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GRANISETRON ALTAN 3 mg/50 ml SOLUTION FOR INFUSION

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About the medicine

How to use GRANISETRON ALTAN 3 mg/50 ml SOLUTION FOR INFUSION

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

Granisetron Altan 3mg/50 ml solution for infusion

Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack

  1. What Granisetron Altan is and what it is used for
  2. What you need to know before you use Granisetron Altan
  3. How to use Granisetron Altan
  4. Possible side effects
  5. Storage of Granisetron Altan
  6. Contents of the pack and further information

1. What Granisetron Altan is and what it is used for

This medicine contains the active substance called granisetron. It belongs to a group of medicines called serotonin receptor antagonists, 5-HT3, or antiemetics, which prevent or stop nausea and vomiting.

Granisetron Altan is used to prevent and treat nausea and vomiting (feeling sick) caused by certain treatments, such as chemotherapy or radiotherapy in anticancer therapy.

Doctor consultation

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Discuss your symptoms and treatment with a doctor online.

2. What you need to know before you use Granisetron Altan

Do not use Granisetron Altan

if you are allergic (hypersensitive) to granisetron or any of the other ingredients of this medicine (listed in section 6).

Warnings and precautions

Before using this medicine, check with your doctor, nurse, or pharmacist if:

you have problems with constipation due to intestinal obstruction

you have heart problems, are receiving anticancer medicines that may be harmful to your heart, and/or have some disorder of salt levels such as potassium, sodium, or calcium (electrolyte disturbances).

you are taking another medicine from the group of "5-HT3 receptor antagonists". This group includes dolasetron and ondansetron, used, like granisetron, for the treatment and prevention of nausea and vomiting.

Serotonin syndrome is a rare but potentially life-threatening reaction that can occur with granisetron (see section 4). The reaction can occur if you take granisetron alone, but it is more likely to occur if you take granisetron with other medicines (in particular, fluoxetine, paroxetine, sertraline, fluvoxamine, citalopram, escitalopram, venlafaxine, duloxetine).

Other medicines and Granisetron Altan

Tell your doctor, nurse, or pharmacist if you are using or have recently used or might have to use any other medicines.

Tell your doctor, nurse, or pharmacist if you are taking any of the following medicines:

medicines used to treat irregular heartbeats, other "5-HT3 receptor antagonists" such as dolasetron or ondansetron (see "Take special care with Granisetron Altan").

phenobarbital, a medicine used to treat epilepsy

ketoconazole, a medicine used to treat fungal infections

erythromycin, an antibiotic used to treat bacterial infections

SSRIs (selective serotonin reuptake inhibitors) used to treat depression and/or anxiety. For example: fluoxetine, paroxetine, sertraline, fluvoxamine, citalopram, escitalopram

SNRIs (serotonin and norepinephrine reuptake inhibitors) used to treat depression and/or anxiety. For example: venlafaxine, duloxetine

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Driving and using machines

This medicine is not expected to affect your ability to drive or use machines.

Granisetron Altan contains sodium. This medicine contains 177 mg of sodium (a major component of cooking/table salt) in each 50 ml bag. This is equivalent to 8.85% of the maximum recommended daily intake of sodium for an adult.

3. How to use Granisetron Altan

Follow exactly the administration instructions of this medicine given by your doctor or pharmacist. If you are unsure, consult your doctor or pharmacist again.

The treatment will be administered intravenously.

The infusion will be administered by your doctor or nurse. The dose of granisetron varies from patient to patient. It depends on age, weight, and whether you are taking other medicines to prevent or treat nausea and vomiting. The doctor will decide how much medicine to administer.

Prevention of nausea or vomiting after radiotherapy or chemotherapy

The preventive dose of granisetron for adults is a single dose of 3 mg (1 bag) administered as an intravenous infusion over 5 minutes before the start of chemotherapy treatment.

Treatment of nausea or vomiting after radiotherapy or chemotherapy

The recommended therapeutic dose of granisetron for established nausea and vomiting in adults is a single dose of 3 mg (1 bag), administered as an infusion over 5 minutes. If additional doses of granisetron are required, they should be separated by an interval of at least 10 minutes.

The maximum dose of granisetron should not exceed 9 mg in a 24-hour period.

Combination with corticosteroids

The effect of the infusion may be increased with the use of other medicines, called corticosteroids. This may be 8-20 mg of dexamethasone, administered before the start of radiotherapy or chemotherapy treatment, or 250 mg of methylprednisolone administered before the start of chemotherapy and again immediately after finishing it.

Use in children for the prevention or treatment of nausea or vomiting after radiotherapy or chemotherapy

This medicine is administered by intravenous infusion as described above, with the dose adjusted according to the child's weight. The infusions are administered before radiotherapy or chemotherapy and last 5 minutes. Children may receive a maximum of 2 doses per day, with at least 10 minutes between each dose.

Special populations

Elderly patients:

Same dose as for adults

Patients with renal impairment:

Same dose as for adults

If you think the effect of this medicine is too strong or too weak, tell your doctor or pharmacist.

If you use more Granisetron Altan than you should

Because this infusion is administered by a doctor or nurse, it is unlikely that you will receive more than the dose you should. However, if you are concerned, consult your doctor or nurse. Symptoms of overdose include a mild headache (cephalalgia). You will be treated according to your symptoms.

If you have any further questions on the use of this product, ask your doctor, pharmacist, or nurse.

Medicine questions

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Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. If you experience any of the following side effects, you should immediately consult your doctor:

allergic reactions (anaphylaxis). The signs can include swelling of the throat, face, lips, and mouth, and difficulty breathing or swallowing.

Other side effects that may occur while taking this medicine are:

Very common: may affect more than 1 in 10 people

headache

constipation. Your doctor will monitor your condition.

Common: may affect up to 1 in 10 people

difficulty sleeping (insomnia)

changes in liver function shown by blood tests

diarrhea

Uncommon: may affect up to 1 in 100 people

skin rash or an allergic reaction or hives. The signs can include red spots that itch.

changes in heart rhythm and changes in the ECG (electrocardiogram).

abnormal involuntary movements, such as tremors, muscle stiffness, and muscle contractions.

Serotonin syndrome. The signs can include diarrhea, nausea, vomiting, fever, and high blood pressure, excessive sweating, and rapid heart rate, agitation, confusion, hallucinations, chills, muscle spasms, shaking, or stiffness, loss of coordination, and restlessness.

Reporting of side effects:

If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if they are not listed in this leaflet. You can also report side effects directly through the National Reporting System: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Granisetron Altan

Keep the container in the outer packaging to protect it from light.

Do not freeze.

Keep out of the sight and reach of children.

Do not use the infusion solution after the expiry date which is stated on the container after "EXP". The expiry date is the last day of the month shown.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the pack and further information

Composition of Granisetron Altan

The active substance is granisetron. Each 50 ml bag of solution for infusion contains 3 mg of granisetron (as granisetron hydrochloride).

The other ingredients (excipients) are sodium chloride and water for injections.

Appearance of Granisetron Altan and contents of the pack

The medicine comes in bags with a metalized overbag. The bags contain a sterile, clear, and colorless solution for infusion.

They are supplied in packs of 1 or 5 bags.

Not all pack sizes may be marketed.

Marketing authorization holder

Altan Pharmaceuticals, S.A.

C/ Cólquide, 6 Portal 2, 1ª Planta, Oficina F, Edificio Prisma

28230 - Las Rozas (Madrid)

Manufacturer

Altan Pharmaceuticals, S.A.

Polígono Industrial de Bernedo s/n

01118 - Bernedo (Álava)

Date of last revision of this leaflet:January 2017

Other sources of information

"Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/"

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This information is intended only for healthcare professionals:

The bags of Granisetron Altan are ready for immediate administration.

Compatibility with other medicines:

As a general precaution, granisetron should not be mixed in solution with other medicines, except for sodium phosphate dexamethasone.

Mixtures of granisetron hydrochloride and sodium phosphate dexamethasone are compatible at concentrations of 10 to 60 micrograms/ml of granisetron and 80 to 480 micrograms/ml of dexamethasone phosphate.

The mixtures will have a validity period of 24 hours.

Online doctors for GRANISETRON ALTAN 3 mg/50 ml SOLUTION FOR INFUSION

Discuss questions about GRANISETRON ALTAN 3 mg/50 ml SOLUTION FOR INFUSION, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

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He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

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Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Doctor

Lina Travkina

Family medicine 13 years exp.

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
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  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
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  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
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Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
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  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
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  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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Doctor

Yevgen Yakovenko

General surgery 12 years exp.

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Frequently Asked Questions

Is a prescription required for GRANISETRON ALTAN 3 mg/50 ml SOLUTION FOR INFUSION?
GRANISETRON ALTAN 3 mg/50 ml SOLUTION FOR INFUSION requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in GRANISETRON ALTAN 3 mg/50 ml SOLUTION FOR INFUSION?
The active ingredient in GRANISETRON ALTAN 3 mg/50 ml SOLUTION FOR INFUSION is granisetron. This information helps identify medicines with the same composition but different brand names.
Who manufactures GRANISETRON ALTAN 3 mg/50 ml SOLUTION FOR INFUSION?
GRANISETRON ALTAN 3 mg/50 ml SOLUTION FOR INFUSION is manufactured by Altan Pharmaceuticals Sa. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of GRANISETRON ALTAN 3 mg/50 ml SOLUTION FOR INFUSION online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether GRANISETRON ALTAN 3 mg/50 ml SOLUTION FOR INFUSION is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to GRANISETRON ALTAN 3 mg/50 ml SOLUTION FOR INFUSION?
Other medicines with the same active substance (granisetron) include GRANISETRON AUROVITAS SPAIN 1 mg FILM-COATED TABLETS, GRANISETRON KABI 1 mg/ml CONCENTRATE FOR INJECTION SOLUTION, GRANISETRON NORMON 1 mg/1 ml INJECTABLE SOLUTION. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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