{"id":19470,"date":"2022-03-11T12:51:37","date_gmt":"2022-03-11T12:51:37","guid":{"rendered":"https:\/\/zeepedia.com\/?p=19470"},"modified":"2022-03-12T13:18:59","modified_gmt":"2022-03-12T13:18:59","slug":"ocplex","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/ocplex\/","title":{"rendered":"Ocplex &#8211; Human prothrombin complex uses, dose and side effects"},"content":{"rendered":"\n<p>500 IU powder and solvent for solution for injection&nbsp;Human prothrombin complex<br>1000 IU powder and liquid for&nbsp;infusion&nbsp;solution Human prothrombin complex<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Ocplex is and what it is used for<\/h2>\n\n\n\n<p>Ocplex belongs to a group of medicines called\u00a0coagulation factors.\u00a0It contains the\u00a0vitamin\u00a0K-dependent human\u00a0coagulation factors\u00a0II, VII, IX, and X.<\/p>\n\n\n\n<p>Ocplex is used to treat and prevent bleeding:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>caused by so-called&nbsp;vitamin&nbsp;K&nbsp;antagonists&nbsp;(eg&nbsp;warfarin&nbsp;), drugs that block the effect of&nbsp;vitamin&nbsp;K and lead to a lack of&nbsp;vitamin&nbsp;K-dependent&nbsp;coagulation factor&nbsp;in the body.&nbsp;Ocplex is used when such a deficiency needs to be remedied quickly.<\/li><li>in persons born with a deficiency of&nbsp;vitamin&nbsp;K-dependent&nbsp;coagulation factors&nbsp;II and X, when purified, specific coagulation factor preparations are not available.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Ocplex<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Ocplex<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic (hypersensitive) to any of the ingredients of this product (listed in section 6).<\/li><li>if you are allergic (hypersensitive) to&nbsp;heparin&nbsp;or if you have previously had&nbsp;heparin&nbsp;cause a decrease in the number of&nbsp;platelets&nbsp;in your blood.<\/li><li>if you have&nbsp;IgA&nbsp;deficiency and expensive&nbsp;antibodies&nbsp;to&nbsp;IgA&nbsp;.<\/li><\/ul>\n\n\n\n<p><strong><br>Warnings and Precautions<\/strong>&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Consult a physician who specializes in coagulation disorders when using Ocplex.<\/li><li>If your&nbsp;vitamin&nbsp;K-dependent&nbsp;coagulation factor&nbsp;deficiency is acquired (eg when it is caused by treatment with medicines that are&nbsp;vitamin&nbsp;K&nbsp;antagonists&nbsp;), Ocplex should only be used when the deficiency needs to be remedied quickly, e.g.&nbsp;in case of major bleeding or&nbsp;emergency&nbsp;surgery.&nbsp;In other cases, it is usually sufficient to reduce the&nbsp;dose&nbsp;one of&nbsp;vitamin&nbsp;K&nbsp;antagonist&nbsp;one and \/ or give&nbsp;vitamin&nbsp;K.<\/li><li>If you are being treated with a&nbsp;vitamin&nbsp;K&nbsp;antagonist&nbsp;(eg&nbsp;warfarin&nbsp;) this may be because you are at increased risk of blood clots.&nbsp;Treatment with Ocplex can then reinforce that risk.<\/li><li>If you were born with a deficiency of any&nbsp;vitamin&nbsp;K-dependent factor, specific<br>coagulation factor preparations should be used when available.<\/li><li>If an allergic or&nbsp;anaphylactic reaction&nbsp;occurs, your doctor should immediately discontinue the&nbsp;infusion&nbsp;and give appropriate treatment.<\/li><li>When you receive Ocplex, especially if you receive it regularly, there is a risk of thrombotic disease or so-called disseminated&nbsp;intravascular&nbsp;coagulation&nbsp;(a serious disease in which blood clots form throughout the body).<br>You should therefore be closely monitored for signs or symptoms of&nbsp;intravascular&nbsp;coagulation&nbsp;or blood clots.<br>This is especially important if you have a history of coronary heart disease or liver disease, if you are having surgery and when Ocplex is given to very young children.<\/li><li>No data are available on the use of Ocplex in case of postpartum haemorrhage due to&nbsp;vitamin&nbsp;K deficiency in the newborn.<\/li><\/ul>\n\n\n\n<p><strong>Virus security<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>When medicines are made from human blood or&nbsp;plasma&nbsp;, special measures are taken to prevent the transmission of&nbsp;infection&nbsp;to patients.&nbsp;This includes a careful selection of blood and plasma donors to ensure that people at risk of being carriers are excluded, as well as testing of individual donations and plasma pools for signs of virus \/ infection.&nbsp;The manufacturers of these products also include steps in the handling of blood and&nbsp;plasma&nbsp;that can inactivate or possibly separate.&nbsp;virus&nbsp;.&nbsp;Nevertheless, the risk of transmission of&nbsp;infection&nbsp;can not be completely ruled out when drugs made from human blood or&nbsp;plasma&nbsp;are given.&nbsp;This also applies to new, hitherto unknown&nbsp;virusesand other types of&nbsp;infection&nbsp;you.<\/li><li>The measures taken are considered effective against enveloped&nbsp;viruses&nbsp;such as human immunodeficiency virus (&nbsp;HIV&nbsp;),&nbsp;hepatitis&nbsp;B&nbsp;virus&nbsp;(HBV) and&nbsp;hepatitis&nbsp;C&nbsp;virus&nbsp;(&nbsp;HCV&nbsp;).&nbsp;The measures may be of limited value against non-enveloped&nbsp;viruses&nbsp;, such as&nbsp;hepatitis&nbsp;A and parvovirus B19.&nbsp;Parvovirus B19&nbsp;infection can be serious in pregnant women (fetal&nbsp;infection&nbsp;), individuals with weakened immune systems or patients with certain types of&nbsp;anemia&nbsp;(eg hemolytic&nbsp;anemia&nbsp;).<\/li><li>When you are given Ocplex, it is recommended that the product name and batch number be registered to maintain a link to the used batch.<\/li><li>Your doctor may suggest vaccination against&nbsp;hepatitis&nbsp;A and B if you are regularly \/ repeatedly treated with plasma-derived prothrombin complex preparations.<\/li><\/ul>\n\n\n\n<p><strong>Children and young people<\/strong><\/p>\n\n\n\n<p>There are no data available on the use of Ocplex in children and adolescents.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>Ocplex should only be used during pregnancy and lactation if necessary.\u00a0Ask your doctor or pharmacist for advice before taking any medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>It is unknown whether Ocplex affects the ability to drive and use machines.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened vigilance.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0Descriptions of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Therefore, read all the information in this leaflet for guidance.\u00a0If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Important information about some of the ingredients of Ocplex<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Heparin&nbsp;can cause allergic reactions and reduce the number of&nbsp;blood cells&nbsp;, which can affect the blood&#8217;s ability to coagulate.&nbsp;Patients who have previously had allergic reactions triggered by&nbsp;heparin&nbsp;should avoid the use of medicines containing&nbsp;heparin&nbsp;.<\/li><li>This medicine contains 75-125 mg (500 IU&nbsp;vial&nbsp;) or 150-250 mg (1,000 IU&nbsp;vial&nbsp;) of&nbsp;sodium&nbsp;(the main ingredient in common salt \/ table salt) per&nbsp;vial&nbsp;.&nbsp;This corresponds to 3.8% \u20136.3% or 7.5% \u201312.5% \u200b\u200bof the highest recommended daily intake of&nbsp;sodium&nbsp;for adults.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Ocplex<\/h2>\n\n\n\n<p>Treatment with Ocplex should be started under the supervision of a doctor who specializes in coagulation disorders.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The powder is first dissolved in water<\/li><li>The solution is then given&nbsp;<strong><em>into a vein<\/em><\/strong><em>&nbsp;(&nbsp;<\/em><em>intravenously<\/em><em>&nbsp;)<\/em><strong><em><\/em><\/strong><em><\/em><\/li><\/ul>\n\n\n\n<p>How much Ocplex you get and how long depends on:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>How serious is his illness<\/li><li>Where you bleed, how much you bleed and<\/li><li>Your general condition<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Ocplex than you should<\/h2>\n\n\n\n<p>In case of overdose, the risk of developing increases<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>thrombotic diseases (eg heart attack and blood clots in veins or lungs)<\/li><li>disseminated&nbsp;intravascular&nbsp;coagulation&nbsp;(a serious disease with the formation of blood clots throughout the body)<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, Ocplex can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><strong>Common<\/strong>&nbsp;(may affect up to 1 in 10 people)<\/p>\n\n\n\n<p>Blood vessel clot.<\/p>\n\n\n\n<p><strong>Uncommon<\/strong>&nbsp;(may affect up to 1 in 100 people)<\/p>\n\n\n\n<p>Anxiety, high\u00a0blood pressure, asthma-like symptoms, bloody cough, nosebleeds, burning at the injection site, clot formation in the infusion unit.<\/p>\n\n\n\n<p><strong>Rare<\/strong>&nbsp;(may affect up to 1 in 1,000 people)<\/p>\n\n\n\n<p>Allergic reactions may occur.&nbsp;Temporarily elevated liver values \u200b\u200b(&nbsp;transaminases&nbsp;) have been observed.<\/p>\n\n\n\n<p>The use of this medication carries the risk of blood clots forming.<\/p>\n\n\n\n<p><em>Has been reported (occurs in an unknown number of users)<\/em><\/p>\n\n\n\n<p>Severe\u00a0allergic reaction\u00a0and\u00a0shock, hypersensitivity, tremor,\u00a0heart failure, increased heart rate,\u00a0circulatory failure, drop in blood pressure, respiratory failure, difficulty breathing, nausea,\u00a0hives, rash, chills.<\/p>\n\n\n\n<p>The\u00a0heparin present\u00a0in the medicine may cause a sudden decrease in the number of platelets in the blood.\u00a0This is an\u00a0allergic reaction\u00a0called &#8220;heparin-induced\u00a0thrombocytopenia\u00a0type II&#8221;.\u00a0In patients who have not previously been hypersensitive to\u00a0heparin, in rare cases, the reduction in\u00a0platelet count\u00a0may occur 6-14 days after starting treatment.\u00a0In patients with a history of heparin hypersensitivity, the change may occur within a few hours after starting treatment.<\/p>\n\n\n\n<p>Treatment with Ocplex must be stopped immediately in patients who experience this allergic reaction.\u00a0In the future, they must not be treated with medicines containing\u00a0heparin.<\/p>\n\n\n\n<p><strong>For information on virus security, see section 2.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Ocplex<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the label.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Do not store above 25 \u00b0 C.&nbsp;Do not freeze.&nbsp;Store in the original package.&nbsp;Sensitive to light.<\/p>\n\n\n\n<p>The powder should only be dissolved just before\u00a0injection.\u00a0The stability of the solution has been demonstrated for up to 8 hours at + 25 \u00b0 C.<br>However, the solution should be used immediately and only once in a while to prevent contamination.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<p><strong>Content declaration per\u00a0vial\u00a0and after\u00a0reconstitution\u00a0with 20 ml (500 IU) \/ 40 ml (1000 IU)\u00a0diluent\u00a0.\u00a0The active substances are:<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><thead><tr><td><strong>Ingredient name<\/strong><\/td><td><strong>Ocplex<\/strong><br><strong>Amount per\u00a0500 IU\u00a0injection bottle<\/strong><\/td><td><strong>Ocplex&nbsp;<\/strong><strong>Amount<\/strong><br><strong>per&nbsp;<\/strong><strong>1000<\/strong>&nbsp;IU&nbsp;<strong>vial<\/strong><strong><br><\/strong><strong><\/strong><strong><\/strong><\/td><td><strong>Ocplex&nbsp;<\/strong><strong>Amount per ml&nbsp;<\/strong><strong>reconstituted&nbsp;<\/strong><strong>solution<\/strong><strong><br><\/strong><strong><\/strong><strong><\/strong><\/td><\/tr><\/thead><tbody><tr><td>Total protein<\/td><td>260-820 mg<\/td><td>520-1640 mg<\/td><td>13-41 mg \/ ml<\/td><\/tr><tr><td><em>Active substances<\/em><\/td><\/tr><tr><td>Human&nbsp;coagulation factor&nbsp;II<\/td><td>280-760 IU<\/td><td>560-1520 IU<\/td><td>14-38 IU \/ ml<\/td><\/tr><tr><td>Human&nbsp;coagulation factor&nbsp;VII<\/td><td>180-480 IU<\/td><td>360-960 IU<\/td><td>9-24 IU \/ ml<\/td><\/tr><tr><td>Human&nbsp;coagulation factor&nbsp;IX<\/td><td>500 IU<\/td><td>1000 IU<\/td><td>25 IU \/ ml<\/td><\/tr><tr><td>Human coagulation factor X<\/td><td>360-600 IU<\/td><td>720-1200 IU<\/td><td>18-30 IU \/ ml<\/td><\/tr><tr><td><em>Additional active ingredients<\/em><\/td><\/tr><tr><td>Protein&nbsp;C<\/td><td>260-620 IU<\/td><td>520-1240 IU<\/td><td>13-31 IU \/ ml<\/td><\/tr><tr><td>Protein&nbsp;S<\/td><td>240-640 IU<\/td><td>480-1280 IU<\/td><td>12-32 IU \/ ml<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>The specific activity is \u2265 0.6 IU \/ mg&nbsp;protein&nbsp;expressed as Factor IX activity.<br><\/p>\n\n\n\n<p>The other ingredients are\u00a0heparin, sodium citrate di (dihydrate), water for injections.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p>Ocplex is supplied as a powder and solvent for solution for\u00a0infusion\u00a0and is a moisture-absorbing, white to slightly colored powder or slightly crumbled dry substance in a\u00a0glass\u00a0vial.\u00a0The diluent is water for injections and is supplied in a\u00a0glass\u00a0vial.\u00a0The reconstituted solution is clear or slightly opalescent and may be colored.<\/p>\n\n\n\n<p>Ocplex is delivered in a box containing:<\/p>\n\n\n\n<p>&#8211; 1&nbsp;vial&nbsp;of powder for&nbsp;solution for&nbsp;infusion<\/p>\n\n\n\n<p>&#8211; 1&nbsp;vial&nbsp;of water for injections (&nbsp;diluent&nbsp;).<\/p>\n\n\n\n<p>&#8211; 1 transfer set Nextaro&nbsp;<sup>\u00ae<\/sup><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>Marketing Authorization Holder:<br>Octapharma AB<\/p>\n\n\n\n<p>112 75 Stockholm<\/p>\n\n\n\n<p>Tel.&nbsp;08-566 43000<\/p>\n\n\n\n<p>Customer contact: 020-311020<\/p>\n\n\n\n<p>Manufacturer:<\/p>\n\n\n\n<p>Octapharma Pharmazeutika Produktionsges.mbH<\/p>\n\n\n\n<p>Oberlaaer Str. 235<\/p>\n\n\n\n<p>A-1100 Vienna<\/p>\n\n\n\n<p>Austria<\/p>\n\n\n\n<p>Octapharma SAS<\/p>\n\n\n\n<p>72 Rue du Mar\u00e9chal Foch<\/p>\n\n\n\n<p>67380 Lingolsheim<\/p>\n\n\n\n<p>France<\/p>\n\n\n\n<p>This medicinal product is authorized under the European Economic Area under the names:<\/p>\n\n\n\n<p><em>Optiplex<\/em>.\u00a0Belgium, Bulgaria, Cyprus, Denmark, Estonia, Finland, France, Holland, Ireland, Iceland, Croatia, Latvia, Lithuania, Luxembourg, Norway, Poland, Portugal, Slovakia, Slovenia, Spain, UK, Germany, Hungary, Austria.<\/p>\n\n\n\n<p><em>Ocplex<\/em>: Sweden, Czech Republic<\/p>\n\n\n\n<p><em>Pronative<\/em>&nbsp;: Italy, Romania<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ocplex belongs to a group of medicines called coagulation factors . It contains the vitamin K-dependent human coagulation factors II, VII, IX and X.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,18526],"tags":[19670,19675,19666,19669,19671,19674,19668,19667,19672,19673],"class_list":["post-19470","post","type-post","status-publish","format-standard","hentry","category-medicines","category-o","tag-benefits-of-human-prothrombin-complex","tag-benefits-of-ocplex","tag-human-prothrombin-complex","tag-human-prothrombin-complex-side-effects","tag-ocplex","tag-ocplex-side-effects","tag-what-human-prothrombin-complex-is-used-for","tag-what-is-human-prothrombin-complex","tag-what-is-ocplex","tag-what-ocplex-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/19470","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=19470"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/19470\/revisions"}],"predecessor-version":[{"id":19531,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/19470\/revisions\/19531"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=19470"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=19470"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=19470"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}