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Vyxeos

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Vyxeos

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Medicine Name: Vyxeos
Generic Name (API): Daunorubicin + Cytarabine
Dosage Form & Strength: 44/100 mg
Route: Intravenous Infusion
Drug Class:

Manufacturer / Innovator:

Ireland

Regulatory Approval:

N/A

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Understanding Vyxeos and Its Medical Uses

Vyxeos (daunorubicin and cytarabine liposome) is a fixed-ratio combination chemotherapy approved by the FDA for the treatment of adults and pediatric patients 1 year and older with newly diagnosed therapy-related acute myeloid leukemia (t-AML) or AML with myelodysplasia-related changes (AML-MRC).

How Vyxeos Works

Vyxeos encapsulates daunorubicin and cytarabine together in a liposomal formulation at a fixed 1:5 molar ratio, which has been shown to synergistically target leukemic cells more effectively than the same drugs given separately, particularly in these higher-risk AML subtypes.

Approved Patient Population

Vyxeos is intended for AML patients with a history of prior chemotherapy or radiation for another cancer (therapy-related AML), or those whose AML shows myelodysplasia-related changes — both associated with a poorer prognosis using standard chemotherapy regimens.

Dosage and Administration

Induction dosing is daunorubicin 44 mg/m² plus cytarabine 100 mg/m² administered intravenously over 90 minutes on Days 1, 3, and 5 (Days 1 and 3 for subsequent induction cycles if needed). Consolidation dosing is daunorubicin 29 mg/m² plus cytarabine 65 mg/m² on Days 1 and 3.

Warnings and Precautions for Vyxeos

Boxed Warning — Vyxeos: Do not interchange Vyxeos with other daunorubicin and/or cytarabine-containing products. Vyxeos has different dosage recommendations than daunorubicin hydrochloride injection, cytarabine injection, daunorubicin citrate liposome injection, and cytarabine liposome injection. Verify the drug name and dose prior to preparation and administration to avoid dosing errors.

Hemorrhage

Serious and fatal hemorrhagic events have been reported, related to prolonged thrombocytopenia associated with treatment.

Cardiotoxicity

Vyxeos contains an anthracycline component and is not recommended in patients with pre-existing cardiac impairment due to cumulative dose-related cardiotoxicity risk.

Hypersensitivity and Tissue Necrosis

Hypersensitivity reactions have been reported, and extravasation can cause tissue necrosis; the infusion site should be monitored closely.

Embryo-Fetal Toxicity

Vyxeos may cause fetal harm. Effective contraception should be used during treatment and for a period after the final dose, as advised by the treating physician.

How to Access Vyxeos in India: A 6-Step Process

Step 1 – Search & request your medicine: The patient or treating doctor submits a request with basic details to initiate the access process.

Step 2 – Verification & eligibility review: The team verifies availability and reviews eligibility against regulatory and clinical requirements to ensure a compliant pathway.

Step 3 – Receive quote & delivery timeline: A transparent quotation is shared, covering medicine cost, logistics, and a clear delivery timeline.

Step 4 – Regulatory approval process: Assistance is provided to secure the approvals and documentation required for legal cross-border access.

Step 5 – Temperature-controlled import & handling: The medicine is sourced and transported under strict GDP-compliant conditions to maintain product integrity.

Step 6 – Secure delivery: The medicine is delivered to the patient or treating hospital, with updates provided at each stage.

Note: From request to delivery, every step is designed to ensure your treatment reaches you safely, compliantly, and without unnecessary delays.

Documentation and Availability of Vyxeos

Vyxeos is manufactured and marketed by Jazz Pharmaceuticals. It is sourced through authorized distribution channels for patients seeking named-patient import into India.

Required Documentation

Patients typically need a valid prescription from a treating hematologist-oncologist confirming diagnosis of therapy-related AML or AML-MRC. NPP's regulatory team assists in preparing and verifying the documentation needed for a compliant import.

Availability

As an FDA-approved therapy for high-risk AML subtypes, Vyxeos is sourced through authorized channels and imported under GDP-compliant, cold-chain logistics to preserve product quality throughout transit.

Sourcing and Delivery of Vyxeos

NPP sources Vyxeos directly from authorized pharmaceutical distributors to ensure product authenticity and full traceability. Every shipment is handled under Good Distribution Practice (GDP) conditions from origin to the patient's doorstep.

Cold Chain and Handling

Vyxeos requires refrigerated storage at 2°C to 8°C in an upright position, protected from light. NPP maintains a continuous, monitored cold chain throughout transit.

Delivery Timelines

Once documentation and regulatory approvals are in place, delivery timelines are communicated transparently at the time of quotation, accounting for import clearance and last-mile cold-chain logistics to the patient's city.

Availability of Vyxeos Across Major Cities in India

Patients across India can access Vyxeos through NPP's regulated import pathway, with hematology-oncology specialists in major cities supporting the treatment process.

Mumbai

Leading hospitals in Mumbai support hematology-oncology care coordination and documentation for Vyxeos access.

Delhi

Delhi's major hospitals assist patients with prescription support and documentation for Vyxeos.

Bangalore

Bangalore's specialist network offers access coordination for eligible AML patients seeking Vyxeos.

Chennai

Chennai-based hematology specialists coordinate Vyxeos access alongside comprehensive AML care.

Hyderabad

Hyderabad's care institutions support patients pursuing Vyxeos therapy.

Kolkata

Kolkata's specialist centers help coordinate documentation and treatment access for Vyxeos.

Pune

Pune-based specialists assist with prescription support and Vyxeos treatment planning.

Ahmedabad

Ahmedabad's specialty hospitals support the import and treatment process for Vyxeos.

Kochi

Kochi's specialist units assist patients with the documentation needed for Vyxeos access.

Chandigarh

Chandigarh's care centers support Vyxeos treatment coordination for patients from North India.

Jaipur

Jaipur's specialists help patients navigate the Vyxeos access process.

Lucknow

Lucknow-based centers assist patients pursuing Vyxeos therapy.

Bhubaneswar

Bhubaneswar's institutions support access to Vyxeos for eligible patients.

Guwahati

Guwahati's specialists help coordinate Vyxeos access for patients across the Northeast.

Patients in other cities across India can also access Vyxeos through NPP's nationwide coordination network.

Written By:

Written By: Nitin Goswami, Senior Medical Content Writer
Last Updated: 15 September 2026
Sources: FDA

Medically Reviewed By:

Medically Reviewed By: Shilpi Banerjee, Registered Pharmacist (M.Pharm)
Last Updated: 15 September 2026

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