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Important Safety Information
RiaSTAP®, Fibrinogen Concentrate (Human), is indicated for the treatment of acute bleeding episodes in patients with congenital fibrinogen deficiency, including afibrinogenemia and hypofibrinogenemia.
The effectiveness of RiaSTAP is based on maximum clot firmness (MCF), which measures the structural integrity of a clot, reflecting the underlying effectiveness of the fibrinogen present to form a fibrin clot. There are no controlled trials demonstrating a direct benefit on treatment of bleeding episodes with RiaSTAP.
RiaSTAP is not indicated for dysfibrinogenemia.
RiaSTAP is contraindicated in individuals who have manifested severe immediate hypersensitivity reactions, including anaphylaxis to RiaSTAP or its components. Monitor patients for early signs of allergic or hypersensitivity reactions and if necessary, discontinue administration and institute appropriate treatment. Thrombotic events have been reported in patients receiving RiaSTAP; weigh the benefits of administration versus the risks of thrombosis.
RiaSTAP is made from pooled human plasma. Products made from human plasma may contain infectious agents, eg, viruses and, theoretically, the Creutzfeldt-Jakob disease (CJD) agent.
The most serious adverse reactions that have been reported in subjects in clinical studies who received RiaSTAP are thromboembolic episodes, including myocardial infarction and pulmonary embolism, and allergic-anaphylactic reactions. The most common adverse reactions observed are allergic reactions, including chills, fever, nausea, and vomiting. Monitor patients for early signs of allergic or hypersensitivity reactions and if necessary, discontinue administration.
Please see full prescribing information for RiaSTAP.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Helixate® FS, Antihemophilic Factor (Recombinant), is a recombinant
factor VIII treatment indicated for the treatment of hemophilia A.
The most frequently reported adverse events were local injection-site reactions,
dizziness, and rash.
Known intolerance or allergic reactions to constituents of the preparation is a
contraindication to the use of Helixate® FS. Known hypersensitivity
to mouse or hamster protein may be a contraindication to the use of Helixate®
FS.
Please see the full
prescribing information for Helixate® FS.
Humate-P is indicated for treatment and prevention of bleeding in adult patients
with hemophilia A (classical hemophilia). Humate-P is also indicated in adult and
pediatric patients with von Willebrand disease (VWD) for (1) treatment of spontaneous
and trauma-induced bleeding episodes, and (2) prevention of excessive bleeding during
and after surgery. This applies to patients with severe VWD, and patients with mild
and moderate VWD for whom use of desmopressin is known or suspected to be inadequate.
Humate-P is not indicated for the prophylaxis of spontaneous bleeding episodes.
Humate-P is contraindicated in individuals with a history of anaphylactic or severe
systemic response to antihemophilic factor or von Willebrand factor preparations.
Monitor for intravascular hemolysis and decreasing hematocrit values in patients
with A, B, and AB blood groups who are receiving large or frequent doses. Also monitor
VWF:RCo and FVIII levels in VWD patients, especially those undergoing surgery.
Thromboembolic events have been reported in VWD patients receiving coagulation factor
replacement. Caution should be exercised and antithrombotic measures considered,
particularly in patients with known risk factors for thrombosis.
Humate-P is derived from human plasma. The risk of transmission of infectious agents,
including viruses and, theoretically, the Creutzfeldt-Jakob disease (CJD) agent,
cannot be completely eliminated.
In patients receiving Humate-P in clinical studies for treatment of VWD, the most
commonly reported adverse reactions observed by >5% of subjects are allergic-anaphylactic
reactions, including urticaria (hives), chest tightness, rash, pruritus (itching),
and edema (swelling). For patients undergoing surgery, the most common adverse reactions
are postoperative wound or injection-site bleeding, and epistaxis (nosebleed).
Please see full prescribing
information for Humate-P.
Monoclate-P® is contraindicated in patients with known hypersensitivity
to mouse protein.
Products of this type are known to cause allergic reactions, mild chills, nausea
or stinging at the infusion site. In some cases, inhibitors of FVIII may occur.
Monoclate-P® is derived from human plasma. As with all plasma-derived
products, the risk of transmission of infectious agents, including viruses and,
theoretically, the Creutzfeldt-Jakob disease agent, cannot be completely eliminated.
Please see the full prescribing information for Monoclate-P®.
Mononine® is contraindicated in patients with known hypersensitivity
to mouse protein.
The following adverse reactions may be observed after administration: headache,
fever, chills, flushing, nausea, vomiting, tingling, lethargy, hives, stinging or
burning at the infusion site, or other manifestations of allergic reactions, including
anaphylaxis.
Mononine® is derived from human plasma. As with all plasma-derived
products, the risk of transmission of infectious agents, including viruses and,
theoretically, the Creutzfeldt-Jakob disease (CJD) agent, cannot be completely eliminated.
Since the use of Factor IX Complex concentrates has historically been associated
with the development of thromboembolic complications, the use of Factor IX-containing
products may be potentially hazardous in patients with signs of fibrinolysis and
in patients with disseminated intravascular coagulation.
Please see the full prescribing information for Mononine®.
Stimate® Nasal Spray is indicated for patients with mild to moderate
classic type 1 von Willebrand disease (VWD) with Factor VIII levels greater than
5%. Stimate® Nasal Spray is not indicated for the treatment of severe
classic VWD (type 1) and when there is evidence of an abnormal molecular form of
Factor VIII antigen.
Stimate® Nasal Spray is contraindicated in individuals with a known
hypersensitivity to desmopressin or any of the components of Stimate®.
Stimate® should not be used in patients with type 2B VWD, since platelet
aggregation may be induced. Stimate® Nasal Spray is for intranasal
use only.
To decrease the potential for hyponatremia or water intoxication, especially in
the young and the elderly, patients using desmopressin who are not in need of antidiuretic
hormone for its antidiuretic effect should be cautioned to reduce fluid intake,
ingesting only enough to satisfy thirst. Such patients should be monitored for the
rare occurrence of an extreme decrease in plasma osmolality that could result in
seizures, possibly leading to coma.
Other adverse reactions reported with use of injectable and/or intranasal desmopressin
acetate include headache, nausea, somnolence, dizziness, chest pain, palpitations
and tachycardia, and severe allergic reactions, including anaphylaxis.
Please see the full
prescribing information for Stimate®.
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