For people with cancer: Show
For all people who take EPOGEN®, including people with cancer or chronic kidney disease:
If you decide to take EPOGEN®, your healthcare provider should prescribe the smallest dose that is necessary to reduce your chance of needing RBC transfusions. If your hemoglobin level stays too high or goes up too quickly, this may lead to serious health problems which may result in death. These serious health problems may happen if you take EPOGEN®, even if you do not have an increase in your hemoglobin level. Do not take EPOGEN® if you:
Pregnant women, breastfeeding women, and babies should not receive EPOGEN® from multidose vials. Before taking EPOGEN®, tell your healthcare provider if you: have heart disease; have high blood pressure; have had a seizure or stroke; receive dialysis; or if you are pregnant or breastfeeding, or plan to become pregnant or breastfeed. EPOGEN® may cause other serious side effects:
Common side effects of EPOGEN® include:
These are not all the possible side effects of EPOGEN®. Tell your healthcare provider about any side effects that bother you or do not go away. You are encouraged to report negative side effects of prescription drugs to the US Food and Drug Administration (FDA). Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Which client would epoetin alfa not be indicated?Epoetin alfa is not indicated for patients with cancers that originate in the bone marrow, such as acute myelogenous leukemia. Epoetin alfa is not appropriate for the treatment of anemia from other causes such as iron or folate deficiency or gastrointestinal bleeding.
In which condition are erythropoiesis stimulating agents contraindicated?The use of erythropoiesis-stimulating agents is contraindicated in patients with uncontrolled hypertension. These agents may cause blood pressure to rise. Hypertensive encephalopathy and seizures have been observed in patients with chronic renal failure treated with these agents.
Can you take Epoetin with iron?You may need to eat foods that contain iron, folic acid, or vitamin B12 such as eggs, certain cereals, meats, and vegetables, or you may take an iron, folic acid, or vitamin B12 supplement while you are using this medicine.
Which condition is a common expected adverse effect of iron supplementation?The most common side effects are gastrointestinal, such as nausea/vomiting, constipation or diarrhea, flatulence, metallic taste, staining of the teeth, or epigastric distress.
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