Highlights for epoetin-alfa
epoetin-alfa Side Effects
Side effects that you should report to your doctor or health care professional as soon as possible:\n-allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue\n-breathing problems\n-changes in vision\n-chest pain\n-confusion, trouble speaking or understanding\n-feeling faint or lightheaded, falls\n-high blood pressure\n-muscle aches or pains\n-pain, swelling, warmth in the leg\n-rapid weight gain\n-severe headaches\n-sudden numbness or weakness of the face, arm or leg\n-trouble walking, dizziness, loss of balance or coordination\n-seizures (convulsions)\n-swelling of the ankles, feet, hands\n-unusually weak or tired\n\nSide effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):\n-diarrhea\n-fever, chills (flu-like symptoms)\n-headaches\n-nausea, vomiting\n-redness, stinging, or swelling at site where injected
epoetin-alfa May Interact with Other Medications
Do not take this medicine with any of the following medications:\n-darbepoetin alfa
How to Use epoetin-alfa
This medicine is for injection into a vein or under the skin. It is usually given by a health care professional in a hospital or clinic setting.\n \nIf you get this medicine at home, you will be taught how to prepare and give this medicine. Use exactly as directed. Take your medicine at regular intervals. Do not take your medicine more often than directed.\n \nIt is important that you put your used needles and syringes in a special sharps container. Do not put them in a trash can. If you do not have a sharps container, call your pharmacist or healthcare provider to get one.\n \nTalk to your pediatrician regarding the use of this medicine in children. While this drug may be prescribed for selected conditions, precautions do apply.
They need to know if you have any of these conditions:\n-blood clotting disorders\n-cancer patient not on chemotherapy\n-cystic fibrosis\n-heart disease, such as angina or heart failure\n-hemoglobin level of 12 g/dL or greater\n-high blood pressure\n-low levels of folate, iron, or vitamin B12\n-seizures\n-an unusual or allergic reaction to erythropoietin, albumin, benzyl alcohol, hamster proteins, other medicines, foods, dyes, or preservatives\n-pregnant or trying to get pregnant\n-breast-feeding
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
Visit your prescriber or health care professional for regular checks on your progress and for the needed blood tests and blood pressure measurements. It is especially important for the doctor to make sure your hemoglobin level is in the desired range, to limit the risk of potential side effects and to give you the best benefit. Keep all appointments for any recommended tests. Check your blood pressure as directed. Ask your doctor what your blood pressure should be and when you should contact him or her.\n\nAs your body makes more red blood cells, you may need to take iron, folic acid, or vitamin B supplements. Ask your doctor or health care provider which products are right for you. If you have kidney disease continue dietary restrictions, even though this medication can make you feel better. Talk with your doctor or health care professional about the foods you eat and the vitamins that you take.
Keep out of the reach of children.\n\nStore in a refrigerator between 2 and 8 degrees C (36 and 46 degrees F). Do not freeze or shake. Throw away any unused portion if using a single-dose vial. Multi-dose vials can be kept in the refrigerator for up to 21 days after the initial dose. Throw away unused medicine.
Last Updated: December 1, 2009