Hemlibra 105 mg/0.7 ml (SC Injection)

105 mg vial: ৳ 241,682.00

Medicine Details

Indications

  • Routine prophylaxis for hemophilia A patients

Pharmacology

  • Mimics coagulation factor VIII
  • Binds to activated Factor IX and Factor X
  • Activates coagulation cascade
  • Reduces hemorrhagic episodes

Dosage & Administration

  • Loading dose: 3 mg/kg once weekly for first 4 weeks
  • Maintenance dose options: 1.5 mg/kg once weekly, or 3 mg/kg once every two weeks, or 6 mg/kg once every four weeks

Interaction

  • Hypercoagulability with concomitant use of aPCC

Side Effects

  • Thrombotic microangiopathy
  • Thromboembolism
  • Immunogenicity

Pregnancy & Lactation

  • Unknown risk in pregnant women
  • Emicizumab presence in human milk is unknown
  • Consider benefits of breastfeeding vs. use of emicizumab

Precautions & Warnings

  • Immunogenicity of anti-Hemlibra antibodies
  • Interference with laboratory coagulation tests

Storage Conditions

  • Store in refrigerator at 2°C to 8°C
  • Do not freeze
  • Do not shake
  • Discard if not used immediately after removal from vial

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