Eprex
4000IURx৳ 2,982.98/unit
Pack: ৳ 2,982.98
৳ 2,982.98/unit
Pack: ৳ 2,982.98
At a glance
Epoetin alfa (Recombinant Human Erythropoietin) is an erythropoiesis-stimulating agent used to treat anemia caused by kidney disease or cancer chemotherapy. It stimulates red blood cell production in the bone marrow.
Indications
- Anemia due to Chronic Kidney Disease: Reduces need for RBC transfusion in CKD patients.
- Anemia due to Cancer Chemotherapy: Used in patients with non-myeloid malignancies receiving chemotherapy.
- Preparation for Surgery: Reduces need for allogeneic RBC transfusions in high-risk surgery.
Pharmacology
Epoetin alfa stimulates the differentiation and proliferation of erythroid precursors, release of reticulocytes into the circulation and synthesis of cellular Hb thus regulating erythropoiesis.
Dosage
Adult Dose:
- CKD-Associated Anemia (Not on dialysis): 50-100 units/kg IV/SC 3 times weekly initially; initiate when Hb <10 g/dL.
- CKD-Associated Anemia (On dialysis): 50-100 units/kg IV 3 times weekly initially; initiate when Hb <10 g/dL.
- Chemotherapy-Related Anemia: 150 units/kg IV/SC 3 times weekly or 40,000 units SC once weekly.
- Preparation for Surgery: 300 units/kg SC daily for 15 days or 600 units/kg SC in 4 doses.
Child Dose:
- CKD-Associated Anemia (>1 month): 50 units/kg IV/SC 3 times weekly.
- Prematurity-Related Anemia: 25-100 units/kg SC 3 times weekly or 200-400 units/kg SC/IV q24-48hr.
Side effects
Common Side Effects:
- High blood pressure (13%)
- Nausea
- Fever
- Vomiting
- Headache
- Fatigue
- Dizziness
- Muscle aches
Use in pregnancy
Use in Pregnancy: Epoetin alfa may be unsafe to use during pregnancy. Animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing.
Pregnancy Category: C — always consult a doctor before taking during pregnancy.
Precautions & warnings
Precautions:
- Epoetin alfa may cause side effects which could affect your ability to drive.
- It helps in the treatment of anemia caused by chronic kidney disease or cancer chemotherapy.
- Your doctor may get your blood tests done regularly to monitor levels of hemoglobin, blood cells and potassium.
- Monitor your blood pressure regularly while taking this medication.
- Inform your doctor if you notice severe headache, problems with eyesight, nausea, vomiting or seizures.
- Stop taking and inform your doctor if you develop shortness of breath or skin rash.
Overdose effects
Overdose: Overdose may cause hypertension, polycythemia, seizures, thrombosis. In case of overdose, seek immediate medical attention.
Storage conditions
Storage: Store in refrigerator at 2-8°C. Bring to room temperature before use. Do not freeze. Protect from light.