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Post by newinajijic on Fri Sep 04, 2015 6:01 pm

Looking to share experience with eprex or eritropoyetina, primarily used for bone marrow issues. eg long term use, side effects and a generic substitute.

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Post by DaveP on Sat Sep 05, 2015 10:25 am

Google it. You will get better answers. is good
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Post by Chapalamed on Sat Sep 05, 2015 11:52 am

Brand Names: US Epogen; Procrit
Brand Names: Canada Eprex

• People with high hemoglobin levels had a higher chance of blood clots, like heart attack and stroke, and death with this drug. Talk with the doctor.
• People with some types of cancer have died sooner when using this drug. This drug also raised the chance of tumor growth and the tumor happening again in these people. Talk with the doctor.
• Your doctor will need to watch your blood cell counts and follow you closely to change the dose to match your body's needs. Talk with your doctor.
• Cancer patients can only get this drug if doctors or hospitals are in the ESA APPRISE Oncology Program.
• If you will be having surgery, talk with your doctor. You may need to take another drug to keep you from getting blood clots while you get this drug.

What is this drug used for?
• It is used to treat anemia.
• It is used to help avoid the need for blood transfusions.
• It may be given to you for other reasons. Talk with the doctor.
What do I need to tell my doctor BEFORE I take this drug?
All products:
• If you have an allergy to epoetin alfa or any other part of this drug.
• If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
• If you have very high blood pressure.
• If you have a kind of anemia called Pure Red Cell Aplasia (PRCA).
Multi-dose container:
• If you are pregnant or may be pregnant. Do not use this drug if you are pregnant.
• If you are breast-feeding. Do not breast-feed while you take this drug.

• If your child was a premature baby or is a newborn. Do not give this drug to a premature baby or a newborn.
This is not a list of all drugs or health problems that interact with this drug.
Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this drug with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

What are some things I need to know or do while I take this drug?
All products:
• Tell dentists, surgeons, and other doctors that you use this drug.
• This drug is made from human plasma (part of the blood) and may have viruses that may cause disease. This drug is screened, tested, and treated to lower the chance that it carries an infection. Talk with the doctor.
• Have your blood pressure checked often. Talk with your doctor.
• Have blood work checked as you have been told by the doctor. Talk with the doctor.
• Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this drug while you are pregnant.
• Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
Multi-dose container:
• This drug has benzyl alcohol in it. Benzyl alcohol may cause very bad and sometimes deadly side effects in newborns or infants. Talk with the doctor.
What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
• Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
• Chest pain or pressure or a fast heartbeat.
• A heartbeat that does not feel normal.
• Shortness of breath, a big weight gain, swelling in the arms or legs.
• Change in strength on 1 side is greater than the other, trouble speaking or thinking, change in balance, or blurred eyesight.
• Very bad dizziness or passing out.
• Swelling, warmth, numbness, change of color, or pain in a leg or arm.
• Seizures.
• Very bad headache.
• Feeling very tired or weak.
• Pale skin.
• Coughing up blood.
• Trouble walking.
• Change in balance.

What are some other side effects of this drug?
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:
• Irritation where the shot is given.
• Fever.
• Headache.
• Upset stomach or throwing up.
• Cough.
• Bone, joint, or muscle pain.
• Muscle spasm.
• Dizziness.
• Mouth irritation or mouth sores.
• Weight loss.
• Not able to sleep.
• Itching.
These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
You may report side effects to your national health agency.

How is this drug best taken?
Use this drug as ordered by your doctor. Read all information given to you. Follow all instructions closely.
• Use as you have been told, even if you feel well.
• To gain the most benefit, do not miss doses.
• It is given as a shot into the fatty part of the skin.
• It may be given as a shot into a vein.
• Your doctor may teach you how to give the shot.
• Follow how to use carefully.
• Do not shake the solution.
• Wash your hands before and after use.
• Do not use if the solution is cloudy, leaking, or has particles.
• Do not use if solution changes color.
• Do not use if it has been frozen.
• Do not give into red or irritated skin.
• Throw away needles in a needle/sharp disposal box. Do not reuse needles or other items. When the box is full, follow all local rules for getting rid of it. Talk with a doctor or pharmacist if you have any questions.
What do I do if I miss a dose?
• Take a missed dose as soon as you think about it.
• If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
• Do not take 2 doses at the same time or extra doses.

How do I store and/or throw out this drug?
All products:
• Store in a refrigerator. Do not freeze.
• Protect from light.
• Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
• Check with your pharmacist about how to throw out unused drugs.
Single-use vial:
• Throw away any part not used after use.
Multi-dose container:
• Throw away any part not used after 3 weeks.
General drug facts
• If your symptoms or health problems do not get better or if they become worse, call your doctor.
• Do not share your drugs with others and do not take anyone else's drugs.
• Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
• Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
• Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, pharmacist, or other health care provider.
• If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
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Post by newinajijic on Mon Mar 21, 2016 5:08 pm

Dear DaveP Somehow I missed your post, Thanks your post was most comprehensive.

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