Monograph Details
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Hematology
> Bleeding disorders
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FEIBA VH |
| Manufacturer |
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Baxter |
| Legal Classification |
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Rx
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| Pharmacological Class |
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Hemostatic. |
| Generic Name |
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Anti-inhibitor Coagulant Complex (AICC) 500 units, 1000 units, 2500 units; per vial; for IV infusion after reconstitution; contains Factors II, IX, X (non-activated); Factor VII (activated); Factor VIII inhibitor bypassing activity; Prothrombin Complex Factors; heparin-free. |
| Indications |
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To control spontaneous bleeding or to cover surgical interventions in Hemophilia A and B with inhibitors (see literature). |
| Adults and Children |
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Infusion rate: ≤2units/kg per minute. Joint hemorrhage: 50units/kg every 12hrs; may increase to 100units/kg. Mucous membrane bleeding: 50units/kg every 6hrs; if bleeding continues, increase to 100units/kg every 6hrs; max: 2 doses. Soft tissue: 100units/kg every 12hrs. Other severe hemorrhages (eg. CNS bleeding): 100units/kg every 12hrs; may increase to 6hr intervals. All: Max 200units/kg per day (100units/kg per dose). |
| Contraindications |
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Normal coagulation mechanism. |
| Precautions |
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Not for treating bleeding episodes due to coagulation factor deficiencies; must have circulating inhibitors to one or more coagulation factors. Disseminated intravascular coagulation (DIC); fibrinolysis: not recommended. Monitor for development of DIC and/or acute coronary ischemia; discontinue if occurs. Contains human plasma; monitor for possible infection transmission. Non-hemophiliacs. Latex allergy. Newborns. Pregnancy (Cat.C). |
| Interactions |
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Separate antifibrinolytics by 12 hours. |
| Adverse Reactions |
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Allergic reactions, thromboembolic events, DIC; rare: myocardial infarction. |
| Extra Text |
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Note: Report all infections suspected to be transmitted by Feiba VH to (800) 423-2862. |
| How Supplied |
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Single-dose vials—1 (w. diluent, transfer device) |
| Additional Resources |
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• Related Prescribing Note |
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