{"id":6645,"date":"2021-01-11T13:25:40","date_gmt":"2021-01-11T13:25:40","guid":{"rendered":"https:\/\/zeepedia.com\/?p=6645"},"modified":"2021-06-14T07:41:15","modified_gmt":"2021-06-14T07:41:15","slug":"ceprotin","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/ceprotin\/","title":{"rendered":"Ceprotin &#8211; Human protein C uses, dose and side effects"},"content":{"rendered":"\n<p> 500 IU&nbsp;powder and solvent for&nbsp;solution&nbsp;for&nbsp;injection.&nbsp;<br>human&nbsp;protein&nbsp;C<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What CEPROTIN is and what it is used for<\/h2>\n\n\n\n<p>CEPROTIN belongs to a group of medicines called&nbsp;anticoagulants.&nbsp;This drug contains&nbsp;protein&nbsp;C, a natural&nbsp;protein&nbsp;that is formed in the liver and is found in the blood.&nbsp;Protein&nbsp;C plays an important role in preventing excessive clot formation in order to prevent and \/ or treat blood clots in the blood vessels.<\/p>\n\n\n\n<p>CEPROTIN is used to treat and prevent skin damage caused by blood clots and bleeding (called&nbsp;purpura fulminans&nbsp;) in patients with severe congenital&nbsp;protein&nbsp;C deficiency.&nbsp;CEPROTIN can also be used to treat a rare side effect of a blood thinner (&nbsp;anticoagulant&nbsp;called&nbsp;vitamin&nbsp;K&nbsp;antagonist&nbsp;), which can result in severe skin damage (&nbsp;necrosis&nbsp;).<br><\/p>\n\n\n\n<p>CEPROTIN is also used to prevent blood clots in patients with severe congenital&nbsp;protein&nbsp;C deficiency if one or more of the following conditions are met:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>before imminent surgery or invasive surgery<\/li><li>during initial treatment with&nbsp;vitamin&nbsp;K&nbsp;antagonist&nbsp;(&nbsp;AVK&nbsp;) (&nbsp;anticoagulants, blood thinners)<\/li><li>when&nbsp;AVK&nbsp;treatment&nbsp;alone&nbsp;is not enough<\/li><li>when&nbsp;AVK&nbsp;treatment is not possible<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before using CEPROTIN<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use CEPROTIN<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic (hypersensitive) to human&nbsp;protein&nbsp;C or any of the other ingredients of this medicine (listed in section 6), including mouse protein or&nbsp;heparin&nbsp;.<\/li><\/ul>\n\n\n\n<p>In case of life-threatening thrombotic complications, your doctor will decide if you should receive CEPROTIN or not.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before using CEPROTIN.&nbsp;Take special care with CEPROTIN if allergic symptoms occur.&nbsp;Allergic symptoms include rash, difficulty breathing, low&nbsp;blood pressure, chest tightness, and&nbsp;shock.&nbsp;If these symptoms occur during&nbsp;administration&nbsp;of CEPROTIN,&nbsp;the injection&nbsp;should&nbsp;be discontinued.&nbsp;Such symptoms may indicate an&nbsp;allergic reaction&nbsp;to one of the ingredients, mouse protein or&nbsp;heparin&nbsp;.&nbsp;The drug may contain traces of&nbsp;heparin&nbsp;and\/or mouse protein after the manufacturing process.&nbsp;If such a reaction occurs, your doctor will decide which treatment is appropriate.<br><\/p>\n\n\n\n<p>If the preparation is used by patients with severe congenital&nbsp;protein&nbsp;C deficiency,&nbsp;antibodies&nbsp;to&nbsp;protein&nbsp;C&nbsp;may&nbsp;develop, thereby reducing the effect of the drug.&nbsp;However, this has not been observed so far in clinical studies.<br><\/p>\n\n\n\n<p>When medicines are made from human blood or&nbsp;plasma,&nbsp;special measures are taken to prevent the&nbsp;transmission of&nbsp;infection&nbsp;to patients.&nbsp;This includes a careful selection of blood and plasma donors to ensure that those at risk of carrying an&nbsp;infection&nbsp;are excluded, and that each donation and plasma pool is tested for signs of virus \/ infection.&nbsp;The manufacturers of these products also include steps in the management of blood and&nbsp;plasma&nbsp;that can inactivate or secrete&nbsp;viruses.&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 viruses and other types of&nbsp;infection.<br><\/p>\n\n\n\n<p>The measures taken are considered to be effective against enveloped&nbsp;viruses&nbsp;such as&nbsp;HIV&nbsp;,&nbsp;hepatitis&nbsp;B and&nbsp;hepatitis&nbsp;C, and for the non-enveloped&nbsp;hepatitis&nbsp;A&nbsp;virus&nbsp;.&nbsp;The measures may be of limited value against non-enveloped&nbsp;viruses&nbsp;such as parvovirus B19.&nbsp;Parvovirus B19&nbsp;infection&nbsp;can be serious in pregnant women (&nbsp;fetal&nbsp;infection&nbsp;) and in patients with immunodeficiency or certain types of&nbsp;anemia&nbsp;(eg sickle cell or&nbsp;haemolytic anemia&nbsp;).<br><\/p>\n\n\n\n<p>Your doctor may suggest&nbsp;hepatitis&nbsp;A and B&nbsp;vaccination&nbsp;if you are regularly \/ repeatedly treated with&nbsp;Protein&nbsp;C products extracted from human plasma.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and CEPROTIN<\/h2>\n\n\n\n<p>No&nbsp;interactions&nbsp;with other drugs are currently known.<\/p>\n\n\n\n<p>Despite this, tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.<br><\/p>\n\n\n\n<p>If you are switching to oral&nbsp;anticoagulants&nbsp;, treatment with CEPROTIN must be continued until the&nbsp;anticoagulant&nbsp;effect is stable.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">CEPROTIN with food and drink<\/h2>\n\n\n\n<p>Not relevant.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n<p>Your doctor will decide if CEPROTIN should be used during pregnancy and breast-feeding.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>CEPROTIN has no effect on your ability to drive or use machines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">CEPROTIN contains sodium<\/h2>\n\n\n\n<p>This medicine contains 22.5 mg&nbsp;sodium&nbsp;(the main ingredient in table salt\/table salt) per&nbsp;vial.&nbsp;This corresponds to 1.1% of the highest recommended daily intake of&nbsp;sodium&nbsp;for adults.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to use CEPROTIN<\/h2>\n\n\n\n<p>CEPROTIN is for&nbsp;intravenous&nbsp;administration&nbsp;(&nbsp;infusion&nbsp;into a vein).&nbsp;It is given under the supervision of a doctor who has experience of treatment with coagulation factors\/inhibitors where control of&nbsp;protein&nbsp;C activity is possible.&nbsp;Dosage&nbsp;one varies depending on your condition and your body weight.<br><\/p>\n\n\n\n<p><strong>Dosage<\/strong><\/p>\n\n\n\n<p>The dose, frequency of administration, and duration of treatment depend on the severity of the&nbsp;protein&nbsp;C deficiency as well as on your clinical condition and plasma levels of&nbsp;protein&nbsp;C. These factors should be adjusted based on the clinical effect and laboratory tests in the individual case.<br><\/p>\n\n\n\n<p>A&nbsp;protein&nbsp;C activity of 100% should be obtained&nbsp;initially&nbsp;and the activity should be maintained above 25% during the course of treatment.<\/p>\n\n\n\n<p>An&nbsp;initial&nbsp;dose&nbsp;of 60 to 80 IU \/ kg should be given.&nbsp;Your doctor will take several blood tests to determine how long&nbsp;protein&nbsp;C stays in your body.&nbsp;Measurement of&nbsp;protein&nbsp;C activity by chromogenic substrate method for determining your&nbsp;plasma&nbsp;protein&nbsp;C levels is&nbsp;recommended before and during treatment with CEPROTIN.<br><\/p>\n\n\n\n<p>Dosage&nbsp;one should be based on the&nbsp;protein&nbsp;C activity determined in the laboratory.&nbsp;In the event of&nbsp;an acute&nbsp;thrombotic event, laboratory tests should be performed every 6 hours until your medical condition has stabilized, then twice daily and immediately before the next&nbsp;injection.&nbsp;It should be remembered that the&nbsp;half-life&nbsp;of protein C can be greatly shortened in certain clinical conditions such as&nbsp;acute thrombosis&nbsp;with&nbsp;fulminant&nbsp;purpura and skin necrosis.<br><\/p>\n\n\n\n<p>If you have kidney and\/or liver disease, tell your doctor as this may mean that treatment may need to be adjusted.<br><\/p>\n\n\n\n<p>If you switch to&nbsp;prophylactic&nbsp;treatment with oral&nbsp;anticoagulants&nbsp;, the protein C substitution should not be discontinued until stable anticoagulation has been achieved (see \u201cImportant information about some of the ingredients of CEPROTIN\u201d).<br><\/p>\n\n\n\n<p>If you are treated prophylactically with&nbsp;protein&nbsp;C, higher minimum levels may be justified in situations where there is an increased risk of&nbsp;thrombosis&nbsp;(eg in case of&nbsp;infection&nbsp;, trauma or surgery).<br><\/p>\n\n\n\n<p>If you are APC-&nbsp;resistant&nbsp;, which is a thromboembolic risk factor in up to 5% of the population in Europe, your doctor may need to adjust your treatment accordingly.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Administration<\/h2>\n\n\n\n<p>CEPROTIN is given by&nbsp;intravenous&nbsp;injection&nbsp;after reconstitution of the powder for&nbsp;solution&nbsp;for&nbsp;injection&nbsp;with&nbsp;sterile water for injections.&nbsp;When you are given CEPROTIN, it is recommended that the product name and batch number be registered to enable the tracking of the used product.<br><\/p>\n\n\n\n<p>Dissolve lyophilised CEPROTIN powder for&nbsp;solution&nbsp;for&nbsp;injection&nbsp;in the supplied&nbsp;diluent&nbsp;(sterile water for injections) using the sterile transfer needle.&nbsp;Gently rotate the vial until all the powder is dissolved.<br><\/p>\n\n\n\n<p>After reconstitution, the solution is drawn through the sterile filter needle into a&nbsp;sterile&nbsp;disposable syringe.&nbsp;A separate unused filter needle must be used for each&nbsp;vial of dissolved CEPROTIN.&nbsp;The solution should be discarded if particles can be observed.<br><\/p>\n\n\n\n<p>The reconstituted solution should be given immediately as an&nbsp;intravenous&nbsp;injection.<\/p>\n\n\n\n<p>CEPROTIN should be given at a maximum injection rate of 2 ml\/min.&nbsp;In children weighing less than 10 kg, the injection rate should not exceed 0.2 ml \/ kg \/ min.<br><\/p>\n\n\n\n<p>The unused solution, empty vials, used needles, and syringes must be disposed of properly.<br><\/p>\n\n\n\n<p>The frequency of treatment sessions and the duration of treatment depend on the severity of your&nbsp;protein&nbsp;C deficiency, on the results of the determinations of the protein C level in the plasma and on the location and extent of&nbsp;thrombosis&nbsp;.<br><\/p>\n\n\n\n<p>In&nbsp;acute&nbsp;thrombosis, CEPROTIN can be given every 6 hours.&nbsp;As the tendency for thrombus formation decreases, the frequency may decrease.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more CEPROTIN than you should&nbsp;<\/h2>\n\n\n\n<p>It is recommended that you adhere to the dose level and treatment intervals recommended by your doctor.&nbsp;If you take more CEPROTIN than you should, contact your doctor as soon as possible.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use CEPROTIN<\/h2>\n\n\n\n<p>Not relevant.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using CEPROTIN<\/h2>\n\n\n\n<p>Do not stop using CEPROTIN without consulting your doctor.<br><\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects, although not everybody gets them.<br><\/p>\n\n\n\n<p>You may notice any of the following&nbsp;side effects&nbsp;after&nbsp;administering&nbsp;CEPROTIN:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>As with all products administered&nbsp;intravenously&nbsp;into a vein, allergic reactions, including severe and potentially life-threatening reactions (&nbsp;anaphylaxis&nbsp;) are possible.&nbsp;<br>You should be aware of early signs of allergic reactions such as burning and stinging sensation at the injection site, chills,&nbsp;redness, rash, difficulty breathing, nausea, headache,&nbsp;lethargy, low&nbsp;blood pressure,&nbsp;and chest tightness.<\/li><li>The following&nbsp;side effects&nbsp;are rarely observed during&nbsp;clinical studies&nbsp;(less than 1 case per 1000&nbsp;administration&#8217;s patients):&nbsp;itching&nbsp;(&nbsp;pruritus&nbsp;), rash, and dizziness.<\/li><li>Experience after the product has started to be marketed has given reports of restlessness, excessive sweating and pain and&nbsp;redness&nbsp;at the injection site.<\/li><\/ul>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>If you get any side effects, talk to your doctor, pharmacist, or nurse.&nbsp;This includes any possible side effects not listed in this leaflet.&nbsp;You can also report side effects directly to the Medical Products Agency,&nbsp;www.lakemedelsverket.se.&nbsp;By reporting side effects, you can help increase drug safety information.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store CEPROTIN<\/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 after EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Store in a refrigerator (2 \u00b0 C &#8211; 8 \u00b0 C).&nbsp;Do not freeze.&nbsp;Keep the vial in the outer carton.&nbsp;Sensitive to light.<br><\/p>\n\n\n\n<p>The reconstituted solution should be used immediately.<br><\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is human&nbsp;protein&nbsp;C.<\/li><li>The other ingredients are human albumin, trisodium citrate dihydrate, and sodium chloride.&nbsp;Sterile water for injections is used&nbsp;as the&nbsp;diluent&nbsp;.<\/li><\/ul>\n\n\n\n<p><strong>What the medicine looks like and the contents of the pack<\/strong><\/p>\n\n\n\n<p>CEPROTIN is supplied as a powder and solvent for&nbsp;solution&nbsp;for&nbsp;injection.&nbsp;It is a white or off-white powder or brittle solid.&nbsp;After&nbsp;reconstitution, the solution is colorless to slightly yellowish and clear to slightly opaque, and substantially free of visible particles.<br><\/p>\n\n\n\n<p>Each pack also contains a transfer needle and a filter needle.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder:<\/h2>\n\n\n\n<p>Takeda Manufacturing Austria AG<\/p>\n\n\n\n<p>Industriestrasse 67<\/p>\n\n\n\n<p>1221 Vienna<\/p>\n\n\n\n<p>Austria<\/p>\n\n\n\n<p>Tel: +800 66838470<\/p>\n\n\n\n<p>Email: medinfoEMEA@takeda.com<br><\/p>\n\n\n\n<p><strong>Manufacturer:<\/strong><br><\/p>\n\n\n\n<p>Takeda Manufacturing Austria AG<\/p>\n\n\n\n<p>Industriestrasse 67<\/p>\n\n\n\n<p>1221 Vienna<\/p>\n\n\n\n<p>Austria<br><\/p>\n\n\n\n<p>Baxter AG<\/p>\n\n\n\n<p>Industriestrasse 67<\/p>\n\n\n\n<p>1221 Vienna<\/p>\n\n\n\n<p>Austria<br><\/p>\n\n\n\n<p>Further information on this medicine is available on the European Medicines Agency web site:&nbsp;http:\/\/www.ema.europa.eu.<br><\/p>\n\n\n\n<p>This leaflet is available in all EU \/ EEA languages \u200b\u200bon the European Medicines Agency&#8217;s website.<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>CEPROTIN belongs to a group of medicines called anticoagulants. This drug contains protein C, a natural protein that is formed in the liver and is found in the blood. Protein C plays an important role in preventing excessive clot formation in order to prevent and \/ or treat blood clots in the blood vessels.<\/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":[2203,2200],"tags":[7486,7489,7482,7485,7484,2216,2212,7490,7487,7483],"class_list":["post-6645","post","type-post","status-publish","format-standard","hentry","category-c","category-medicines","tag-ceprotin","tag-ceprotin-injection","tag-human-protein-c","tag-human-protein-c-injection","tag-human-protein-c-side-effects","tag-injections","tag-medicine","tag-side-effects-of-ceprotin","tag-what-is-ceprotin","tag-what-is-human-protein-c"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6645","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=6645"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6645\/revisions"}],"predecessor-version":[{"id":11529,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6645\/revisions\/11529"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=6645"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=6645"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=6645"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}