Eposis 5000 IU (IV/SC Injection)

5000 IU pre-filled syringe: ৳ 2,166.50

Medicine Details

Indications

  • Treatment of anemia in Chronic Kidney Disease (CKD) patients
  • Treatment of anemia in patients with HIV infection receiving Zidovudine
  • Reduction of allogeneic RBC transfusions in patients undergoing noncardiac, nonvascular surgery
  • Prevention of anemia of prematurity in infants with specific birth weight and gestational age

Description

  • Recombinant human erythropoietin (EPO)
  • Expressed in Chinese hamster ovary cells
  • 165 amino acid sequence identical to human urinary EPO
  • 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 until stable, then at least monthly
  • Dose adjustment considerations for patients with CKD on dialysis
  • Dose adjustment considerations for patients with CKD not on dialysis
  • Starting dose for Zidovudine-treated HIV-infected patients
  • Dose adjustment considerations for patients on cancer chemotherapy
  • Dosing regimen for prevention of anemia of prematurity

Administration

  • Do not shake the product
  • Protect syringe from light
  • Visual inspection for particulate matter and discoloration prior to administration
  • Discard unused portions of Erythropoietin alfa

Interaction

  • Potentiation by simultaneous therapeutic administration of haematinic agent such as ferrous sulphate

Contraindications

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

Side Effects

  • Adverse reactions in different patient groups
  • E.g., hypertension, arthralgia, muscle spasm, pyrexia, dizziness, medical device malfunction, vascular occlusion, upper respiratory tract infection

Pregnancy & Lactation

  • No adequate and well-controlled studies in pregnant women
  • Reproduction toxicology in animal studies
  • Caution in use during pregnancy and lactation
  • Excretion in human milk is not known

Overdose Effects

  • Causes hemoglobin levels above the desired level
  • Management with discontinuation or reduction of Eposis dosage and/or with phlebotomy
  • 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
  • Maintain temperature range until administration
  • Store in original package to protect from light

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