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Updated: 3/14/2020

Erythropoietin

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  • Snapshot
    • A 60-year-old man with a history of human immunodeficiency virus (HIV) presents to his infectious disease doctor for fatigue. He has been on anti-retroviral therapy, including zidovudine. His lab monitoring has shown progressive decrease in his hemoglobin, requiring a blood transfusion once. As his HIV is stable, he does not wish to change his current treatment regimen. He was told there is a medication that would stimulate his bone marrow to produce more red blood cells.
  • Overview
    • Drugs
      • epoetin alpha
        • recombinant human erythropoietin
          • erythropoietin is physiologically released by the kidney in response to hypoxia
    • Mechanism of action
      • stimulates red blood cell production by the bone marrow via activation of receptors on erythroid progenitor cells
    • Clinical use
      • anemia of renal failure
      • bone marrow suppression
      • chemotherapy-induced anemia
      • drug-induced anemia
    • Adverse effects
      • fever
      • nausea and vomiting
      • rash
      • pruritus
      • increased hematocrit leading to thrombosis
      • hypertension

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