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 | | | |  | | Eprex 2000 (Epoetin) | | | |  | Package: 6 Prefilled syringes x 0.5ml.
Usage: injectable
Blood-building drug, increases red blood cells to carry more oxygen to muscles
Produced By: Janssen Cilag
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| | | | | | | | EPREX 4000 [ N6 x 0,4 ml ] | | | | ![EPREX 4000 [ N6 x 0,4 ml ]](unit/11.jpg) | Package : 6 * 0,4ml (4000 IU)
Treating anemia in certain patients with kidney failure, HIV, or cancer.
Produced by : Janssen Cilag
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[EPO, ERYTHROPOIETIN, EPOETIN ALFA]
Epoetin Alfa is used for:
Treating anemia in certain patients with kidney failure, HIV, or cancer. It may also be used to reduce the need for blood transfusions in some patients undergoing surgery, or for other conditions as determined by your doctor.
Epoetin Alfa is a glycoprotein. It works by stimulating the bone marrow to produce more red blood cells.
Do NOT use Epoetin Alfa if:
- you are allergic to any ingredient in Epoetin Alfa , to human albumin, or to products that come from mammalian cells;
- you have uncontrolled high blood pressure or certain red blood cell problems (eg, aplasia).
Contact your doctor or health care provider right away if any of these apply to you.
Before using Epoetin Alfa:
Some medical conditions may interact with Epoetin Alfa . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding.
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement.
- if you have allergies to medicines, foods, or other substances.
- if you have a history of seizures; a blood disorder (eg, porphyria, sickle cell anemia); bleeding or clotting problems; heart problems (eg, congestive heart failure, ischemic heart disease); high blood pressure; low blood iron, folic acid, or vitamin B12 levels; high blood aluminum levels; an infection; inflammatory condition; or certain bone problems (osteitis fibrosa).
Some MEDICINES MAY INTERACT with Epoetin Alfa . However, no specific interactions with this medicine are known at this time. Tell your health care provider if you are taking any other medicines.
This may not be a complete list of all interactions that may occur. Ask your health care provider if Epoetin Alfa may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Epoetin Alfa:
Use Epoetin Alfa as directed by your doctor. Check the label on the medicine for exact dosing instructions. Check the label on the medicine for exact dosing instructions.
An additional patient leaflet is available with Epoetin Alfa . Talk to your pharmacist if you have questions about this information.
If you are using Epoetin Alfa at home, a health care professional will provide detailed instructions for its appropriate use. Ask them any questions that you may have about your medicine or giving injections.
When drawing up a dose into a syringe, be sure to follow the procedure demonstrated to you to prevent contamination of the vial, syringe, or medicine. Never touch the rubber stopper of the vial or the needle of the syringe with your fingers.
Always carefully check that you have drawn up the correct dose before administration.
Do not shake Epoetin Alfa .
Do not dilute Epoetin Alfa or use it with other solutions.
If you are using a single-dose vial, throw away any medicine left in the vial after you have used your dose. Ask your doctor, pharmacist, or other health care provider if you have questions about whether you are using a single-dose vial.
If Epoetin Alfa contains particles or is discolored, or if the vial is cracked or damaged in any way, do not use it.
Keep this product, as well as syringes and needles out of the reach of children and away from pets. Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor or pharmacist to explain local regulations for proper disposal.
Continue to use Epoetin Alfa even if you feel well. Do not miss any doses.
If you miss a dose of Epoetin Alfa , use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.
Ask your health care provider any questions you may have about how to use Epoetin Alfa .
Important safety information:
Epoetin Alfa may cause dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Epoetin Alfa . Using Epoetin Alfa alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
It may take several weeks for Epoetin Alfa to work. Do not stop taking Epoetin Alfa without checking with your doctor.
It is important to follow your doctor?s instructions about diet and dialysis exactly.
Rarely, Epoetin Alfa can lose its effectiveness after a period of time, and a very serious anemia can result. Tell your doctor immediately if symptoms of anemia recur, such as increased fatigue/weakness or pale skin color.
Epoetin Alfa contains albumin, which comes from human blood. There is an extremely rare risk of developing a viral disease or a central nervous system disease called Creutzfeldt-Jakob disease. No cases of viral diseases or Creutzfeldt-Jakob disease from albumin have been identified.
Some patients who have stopped having menstrual periods may experience a return of menstrual periods following treatment with Epoetin Alfa . Talk with your health care provider if you have questions about the possibility of becoming pregnant or the need for birth control.
Lab tests, such as kidney function, blood pressure, complete blood counts, or hemoglobin levels, will be required to monitor therapy or to check for side effects. Be sure to keep all doctor and lab appointments.
Epoetin Alfa may contain benzyl alcohol, a preservative. Do not use medicine containing benzyl alcohol in NEWBORNS or INFANTS because serious and sometimes fatal nervous system problems and other side effects may occur.
Use Epoetin Alfa with extreme caution in CHILDREN younger than 1 month of age. Safety and effectiveness in this age group have not been confirmed.
PREGNANCY and BREAST-FEEDING: If you become pregnant, discuss with your doctor the benefits and risk of using Epoetin Alfa during pregnancy. It is unknown if Epoetin Alfa is excreted in breast milk. If you are or will be breast-feeding while you are using Epoetin Alfa , check with your doctor or pharmacist to discuss the risks to your baby.
Possible side effects of Epoetin Alfa:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
- Constipation;
- cough;
- diarrhea;
- headache;
- indigestion;
- joint or muscle aches;
- nausea;
- respiratory congestion;
- sleeplessness;
- stinging at the injection site;
- stomach pain; vomiting.
Seek medical attention right away if any of these SEVERE side effects occur:
- Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue);
- calf pain or tenderness;
- chest pain;
- confusion;
- fever, chills, or sore throat;
- increased fatigue/weakness;
- increased or rapid heartbeat;
- irritation at the injection site;
- numbness or tingling of the skin;
- numbness of an arm or leg;
- one-sided weakness; pale skin color;
- seizures; severe stomach pain;
- shortness of breath;
- sudden severe headache, dizziness, vomiting, or fainting;
- swelling of the fingers, ankles, or legs;
- unusual tiredness or weakness;
- vision or speech problems;
- weight gain.
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