


Actorise 40 Injection
Darbepoetin alfa (40mcg)
Authenticity Assured
required
Stored between 2-8°C
Actorise 40 Injection is used in the treatment of anemia that may have occurred due to chronic kidney disease or chemotherapy. It works by stimulating the bone marrow to produce more red blood cells.
Written By Dr. Syeda Aafia, MBA, BDS,
Reviewed By Dr. Rajeev Sharma, MBA, MBBS,
Last updated on 25 May 2026 | 05:59 PM (IST)
Written By Dr. Syeda Aafia, MBA, BDS,
Reviewed By Dr. Rajeev Sharma, MBA, MBBS,
Last updated on 25 May 2026 | 05:59 PM (IST)
0

Actorise 40 Injection is currently sold out
Same composition alternative:
Dargen 40 Injection
₹2817₹3127
Available alternative from Lupin
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Actorise 40 Injection
prefilled syringe of 0.4 ml Injection
₹2470

Same composition
Dargen 40 Injection
prefilled syringe of 0.4 ml Injection
by Lupin Ltd
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₹2817
₹2394.0 per ml
₹2394
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₹1200
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General Information
Contains
Darbepoetin alfa (40mcg)
Marketer
Cipla Ltd
Storage
Store in a refrigerator (2 - 8°C). Do not freeze.
The content is shown in English



Product introduction
Actorise 40 Injection is a medicine that needs to be used with utmost care because it can lead to serious side effects. It is important that you seek treatment from a doctor who is experienced in providing this medical therapy. You should follow all the directions of the doctor strictly. It is given under the supervision of a healthcare professional.
It may cause side effects like high blood pressure and hypersensitivity. Inform your doctor if there are symptoms of very high blood pressure such as severe headache, problems with your eyesight, nausea, vomiting, or fits (seizures).
Your doctor may get your blood tests done regularly to monitor the levels of salts (electrolytes such as potassium), hemoglobin, and blood cells in your blood. You should stop taking it and consult with a doctor if you develop shortness of breath or skin rash.
There is a Patient Support Program/Patient Assistance Program available in India for this medicine, being managed by Tata 1mg. Please contact your prescribing doctor to know more about the same. You may also call on (1800-102-1618) for more details.
It may cause side effects like high blood pressure and hypersensitivity. Inform your doctor if there are symptoms of very high blood pressure such as severe headache, problems with your eyesight, nausea, vomiting, or fits (seizures).
Your doctor may get your blood tests done regularly to monitor the levels of salts (electrolytes such as potassium), hemoglobin, and blood cells in your blood. You should stop taking it and consult with a doctor if you develop shortness of breath or skin rash.
There is a Patient Support Program/Patient Assistance Program available in India for this medicine, being managed by Tata 1mg. Please contact your prescribing doctor to know more about the same. You may also call on (1800-102-1618) for more details.
Uses of Actorise Injection
Benefits of Actorise Injection
Treatment of Anemia due to cancer chemotherapy
Low red blood cell count is termed as anemia. Cancer treatment with chemotherapy often causes many side effects, one of the major ones being anemia. Actorise 40 Injection stimulates the production of red blood cells in bone marrow and regulates the haemoglobin in the blood. This treats anemia in cancer patients receiving chemotherapy.
Low red blood cell count is termed as anemia. Cancer treatment with chemotherapy often causes many side effects, one of the major ones being anemia. Actorise 40 Injection stimulates the production of red blood cells in bone marrow and regulates the haemoglobin in the blood. This treats anemia in cancer patients receiving chemotherapy.
Treatment of Anemia due to chronic kidney disease
Anemia is a condition where your body does not have enough red blood cells to carry oxygen around your body. Chronic kidney disease (CKD) refers to the loss of normal kidney function over a long span of time. CKD progresses gradually over a few years but may become permanent if left untreated. CKD can lead to anemia. Actorise 40 Injection can boost your levels of red blood cells and reduce the symptoms of anemia such as tiredness and weakness. Taking this injection improves the quality of life.
Anemia is a condition where your body does not have enough red blood cells to carry oxygen around your body. Chronic kidney disease (CKD) refers to the loss of normal kidney function over a long span of time. CKD progresses gradually over a few years but may become permanent if left untreated. CKD can lead to anemia. Actorise 40 Injection can boost your levels of red blood cells and reduce the symptoms of anemia such as tiredness and weakness. Taking this injection improves the quality of life.
Side effects of Actorise Injection
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Actorise
- Abdominal pain
- High blood pressure
- Rash
- Injection site pain
- Breathlessness
- Cough
- Peripheral edema
- Procedural hypotension (low blood pressure)
- Convulsion
- Thromboembolism
- Angina (heart related chest pain)
How to use Actorise Injection
Your doctor or nurse will give you this medicine. Kindly do not self administer.
How Actorise Injection works
Actorise 40 Injection is an erythropoiesis-stimulating agent (ESA). It works by stimulating the bone marrow (soft tissue inside the bones which produces red blood cells) to produce more red blood cells.
All substitutes for Actorise 40 Injection
For information purposes only. Consult a doctor before taking any medicine.
Dargen 40 Injection
by Lupin Ltd
₹3127/injection
14% costlier
Cresp 40 Injection
by Dr Reddy's Laboratories Ltd
₹3424/injection
25% costlier
Darbelife 40mcg Pfs Injection
by Hetero Drugs Ltd
₹2840/injection
3% costlier
Kabidarba 40 Injection
by Fresenius Kabi India Pvt Ltd
₹2348/injection
14% cheaper
Darbosis 40 Injection
by Micro Labs Ltd
₹2685/injection
2% cheaper
Quick tips
- Actorise 40 Injection helps in the treatment of anemia that may have occurred due to chronic kidney disease or cancer chemotherapy.
- It is given as a single injection under your skin; additionally, it can be given intravenously.
- Your doctor may get your blood tests done regularly to monitor the levels of hemoglobin in your blood.
- Stop taking Actorise 40 Injection and inform your doctor if you develop shortness of breath or a skin rash.
Safety advice

Alcohol
CONSULT YOUR DOCTOR
It is not known whether it is safe to consume alcohol with Actorise 40 Injection. Please consult your doctor.

Pregnancy
CONSULT YOUR DOCTOR
The safety of Actorise 40 Injection during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.

Breast feeding
CONSULT YOUR DOCTOR
Information regarding the use of Actorise 40 Injection during breastfeeding is not available. Please consult your doctor.

Driving
SAFE
Actorise 40 Injection does not usually affect your ability to drive.

Kidney
SAFE IF PRESCRIBED
Actorise 40 Injection is safe to use in patients with kidney disease. No dose adjustment is recommended.

Liver
CONSULT YOUR DOCTOR
There is limited data available on the use of Actorise 40 Injection in patients with liver disease.
Interaction with drugs
Taking Actorise with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Moderate
Thalidomide (Oral Route)
If concurrent use is essential, watch out for symptoms such as fatigue, shortness of breath, unusual paleness, easy bruising or bleeding and consult your doctor if you experience them. They may adjust the doses as per the observations. Darbepoetin alfa may raise blood levels of Thalidomide.
Moderate
Pomalidomide (Oral Route)
If concurrent use is essential, watch out for symptoms such as unusual bleeding, swelling in one leg or arm, new or worsening chest pain or sudden shortness of breath and consult your doctor if you experience them. They may adjust the doses as per the observations.
Moderate
Lenalidomide (Oral Route)
Avoid combination if possible; if concurrent use is essential, your doctor may monitor for signs of clotting.
Mild
Telmisartan (Oral Route)
Your doctor may regularly monitor your blood pressure and potassium levels during the simultaneous use of these medicines. Telmisartan may reduce efficacy of Darbepoetin alfa.
Mild
Losartan (Oral Route)
Your doctor may regularly monitor your blood pressure and potassium levels during the simultaneous use of these medicines. Losartan may reduce efficacy of Darbepoetin alfa.
Frequently asked questions
You will be able to notice an increase in the count of red blood cells (hemoglobin levels) in 2-6 weeks of starting Actorise 40 Injection. If you have any other concerns, consult your doctor.
Actorise 40 Injection is a medicine that needs to be used with utmost care because it can lead to serious side effects and even death of the patient. It is important that you seek treatment from a doctor who is experienced in providing Actorise 40 Injection therapy. Follow all the directions strictly.
You may not respond to Actorise 40 Injection if you have deficiencies of iron, folic acid, or vitamin B12. It is important that you take measures to correct these deficiencies. Other reasons behind not responding to the treatment could be bleeding, infections, inflammation, and bone marrow fibrosis. Therefore, consult our doctor regarding the same.
Yes, Actorise 40 Injection is used to treat anemia due to chronic kidney disease in children who are above 1 year of age. The effectiveness of Actorise 40 Injection and side effects seen in children are similar to adults. However, consult your doctor if you are not sure.
Yes, Actorise 40 Injection can affect blood pressure. During initial therapy with Actorise 40 Injection, blood pressure should be monitored and those who have high blood pressure should take appropriate measures to control blood pressure. Your doctor may stop Actorise 40 Injection if the blood pressure remains uncontrolled.
Individuals who have cancer but have not been prescribed Actorise 40 Injection by the doctor should not take it. Additionally, patients with uncontrolled hypertension (high blood pressure), patients with a history of anemia called pure red cell aplasia (PRCA) that starts after treatment with Actorise 40 Injection or other erythropoietin medicines, and patients with a history of serious allergic reaction to this medicine should not take this medicine.
Fact Box
Chemical Class
Peptides
Habit Forming
No
Therapeutic Class
BLOOD RELATED
Action Class
Erythropoiesis-Stimulating Agents (ESAs)
Related lab tests
References
- Kaushansky K, Kipps TJ. Hematopoietic Agents: Growth Factors, Minerals, and Vitamins. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 1071-72.
- Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 358-59.
- Darbepoetin alfa. Milton Road, Cambridge: Amgen Ltd.; 2001 [revised Sep. 2017]. [Accessed 23 Jan. 2019] (online) Available from:
- Darbepoetin alfa. Thousand Oaks, CA: Amgen Inc.; 2001. [Accessed 07 Apr. 2019] (online) Available from:
- Drugs and Lactation Database (LactMed®) [Internet]. Bethesda (MD): National Institute of Child Health and Human Development; 2006. Darbepoetin. [Accessed 17 Jun. 2023] (online) Available from:
- Darbepoetin alfa [Prescribing Information]. Thousand Oaks, California: Amgen Inc.; 2019. [Accessed 17 Jun. 2023] (online) Available from:
- Aranesp Injection (Darbepoetin alfa) [Product Information]. [Accessed 17 Jun. 2023] (online) Available from:
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User feedback
Once A Week
41%
Twice A Month
27%
Once A Month
23%
Once A Day
7%
Twice A Week
1%
Anemia due to chronic kidney disease
94%
Anemia due to cancer chemotherapy
6%
Poor
44%
Average
37%
Excellent
19%
Pulmonary thromboembolism (blood clot in the lungs)
33%
No Side Effect
33%
Hypersensitivity
33%
With or without food
50%
With food
50%
Expensive
75%
Not Expensive
17%
Average
8%
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Disclaimer
Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
Marketer details
Name: Cipla Ltd
Address: Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013
Address: Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013
Vendor Details
Country of origin: India
Lab tests offered by us
- CBC (Complete Blood Count)
- FBS (Fasting Blood Sugar)
- Thyroid Profile Total (T3, T4 & TSH)
- HbA1c (Glycosylated Hemoglobin)
- PPBS (Postprandial Blood Sugar)
- Lipid Profile
- Vitamin D (25-Hydroxy)
- Urine R/M (Urine Routine & Microscopy)
- Coronavirus Covid -19 test- RT PCR
- LFT (Liver Function Test)
- KFT (Kidney Function Test)
- TSH (Thyroid Stimulating Hormone) Ultrasensitive
- ESR (Erythrocyte Sedimentation Rate)
- Uric Acid, Serum
- Vitamin B12
- CRP (C-Reactive Protein), Quantitative
- Urine C/S (Urine Culture and Sensitivity)
- Serum Electrolytes
- Serum Calcium
- Serum Creatinine
- Diabetes Screening (HbA1C & Fasting Sugar)
- KFT with Electrolytes (Kidney Function Test with Electrolytes)
- Cholesterol - Total
- Hb (Hemoglobin)
- Complete Hemogram (CBC & ESR)
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