Rubisol® 50mg/25ml Injection (Epirubicin) – Chemotherapy (Rx)

Quick answer: Rubisol 50mg (epirubicin) is a chemotherapy vial for breast cancer and several other cancers, including stomach, ovarian and small cell lung cancer, lymphoma and early bladder cancer. It is given into a vein at hospital, or into the bladder. MedHub supplies it on prescription and delivers it chilled across Pakistan.

For patients and families

What is Rubisol 50mg?

Rubisol 50mg is a 25ml vial of epirubicin solution, made in Pakistan by Pharmasol (Pvt) Ltd. It is the larger of the two Rubisol strengths and the one most chemotherapy units start with. Epirubicin is an anthracycline, a group of strong cancer medicines that damage the DNA of fast-dividing cells. Because tumour cells divide quickly, they are hit hardest.

What is it used for?

Epirubicin is a key part of many breast cancer regimens given after surgery. It is also used for:

• Advanced breast cancer
• Advanced cancer of the stomach
• Ovarian cancer and small cell lung cancer
• Non-Hodgkin and Hodgkin lymphoma
• Soft tissue sarcoma
• Superficial bladder cancer, given into the bladder after the tumour is removed

Your oncologist chooses the combination and number of cycles that fit your cancer type and stage.

How is it given?

You receive it at a hospital or day-care chemotherapy unit, through a cannula or port into a vein, often alongside other cancer medicines. Treatment usually repeats every three weeks. For bladder cancer, the urologist passes the medicine into the bladder through a catheter and asks you to hold it for a while. Your doctor decides the dose and orders a heart scan and blood tests to keep you safe.

Common side effects

• Hair thinning or complete hair loss
• A drop in white cells, most often about 10 to 14 days after treatment
• Feeling sick, vomiting and mouth ulcers
• Reddish urine for a short time after each dose
• Changes to the menstrual cycle

Go to hospital or phone your team right away if you have a fever, shivering, chest pain, an irregular heartbeat, or redness and burning at the injection site.

Storage

Store the vial at 2–8°C in the fridge, in its outer carton to protect it from light, and never let it freeze. If you collect it yourself, carry it in a cool bag. See how we keep medicines cold during delivery.

How to order from MedHub

1. Send a photo of your prescription on WhatsApp.
2. Our pharmacist confirms the price and stock with you.
3. We send the vials in a cold-chain box to your hospital or home.

Children working in the UAE, UK and Saudi Arabia often book Rubisol 50mg for a mother’s or father’s chemotherapy in Pakistan through us. To make up an exact dose, hospitals may add Rubisol 10mg/5ml. Breast cancer regimens sometimes continue with Docetaxel AHP 80mg. Explore our oncology range for more.

For healthcare professionals

• Composition: epirubicin hydrochloride 50 mg in 25 ml (2 mg/ml) solution for injection
• Drug class: anthracycline antineoplastic antibiotic (topoisomerase II inhibitor)
• Indications: breast cancer, including adjuvant treatment of node-positive disease; advanced gastric cancer; small cell lung cancer; advanced ovarian cancer; malignant lymphomas; soft tissue sarcomas; intravesical use in superficial bladder cancer and for prevention of recurrence after transurethral resection
• Mechanism: DNA intercalation with inhibition of topoisomerase II and nucleic acid synthesis, plus free radical formation
• Label dose: 60–90 mg/m² IV as a single agent every 3 weeks; 100–120 mg/m² per cycle in adjuvant breast cancer combinations (given on day 1, or split over days 1 and 8); intravesical 50 mg/50 ml weekly for 8 weeks; dose reductions for raised bilirubin and marrow suppression
• Monitoring / key precautions: assess LVEF before and during therapy; cumulative dose limit of 900 mg/m² (lower with prior anthracyclines or chest radiotherapy); blood counts before each cycle; hepatic and renal function; vesicant, give through a free-flowing IV line; tumour lysis risk; secondary leukaemia; avoid live vaccines; contraindicated in pregnancy
• Storage: 2–8°C, protect from light
• Manufactured and marketed in Pakistan by: Pharmasol (Pvt) Ltd
• Pack: 1 vial

Frequently asked questions

Which cancers does Rubisol 50mg treat?

Rubisol 50mg treats breast cancer most often, both after surgery and in advanced disease. It is also used for stomach, ovarian and small cell lung cancers, lymphomas, sarcomas and early bladder cancer.

What is the Rubisol 50mg price in Pakistan?

Rubisol 50mg costs Rs 6,000 per vial. Prices can change with supply, so message us on WhatsApp for today’s price before you order.

Can MedHub deliver Rubisol 50mg in Lahore, Karachi or Peshawar?

Yes. We ship chilled vials to Islamabad, Rawalpindi, Lahore, Karachi, Peshawar, Multan, Faisalabad and other cities in Pakistan.

Is a prescription needed to buy Rubisol 50mg?

Yes. It is a prescription-only chemotherapy medicine. Share your oncologist’s prescription on WhatsApp, and our pharmacist checks it before we confirm.

Is Rubisol 50mg used for bladder cancer?

Yes. For early bladder tumours, a urologist places epirubicin directly into the bladder through a catheter, often weekly for a set course, to lower the chance of the tumour returning.

Can Rubisol 50mg affect the heart?

It can. Anthracyclines can weaken the heart muscle, especially after high total doses, so your doctor checks your heart with a scan before and during treatment and keeps a running total of your dose.

How do I store Rubisol 50mg if I collect it myself?

Put it in the fridge at 2–8°C in its box as soon as you get home, and carry it to hospital in a cool bag. Never freeze it.

Can I order Rubisol 50mg for my parents from outside Pakistan?

Yes. Send the prescription on WhatsApp from the UAE, UK, Saudi Arabia or elsewhere, and our team arranges payment and cold-chain delivery to your parents’ hospital.

Last updated: 3 October 2026

This information is for general awareness only and is not medical advice. Always consult your doctor before starting, stopping or changing any medicine.