The following adverse reactions have been identified during post approval use of Procrit. Draw the required number of units of air into the syringe by pulling the plunger back. You need to draw the same amount of air into the syringe as insulin you need to inject. Always measure from the top of the plunger. Protect Procrit from light.
Inform your doctor if your condition persists after several days of treatment or worsens at any time. Roll the bottle of insulin between your hands two to three times to mix the insulin. Do not shake the bottle, as air bubbles can form and affect the amount of insulin withdrawn. Continue to use this medication until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping the medication too early may allow the infection to continue, resulting in a return of the infection. Procrit epoetin alfa is a 165-amino acid erythropoiesis-stimulating glycoprotein manufactured by recombinant DNA technology.
In addition, mean hemoglobin, hematocrit, and reticulocyte counts increased significantly during the presurgery period in patients treated with Procrit. Are breastfeeding or planning to breastfeed. It is not known if Procrit passes into breast milk. Tip of the Week: You may want to consider whether you'll circumcise your baby if it's a boy. isn't as much a medical issue as a cultural or religious one.
Increased mortality was observed in a randomized, placebo-controlled study of Procrit in adult patients who were undergoing CABG surgery 7 deaths in 126 patients randomized to Procrit versus no deaths among 56 patients receiving placebo. Four of these deaths occurred during the period of study drug administration and all 4 deaths were associated with thrombotic events. Symptoms may include severe or persistent headache or dizziness. In clinical studies of CKD patients on dialysis, Procrit increased hemoglobin levels and decreased the need for RBC transfusion. Overall, more than 95% of patients were RBC transfusion-independent after receiving Procrit for 3 months.
Tell your doctor if your pain persists or worsens. Serious heart problems, such as heart attack or heart failure, and stroke. You may die sooner if you are treated with Procrit to increase red blood cells RBCs to near the same level found in healthy people. The dose strength of the Procrit vial number of Units per mL on the vial label is the same as your healthcare provider prescribed. This information is generalized and not intended as specific medical advice. You are able and willing to donate blood prior to surgery. Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. There are 3 parts to a syringe: the needle, the barrel, and the plunger. The needle goes into your skin. The barrel holds the medicine and has markings on it like a ruler. The markings are for milliliters mL. The plunger is used to get medicine into and out of the syringe. This medicine may be harmful if swallowed. Study 7 was a randomized, open-label, controlled study conducted in 522 patients with primary squamous cell carcinoma of the head and neck receiving radiation therapy alone no chemotherapy who were randomized to receive darbepoetin alfa to maintain hemoglobin levels of 14 to15. The Procrit liquid in the vial is clear and colorless. Do not use Procrit if the liquid in the vial looks discolored or cloudy, or if the liquid has lumps, flakes, or particles. Please follow these steps when using an syringe. Note: these instructions are not for patients using an pen or a non-needle injection system. Procrit subcutaneously. Patients responded to Procrit administered subcutaneously in a manner similar to patients receiving intravenous administration. You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you. Do not shake Procrit. The multiple-dose vials are formulated with benzyl alcohol. Do not administer Procrit from multiple-dose vials, or Procrit from single-dose vials admixed with bacteriostatic saline containing benzyl alcohol, to neonates or infants. Liquid products may contain sugar and alcohol.
In rare cases, the vein may become swollen after the blood sample is taken. Procrit and other ESAs increased the risk of death, myocardial infarction, stroke, congestive heart failure, thrombosis of hemodialysis vascular access, and other thromboembolic events in the higher target groups. Procrit caused slight increases in pre-implantation loss, post-implantation loss and decreases in the incidence of live fetuses. It is not clear whether these effects reflect a drug effect on the uterine environment or on the conceptus. In patients with cancer receiving myelosuppressive chemotherapy in whom the anemia can be managed by transfusion. Use these Instructions for Use if you or your caregiver has been trained to give Procrit injections at home. Do not give yourself the injection unless you have received training from your healthcare provider. If you are not sure about giving the injection or you have questions, ask your healthcare provider for help. Do not increase your dose or use this drug more often or for longer than prescribed. Your condition will not improve any faster, and your risk of side effects will increase. It is believed to work by helping your bone marrow grow normal so you will need fewer transfusions. Azacitidine also kills abnormal blood cells that have grown too fast and not work properly. When initiating or adjusting therapy, monitor hemoglobin levels at least weekly until stable then monitor at least monthly. When adjusting therapy consider hemoglobin rate of rise, rate of decline, ESA responsiveness and hemoglobin variability. A single hemoglobin excursion may not require a dosing change. What to expect: At this stage, contractions are stronger and more painful, occurring about three minutes apart and lasting approximately 45 to 60 seconds. If you are receiving the injection under the skin, your professional will change the injection site each time to lessen injury under the skin. Always keep an extra syringe and needle on hand.
This medication may cause withdrawal reactions, especially if it has been used regularly for a long time or in high doses. Read the Medication Guide and Patient Information Leaflet provided by your pharmacist before you start using this medication and each time you get a refill. If you have any questions, ask your doctor or pharmacist. Subcutaneous injections can be given straight in at a 90 degree angle or at a 45 degree angle. Give the injection at a 90 degree angle if you can grasp 2 inches of skin between your thumb and first finger. If you can grasp only 1 inch of skin, give the injection at a 45 degree angle. Have high blood pressure. Adam: My sleep now is incredible.
PROCRIT is not indicated for use in patients scheduled for surgery who are willing to donate autologous blood. Asian, and 5 1% other. Try to use the same general injection area at the same time of each day for example, use the for the injection before lunch. Note: The abdomen absorbs insulin the fastest, followed by the arms, thighs, and buttocks. Was given this after my last chemo treatment - at the same time I was given Neupogen and felt like someone had driven a spike into my hip, where a small 'hotspot' had shown up. NEVER AGAIN! Procrit may cause dizziness. This effect may be worse if you take it with alcohol or certain medicines. Use Procrit with caution. If your anemia caused by chemotherapy treatment can be managed by RBC transfusion. Though it is unlikely, this medication may slow down a child's growth if used for a long time. The effect on final adult height is unknown. See the doctor regularly so your can be checked. Use the lowest dose of PROCRIT necessary to avoid RBC transfusions.
Mom-to-be: Your uterus may stay the same size as it was for the last week or two. Your gain should be about as high as it will go, about 25 to 35 pounds. Have any other medical conditions. Procrit comes in two different types of vials. This drug may make you dizzy or drowsy. not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid beverages. Redness, burning, or at the application site may occur. If any of these effects persist or worsen, contact your doctor or promptly. Throw away multiple-dose vials of Procrit no later than 21 days from the first day that you put a needle into the vial. When the puncture-proof disposable container is full, tape around the cap or lid to make sure the cap or lid does not come off. Throw away the puncture-proof disposable container as instructed by your healthcare provider. There may be special state and local laws for disposing of used needles and syringes. Do not throw the puncture-proof disposable container in the household trash. Do not recycle. Remove the syringe from the venous port. Do not recap the needle. This drug may make you dizzy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit beverages. Procrit is indicated for the treatment of anemia due to chronic kidney disease CKD including patients on dialysis and not on dialysis to decrease the need for red blood cell RBC transfusion. Meanwhile, rest and make yourself as comfortable as possible, perhaps by listening to music or soaking in a warm bath. If you have cancer and you are receiving hormones, biologic products or radiation therapy unless also receiving chemotherapy at the same time. Study C2 was conducted in 222 anemic patients, ages 5 to 18, receiving chemotherapy for the treatment of various childhood malignancies. Michael Breus, PhD, DABSM: Adam came to see me for a consult where we discussed what was going on with his sleep at night. What we decided was to have a formal sleep study. RxList is part of the WebMD Health Network. The opinions expressed in the WebMD User Reviews are solely those of the User, who may or may not have medical or scientific training, and do not represent the opinions of WebMD. These member reviews have not been reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other purpose except for compliance with our Terms and Conditions.
All patients received oral iron and appropriate pharmacologic anticoagulation therapy. Adam: I felt an impact immediately. There was no accumulation of serum erythropoietin after the 2 dosing regimens during the study period. Last-known RBC transfusion status carried forward for patients who discontinued treatment. The majority of patients with CKD will require supplemental iron during the course of ESA therapy. Following initiation of therapy and after each dose adjustment, monitor hemoglobin weekly until the hemoglobin level is stable and sufficient to minimize the need for RBC transfusion. Some epoetin alfa side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. Four hundred sixty-one patients undergoing major orthopedic surgery were studied in a placebo-controlled study S1 and a comparative dosing study 2 dosing regimens, S2. A total of 358 patients were randomly assigned to receive Procrit and 103 22% patients were randomly assigned to receive placebo. Procrit contains albumin, which comes from human blood. There is a very rare risk of getting a viral disease or a central nervous system disease called Creutzfeldt-Jakob disease from products with albumin. No cases of these problems have been found in patients who have used Procrit. Units NDC 59676-340-01 of epoetin alfa and is supplied in dispensing packs containing 4 single-dose vials. Epoetin alfa may sometimes cause or worsen high blood pressure, especially in patients with long-term kidney failure. This effect may be caused by the number of red blood cells increasing too quickly, usually within the first 3 months of starting treatment. If you have high blood pressure, it should be well controlled before beginning treatment with this medication. Your blood pressure should be checked often. Ask your doctor if you should learn how to check your own blood pressure. If high blood pressure develops or worsens, follow your doctor's instructions about diet changes and starting or adjusting your high blood pressure medication. Lowering high blood pressure helps prevent strokes, heart attacks, and further kidney problems. Unlike in the movies, isn't always scripted. No one knows exactly what triggers labor, though hormones are suspected to play a role. And though labor is divided into three stages, each woman may not go through it the same way. For first-time moms, labor can last 12 to 24 hours on average. For some women it will be faster and for others slower. Here's what you need to know. No real reason, just 'counts are down', then did next to nothing to bring up the white cell count, which was the problem. Now cancer has a foothold again. Nice. Take Procrit exactly as your healthcare provider tells you to. Do not change the dose of Procrit unless told to do so by your healthcare provider.
Procrit may cause serious side effects. Also, men using this medication should avoid causing pregnancy during treatment. Important: Only use the sites on the front of your body for self-injection. Any of the sites may be used if someone else is giving you the injection. Normal Hematocrit Study NHS: A prospective, randomized, open-label study of 1265 patients with chronic kidney disease on dialysis with documented evidence of congestive heart failure or ischemic heart disease was designed to test the hypothesis that a higher target hematocrit Hct would result in improved outcomes compared with a lower target Hct. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment. Pull back on the plunger to the required number of total units of insulin needed measure from the top of the plunger. PROCRIT-treated patients in clinical studies were hypertension and arthralgia. Units of Procrit also contain sodium phosphate monobasic monohydrate and sodium phosphate dibasic anhydrate. In controlled clinical trials of patients with cancer, PROCRIT and other ESAs increased the risks for death and serious adverse cardiovascular reactions. These adverse reactions included myocardial infarction and stroke.
Procrit is indicated in pediatric patients, ages 1 month to 16 years of age, for the treatment of anemia associated with CKD requiring dialysis. Study 5 was a randomized, open-label, controlled study that enrolled 114 of a planned 460 cervical cancer patients receiving chemotherapy and radiotherapy. Seizures. If you have any seizures while taking Procrit, get medical help right away and tell your healthcare provider. PROCRIT-treated patients in clinical studies were pyrexia, cough, rash, and injection site irritation. Gently bouncing on a birthing ball, receiving from a partner, listening to soothing music, and practicing deep breathing exercises can also help. Caution is advised when using this drug in children. Also, among darbepoetin alfa-treated subjects with a past history of cancer, there were more deaths due to all causes and more deaths adjudicated as due to cancer, in comparison with the control group. C. Do not freeze. This is given by injection under the or into a vein by a professional. Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. If you are using a liquid form of this medication, use a medication measuring device to carefully measure the prescribed dose. not use a household spoon because you may not get the correct dose. AZT used to treat HIV infection. This medication is injected once a day for 7 days in a row or as directed by your doctor. A 7-day course of this medication is called a cycle. This cycle is repeated every 4 weeks depending on your response and tests. As with all therapeutic proteins, there is a potential for immunogenicity. Put a gauze pad or cotton ball over the needle site as the needle is removed.
Do not consider WebMD User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately. PROCRIT, and use the lowest dose of PROCRIT sufficient to reduce the need for RBC transfusions. High blood pressure. High blood pressure is a common side effect of Procrit in patients with chronic kidney disease. Your blood pressure may go up or be difficult to control with blood pressure medicine while taking Procrit. This can happen even if you have never had high blood pressure before. Your healthcare provider should check your blood pressure often. If your blood pressure does go up, your healthcare provider may prescribe new or more blood pressure medicine. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Evaluate the iron status in all patients before and during treatment and maintain iron repletion. C. Discard 21 days after initial entry. Adam: When I don't sleep well, I mean, you are constantly exhausted, and constantly having a feeling of being lethargic. Pain work best if they are used as the first occur. If you wait until the pain has worsened, the medication may not work as well. PROCRIT is not indicated for use in patients with cancer receiving myelosuppressive chemotherapy when the anticipated outcome is cure. All vials contain albumin human sodium citrate, sodium chloride, and citric acid. The normal values listed here-called a reference range-are just a guide. These ranges vary from lab to lab, and your lab may have a different range for what's normal. Your lab report should contain the range your lab uses. Also, your doctor will evaluate your results based on your health and other factors. This means that a value that falls outside the normal values listed here may still be normal for you or your lab. Do not use Procrit if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.
Pull out the needle: Remove the needle at the same angle you put it in. Gently wipe the area with the gauze pad. The results of 6 studies of similar design and that randomized 131 patients to epoetin alfa or placebo were pooled to assess the safety and effectiveness of epoetin alfa. Michael Breus, PhD, DABSM: We reviewed the data and we discovered that Adam was stopping breathing in his sleep and snoring literally hundreds of times an hour. We decided that CPAP was the most appropriate form of treatment. This information should not be used to decide whether or not to take Procrit or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about Procrit. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Procrit. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using Procrit. Procrit can be injected directly into a layer of fat under your skin. This is called a subcutaneous injection. When giving subcutaneous injections, follow your healthcare provider's instructions about changing the site for each injection. You may wish to write down the site where you have injected. When should I seek immediate care? Prior to treatment, inform patients of the risks and benefits of Procrit. It could happen soon or still be a week away. Some differences between and contractions: False labor pains usually concentrate in the lower abdomen and groin, while true labor pains may start in the lower back and may spread through the entire abdomen. Real labor also becomes stronger and more powerful as time passes and will not go away with eating, drinking water, or lying down. Use this medication regularly to get the most benefit from it. To help you remember, use it on the same days of the week as directed. In patients with cancer receiving hormonal agents, biologic products, or radiotherapy, unless also receiving concomitant myelosuppressive chemotherapy. Quickly pull the needle out. Do not rub the injection site. You may or may not bleed after the injection. If you are bleeding, apply light pressure with the alcohol wipe. Cover the injection site with a bandage if necessary. The classifications below are a general guideline only. It is difficult to determine the relevance of a particular drug interaction to any individual given the large number of variables. Deep venous thrombosis prophylaxis is recommended during PROCRIT therapy. PROCRIT sufficient to reduce the need for RBC transfusions.
In pediatric patients with CKD on dialysis, the pattern of adverse reactions was similar to that found in adults. There is very little chance of a problem from having a blood sample taken from a vein. Keep a record of which injection sites you have used. British sleep expert suggest that our bodies could be saying something about us even when we are asleep. Push the plunger of the syringe until all of the insulin is out of the syringe. Do not shake this medication. Before using, check this product visually for particles or discoloration. If either is present, do not use the liquid. If you are injecting this medication under the skin, before each dose, clean the injection site with rubbing alcohol. Change the injection site each time to lessen injury under the skin. Adam: And then she walked me through the whole process of what she was going to do I mean, from start to finish. They do put the electrodes on your head and it's very painless. There are bands that go around your chest that monitor your breathing. After 8 weeks of therapy, if there is no response as measured by hemoglobin levels or if RBC transfusions are still required, discontinue Procrit. Units NDC 59676-310-01 of epoetin alfa. Each strength is supplied in cartons, each carton containing 6 single-dose vials. Units NDC 59676-310-02 of epoetin alfa and is supplied in dispensing packs containing 25 single-dose vials. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Follow your healthcare provider's instructions on how to measure your dose of Procrit. This dose will be measured in Units per mL or cc 1 mL is the same as 1 cc.
What should I tell my healthcare provider before taking Procrit? If you miss a dose, contact your doctor or pharmacist right away to establish a new dosing schedule. To lower the chance of getting cut, bruised, or injured, use caution with sharp objects like razors and nail cutters, and avoid activities such as contact sports. Do not freeze Procrit. Do not use a vial of Procrit that has been frozen. Janssen Products, LP redefines the standard of care in immunology, oncology, urology and nephrology. Built upon a pioneering history, Janssen Products harnesses innovations in large-molecule and small-molecule research to create important new therapeutic options. Beyond its innovative medicines, Janssen Products is at the forefront of developing education and public policy initiatives to ensure patients and their families, caregivers, advocates, and health care professionals have access to the latest treatment information, support services, and quality care. If you have cancer and you will not be receiving chemotherapy that may cause anemia. Birth should happen soon now, but don't worry if your due date comes and goes. Only 5% of all babies are born exactly on the predicted due date. The safety and efficacy of Procrit were evaluated in 13 clinical studies involving intravenous administration to a total of 1010 anemic patients on dialysis. Overall, more than 90% of the patients treated with Procrit experienced improvement in hemoglobin concentrations. Do not increase your dose, take the medication more frequently, or take it for a longer time than prescribed. Properly stop the medication when so directed. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. Drugs. Study 4 was a randomized, open-label, controlled, factorial design study in which darbepoetin alfa was administered to prevent anemia in 733 women receiving neo-adjuvant breast cancer treatment. A final analysis was performed after a median follow-up of approximately 3 years. Before reading these Instructions for Use, read the Medication Guide that comes with Procrit for the most important information you need to know. Gather the other supplies you will need for your injection vial, syringe, alcohol wipes, cotton ball, and a puncture-proof container for throwing away the syringe and needle. Litchford MD 2012. Clinical: Biochemical assessment. If typical causes of lack or loss of hemoglobin response are excluded, evaluate for PRCA. In the absence of PRCA, follow dosing recommendations for management of patients with an insufficient hemoglobin response to PROCRIT therapy.
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Procrit only during organogenesis, no teratogenic effects were observed in the offspring. Michael Breus, PhD, DABSM: What we are seeing today is an epidemic of sleep deprivation. Roughly 10 percent of the population at any given time could have sleep apnea. That's actually more people than have diabetes and asthma combined. Do not use your finger to apply this medication inside the anus. If you are using a single-use tube and applicator, discard after one use. In patients undergoing cardiac or vascular surgery. Single-dose vials of Procrit should be used only one time. Throw the vial away after use even if there is medicine left in the vial.
This medication commonly affects the nerves and muscles in your body. Most of these side effects go away after this medication is stopped, however some effects may persist for a long time. Pull back on the plunger to the required number of units measure from the top of the plunger. The carcinogenic potential of Procrit has not been evaluated.
Before use, clean the affected area with mild soap and water, rinse well, and pat dry. Two double-blind, placebo-controlled studies, including 210 patients with CKD not on dialysis, were used to identify the adverse reactions to Procrit. In these studies, the mean age of patients was 57 years range: 24 to 79 years. One hundred and twenty-one 58% patients were men. The racial distribution was as follows: 164 78% patients were white, 38 18% patients were black, 3 1% patients were Asian, 3 1% patients were other, and racial information was missing for 2 1% patients. Due to increased risk of deep venous thrombosis DVT DVT prophylaxis is recommended.
You have questions about how to give an injection. Procrit, and use the lowest dose of Procrit sufficient to reduce the need for RBC transfusions. Only use disposable syringes and needles. If you have ongoing pain such as due to your doctor may direct you to also take long-acting medications. In that case, this medication might be used for sudden breakthrough pain only as needed. Michael Breus, PhD, DABSM: Adam has lost weight, he feels better during the day, his concentration is better and he's less sleepy.