Fibrinogen (intravenous route)


    Brand Name

    US Brand Name

    RiaSTAP


    Description

    Fibrinogen injection is used as a supplement in bleeding patients with acquired fibrinogen deficiency. It is also used to treat acute bleeding episodes in patients with congenital fibrinogen deficiency, including afibrinogenemia and hypofibrinogenemia.

    This medicine is to be given only by or under the supervision of a doctor.

    This product is available in the following dosage forms:

    • Powder for Solution

    Before Using

    In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

    Allergies

    Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

    Pediatric

    Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of fibrinogen injection in children.

    Geriatric

    Appropriate studies on the relationship of age to the effects of fibrinogen injection have not been performed in the geriatric population. However, no geriatric-specific problems have been documented to date.

    Breastfeeding

    There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

    Drug Interactions

    Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

    Other Interactions

    Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.


    Proper Use

    A doctor or other trained health professional will give you this medicine. This medicine is given through an IV catheter that is placed into one of your veins.


    Precautions

    It is very important that your doctor check you closely while you are receiving this medicine to make sure it is working properly. Blood tests will be needed to check for unwanted effects.

    This medicine may cause serious allergic reactions, including anaphylaxis, which can be life-threatening and require immediate medical attention. Tell your doctor right away if you have a rash, itching, trouble swallowing, dizziness, a fast heartbeat, lightheadedness or fainting, restlessness, trouble breathing, swelling in your face, hands, tongue, or throat, or chest pain after you receive the medicine.

    This medicine may increase your chance of having blood clotting problems. Tell your doctor right away if you have a sudden or severe headache, problems with vision or speech, chest pain, or numbness or weakness while you are receiving this medicine.

    This medicine is made from donated human blood. Some human blood products have transmitted certain viruses to people who have received them, although the risk is low. Human donors and donated blood are both tested for viruses to keep the transmission risk low. Talk with your doctor about this risk if you are concerned.


    Side Effects

    Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

    Check with your doctor or nurse immediately if any of the following side effects occur:

    More common

    • Agitation
    • chest pain
    • confusion
    • decreased urine output
    • depression
    • dizziness or lightheadedness
    • fainting
    • fast or irregular heartbeat
    • fever
    • hallucinations
    • headache
    • increased blood pressure
    • increased thirst
    • lethargy
    • loss of appetite
    • lower back or side pain
    • muscle twitching
    • nausea
    • numbness or tingling in the hands or feet
    • pale skin
    • rapid weight gain
    • seizures
    • swelling of the face, ankles, or hands
    • trouble breathing
    • unusual bleeding or bruising
    • unusual excitement, nervousness, or restlessness
    • unusual tiredness or weakness
    • vomiting
    • weight gain

    Less common

    • Black, tarry stools
    • bleeding gums
    • blood in the urine or stools
    • chest tightness
    • pinpoint red spots on the skin

    Incidence not known

    • Anxiety
    • chest discomfort
    • chills
    • cough
    • difficult or labored breathing
    • difficulty with swallowing
    • pain or discomfort in the arms, jaw, back, or neck
    • pain, redness, or swelling in the arm or leg
    • pains in the groin or legs, especially in the calves of the legs
    • puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
    • severe headaches of sudden onset
    • skin rash, hives, or itching
    • sudden loss of coordination
    • sudden onset of slurred speech
    • sudden vision changes
    • sweating

    Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

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






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