Eporise
Generic Name
Epoetin Alfa (Recombinant Human Erythropoietin)
Manufacturer
Incepta Pharmaceuticals Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
Variant | Unit Price | Strip Price |
---|---|---|
eporise 2000 iu injection | ৳ 1,000.00 | N/A |
Description
Overview of the medicine
Eporise 2000 IU Injection contains Epoetin alfa, a recombinant human erythropoietin that stimulates red blood cell production. It is used to treat anemia associated with chronic kidney disease, chemotherapy, and certain surgical procedures.
Uses & Indications
Dosage
Adults
CKD: Initially 50-100 IU/kg three times weekly IV or SC. Dose adjusted based on hemoglobin response. Chemotherapy-induced anemia: 150 IU/kg SC three times weekly or 40,000 IU SC once weekly.
Elderly
No specific dose adjustment generally needed, but monitor closely.
Renal_impairment
Dosage as per CKD indication. Monitor hemoglobin and iron status regularly.
How to Take
Administered by subcutaneous (SC) or intravenous (IV) injection. IV administration is preferred for hemodialysis patients. SC administration is suitable for most other patients. Do not shake.
Mechanism of Action
Epoetin alfa is a recombinant form of human erythropoietin, a hormone produced by the kidneys that stimulates the bone marrow to produce red blood cells. It binds to erythropoietin receptors on erythroid progenitor cells, promoting their proliferation and differentiation into mature red blood cells.
Pharmacokinetics
Onset
2-6 weeks for significant increase in hemoglobin.
Excretion
Renal excretion
Half life
Approximately 4-13 hours after intravenous administration; longer (up to 24 hours) after subcutaneous administration.
Absorption
Subcutaneous administration results in slower and more prolonged absorption compared to intravenous administration. Peak plasma concentrations are reached 5-24 hours after subcutaneous injection.
Metabolism
Primarily hepatic
Side Effects
Contraindications
- Uncontrolled hypertension
- Pure Red Cell Aplasia (PRCA) unrelated to erythropoietin
- Known hypersensitivity to Epoetin alfa or any excipients
Drug Interactions
None significant
Epoetin alfa does not appear to have significant direct drug interactions. However, iron supplements may be needed to ensure optimal response.
Storage
Store at 2°C to 8°C (in a refrigerator). Do not freeze. Protect from light. Do not shake.
Overdose
Overdose may result in exaggerated pharmacological effects (e.g., polycythemia, hypertension). Treatment is symptomatic and supportive. Phlebotomy may be required if severe polycythemia occurs.
Pregnancy & Lactation
Use during pregnancy only if clearly needed and potential benefits outweigh risks. Caution should be exercised when administering to a nursing mother as it is unknown if epoetin alfa is excreted in human milk.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
Varies by manufacturer, typically 24-36 months when stored correctly.
Availability
Hospitals, pharmacies
Approval Status
Approved by regulatory bodies (e.g., FDA, DGDA)
Patent Status
Original patent expired, generic versions available
WHO Essential Medicine
YesClinical Trials
Epoetin alfa has undergone numerous clinical trials demonstrating its efficacy and safety in various anemia indications. Ongoing research explores new applications and improved formulations.
Lab Monitoring
- Hemoglobin and hematocrit levels (regularly)
- Serum ferritin, transferrin saturation (TSAT)
- Blood pressure
- Renal function
Doctor Notes
- Closely monitor hemoglobin levels to avoid exceeding target ranges (10-11 g/dL for CKD). High hemoglobin levels are associated with increased cardiovascular risk.
- Assess iron status (ferritin, TSAT) before and during treatment; iron supplementation is often required for optimal response.
- Educate patients on potential adverse effects, especially symptoms of thrombosis (e.g., pain/swelling in leg, sudden chest pain) or uncontrolled hypertension (e.g., severe headache, blurred vision).
- Adjust dose incrementally, do not increase dose more frequently than once every 4 weeks.
Patient Guidelines
- Follow dosage instructions precisely as prescribed by your doctor.
- Do not shake the vial or pre-filled syringe.
- Report any unusual symptoms immediately, especially severe headache, vision changes, or signs of blood clots.
- Keep regular appointments for blood tests and blood pressure checks.
Missed Dose Advice
If a dose is missed, take it as soon as you remember. If it is almost time for the next scheduled dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose.
Driving Precautions
Epoetin alfa is not known to affect the ability to drive or operate machinery. However, if side effects like seizures, severe headache, or vision disturbances occur, avoid such activities.
Lifestyle Advice
- Maintain a healthy and balanced diet, rich in iron.
- Manage underlying conditions like hypertension with diet and medication.
- Avoid smoking and excessive alcohol consumption.
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Global Brand Names
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