 500mcg Injection
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Romstim 500mcg Injection


Prescription Required
Required
Cold Chain Required
Cold Chain
Info

Salt Composition

ROMIPLOSTIM

Marketer

HETERO HEALTHCARE LTD


Prepaid Only. Non-Returnable.

Info

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Romstim 500mcg Injection
Preview
We are Rated 4.8 ⭐️ On Google

₹3290

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1 Vial(s)

1 Vial(s)

₹ 3290.0/Unit

1 VIAL(s)


Prescription Required
Prescription Required
Cold Chain Required
Cold Chain
Info

Salt Composition

ROMIPLOSTIM

Marketer

HETERO HEALTHCARE LTD


Prepaid Only. Non-Returnable.

Info
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Substitutes

Romy 500mcg Injection

INTAS PHARMACEU...

₹ 3385.00/injection

3% costlier

Augplat 500mcg Injection

ZYDUS CADILA

₹ 4440.00/injection

35% costlier

Romiset 500mcg Injection 6ml

ALKEM LABORATOR...

₹ 4503.00/injection

37% costlier

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Introduction

Romstim 500mcg Injection belongs to the platelet-stimulating agent category and contains Romiplostim 500mcg as the active ingredient. It is used to treat immune primary thrombocytopenia (ITP), a condition in which the body’s immune system mistakenly destroys its own platelets, resulting in low platelet counts. This aligns with established Romstim 500mcg Injection uses, especially in adults and children aged 18 years and above who have not responded to treatments such as immunoglobulins, corticosteroids, or splenectomy. Some patients may also be prescribed related formulations such as Romiset 500mcg Injection, depending on availability and clinical need.

This medication is contraindicated in individuals with known hypersensitivity to Romiplostim or medicines produced using E. coli–based DNA technology. Before receiving this injection, inform your physician if you have liver problems, cancer, a recent surgery, smoking habits, or if you are taking birth control pills. These factors may influence the treatment’s safety and effectiveness and help your doctor determine whether Romstim 500mcg is suitable for you.

During treatment, your physician will regularly monitor blood tests to check for abnormalities that may indicate bone marrow changes, as this drug has been associated with significant bone marrow alterations. Based on the results, your doctor may decide whether to continue or discontinue therapy. Romstim 500mcg Injection is not recommended during pregnancy unless specifically advised by your doctor. Inform your physician if you are pregnant, planning pregnancy, or suspect pregnancy before starting treatment. Since it is unknown whether the medication passes into breast milk, breastfeeding should be avoided.

Patients should also be aware of potential Romstim 500mcg side effects, such as headache, dizziness, bone pain, fatigue, or injection-site reactions. For convenience, many individuals choose to Romstim 500mcg Injection buy online from verified medical platforms. If this formulation is not suitable, your doctor may recommend a Romstim 500mcg Injection substitute based on therapeutic response and availability.

Uses

  • Treatment of immune thrombocytopenia (ITP)

How Romstim 500mcg Injection  Works

Romstim 500mcg Injection works by stimulating the production of platelets in the bone marrow. It binds to and activates the thrombopoietin receptor, which promotes the development and maturation of platelets. This helps to increase the platelet count in individuals with ITP.

Interaction of Romstim 500mcg Injection with other drugs

  1. Thiazide Diuretics (Severe)
    Drugs like hydrochlorothiazide may raise blood calcium when combined with Romstim, increasing toxicity risk. Dose adjustment and monitoring are essential.

  2. Digoxin (Moderate)
    High calcium levels caused by Romstim may increase the risk of digoxin toxicity. Heart rhythm and serum digoxin levels should be monitored.

  3. Magnesium-Containing Antacids (Moderate)
    Romstim may enhance magnesium absorption, potentially causing electrolyte imbalance. Monitoring is advised in long-term use.

  4. Corticosteroids (Moderate)
    Steroids such as prednisone may reduce the effectiveness of Romstim by interfering with calcium metabolism. Dose adjustments may be needed.

  5. Phosphate Binders (Mild)
    Concurrent use may slightly alter phosphate and calcium balance. Periodic blood tests are recommended to ensure safe levels.

Storage Conditions

  • Store Romstim 500mcg Injection in a refrigerator (2°C - 8°C).

  • Do not freeze.

How to use Romstim 500mcg Injection

Romstim 500mcg Injection will be administered to you by a healthcare professional in a hospital setting. It is usually administered as a subcutaneous injection (under the skin). Your doctor will decide the dose, route of administration, and frequency based on your disease condition and other factors.

Safety Advices

Pregnancy-Unsafe

Pregnancy

Unsafe

Romstim 500mcg Injection is not recommended for pregnant patients unless specifically indicated by your doctor. Inform your physician if you are pregnant, suspecting, or planning for a pregnancy before initiating the treatment.

Breast Feeding-Consult Your Doctor

Breast Feeding

Consult Your Doctor

It is not known whether Romstim 500mcg Injection is present in human milk. Therefore, this drug is not recommended for use while breastfeeding.

Lungs-Consult Your Doctor

Lungs

Consult Your Doctor

It is unknown whether Romstim 500mcg Injection is safe for patients with lung problems. Inform your physician if you have lung disease before starting the treatment.

Liver-Consult Your Doctor

Liver

Consult Your Doctor

It is unknown whether Romstim 500mcg Injection is safe for patients with liver problems. Inform your physician if you have liver disease before starting the treatment.

Alcohol-Consult Your Doctor

Alcohol

Consult Your Doctor

It is unknown whether consuming alcohol interacts with Romstim 500mcg Injection. Please consult your doctor for more advice.

Driving-Consult Your Doctor

Driving

Consult Your Doctor

Some side effects of Romstim 500mcg Injection may impair your ability to drive or operate machinery safely. It is advisable to discuss this with your doctor before engaging in such activities.

Side Effects

Side effects are unwanted symptoms caused by medicines. Even though all drugs cause side effects, not everyone gets them. 

Serious

  • Loss of response

  • Progression of Myelodysplastic Syndromes

  • Thromboembolic complications

  • Leukemia

  • Higher risk of blood clots

Common 

  • Headache, dizziness

  • Allergic reaction

  • Upper respiratory tract infection

  • Joint pain, muscle pain

  • Indigestion

  • Sleeping trouble

  • Tingling or numbness of the feet or hands

  • Abdominal pain, diarrhoea, and indigestion

  • Fever, cough

Expert tips

  • Always take Romstim 500mcg Injection under medical supervision in a hospital or clinic.

  • Regularly monitor your platelet counts as advised to track treatment progress and safety.

  • Inform your doctor if you're on blood thinners, as they may increase bleeding risk.

  • Watch for signs of blood clots like limb pain or shortness of breath and report them immediately.

  • Tell your doctor about any unusual symptoms like dizziness or fatigue during treatment.

FAQs

Q1.

What precautions should be taken before using Romstim 500mcg Injection?

Before taking Romstim 500mcg Injection, it is important to inform your physician about any liver problems, history of cancer, recent surgeries, smoking habits, and the use of birth control pills. These factors may affect the safety and effectiveness of the medication, and your physician needs to be aware of them.

Q2.

What are the common side effects of Romstim 500mcg Injection?

The most common side effects of Romstim 500mcg Injection include headache and respiratory tract infections. However, side effects can vary from person to person. If you experience any concerning side effects or have any concerns, it is advisable to consult your physician.

Q3.

What is the correct method of administering Romstim 500mcg Injection?

Romstim 500mcg Injection is administered through subcutaneous injections (under the skin). Your physician will provide the specific dosing and administration instructions.

Q4.

What is the working mechanism of Romstim 500mcg Injection?

Romstim 500mcg Injection works by stimulating the production of platelets in the bone marrow. It binds to and activates the thrombopoietin receptor, promoting platelet development and maturation. This helps to increase the platelet count in individuals with ITP.

Q5.

Can Romstim 500mcg Injection be used in children?

Romstim 500mcg Injection is approved for use in adults and children aged 18 years and over with immune primary thrombocytopenia (ITP) when other treatments are ineffective. The paediatrician will determine the dosing and administration.

Fact Box

Molecule name

Romiplostim

Therapeutic class

Platelet-stimulating agents

Pharmacological class

Thrombopoietin receptor agonists

Indications

Treatment of immune thrombocytopenia (ITP)

References

  1. Amgen Limited, Electronic medicines compendium (EMC), [ Revised on Oct 2021] [ Accessed on 14th July 2023],https://www.medicines.org.uk/emc/files/pil.567.pdf

  2. Amgen Inc, US Food and Drug Administration, [ Revised on Dec 2018] [Accessed on 14th July 2023], https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/500268s163lbl.pdf

  3. Douglas B.cines et al.; Safety and efficacy of romiplostim in splenectomized patients with primary immune thrombocytopenia; Haematologica; Published on August 2017; Accessed on 14th July 2023; https://www.haematologica.org/article/view/8154

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.

Did you find this information helpful?

Author Details
P. Thirumal Reddy

Written By

P. Thirumal Reddy

B. Pharm


Dr. Abhishaanth Prabu

Reviewed By

Dr. Abhishaanth Prabu

MBBS


Last updated : 30 May 2026 | 07:27 AM (IST)

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