Drug Information Sheet("Kusuri-no-Shiori") Injection Published: 08/2012 The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse effects (risks) as well as efficacies (benefits). It is important to minimize adverse effects and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment. Brand name:EPOGIN Injection Syringe 6000 [Renal anemia] Active ingredient:Epoetin beta (genetical recombination) Dosage form:injection Print on wrapping: Effects of this medicine This medicine helps erythrocytes to produce It is usually used to treat renal anemia. (This medicine does not treat kidney disease.) Before using this medicine, be sure to tell your doctor and pharmacist ・If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines. If you have or have previously experienced thrombosis (myocardial infarction, pulmonary infarction, cerebral infarction, etc). If you have: hypertenstion or allergic predisposition. ・If you are pregnant or breastfeeding. ・If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.) Dosing schedule (How to take this medicine) ・Your dosing schedule prescribed by your doctor is<< to be written by a healthcare professional>> ・For patients on peritoneal dialysis: In general, inject subcutaneously once a week or every two weeks. For patients not on dialysis: In general, inject intravenously or subcutaneously once a week. In case of subcutaneous injection, when anemia improves, inject at an interval of once every two weeks. ・Depending on your response to the treatment, you may be administered this medicine over a long time. ・Before using this medicine, you may take a test to confirm presence or absence of allergy. Precautions while taking this medicine ・Even if the symptoms of anemia improved, do not stop consulting with the doctor on your own. Even when the symptoms of anemia disappear, it does not always mean that kidney disease has been cured. ・Iron and vitamins are necessary to help erythrocytes produce. If you are prescribed iron, you should take it as instructed by your doctor. ・While you may feel better and appetite may increase due to the treatment, follow the instruction by your doctor or pharmacist as before as to how to intake dietary, water, iron and potassium. Possible adverse effects of this medicine The most commonly reported adverse reactions include increased blood pressure, nausea, headache and general malaise. If any of these symptoms occur, consult with your doctor or pharmacist. The symptoms described below are rarely seen as initial symptoms of the adverse effects indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately. ・chill, cold sweat, numbness of hands and feet, lightheadedness, dyspnea, feeling of tight chest, rash, urticaria, itch, edema, falling in blood pressure [shock, anaphylactoid symptoms] ・headache, grogginess, convulsion [hypertensive encephalopathy, cerebral hemorrhage] ・chest pain, dyspnea, pale blue, feeling of tight chest, headache, grogginess, convulsion, paralysis of limb and face [myocardial infarction, pulmonary infarction, cerebral infarction] ・yellowness in the skin and the white of the eyes [hepatic dysfunction, jaundice] ・lassitude, dull headache, headache, dizziness, ear ringing, palpitation or shortness of breath in climbing up stairs or walking up a slope [pure red-cell aplasia] The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above. Storage conditions and other information For healthcare professional use only / / 1/6 For further information, talk to your doctor or pharmacist. 2/6 Drug Information Sheet("Kusuri-no-Shiori") Injection Revised: 08/2012 The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse effects (risks) as well as efficacies (benefits). It is important to minimize adverse effects and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment. Brand name:EPOGIN Injection Ampoule 6000 [Renal anemia] Active ingredient:Epoetin beta (genetical recombination) Dosage form:injection Print on wrapping: Effects of this medicine This medicine helps erythrocytes to produce. It is usually used to treat renal anemia. (This medicine does not treat kidney disease.) Before using this medicine, be sure to tell your doctor and pharmacist ・If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines. If you have or have previously experienced thrombosis (myocardial infarction, pulmonary infarction, cerebral infarction, etc). If you have: hypertenstion or allergic predisposition. ・If you are pregnant or breastfeeding. ・If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.) Dosing schedule (How to take this medicine) ・Your dosing schedule prescribed by your doctor is<< to be written by a healthcare professional>> ・For patients on peritoneal dialysis: In general, inject subcutaneously once a week or every two weeks. For patients not on dialysis: In general, inject intravenously or subcutaneously once a week. In case of subcutaneous injection, when anemia improves, inject at an interval of once every two weeks. ・Depending on your response to the treatment, you may be administered this medicine over a long time. ・Before using this medicine, you may take a test to confirm presence or absence of allergy. Precautions while taking this medicine ・Even if the symptoms of anemia improved, do not stop consulting with the doctor on your own. Even when the symptoms of anemia disappear, it does not always mean that kidney disease has been cured. ・Iron and vitamins are necessary to help erythrocytes produce. If you are prescribed iron, you should take it as instructed by your doctor. ・While you may feel better and appetite may increase due to the treatment, follow the instruction by your doctor or pharmacist as before as to how to intake dietary, water, iron and potassium. Possible adverse effects of this medicine The most commonly reported adverse reactions include increased blood pressure, nausea, headache and general malaise. If any of these symptoms occur, consult with your doctor or pharmacist. The symptoms described below are rarely seen as initial symptoms of the adverse effects indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately. ・chill, cold sweat, numbness of hands and feet, lightheadedness, dyspnea, feeling of tight chest, rash, urticaria, itch, edema, falling in blood pressure [shock, anaphylactoid symptoms] ・headache, grogginess, convulsion [hypertensive encephalopathy, cerebral hemorrhage] ・chest pain, dyspnea, pale blue, feeling of tight chest, headache, grogginess, convulsion, paralysis of limb and face [myocardial infarction, pulmonary infarction, cerebral infarction] ・yellowness in the skin and the white of the eyes [hepatic dysfunction, jaundice] ・lassitude, dull headache, headache, dizziness, ear ringing, palpitation or shortness of breath in climbing up stairs or walking up a slope [pure red-cell aplasia] The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above. Storage conditions and other information For healthcare professional use only / / 3/6 For further information, talk to your doctor or pharmacist. 4/6 Drug Information Sheet("Kusuri-no-Shiori") Injection Revised: 08/2012 The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse effects (risks) as well as efficacies (benefits). It is important to minimize adverse effects and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment. Brand name:EPOGIN Injection Syringe 6000 [Autologous blood donation] Active ingredient:Epoetin beta (genetical recombination) Dosage form:injection Print on wrapping: Effects of this medicine This medicine helps erythrocytes to produce. It is usually used to conduct autologous blood donation in preparation for surgery. Before using this medicine, be sure to tell your doctor and pharmacist ・If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines. If you have or have previously experienced thrombosis (myocardial infarction, pulmonary infarction, cerebral infarction, etc). If you have: hypertenstion or allergic predisposition. ・If you are pregnant or breastfeeding. ・If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.) Dosing schedule (How to take this medicine) ・Your dosing schedule prescribed by your doctor is<< to be written by a healthcare professional>> ・In general, depending on the scheduled volume of blood collection, inject intravenously three times a week two or three weeks before surgery. On the day of the collection of autologous blood, this medicine is administered after the collection. The blood should be collected at an interval of around one week. ・The treatment period with this medicine depends on the scheduled volume of blood collection. ・Before using this medicine, you may take a test to confirm presence or absence of allergy. Precautions while taking this medicine ・Iron and vitamins are necessary to help erythrocytes produce. Take dietary regularly. If you are prescribed iron, you should take it as instructed by your doctor. Possible adverse effects of this medicine The most commonly reported adverse reactions include hot flash. If any of these symptoms occur, consult with your doctor or pharmacist. The symptoms described below are rarely seen as initial symptoms of the adverse effects indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately. ・chill, cold sweat, numbness of hands and feet, lightheadedness, dyspnea, feeling of tight chest, rash, urticaria, itch, edema, falling in blood pressure [shock, anaphylactoid symptoms] ・headache, grogginess, convulsion [hypertensive encephalopathy, cerebral hemorrhage] ・chest pain, dyspnea, pale blue, feeling of tight chest, headache, grogginess, convulsion, paralysis of limb and face [myocardial infarction, pulmonary infarction, cerebral infarction] ・yellowness in the skin and the white of the eyes [hepatic dysfunction, jaundice] ・lassitude, dull headache, headache, dizziness, ear ringing, palpitation or shortness of breath in climbing up stairs or walking up a slope [pure red-cell aplasia] The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above. Storage conditions and other information For healthcare professional use only / / For further information, talk to your doctor or pharmacist. 5/6 Drug Information Sheet("Kusuri-no-Shiori") Injection Revised: 08/2012 The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse effects (risks) as well as efficacies (benefits). It is important to minimize adverse effects and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment. Brand name:EPOGIN Injection Ampoule 6000 [Autologous blood donation] Active ingredient:Epoetin beta (genetical recombination) Dosage form:injection Print on wrapping: Effects of this medicine This medicine helps erythrocytes to produce. It is usually used to conduct autologous blood donation in preparation for surgery. Before using this medicine, be sure to tell your doctor and pharmacist ・If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines. If you have or have previously experienced thrombosis (myocardial infarction, pulmonary infarction, cerebral infarction, etc). If you have: hypertenstion or allergic predisposition. ・If you are pregnant or breastfeeding. ・If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.) Dosing schedule (How to take this medicine) ・Your dosing schedule prescribed by your doctor is<< to be written by a healthcare professional>> ・In general, depending on the scheduled volume of blood collection, inject intravenously three times a week two or three weeks before surgery. On the day of the collection of autologous blood, this medicine is administered after the collection. The blood should be collected at an interval of around one week. ・The treatment period with this medicine depends on the scheduled volume of blood collection. ・Before using this medicine, you may take a test to confirm presence or absence of allergy. Precautions while taking this medicine ・Iron and vitamins are necessary to help erythrocytes produce. Take dietary regularly. If you are prescribed iron, you should take it as instructed by your doctor. Possible adverse effects of this medicine The most commonly reported adverse reactions include hot flash. If any of these symptoms occur, consult with your doctor or pharmacist. The symptoms described below are rarely seen as initial symptoms of the adverse effects indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately. ・chill, cold sweat, numbness of hands and feet, lightheadedness, dyspnea, feeling of tight chest, rash, urticaria, itch, edema, falling in blood pressure [shock, anaphylactoid symptoms] ・headache, grogginess, convulsion [hypertensive encephalopathy, cerebral hemorrhage] ・chest pain, dyspnea, pale blue, feeling of tight chest, headache, grogginess, convulsion, paralysis of limb and face [myocardial infarction, pulmonary infarction, cerebral infarction] ・yellowness in the skin and the white of the eyes [hepatic dysfunction, jaundice] ・lassitude, dull headache, headache, dizziness, ear ringing, palpitation or shortness of breath in climbing up stairs or walking up a slope [pure red-cell aplasia] The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above. Storage conditions and other information For healthcare professional use only / / For further information, talk to your doctor or pharmacist. 6/6