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Anti-inhibitor Coagulant Complex
Pronunciation
U.S. Brand Names
Generic Available
Synonyms
Pharmacological Index
Use
Pregnancy Risk Factor
Contraindications
Warnings/Precautions
Adverse Reactions
Overdosage/Toxicology
Stability
Usual Dosage
Test Interactions
Mental Health: Effects on Mental Status
Mental Health: Effects on Psychiatric Treatment
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Patient Information
Nursing Implications
Dosage Forms

Pronunciation
(an tee-in HI bi tor coe AG yoo lant KOM pleks)

U.S. Brand Names
Autoplex® T; Feiba VH Immuno®

Generic Available

No


Synonyms
Coagulant Complex Inhibitor

Pharmacological Index

Antihemophilic Agent; Blood Product Derivative


Use

Patients with factor VIII inhibitors who are to undergo surgery or those who are bleeding


Pregnancy Risk Factor

C


Contraindications

Disseminated intravascular coagulation; patients with normal coagulation mechanism


Warnings/Precautions

Products are prepared from pooled human plasma; such plasma may contain the causative agents of viral diseases. Tests used to control efficacy such as APTT, WBCT, and TEG do not correlate with clinical efficacy. Dosing to normalize these values may result in DIC. Identification of the clotting deficiency as caused by factor VIII inhibitors is essential prior to starting therapy. Use with extreme caution in patients with impaired hepatic function.


Adverse Reactions

<1%: Hypotension, flushing, fever, headache, chills, rash, urticaria, disseminated intravascular coagulation, anaphylaxis, indications of protein sensitivity


Overdosage/Toxicology

Rapid infusion may cause hypotension, excessive administration can cause DIC


Stability

Store at 2°C to 8°C (36°F to 46°F); use within 1-3 hours after reconstitution


Usual Dosage

Dosage range: 25-100 factor VIII correctional units per kg depending on the severity of hemorrhage


Test Interactions

PT, PTT, WBCT, fibrin, platelets, fibrin split products


Mental Health: Effects on Mental Status

None reported


Mental Health: Effects on Psychiatric Treatment

None reported


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

No effects or complications reported


Patient Information

This medication can only be given I.V. Immediately report backache, itching or rash, difficulty breathing, acute feelings of anxiety, or sudden onset headache. Pregnancy/breast-feeding precautions: Inform prescriber if you are pregnant. Consult prescriber if breast-feeding.


Nursing Implications

Monitor for hypotension, may reinitiate infusion at a slower rate; have epinephrine ready to treat hypersensitivity reactions


Dosage Forms

Injection:

Feiba VH Immuno®, heparin free: Each bottle is labeled with correctional units of Factor VIII


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