darbepoetin alfa
Generic Name: darbepoetin alfa (dar be POE e tin AL fa)
Brand Names: Aranesp, Aranesp Albumin Free
What is darbepoetin alfa?
Darbepoetin alfa is a man-made form of a protein that helps your body produce red blood
cells. The amount of this protein in your body may be reduced when you have kidney failure or
use certain medications. When fewer red blood cells are produced, you can develop a condition
called anemia.
Darbepoetin alfa is used to treat anemia (a lack of red blood cells in the body).
Darbepoetin alfa may also be used for purposes other than those listed in this medication
guide.
What is the most important information I should know about darbepoetin
alfa?
This medicine can increase your risk of life-threatening heart or circulation problems,
including heart attack or stroke. This risk will increase the longer you use darbepoetin alfa. Seek
emergency medical help if you have symptoms of heart or circulation problems, such as chest
pain or heavy feeling, pain spreading to the arm or shoulder, shortness of breath, slurred speech,
or problems with vision or balance.
Do not use darbepoetin alfa if you have high blood pressure (hypertension) that is not
controlled by diet and/or medication.
Before using darbepoetin alfa, tell your doctor if you have heart disease, high blood
pressure, kidney disease, cancer, epilepsy or another seizure disorder, or a history of stroke or
blood clots.
To be sure this medication is helping your body produce red blood cells, your blood will
need to be tested on a regular basis. You may also need to check your blood pressure during
treatment. It is important that you not miss any scheduled visits to your doctor.
Contact your doctor if you feel weak, light-headed, or short of breath, or if your skin
looks pale. These may be signs that your body has stopped responding to darbepoetin alfa.
Some women using darbepoetin alfa have started having menstrual periods, even
after not having a period for a long time due to a medical condition. You may be able to get
pregnant if your periods restart. Talk with your doctor about the need for birth control.
Darbepoetin alfa is made from human plasma (part of the blood) and may contain viruses
and other infectious agents that can cause disease. Although donated human plasma is screened,
tested, and treated to reduce the risk of it containing anything that could cause disease, there is
still a small possibility it could transmit disease. Talk with your doctor about the risks and
benefits of using this medication.
What should I discuss with my healthcare provider before using darbepoetin
alfa?
Do not use this medication if you are allergic to darbepoetin alfa, epoetin alfa
(Epogen or Procrit), or if you have:
Before using this medication, tell your doctor if you have:
-
heart disease, congestive heart failure, or high blood pressure;
-
kidney disease (or if you are on dialysis);
-
a history of stroke, heart attack, or blood clots;
-
a blood cell or clotting disorder, such as sickle cell anemia
or hemophilia;
-
cancer; or
-
epilepsy or another seizure disorder.
If you have any of the conditions listed above, you may not be able to
use darbepoetin alfa or you may require a dosage adjustment or special monitoring during
treatment.
Darbepoetin alfa is made from human plasma (part of the blood) and may contain viruses
and other infectious agents that can cause disease. Although donated human plasma is screened,
tested, and treated to reduce the risk of it containing anything that could cause disease, there is
still a small possibility it could transmit disease. Talk with your doctor about the risks and
benefits of using this medication.
FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell
your doctor if you are pregnant or plan to become pregnant during treatment.
It is not known whether darbepoetin alfa passes into breast milk or if it could harm a
nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a
baby.
Some women using darbepoetin alfa have started having menstrual periods, even
after not having a period for a long time due to a medical condition. You may be able to get
pregnant if your periods restart. Talk with your doctor about the need to use birth control while
you are using darbepoetin alfa.
Darbepoetin alfa may shorten remission time in some people with head and neck cancer
who are also being treated with radiation. Darbepoetin alfa may also shorten survival time in
certain people with breast cancer. Talk with your doctor about your individual risk.
How should I use darbepoetin alfa?
Use this medication exactly as it was prescribed for you. Do not use the medication in
larger amounts, or use it for longer than recommended by your doctor.
Your doctor may occasionally change your dose to make sure you get the best results from
this medication.
Darbepoetin alfa is given as an injection under the skin or into a vein. Your doctor, nurse,
or pharmacist will give you specific instructions on how and where to inject this medicine. With
your medication you will receive patient instructions.
Do not use this medicine at home if you do not fully understand how to give the
injection and properly dispose of needles and other items used in giving the medicine.
Do not shake the medication vial (bottle). Vigorous shaking can ruin the medicine. Do not
draw your darbepoetin alfa dose into a syringe until you are ready to give yourself an injection.
Do not use the medication if it has changed colors or has any particles in it. Call your doctor for
a new prescription.
Use each needle and syringe only one time. With your medicine you will receive a
puncture-proof container for used needles and syringes. If you do not receive a container, ask
your pharmacist where you can get one. Keep this container out of the reach of children and pets.
Your pharmacist can tell you how to properly dispose of the container.
Use each needle and syringe only one time. With your medicine you will receive a
puncture-proof container for used needles and syringes. If you do not receive a container, ask
your pharmacist for one. Keep this container out of the reach of children and pets. Your
pharmacist can tell you how to properly dispose of the container.
Store darbepoetin alfa in the refrigerator and do not allow it to freeze.
To be sure this medication is helping your body produce red blood cells, your blood will
need to be tested on a regular basis. You may also need to check your blood pressure during
treatment. It is important that you not miss any scheduled visits to your doctor.
What happens if I miss a dose?
Contact your doctor if you miss a dose of darbepoetin alfa.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this
medicine.
Symptoms of a darbepoetin alfa overdose may include headache, dizziness, itching
(especially after bathing), fullness in your upper stomach, redness of the face, shortness of breath,
and vision problems.
What should I avoid while using darbepoetin alfa?
Darbepoetin alfa can cause side effects that may impair your thinking or reactions.
Be careful if you drive or do anything that requires you to be awake and alert.
Darbepoetin alfa side effects
Contact your doctor if you feel unusually weak or tired, or if your skin looks pale. These
may be signs that your body has stopped responding to darbepoetin alfa.
Darbepoetin alfa can increase your risk of life-threatening heart or circulation
problems, including heart attack or stroke. This risk will increase the longer you use darbepoetin
alfa. Seek emergency medical help if you have symptoms of heart or circulation problems, such
as:
-
chest pain or heavy feeling, pain spreading to the arm or shoulder,
nausea, sweating, general ill feeling;
-
feeling short of breath, even with mild exertion;
-
sudden numbness or weakness, especially on one side of the
body;
-
sudden headache, confusion, problems with vision, speech,
or balance; or
-
pain or swelling in one or both legs.
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.
Stop using darbeopoetin alfa and call your doctor at once if you have any of these serious
side effects:
-
feeling short of breath, even with mild exertion;
-
swelling of your ankles or feet;
-
increased blood pressure (severe headache, blurred vision,
trouble concentrating, chest pain, numbness, seizure);
-
feeling light-headed, fainting; or
-
seizure (black-out or convulsions).
Continue using darbepoetin alfa and talk to your doctor if you have
any of these less serious side effects:
-
dizziness, mild headache;
-
fever, sore throat, body aches, flu symptoms;
-
joint or muscle pain;
-
nausea, vomiting, diarrhea, stomach pain, constipation; or
-
bruising, swelling, warmth, redness, oozing, or bleeding
where the IV needle is placed.
Side effects other than those listed here may also occur. Talk to your
doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect darbepoetin alfa?
There may be other drugs that can affect darbepoetin alfa. Tell your doctor about all the
prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal
products, and drugs prescribed by other doctors. Do not start using a new medication without
telling your doctor.
Where can I get more information?
-
Your pharmacist has information about darbepoetin alfa written for health professionals
that you may read.
What does my medication look like?
Darbepoetin alfa is available with a prescription under the brand name Aranesp. Other
brand or generic formulations may also be available. Ask your pharmacist any questions you
have about this medication, especially if it is new to you.
-
Remember, keep this and all other medicines out of the reach of children, never share
your medicines with others, and use this medication only for the indication prescribed.
- Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate,
up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum
information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not
warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does
not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist
licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not
a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or
drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any
given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information
Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug
interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse
or pharmacist.
Copyright 1996-2006 Cerner Multum, Inc. Version: 3.04. Revision Date: 04/13/2007 9:27:32 AM.
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