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Epogen

What is Epogen

Epogen is a man-made form of a naturally occurring protein called erythropoietin. Erythropoietin is produced in the kidney and stimulates the production of red blood cells. The amount of erythropoietin in the body may be diminished when the kidneys are damaged. Medications may also decrease the number of red blood cells.

Epogen is used to treat anemia by stimulating red blood cell production.

Epogen may also be used for purposes other than those listed in this medication guide.

General medical information about Epogen

Do not give yourself an injection if you are not sure how to inject yourself, how much to inject, and how often to inject your medication. Call your doctor, nurse, or pharmacist for help with the instructions.

During the first 3 months of treatment with Epogen, use caution when driving, operating machinery, or performing other hazardous activities. Epogen has been reported to cause seizures in patients on dialysis, although this side effect is uncommon. If seizures occur, they generally do so during the first 90 days of treatment.

What you should discuss with your doctor before using Epogen

Before using this medication, tell your doctor if you have:
- high blood pressure;
- heart disease;
- cancer; or
- epilepsy or another seizure disorder.

You may not be able to use Epogen, or you may require a lower dose or special monitoring if you have any of the conditions listed above.

Epogen is in the FDA pregnancy category C. This means that it is not known whether Epogen will harm an unborn baby. Do not use this medication without first talking to your doctor if you are pregnant.

It is also not known whether Epogen passes into breast milk. Do not use this medication without first talking to your doctor if you are breast-feeding a baby.

How should you use Epogen

Use Epogen exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.

Epogen may be injected subcutaneously (under the skin) or intravenously (into a vein). Your doctor, nurse, or pharmacist will give you specific instructions on how and where to inject your medication. Do not give yourself an injection if you are not sure how to inject yourself, how much to inject, or how often to inject your medication. Call your doctor, nurse, or pharmacist for help with the instructions.

Allow the medication to reach room temperature before measuring a dose.

Do not shake the vial of Epogen. Vigorous shaking can ruin the medication.

Properly store and discard all syringes and needles.

Store Epogen in the refrigerator at 2 to 8 degrees Celsius (36 to 46 degrees Fahrenheit) away from light, moisture, and the reach of children.

If you miss a dose:

Contact your doctor if you miss a dose of this medication.

What happens if you overdose:

Seek emergency medical attention.

Symptoms of an Epogen overdose are not known.

What should you avoid while using Epogen

During the first 3 months of treatment with Epogen, use caution when driving, operating machinery, or performing other hazardous activities. Epogen has been reported to cause seizures in patients on dialysis, although this side effect is uncommon. If seizures occur, they generally do so during the first 90 days of treatment.

Possible side effects of Epogen

If you experience any of the following serious side effects, stop using Epogen and seek emergency medical treatment:
- an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); or
- seizures.

Other, less serious side effects may be more likely to occur. Continue to use Epogen and talk to your doctor if you experience
- increased blood pressure;
- headache;
- a "flulike" feeling;
- increased heart rate;
- nausea, vomiting, or diarrhea;
- numbness or tingling;
- tiredness;
- muscle aches;
- a rash; or
- injection site discomfort.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Epogen

It is not known whether Epogen will interact with other medicines. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

All prescription drugs:

A
abilify accupril accutane acetaminophen aciphex actifed actonel actos acyclovir adalat adderall adipex advair advil albuterol alesse aleve allegra allopurinol amaryl ambien amiodarone amitriptyline amoxicillin amoxil amphetamine anacin aprazolam aricept asacol aspirin atenolol ativan atorvastatin atrovent augmentin avandia avapro avastin avelox azmacort
B
baclofen
bactrim bactroban baycol benadryl bextra biaxin boniva bontril buspar buspirone
C
caduet campral camptosar capoten captopril cardizem cardura carisoprodol casodex catapress cefzil celebrex celexa cellcept cephalexin cialis cipro ciprodex clarinex claritin climara clindamycin clonazepam clonidine codeine codeprex combivent combivir concerta copaxone coreg coricidin cotrim coumadin cozaar crestor cubicin cyclobenzaprine cymbalta
D
darvocet demerol depakote desogen detrol dextromethorphan diazepam diclofenac didrex diflucan digoxin dilantin diltiazem dimetapp diovan diprivan ditropan doxazosin doxycycline drixoral duragesic dyazide
E
effexor elavil elocon eloxatin emend enalapril enbrel endocet engerix-b entex epogen epzicom erbitux ertaczo ery-tab erythromycin estradiol evista 
F
fabrazyme famotidine fazaclo fenofibrate fioricet fiorinal flexeril flomax flonase flovent fluoxetine fosamax fosrenol furosemide  
G
gabapentin gamimune gemfibrozil gemzar glipizide glucophage glucotrol glucovance glyburide glyburide guaifenesin guaifenex 
H
herceptin humalog humira hydroxyzine hyzaar  
I
ibuprofen imdur imitrex imodium inderal insulin integrilin iressa 
K
kaletra keflex kenalog keppra ketek klonopin kytril  
L
lamictal lamisil lanoxin lantus lasix lescol levaquin levitra levothyroxine levoxyl lexapro lidoderm lipitor lisinopril lithium lorazepam lortab lotensin lotrel lotrisone lovenox lupron luveris  
M
macrobid magnevist meclizine medroxyprogesterone meridia metformin methadone methamphetamine methotrexate methylphenidate methylprednisolone metoclopramide metoprolol metronidazole miacalcin minocycline mobic monopril morphine motrin myfortic  
N
naproxen nasacort nasonex natrecor neulasta neupogen neurontin nexium nifedipine nitrofurantoin norco nortriptyline norvasc  
O
omeprazole omnicef orthovisc oxybutynin oxycodone oxycontin oxytrol  
P
paraplatin patanol paxil pegasys penicillin pepcid percocet percodan percogesic phendimetrazine phenergan phentermine phenytoin plavix plendil potassium pravachol prednisone premarin prempro prevacid prilosec prinivil procrit promethazine propecia propofol propoxyphene propranolol protonix proventil provigil prozac pseudoephedrine pulmicort  
R
ranitidine rebetol reglan relafen relpax remeron remicade renagel renova rhinocort riomet risperdal risperidone ritalin rituxan rocephin rogaine roxicet  
S
sanctura seasonale sensipar serevent seroquel serzone singulair skelaxin soma somavert sonata spiriva spironolactone strattera striant sustiva synagis synthroid 
T
tamoxifen tavist taxol taxotere tegretol temazepam tenormin tenuate tequin terazosin tetracycline tiazac tindamax titralac tobradex topamax toprol tramadol trazodone triamcinolone triaminic triamterene tricor trileptal trimox triphasil trizivir truvada tylenol 
U
ultane ultracet ultram uroxatral
V
valium valtrex vaniqa vasotec velcade verapamil viagra vicodin vicoprofen vidaza viracept viread vytorin  
W
warfarin wellbutrin  
X
xalatan xanax xenical xifaxan xolair xopenex xyrem  
Y
yasmin 
Z
zanaflex zantac zavesca zelnorm zemplar zerit zestoretic zestril zetia ziac zithromax zocor zofran zoladex zoloft zometa zorbtive zosyn zovirax zyrtec zyvox