{"id":6949,"date":"2021-02-06T11:20:52","date_gmt":"2021-02-06T11:20:52","guid":{"rendered":"https:\/\/zeepedia.com\/?p=6949"},"modified":"2021-06-04T10:03:45","modified_gmt":"2021-06-04T10:03:45","slug":"cluvot","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/cluvot\/","title":{"rendered":"Cluvot &#8211; Human coagulation factor XIII uses, dose and side effects"},"content":{"rendered":"\n<p> 250 IU, 1250 IU&nbsp;Powder, and solvent for solution for injection\/infusion&nbsp;<br>Human&nbsp;coagulation factor&nbsp;XIII<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Cluvot is and what it is used for<\/h2>\n\n\n\n<p><strong><em>What is Cluvot?<\/em><\/strong><\/p>\n\n\n\n<p>Cluvot consists of a white powder and a&nbsp;diluent&nbsp;which is prepared into a finished solution.&nbsp;The solution is given as an&nbsp;injection&nbsp;into a vein.<br><\/p>\n\n\n\n<p>Cluvot contains&nbsp;coagulation factor&nbsp;XIII (FXIII) from&nbsp;human&nbsp;plasma&nbsp;(the fluid part of the blood) and has an important hemostatic function (stops bleeding).<br><\/p>\n\n\n\n<p><em><strong>What is Cluvot used for?<\/strong><\/em><\/p>\n\n\n\n<p>Cluvot is used in adults and children<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>as a preventive treatment for congenital factor XIII deficiency and<\/li><li>for the treatment of bleeding during surgery of patients with congenital FXIII deficiency.<\/li><\/ul>\n\n\n\n<p>Human&nbsp;coagulation factor&nbsp;XIII contained in Cluvot may also be approved for the treatment of other diseases not mentioned in this product information.&nbsp;Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before using Cluvot<\/h2>\n\n\n\n<p>The following sections provide information that your doctor should consider before taking Cluvot.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Cluvot:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to the active substance or any of the other ingredients of this medicine (listed in section 6).<\/li><\/ul>\n\n\n\n<p><strong>Tell your doctor if you have any drug or food allergies.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor before using Cluvot:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have previously&nbsp;<em>had allergic reactions<\/em>&nbsp;to FXIII.&nbsp;You should take&nbsp;antihistamines&nbsp;and&nbsp;corticosteroids&nbsp;for prevention if your doctor advises you to do so.<\/li><li>if an&nbsp;<em>allergic or&nbsp;anaphylactic reaction<\/em>&nbsp;occurs (a severe&nbsp;allergic reaction&nbsp;that causes great difficulty breathing or dizziness).&nbsp;<strong>The use of Cluvot should then be stopped immediately (injection\/infusion stopped).&nbsp;In case of medical&nbsp;shock, standard medical treatment should be used.<\/strong><\/li><li><strong>if you have a&nbsp;history of thrombosis&nbsp;(blood clot)<\/strong>.&nbsp;Caution should be exercised due to the ability of FXIII to affect blood&nbsp;coagulation&nbsp;(fibrin stabilizing effect).<\/li><\/ul>\n\n\n\n<p>A known complication of the treatment is the&nbsp;<em>formation of inhibitors (neutralizing&nbsp;antibodies&nbsp;)<\/em>, which means that the treatment stops working.&nbsp;If your bleeding can not be controlled with Cluvot, consult your doctor immediately.&nbsp;You should then be closely monitored for the formation of&nbsp;antibodies.<br><\/p>\n\n\n\n<p>Your doctor will carefully consider the benefits of Cluvot treatment compared to the risk of the above complications.<br><\/p>\n\n\n\n<p><em><strong>Virus security<\/strong><\/em><\/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:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>a careful selection of blood and plasma donors to ensure that people at risk of being carriers are excluded.<\/li><li>testing of individual donations and plasma pools for signs of viruses\/infections.<\/li><li>steps to inactivate or remove&nbsp;viruses&nbsp;during production from blood and&nbsp;plasma.<\/li><\/ul>\n\n\n\n<p>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 unknown or new&nbsp;viruses&nbsp;or other types of&nbsp;infections.<br><\/p>\n\n\n\n<p>The measures taken are considered effective for enveloped&nbsp;viruses&nbsp;such as human immunodeficiency virus (&nbsp;HIV&nbsp;),&nbsp;hepatitis&nbsp;B, and&nbsp;hepatitis&nbsp;C&nbsp;virus, and against non-enveloped&nbsp;viruses&nbsp;a&nbsp;hepatitis&nbsp;A and parvovirus B19.<br><\/p>\n\n\n\n<p>It is strongly recommended that your doctor record the product name and batch number of the medicine (indicated on the carton) each time you receive Cluvot.<br><\/p>\n\n\n\n<p>Your doctor may suggest vaccination against&nbsp;hepatitis&nbsp;A and B if you are regularly \/ repeatedly treated with drugs made from&nbsp;human&nbsp;plasma.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Cluvot<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/li><li>There are no known&nbsp;interactions&nbsp;between concentrates containing&nbsp;human coagulation factor&nbsp;XIII and other drugs.<\/li><li>Cluvot should not be mixed with other medicinal products, solutions, or diluents other than those listed in section 6 and these should be administered with a separate infusion line.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>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.<\/li><li>Limited data from the use of Cluvot in pregnant women do not indicate any adverse effects during pregnancy or on the health of the fetus \/ newborn baby.&nbsp;Therefore, Cluvot can be used during pregnancy when deemed necessary.<\/li><li>There are no data on the excretion of Cluvot in breast milk.&nbsp;Because FXIII is a large&nbsp;molecule, excretion in breast milk is unlikely and due to its protein&nbsp;properties, absorption&nbsp;of intact&nbsp;molecules&nbsp;in the baby is also unlikely.&nbsp;Cluvot can therefore be used during breast-feeding.<\/li><li>There are no data available on&nbsp;fertility.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>No studies on the ability to drive and use machines have been performed.<br><\/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 attention.&nbsp;One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or&nbsp;side effects.&nbsp;Descriptions of these effects and&nbsp;side effects&nbsp;can be found in other sections.&nbsp;Read all the information in this leaflet for guidance.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Cluvot contains sodium<\/h2>\n\n\n\n<p>Be aware that Cluvot contains&nbsp;sodium.&nbsp;This should be considered if you have been prescribed a low-salt diet.&nbsp;Cluvot contains 124.4-195.4 mg (5.41\u20118.50 mmol) of&nbsp;sodium&nbsp;per&nbsp;dose&nbsp;(40 IU \/ kg body weight &#8211; for normal weight of 70 kg) if the recommended&nbsp;dose is&nbsp;one (2800 IU = 44.8 ml) ges.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to use Cluvot<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Cluvot is usually given by a doctor.<\/li><li>Cluvot is only to be given as an&nbsp;injection&nbsp;into a vein.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Dosage<\/h2>\n\n\n\n<p>Your doctor will calculate the&nbsp;dose&nbsp;you need and how often Cluvot should be given to you, taking into account how well the treatment is working.<\/p>\n\n\n\n<p>For more information, see the section&nbsp;&#8220;The following information is intended for healthcare professionals only&#8221;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use more Cluvot then you should&nbsp;<\/h2>\n\n\n\n<p>No cases of overdose have been reported and this is not expected as healthcare professionals are giving the medicine.<\/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>The following&nbsp;side effects&nbsp;have been observed in rare cases (affects more than 1 user in 10,000 and less than 1 in 1,000 users):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>Allergic reactions<\/em>&nbsp;such as&nbsp;urticaria&nbsp;(itchy swelling of the skin), rash, drop in blood pressure (which may make you feel dizzy or faint), and difficulty breathing.<\/li><li><em>Elevated body temperature<\/em><\/li><\/ul>\n\n\n\n<p>The following&nbsp;side effects&nbsp;have been observed in very rare cases (affects less than 1 user in 10,000):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>The formation of the&nbsp;antibody&nbsp;is<\/em>&nbsp;against FXIII.<\/li><\/ul>\n\n\n\n<p>If allergic reactions occur,&nbsp;administration&nbsp;of Cluvot must be stopped immediately and appropriate treatment initiated.&nbsp;In the event of a medical&nbsp;shock, the applicable standard medical treatment must be applied.<br><\/p>\n\n\n\n<p><strong>Side effects&nbsp;are in children and adolescents<\/strong><\/p>\n\n\n\n<p>Side effects&nbsp;in children and adolescents are expected to be the same as in adults.<br><\/p>\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;Postal address<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Cluvot<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Store in a refrigerator (2&nbsp;<sup>\u00b0<\/sup>&nbsp;C &#8211; 8&nbsp;<sup>\u00b0<\/sup>&nbsp;C).<\/li><li>Do not freeze.<\/li><li>Keep the vial in the outer carton.&nbsp;Sensitive to light.<\/li><li>Cluvot does not contain any&nbsp;preservatives.&nbsp;The reconstituted solution should be given immediately.&nbsp;If the solution is not used immediately, the storage time should not exceed 4 hours at room temperature.&nbsp;The reconstituted solution should not be stored refrigerated or frozen.<\/li><li>Keep this medicine out of the sight and reach of children.<\/li><li>Do not use this medicine after the expiry date which is stated on the label and carton.<\/li><\/ul>\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<p><strong><em>The active substance is:<\/em><\/strong><\/p>\n\n\n\n<p>Human&nbsp;coagulation factor&nbsp;XIII, 250 IU, and 1250 IU, respectively, per&nbsp;vial.<\/p>\n\n\n\n<p>IU = IE (International Units)<br><\/p>\n\n\n\n<p><strong><em>Other ingredients are:<\/em><\/strong><\/p>\n\n\n\n<p>Human albumin, glucose monohydrate, sodium chloride, sodium hydroxide (in small amounts for&nbsp;pH&nbsp;adjustment&nbsp;).<\/p>\n\n\n\n<p><em>Diluent<\/em>: Water for injections.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Cluvot is supplied as a white powder together with a&nbsp;diluent&nbsp;(water for injections).&nbsp;The reconstituted solution should be colorless, clear to slightly opalescent.&nbsp;When held against the light, it should not be cloudy or contain precipitates\/particles.<br><\/p>\n\n\n\n<p><strong><em>Packaging:<\/em><\/strong><\/p>\n\n\n\n<p>One pack of 250 IU contains<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>1&nbsp;vial&nbsp;of powder<\/li><li>1&nbsp;vial&nbsp;with 4 ml of water for injections<\/li><li>1 transfer set with filter 20\/20 (Mix2Vial)<\/li><\/ul>\n\n\n\n<p>Accessories for&nbsp;administration&nbsp;(inner carton):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>1 disposable syringe (5 ml)<\/li><li>1 venipuncture set<\/li><li>2 alcohol dryers<\/li><li>1 non-sterile&nbsp;patch<\/li><\/ul>\n\n\n\n<p>One pack of 1250 IU contains<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>1&nbsp;vial&nbsp;of powder<\/li><li>1&nbsp;vial&nbsp;with 20 ml water for injections<\/li><li>1 transfer set with filter 20\/20 (Mix2Vial)<\/li><\/ul>\n\n\n\n<p>Accessories for&nbsp;administration&nbsp;(inner carton):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>1 disposable syringe (20 ml)<\/li><li>1 venipuncture set<\/li><li>2 alcohol dryers<\/li><li>1 non-sterile&nbsp;patch<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>CSL Behring GmbH<\/p>\n\n\n\n<p>Emil-von-Behring-Strasse 76<\/p>\n\n\n\n<p>35041 Marburg<\/p>\n\n\n\n<p>Germany<br><\/p>\n\n\n\n<p><strong>Further information on this medicine can be obtained from the representative of the marketing authorization holder:<\/strong><\/p>\n\n\n\n<p>CSL Behring AB<\/p>\n\n\n\n<p>Box 712<\/p>\n\n\n\n<p>182 17 Dande<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cluvot consists of a white powder and a diluent which is prepared into a finished solution. The solution is given as an injection into a vein.<\/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":[6858,6861,6860,6862,6854,6857,6856,6859,6855],"class_list":["post-6949","post","type-post","status-publish","format-standard","hentry","category-c","category-medicines","tag-cluvot","tag-cluvot-injection","tag-cluvot-side-effects","tag-cluvot-uses","tag-human-coagulation-factor-xiii","tag-human-coagulation-factor-xiii-dose","tag-human-coagulation-factor-xiii-uses","tag-what-is-cluvot","tag-what-is-human-coagulation-factor-xiii"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6949","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=6949"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6949\/revisions"}],"predecessor-version":[{"id":11328,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/6949\/revisions\/11328"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=6949"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=6949"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=6949"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}