Roxagen 20 | ACI LIMITED
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Roxagen 20

Generic: Roxadustat

Type: Tablet

Pack Size: 3pcs

Roxagen is a first-in-class, oral HIF-PH inhibitor that helps stimulate erythropoiesis by increasing the body's production of erythropoietin (EPO), improving iron regulation, and overcoming the EPO-suppressive effects of inflammation on hemoglobin production and red blood cell synthesis by reducing hepcidin.

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Discount Price: ৳ 513
MRP: ৳ 540 5% Off

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✅ Description:

Roxagen is prescribed for adult patients with symptomatic anemia associated with chronic kidney disease (CKD).

Pack Image of Roxagen 20 mg Tablet

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✔️ Pharmacology

Roxadustat is an orally bioavailable HIF-PH inhibitor with potential anti-anemic properties. It works by inhibiting the enzyme HIF-PH, which typically degrades HIF transcription factors under normal oxygen levels. Inhibiting HIF-PH prevents the breakdown of HIF, promoting increased erythropoietin production, enhancing erythropoiesis, and improving iron metabolism. Roxadustat reduces hepcidin levels, improving iron availability and increasing hemoglobin levels. It also helps regulate iron metabolism, increasing serum transferrin, iron absorption, and iron release, especially in CKD patients.

Roxadustat has been shown to effectively boost red blood cell count while keeping plasma erythropoietin levels within a normal range, without the need for intravenous iron supplementation.

Roxadustat is also known to significantly reduce cholesterol levels, regardless of the use of statins or other cholesterol-lowering drugs.

✔️ Dosage & Administration of Roxagen 20

Roxadustat is taken orally three times a week, with a dose tailored to maintain hemoglobin (Hb) levels between 10-12 g/dL:

For patients not on erythropoiesis-stimulating agents:

  • Starting dose: 50 mg three times weekly
  • For patients weighing <100 kg: 70 mg three times a week
  • For patients weighing ≥100 kg: 100 mg three times a week

For patients switching from erythropoiesis-stimulating agents:

  • Starting dose: 70-100 mg three times weekly
✔️ Children: Roxagen 20
  • Not recommended for use in children.
✔️ Liver Dysfunction: Roxagen 20

Roxadustat is not recommended for patients with severe liver impairment.

✔️ Missed Dose of Roxagen 20

Missed Dose: If there is more than 24 hours before the next dose, take the missed dose immediately. If less than 24 hours remain, skip the dose and take the next one on schedule. Do not take two doses on the same day.

✔️ Method of Administration:Roxagen 20

Roxadustat should be taken orally with or without food. Take the medication as per the advice of a registered healthcare provider.

✔️ Dose Adjustments: Roxagen 20

Increase or decrease the dose based on Hb levels using a stepwise adjustment (from 20 mg to 400 mg). Once adjusted, the dose should be maintained for at least 4 weeks. If Hb levels increase rapidly (>2.0 g/dL in 4 weeks), decrease the dose or suspend the medication immediately.

✔️ Overdose Effects of Roxagen 20

Overdosing may cause increased heart rate and elevated hemoglobin. Treatment may involve dose reduction or interruption. Roxadustat is not removed by dialysis.

✔️

Roxagen may interact with other medications, including:

  • Phosphate binders and products with multivalent cations: Can decrease Roxagen's effectiveness. Take Roxagen at least 1 hour after these medications.
  • Gemfibrozil and probenecid: May increase Roxagen's concentration in the blood, requiring dose adjustment.
  • OATP1B1 or BCRP Substrates (e.g., statins): May increase Roxagen’s concentration, requiring dose adjustment.
✔️ Side Effects of Roxagen 20

Common side effects include hypertension, thrombosis (clots), diarrhea, peripheral edema, hyperkalemia, and nausea.

✔️ Pregnancy & Lactation

Roxadustat should not be used during pregnancy or breastfeeding.

✔️ Precautions & Warnings

Roxagen may increase the risk of thrombotic vascular events (TVEs) in patients with pre-existing risk factors. It should be used with caution in those with a history of seizures, liver disorders, or serious infections. Roxagen is not recommended for pregnant women.

✔️ Storage Conditions

Store below 30°C, in a dry place, away from light and moisture. Keep out of reach of children.

Frequently Asked Questions (FAQs) ❓

🛒 Orders

+ Q. How can I place an order?

You can place an order on ePharma by searching for your desired product using the search bar, adding it to your cart, and proceeding to checkout.

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You can track your order by logging into your account or using the tracking link provided in your email or SMS.

+ Q. Can I cancel my order?

Yes, you can cancel your order before it is shipped. Contact customer support for assistance.

📦 Delivery

+ Q. What is the delivery time?

Delivery typically takes 1-2 business days, depending on your location.

+ Q. Does ePharma deliver internationally?

Currently, ePharma only delivers within Bangladesh.

💳 Purchase and Payment

+ Q. What payment methods are accepted?

We accept debit/credit cards, Bkash, Nagad, and cash on delivery.

+ Q. Is it safe to pay on ePharma?

Yes, we use SSL encryption to protect your data.

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+ Q. Does ePharma offer discounts?

Yes, we regularly offer discounts and promotions. Follow us on social media for updates.

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+ Q. Are the medicines genuine?

Yes, all medicines are sourced from licensed pharmaceutical companies.

+ Q. Can I buy over-the-counter medication?

Yes, you can purchase over-the-counter medication on ePharma.

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+ Q. Can I return or exchange products?

Yes, you can return or exchange damaged or incorrect products. Contact customer support for assistance.

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Check our pricing section for Roxagen 20 price in Bangladesh. After Submitting Order, You will receive a phone call for verification, price and delivery confirmation. We deliver inside/outside Dhaka (Delivery all over Bangladesh). We offer express/urgent medicine delivery inside Dhaka. Do not forget to check discount/cashback offers if you are eligible to avail any.

Disclaimer:
ePharma sole intention is to ensure that its consumers get proper information as musch as possible. Although we do not guarantee the accuracy and the completeness of the information that provided and here information is for informational purposes only. The information contained herein should NOT be used as a substitute for the advice of a qualified physician. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your healthcare professional and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Pricing Information, Availability:
ePharma reserves the right to make adjustments to pricing, Products and Service offerings for reasons including, but not limited to, changing market conditions, Product discontinuation, Product unavailability, manufacturer price changes, supplier price changes and errors in advertisements. All orders are subject to Product availability and the availability of Personnel to perform the Services. Therefore, Seller cannot guarantee that it will be able to fulfill Customer’s orders. If Services are being performed on a time and materials basis, any estimates provided by Seller are for planning purposes only.

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