Epoetin 2000 IU (IV/SC Injection)

2000 IU pre-filled syringe: ৳ 1,025.00

Medicine Details

Indications

  • Treatment of anemia in Chronic Kidney Disease (CKD) patients on dialysis
  • Treatment of anemia in Chronic Kidney Disease (CKD) patients not on dialysis
  • Treatment of anemia in HIV-infected patients on Zidovudine
  • Reduction of allogeneic RBC transfusions in noncardiac, nonvascular surgery patients
  • Prevention of anemia of prematurity in infants with low birth weight and gestational age

Description

  • Recombinant human erythropoietin (EPO) with 165 amino acid sequence
  • Expressed in Chinese hamster ovary cells
  • Apparent molecular weight of erythropoietin is about 30,400 daltons

Dosage

  • Evaluation of iron stores and nutritional factors before and during treatment
  • Monitoring hemoglobin levels at least weekly when initiating or adjusting therapy
  • Dosage adjustments based on hemoglobin rates and responsiveness
  • Different starting doses for CKD patients on dialysis and not on dialysis
  • Starting dose for Zidovudine-treated HIV-infected patients

Administration

  • Do not shake or freeze Erythropoietin alfa
  • Protect syringe from light
  • Visual inspection for particulate matter and discoloration before administration
  • Discard unused portions of Erythropoietin alfa

Interaction

  • Potentiation of Epoetin effect by simultaneous therapeutic administration of a haematinic agent

Contraindications

  • Uncontrolled hypertension
  • Serious allergic reactions to Erythropoietin alfa
  • Patients who develop Pure Red Cell Aplasia (PRCA) following treatment with any erythropoietin

Side Effects

  • Adverse reactions in CKD patients, Zidovudine-treated HIV-infected patients, cancer patients on chemotherapy, surgery patients, and premature infants

Pregnancy & Lactation

  • Use in pregnancy only if potential benefit outweighs potential risk to the fetus
  • Not recommended in pregnant or lactating surgical patients participating in autologous blood predonation program
  • Caution in nursing women, decision based on benefit of breast feeding and Erythropoietin alfa therapy

Overdose Effects

  • Hemoglobin levels above desired level
  • Discontinuation or reduction of Epoetin dosage and/or phlebotomy management
  • Cases of severe hypertension observed following overdose with ESAs

Therapeutic Class

  • Drugs for Haemolytic Hypoplastic & Renal Anemia

Storage Conditions

  • Store at 2°C to 8°C
  • Do not freeze or shake
  • Original package storage to protect from light

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