Medication Guide App

Generic Name: epoetin alfa (e POE e tin AL fa)
Brand Names: Epogen, Procrit

What is Procrit?

Procrit (epoetin alfa) is a man-made form of a protein that helps your body produce red blood cells. The amount of this protein in your body may be reduced when you have kidney failure or use certain medications. When fewer red blood cells are produced, you can develop a condition called anemia.

Procrit is used to treat anemia (a lack of red blood cells in the body) in patients with Chronic Kidney Disease (CKD). Procrit is also used to treat anemia caused by zidovudine in HIV-infected patients and in certain patients receiving chemotherapy.

Procrit may also be used for purposes not listed in this medication guide.

Important information

You should not use Procrit if you have untreated or uncontrolled high blood pressure, if you are allergic to epoetin alfa or darbepoetin alfa (Aranesp), or if you have ever had pure red cell aplasia (PRCA, a type of anemia) caused by using either of these two drugs.

Before using Procrit, tell your doctor if you have epilepsy or a history of seizures. Procrit may cause seizures. Be careful if you drive or do anything that requires you to be awake and alert.

Procrit can increase your risk of life-threatening heart or circulation problems, including heart attack or stroke. This risk will increase the longer you use epoetin alfa. Procrit may also shorten remission time or survival time in some people with certain types of cancer. Talk with your doctor about the risks and benefits of Procrit.

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Seek emergency medical help if you have symptoms of heart or circulation problems, such as chest pain or heavy feeling, pain spreading to the arm or shoulder, shortness of breath, slurred speech, or problems with vision or balance.

To be sure Procrit is helping your condition, your blood may need to be tested often. Your blood pressure will also need to be checked. Visit your doctor regularly.

Contact your doctor if you feel weak, light-headed, or short of breath, or if your skin looks pale. These may be signs that your body has stopped responding to Procrit. Some women using Procrit have started having menstrual periods, even after not having a period for a long time due to a medical condition. You may be able to get pregnant if your periods restart. Talk with your doctor about the need for birth control. Procrit is made from human plasma (part of the blood) which may contain viruses and other infectious agents. Donated plasma is tested and treated to reduce the risk of it containing infectious agents, but there is still a small possibility it could transmit disease. Talk with your doctor about the risks and benefits of using this medication.

Before using Procrit

You should not use Procrit if you are allergic to epoetin alfa or darbepoetin alfa or (Aranesp), or if you have:

  • untreated or uncontrolled high blood pressure; or

  • if you have ever had pure red cell aplasia (PRCA, a type of anemia) caused by using darbepoetin alfa or epoetin alfa.

To make sure you can safely use Procrit, tell your doctor if you have any of these other conditions:

  • heart disease, congestive heart failure, or high blood pressure (hypertension);

  • kidney disease (or if you are on dialysis);

  • a history of stroke, heart attack, or blood clots;

  • a blood cell or clotting disorder, such as sickle cell anemia or hemophilia;

  • cancer; or

  • epilepsy or another seizure disorder.

Procrit is made from human plasma (part of the blood) which may contain viruses and other infectious agents. Donated plasma is tested and treated to reduce the risk of it containing infectious agents, but there is still a small possibility it could transmit disease. Talk with your doctor about the risks and benefits of using Procrit.

FDA pregnancy category C. It is not known whether Procrit will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether epoetin alfa passes into breast milk or if it could harm a nursing baby. Do not use Procrit without telling your doctor if you are breast-feeding a baby. Some women using Procrit have started having menstrual periods, even after not having a period for a long time due to a medical condition. You may be able to get pregnant if your periods restart. Talk with your doctor about the need to use birth control while you are using Procrit.

See also: Pregnancy and breastfeeding warnings (in more detail)

Procrit may shorten remission time in some people with head and neck cancer who are also being treated with radiation. Procrit may also shorten survival time in certain people with breast cancer, non-small cell lung cancer, head and neck cancer, cervical cancer, or lymphoid cancer. Talk with your doctor about your individual risk.

How should I use Procrit?

Use Procrit exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results.

Procrit is injected under the skin or into a vein through an IV. You may be shown how to use an IV at home.

Do not self-inject Procrit if you do not fully understand how to give the injection and properly dispose of used needles, IV tubing, and other items used to inject the medicine.

Procrit comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Do not shake the Procrit bottle or you may ruin the medicine. Prepare your dose in a syringe only when you are ready to give yourself an injection. Do not use the medication if it has changed colors or has particles in it. Call your doctor for a new prescription.

Use a disposable needle only once. Throw away used needles in a puncture-proof container (ask your pharmacist where you can get one and how to dispose of it). Keep this container out of the reach of children and pets.

To be sure this medication is helping your body produce red blood cells, your blood will need to be tested often. You may also need to check your blood pressure during treatment. Do not miss any scheduled appointments.

If you need surgery, tell the surgeon ahead of time that you are using Procrit.

Store Procrit in the refrigerator and protect from light. Do not freeze Procrit, and throw away the medication if it has become frozen.

What happens if I miss a dose?

Contact your doctor if you miss a dose of Procrit.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include headache, dizziness, itching (especially after bathing), fullness in your upper stomach, redness of the face, shortness of breath, and vision problems.

What should I avoid?

Procrit may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Procrit side effects

Get emergency medical help if you have any of these signs of an allergic reaction to Procrit: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Contact your doctor if you feel weak, lightheaded, or short of breath, or if your skin looks pale. These may be signs that your body has stopped responding to this medication.

Procrit can increase your risk of life-threatening heart or circulation problems, including heart attack or stroke. This risk will increase the longer you use Procrit.

Seek emergency medical help if you have symptoms of heart or circulation problems, such as:

  • chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;

  • feeling short of breath, even with mild exertion;

  • swelling, rapid weight gain;

  • sudden numbness or weakness, especially on one side of the body;

  • sudden severe headache, confusion, problems with vision, speech, or balance; or

  • pain, swelling, warmth, or redness in one or both legs.

Stop using Procrit and call your doctor at once if you have any of these serious side effects:

  • feeling light-headed, fainting;

  • fever, chills, body aches, flu symptoms, sores in your mouth and throat;

  • pale skin, feeling short of breath, rapid heart rate, trouble concentrating;

  • easy bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin;

  • seizure (black-out or convulsions);

  • low potassium (confusion, uneven heart rate, extreme thirst, increased urination, leg discomfort, muscle weakness or limp feeling); or

  • dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).

Less serious Procrit side effects may include:

  • cold symptoms such as stuffy nose, sneezing, cough, sore throat;

  • joint pain, bone pain;

  • muscle pain, muscle spasm;

  • dizziness, depression, mild headache;

  • weight loss;

  • sleep problems (insomnia);

  • nausea, vomiting, trouble swallowing; or

  • pain or tenderness where you injected the medication.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

What other drugs will affect Procrit?

There may be other drugs that can affect Procrit. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about Procrit.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects.

Copyright 1996-2014 Cerner Multum, Inc. Version: 7.01. Revision Date: 9/19/2011 10:33:24 AM.

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