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Erythropoiesis-Stimulating Agent Pregnancy: C

Epoetin Alfa

Brand names: Eprex, Epogen

Adult dose

Dose: 50–300 units/kg three times weekly
Route: SC or IV
Frequency: Three times weekly (SC preferred in non-dialysis CKD)
Target Hb 100–120 g/L. Reduce dose if Hb rises >20g/L/month or exceeds 120g/L.

Clinical pearls

  • Always ensure iron replete before starting — ESAs ineffective with iron deficiency (TSAT >20%, ferritin >200 ng/mL)
  • Never target Hb >130g/L — increased cardiovascular events (TREAT trial)
  • SC administration requires 20–30% less dose than IV
  • Darbepoetin alfa: longer half-life, weekly or fortnightly dosing

Contraindications

  • Uncontrolled hypertension
  • Pure red cell aplasia
  • Hypersensitivity to EPO

Side effects

  • Hypertension
  • Thrombosis
  • Flu-like symptoms
  • Pure red cell aplasia (rare)
  • Headache

Interactions

  • Cyclosporin — may need dose adjustment
  • ACE inhibitors — may blunt response

Monitoring

  • Haemoglobin (every 2–4 weeks during dose adjustment)
  • Blood pressure
  • Iron stores (TSAT, ferritin)
  • Reticulocyte count

Reference: KDIGO Anaemia in CKD Guidelines 2012. Verify against your local formulary and the latest BNF before prescribing.

Related

Curated clinical cross-links plus same-class fallbacks.