DARBEPOETIN

(Aranesp)

Standard Prescription

darbepoetin__mcg SC/IV__(frequency) (__mcg/kg/week)

Dosages

*restricted - for use by Nephrology only*

Anemia associated with chronic kidney disease:

Infants, Children and Adolescents: 0.2-0.45 mcg/kg/week initially SC/IV and adjust dose to achieve target Hgb level

*note: dose should be rounded to the nearest available syringe size

Mechanism of Action

Erythropoiesis-stimulating agent (ESA); recombinant human erythropoietin.

Forms Supplied

Single use Pre-filled Syringes (PFS):

10 mcg

20 mcg

30 mcg

40 mcg

(other syringe sizes available but may not be stocked at BCCH).

Comments

1 mcg darbepoetin approximately equivalent to 200 units of EPO.

Dosing interval may range from every 1-4 weeks.

Do not shake. Shaking may denature proteins and render the product inactive.

Do not send by pneumatic tube system.

Syringes must be refrigerated.

Doses of 2.5, 5 or 7.5 microgram may be given using the 10 mcg syringe: consult nephrology team for guidance.

IV use restricted to hemodialysis patients.

References

32, 39, 47

Last Edited

2022-06-19 05:08:35