- 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.
- The doctor will need to watch your child’s blood cell counts and follow your child closely to change the dose to match the body’s needs. Talk with the doctor.
- Cancer patients can only get this drug if doctors or hospitals are in the ESA APPRISE Oncology Program.
- If your child will be having surgery, talk with the doctor. Your child may need to take another drug to keep from getting blood clots while getting this drug.
- It is used to treat anemia.
- It is used to help avoid the need for blood transfusions.
- It may be given to your child for other reasons. Talk with the doctor.
- If your child has an allergy to this drug or any part of this drug.
- If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If your child has very high blood pressure.
- If your child has a kind of anemia called Pure Red Cell Aplasia (PRCA).
- If your child is a premature baby or is a newborn. Do not give this drug to a premature baby or a newborn.
- If your child is pregnant or breast-feeding a baby. Be sure your child does not take this drug if she is pregnant or breast-feeding a baby.
- Tell all of your child’s health care providers that your child is taking this drug. This includes your child’s doctors, nurses, pharmacists, and dentists.
- 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.
- High blood pressure has happened with this drug. Have your child’s blood pressure checked as you have been told by the doctor.
- Have blood work checked as you have been told by the doctor. Talk with the doctor.
- 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.
All other products:
If your child is pregnant or breast-feeding a baby:
- Talk with the doctor if your child is pregnant, becomes pregnant, or is breast-feeding a baby. You will need to talk about the benefits and risks of using this drug.
- 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.
- Signs of high blood pressure like very bad headache or dizziness, passing out, or change in eyesight.
- Signs of high blood sugar like confusion, feeling sleepy, more thirst, more hungry, passing urine more often, flushing, fast breathing, or breath that smells like fruit.
- Signs of low potassium levels like muscle pain or weakness, muscle cramps, or a heartbeat that does not feel normal.
- Chest pain or pressure or a fast heartbeat.
- Shortness of breath, a big weight gain, or swelling in the arms or legs.
- Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight.
- Feeling confused.
- Swelling, warmth, numbness, change of color, or pain in a leg or arm.
- Cool or pale arm or leg.
- Coughing up blood.
- Trouble walking.
- Dizziness or passing out.
- Sweating a lot.
- Feeling very tired or weak.
- Pale skin.
- Trouble swallowing.
- Irritation where the shot is given.
- Upset stomach or throwing up.
- Bone, joint, or muscle pain.
- Muscle spasm.
- Mouth irritation or mouth sores.
- Weight loss.
- Not able to sleep.
- It is given as a shot into the fatty part of the skin.
- It may be given as a shot into a vein.
- To gain the most benefit, do not miss giving your child doses.
- Keep giving this drug to your child as you have been told by your child’s doctor or other health care provider, even if your child feels well.
- If you will be giving your child the shot, your child’s doctor or nurse will teach you how to give the shot.
- Follow how to give this drug as you have been told by your child’s doctor or read the package insert.
- Do not shake.
- Do not use if it has been shaken.
- 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.
- Call your child’s doctor to find out what to do.
- 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.
- Throw away any part not used after use.
- Throw away any part not used after 3 weeks.
- If you cannot store in a refrigerator, you may store at room temperature for up to 7 days.
- Throw away any part not used after use.
- If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
- Do not share your child’s drug with others and do not give anyone else’s drug to your child.
- Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
- Talk with your child’s doctor before giving your child 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 child’s doctor, nurse, 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.