Epoetin Alfa-epbx (By injection)

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

Injectable

• Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given as a shot under your skin or into a vein through a dialysis port.
• A nurse or other health provider will give you this medicine.
• You may be taught how to give your medicine at home. Make sure you understand all instructions before giving yourself an injection. Do not use more medicine or use it more often than your doctor tells you to.
• Do not shake the vial. Do not use the medicine if it is discolored or has particles in it. Use a vial only once. Throw away any unused medicine in the vial.
• You will be shown the body areas where this shot can be given. Use a different body area each time you give yourself a shot. Keep track of where you give each shot to make sure you rotate body areas.
• Use a new needle and syringe each time you inject your medicine.
• This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.
• Missed dose: Call your doctor or pharmacist for instructions.
• If you store this medicine at home, keep it in the refrigerator. Do not freeze. Protect the medicine from direct light. Always store the medicine in the original carton until ready to use.
• Throw away used needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088

Epoetin Alfa-epbx (e-POE-e-tin AL-fa - epbx)

Treats anemia caused by kidney failure or chemotherapy, and in patients with HIV receiving zidovudine. Also used to lessen the need for blood transfusions.

Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Blistering, peeling, red skin rash
• Chest pain that may spread, trouble breathing, coughing up blood
• Fever, chills, cough, stuffy or runny nose, sore throat
• Numbness or weakness on one side of your body, sudden or severe headache, problems with vision, speech, or walking
• Pain or swelling in your lower leg (calf)
• Rapid weight gain, swelling in your hands, ankles, or feet
• Seizures
• Unusual bleeding, bruising, tiredness, or weakness

If you notice these less serious side effects, talk with your doctor:

• Dizziness
• Muscle or joint pain
• Nausea, vomiting
• Pain, redness, swelling, bleeding, or a lump under your skin where the shot or IV was given

• Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, heart or blood vessel disease, cancer, phenylketonuria, or a history of seizures or stroke. Also tell your doctor if you are scheduled for any type of surgery or are receiving dialysis.
• This medicine may cause the following problems:
  • Increased risk of heart attack, stroke, heart failure, and blood clots (may be life-threatening)
  • Increased risk of the cancer worsening or coming back
  • High blood pressure
  • Seizures
  • Serious skin reactions
• Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
• Keep all medicine out of the reach of children. Never share your medicine with anyone.