Eposis 2000 IU (IV/SC Injection)

2000 IU pre-filled syringe: ৳ 1,028.08

Medicine Details

Indications

  • Treatment of anemia due to chronic kidney disease (CKD) in patients on dialysis and not on dialysis
  • Treatment of anemia due to Zidovudine in HIV-infected patients
  • Treatment of anemia due to the effects of concomitant myelosuppressive chemotherapy
  • Reduction of allogeneic RBC transfusions in patients undergoing elective, noncardiac, nonvascular surgery
  • Prevention of anemia of prematurity in infants with a birth weight of 750 to 1500 gm and gestational age of less than 34 weeks

Description

  • Recombinant human erythropoietin (EPO)
  • Expressed in Chinese hamster ovary cells
  • Has a 165 amino acid sequence identical to that of human urinary EPO
  • Molecular weight of erythropoietin is about 30,400 daltons

Dosage

  • Evaluation of iron stores and nutritional factors before and during treatment
  • Monitor hemoglobin levels at least weekly until stable, then at least monthly
  • Do not increase the dose more frequently than once every 4 weeks
  • For patients who do not respond adequately, increase the dose by 25%

Administration

  • Do not shake or freeze Erythropoietin alfa
  • Protect syringe from light
  • Inspect visually for particulate matter and discoloration prior to administration

Interaction

  • Effect may be potentiated by the simultaneous therapeutic administration of a haematinic agent such as ferrous sulphate

Contraindications

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

Side Effects

  • Adverse reactions in patients with CKD: Hypertension, arthralgia, muscle spasm, pyrexia, dizziness, medical device malfunction, vascular occlusion, upper respiratory tract infection
  • Adverse reactions in Zidovudine-treated HIV-infected Patients: Pyrexia, cough, rash, injection site irritation
  • Adverse reactions in Cancer Patients on Chemotherapy: Nausea, vomiting, myalgia, arthralgia, stomatitis, cough, weight decrease, leukopenia

Pregnancy & Lactation

  • No adequate and well-controlled studies in pregnant women
  • Reproduction toxicology observed in animal studies

Overdose Effects

  • Eposis overdosage can cause hemoglobin levels above the desired level
  • Cases of severe hypertension have been 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
  • Store in original package to protect from light

Related Brands