{"id":8762,"date":"2021-03-18T11:14:25","date_gmt":"2021-03-18T11:14:25","guid":{"rendered":"https:\/\/zeepedia.com\/?p=8762"},"modified":"2021-04-12T15:17:41","modified_gmt":"2021-04-12T15:17:41","slug":"fibryga","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/fibryga\/","title":{"rendered":"Fibryga &#8211; Human Fibrinogen  uses, dose and side effects"},"content":{"rendered":"\n<p> 1 g&nbsp;Powder and solvent for solution for injection\/infusion&nbsp;<br>Human fibrinogen<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Fibryga is and what it is used for<\/h2>\n\n\n\n<p><strong>What Fibryga is<\/strong><\/p>\n\n\n\n<p>Fibrous contains human fibrinogen, which is a&nbsp;protein&nbsp;that is important for the blood to coagulate (coagulate).&nbsp;Lack of fibrinogen means that the blood does not clot as well as it should, which leads to an increased tendency to bleed.&nbsp;By replacing the body&#8217;s own fibrinogen with Fibryga, you can correct the coagulation disorder.<br><\/p>\n\n\n\n<p><strong>What Fibryga is used for<\/strong><\/p>\n\n\n\n<p>Fiber bridge is used for:<\/p>\n\n\n\n<p>&#8211; to treat bleeding and as&nbsp;prophylaxis&nbsp;(preventive treatment) in surgical procedures in patients who have an increased risk of bleeding due to a congenital deficiency of fibrinogen (hypo- or afibrinogenemia).<\/p>\n\n\n\n<p>&#8211; to replace fibrinogen in patients with uncontrolled severe bleeding and acquired fibrinogen deficiency during surgery.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">2. What you need to know before using Fibryga<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Fibryga<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to human fibrinogen or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if you have previously had allergic reactions to Fibryga.<\/li><\/ul>\n\n\n\n<p><strong>Tell your doctor if you are allergic to any medicine.<\/strong><\/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 Fibryga.<br><\/p>\n\n\n\n<p><em>Risk of blood clots<\/em><\/p>\n\n\n\n<p>Your doctor should evaluate the benefits of this medicine against the risk of blood clots, especially if:<\/p>\n\n\n\n<p>&#8211; you have been given a high&nbsp;dose&nbsp;or repeated&nbsp;dose&nbsp;of this medicine<\/p>\n\n\n\n<p>&#8211; you have had a heart attack (previously had coronary heart disease or heart attack)<\/p>\n\n\n\n<p>&#8211; you have a liver disease<\/p>\n\n\n\n<p>&#8211; you have recently undergone surgery (postoperative patients)<\/p>\n\n\n\n<p>&#8211; you will undergo an operation (preoperative patients)<\/p>\n\n\n\n<p>&#8211; in newborns (neonatal)<\/p>\n\n\n\n<p>&#8211; you are likely to have blood clots or coagulation problems in blood vessels (patients at risk for thromboembolic events or multiple&nbsp;intravascular&nbsp;coagulation&nbsp;).<br><\/p>\n\n\n\n<p>To monitor the risk, your doctor may ask you to undergo further coagulation tests.<br><\/p>\n\n\n\n<p><em>Allergic reactions or reactions of the anaphylactic type<\/em><\/p>\n\n\n\n<p>All drugs, which like Fibryga are made from human blood (contain&nbsp;proteins&nbsp;) and are injected into a vein (&nbsp;intravenously&nbsp;), can cause allergic reactions.&nbsp;If you have previously had allergic reactions to Fibryga, your doctor will advise you on the need for allergy medicine.<br><\/p>\n\n\n\n<p>Your doctor will inform you of the warning signs of allergic or anaphylactic reactions.<br><\/p>\n\n\n\n<p><strong>Be aware of early signs of allergic reactions (hypersensitivity) such as:<\/strong><\/p>\n\n\n\n<p>hives<\/p>\n\n\n\n<p>&#8211; skin rash<\/p>\n\n\n\n<p>&#8211; pressure over the chest<\/p>\n\n\n\n<p>&#8211; wheezing<\/p>\n\n\n\n<p>&#8211; low&nbsp;blood pressure,<\/p>\n\n\n\n<p>or&nbsp;anaphylactic reaction&nbsp;(when any or all of the above symptoms develop rapidly and are intense).<br><\/p>\n\n\n\n<p>If they occur, the injection\/infusion of Fibryga should be stopped immediately (ie discontinue&nbsp;injection&nbsp;one).<br><\/p>\n\n\n\n<p><em>Virus security<\/em><\/p>\n\n\n\n<p>When medicines are prepared from human blood or&nbsp;plasma,&nbsp;certain measures are taken to prevent the&nbsp;transmission of&nbsp;infection&nbsp;to patients.&nbsp;These include:<\/p>\n\n\n\n<p>&#8211; careful selection of blood and plasma donors to ensure that people at risk &#8211; for being carriers &#8211; are excluded<\/p>\n\n\n\n<p>testing of individual donations and plasma pools for signs of viruses\/infections<\/p>\n\n\n\n<p>inclusion of steps in the management of blood\/plasma that can inactivate or&nbsp;eliminate&nbsp;viruses.<br><\/p>\n\n\n\n<p>Despite these measures, the risk of transmission of&nbsp;infection&nbsp;can not be completely ruled out when using drugs prepared from human blood or&nbsp;plasma.&nbsp;This also applies to new, hitherto unknown&nbsp;viruses&nbsp;or other types of&nbsp;infection.<br><\/p>\n\n\n\n<p>The measures taken are considered effective for enveloped&nbsp;viruses, such as human immunodeficiency virus (&nbsp;HIV&nbsp;),&nbsp;hepatitis&nbsp;B&nbsp;virus,&nbsp;and&nbsp;hepatitis&nbsp;C&nbsp;virus,&nbsp;as well as for non-enveloped&nbsp;hepatitis&nbsp;A&nbsp;virus.&nbsp;Measures taken may be of limited value against non-enveloped&nbsp;viruses&nbsp;such as parvovirus B19.<br><\/p>\n\n\n\n<p>Parvovirus B19&nbsp;infection&nbsp;can be serious in pregnant women (&nbsp;fetal&nbsp;infection&nbsp;) and in people with weakened immune systems or who have certain types of&nbsp;anemia&nbsp;(eg&nbsp;sickle cell anemia&nbsp;or abnormal&nbsp;red blood cell&nbsp;breakdown&nbsp;).<br><\/p>\n\n\n\n<p>It is strongly recommended that you write down the product name and batch number each time you receive Fibryga to maintain a register of which batches are used.<br><\/p>\n\n\n\n<p>Your doctor may recommend that you consider being vaccinated against&nbsp;hepatitis&nbsp;A and B if you regularly \/ repeatedly receive fibrinogen products from human plasma.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>There are no special or additional warnings or precautions for children and adolescents.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other drugs and Fibryga<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<br><\/p>\n\n\n\n<p>Fibryga must not be mixed with other medicines other than those mentioned in the section&nbsp;<em>\u201cThe following information is intended for healthcare professionals \/ Preparations only\u201d<\/em>.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/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.&nbsp;This product should only be used during pregnancy or breast-feeding on the advice of a doctor or pharmacist.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Fiber bridge has no or negligible effect on the ability to drive vehicles and use machines.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Fibrous contains sodium<\/h2>\n\n\n\n<p>This medicine contains up to 132 mg of&nbsp;sodium&nbsp;(the main ingredient in table salt\/table salt) per bottle.&nbsp;This corresponds to 6.6% of the maximum recommended daily intake of&nbsp;sodium&nbsp;for adults.&nbsp;Take this into account if you have been prescribed a low-salt diet.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to use Fibryga<\/h2>\n\n\n\n<p>Always use this medicine exactly as your doctor has told you.&nbsp;Consult a doctor if you are unsure.<\/p>\n\n\n\n<p>Fibrous is given as an&nbsp;intravenous&nbsp;infusion&nbsp;(&nbsp;infusion&nbsp;into a vein) by healthcare professionals.<\/p>\n\n\n\n<p>Dose&nbsp;and dosing regimen will depend on:<\/p>\n\n\n\n<p>&#8211; your weight the <\/p>\n\n\n\n<p>the severity of the disease<\/p>\n\n\n\n<p>where the bleeding occurred or<\/p>\n\n\n\n<p>the type of operation and<\/p>\n\n\n\n<p>&#8211; your state of health<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Use for children and adolescents<\/h2>\n\n\n\n<p>The use of Fibryga in children and adolescents (&nbsp;intravenously&nbsp;) does not differ from the use in adults.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you use too much Fibryga&nbsp;<\/h2>\n\n\n\n<p>To avoid the risk of overdose, your doctor will take regular blood tests to measure your fibrinogen levels.<br><\/p>\n\n\n\n<p>In case of overdose, the risk of abnormal blood clots may increase.<br><\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<br><\/p>\n\n\n\n<p><strong>Method of administration<\/strong><\/p>\n\n\n\n<p>This medicine should be injected or infused into veins after&nbsp;reconstitution&nbsp;with the diluent provided.&nbsp;If you have any further questions on the use of this product, ask your doctor or pharmacist.<br><\/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><strong>Contact a doctor immediately:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>if you get any&nbsp;side effects&nbsp;(see below)<\/strong><\/li><li><strong>if you notice any&nbsp;side effects&nbsp;not mentioned in this leaflet<\/strong><\/li><\/ul>\n\n\n\n<p>The following&nbsp;side effects&nbsp;have been reported with Fibryga and other fibrinogen products (affects an unknown number of users):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Allergic or anaphylactic-type reactions: skin reactions (see section 2 &#8220;Warnings and precautions&#8221;)<\/li><li>Cardiovascular reactions:&nbsp;thromboembolism,&nbsp;pulmonary embolism&nbsp;&nbsp;thrombophlebitis&nbsp;(see section 2 &#8220;Warnings and precautions&#8221;)<\/li><li>Increased body temperature<\/li><\/ul>\n\n\n\n<p>If you experience any of the above symptoms, consult a doctor as soon as possible.<br><\/p>\n\n\n\n<p><strong>Reporting of&nbsp;side effects&nbsp;ar<\/strong><\/p>\n\n\n\n<p>If you get&nbsp;any side effects, talk to your doctor or pharmacist.&nbsp;This also applies to any&nbsp;side effects&nbsp;not mentioned in this information.&nbsp;You can also report&nbsp;side effects directly (see details below).&nbsp;By reporting&nbsp;side effects, you can help increase drug safety information.<br><\/p>\n\n\n\n<p>The Medical Products Agency<\/p>\n\n\n\n<p>Box 26<\/p>\n\n\n\n<p>751 03 Uppsala<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Fibryga<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the label and carton.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>Do not store above 25 \u00b0 C.&nbsp;Do not freeze.&nbsp;Store the bottle in the outer carton.&nbsp;Sensitive to light.<br><\/p>\n\n\n\n<p>The powder should only be dissolved just before injection\/infusion.&nbsp;The stability of the reconstituted solution has been demonstrated for 24 hours at room temperature (max. 25 \u00b0 C).&nbsp;However, to prevent contamination, the solution should be used immediately and only once.&nbsp;The reconstituted solution must not be stored in the refrigerator or freezer.<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.<br><\/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 fibrinogen.<\/li><li>Fibroga contains 1 g human fibrinogen per vial or 20 mg\/ml human fibrinogen after&nbsp;reconstitution&nbsp;with the supplied diluent (50 ml water for&nbsp;injections&nbsp;).<\/li><li>The other ingredients are L-arginine hydrochloride,&nbsp;glycine, sodium chloride, and sodium citrate (dihydrate).<\/li><\/ul>\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>Fibryga is delivered as a powder and&nbsp;diluent&nbsp;for injection\/infusion, a solution provided in glass bottles.<br><\/p>\n\n\n\n<p>The powder is white or pale yellow and moisture-absorbing, which also appears as a crumbled dry substance.<br><\/p>\n\n\n\n<p>The diluent is clear and colorless.<br><\/p>\n\n\n\n<p>The prepared solution is almost colorless and slightly opalescent.<\/p>\n\n\n\n<p>Fiber bridge is sold in a package that contains:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>1 vial of powder for solution for injection\/infusion<\/li><li>1&nbsp;vial&nbsp;of&nbsp;diluent&nbsp;(water for injections)<\/li><li>1 Octajet transfer set<\/li><li>1 particle filter<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><strong>Marketing Authorisation Holder<\/strong><\/p>\n\n\n\n<p>Octapharma AB<\/p>\n\n\n\n<p>Lars Forssells gata 23<\/p>\n\n\n\n<p>75 Stockholm<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Octapharma Pharmazeutika Produktionsges.mbH<\/p>\n\n\n\n<p>Oberlaaer Strasse 235, 1100 Vienna, Austria<br><\/p>\n\n\n\n<p>Octapharma AB<\/p>\n\n\n\n<p>Lars Forssells gata 23, 75 Stockholm<br><\/p>\n\n\n\n<p><strong>This medicinal product is authorized under the European Economic Area under the names:<\/strong><br><\/p>\n\n\n\n<p>Fibers: Belgium, Bulgaria, Cyprus, Denmark, Estonia, Finland, France, Ireland, Iceland, Italy, Croatia, Latvia, Lithuania, Luxembourg, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Spain, United Kingdom,  Czech Republic, Germany, Hungary, Austria<br><\/p>\n\n\n\n<p>Fibrema: Slovenia<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p> 1 g Powder and solvent for solution for injection\/infusion<br \/>\nHuman fibrinogen<\/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":[2206,2200],"tags":[2937,2939,2940,2938,2932,2934,2936,2933,2215,2212],"class_list":["post-8762","post","type-post","status-publish","format-standard","hentry","category-f","category-medicines","tag-fibryga","tag-fibryga-dose","tag-fibryga-side-effects","tag-fibryga-uses","tag-human-fibrinogen","tag-human-fibrinogen-dose","tag-human-fibrinogen-side-effects","tag-human-fibrinogen-uses","tag-injection","tag-medicine"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8762","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=8762"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8762\/revisions"}],"predecessor-version":[{"id":10036,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8762\/revisions\/10036"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=8762"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=8762"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=8762"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}