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Eloctate Dosage

Generic name: antihemophilic factor (recombinant)
Brand names: Advate, Adynovate, Afstyla, Eloctate with Fc Fusion Protein, Esperoct
Drug class: Miscellaneous coagulation modifiers

Medically reviewed by  A Ras MD.

 

Recommended Adult Dosing

Dosage forms:  INJ

Hemophilia A

[bleeding episode, minor-moderate]
Dose: individualize dose IV q24-48h until hemostasis; Info: estimated dose (units) is [wt (kg) x desired factor VIII level (%) x 0.5] where desired factor VIII level 40-60%
[bleeding episode, major]
Dose: individualize dose IV q12-24h until hemostasis; Info: estimated dose (units) is [wt (kg) x desired factor VIII level (%) x 0.5] where desired factor VIII level 80-100%
[bleeding prophylaxis, minor surgery]
Dose: individualize dose IV x1 preop, then repeat dose IV q24h for at least 1 day until healing complete; Info: estimated dose (units) is [wt (kg) x desired factor VIII level (%) x 0.5] where desired factor VIII level 50-80%
[bleeding prophylaxis, major surgery]
Dose: 40-60 units/kg/dose IV x1 preop, then 40-50 units/kg/dose IV x1 8-24h postop, then repeat dose IV q24h for at least 7 days after healing complete; Info: desired factor VIII level 80-120%
[routine bleeding prophylaxis]
Dose: 25-65 units/kg/dose IV q3-5 days; Start: 50 units/kg/dose IV q4 days

Renal dosing

[not defined]
renal impairment: not defined
HD/PD: not defined

Hepatic dosing

[not defined]

Recommended Peds Dosing

Dosage forms:  INJ

Hemophilia A

[bleeding episode, minor-moderate, 2-5 yo]
Dose: individualize dose IV q12-24h until hemostasis; Info: estimated dose (units) is [wt (kg) x desired factor VIII level (%) x 0.5] where desired factor VIII level 40-60%
[bleeding episode, minor-moderate, 6 yo and older]
Dose: individualize dose IV q24-48h until hemostasis; Info: estimated dose (units) is [wt (kg) x desired factor VIII level (%) x 0.5] where desired factor VIII level 40-60%
[bleeding episode, major, 2-5 yo]
Dose: individualize dose IV q8-24h until hemostasis; Info: estimated dose (units) is [wt (kg) x desired factor VIII level (%) x 0.5] where desired factor VIII level 80-100%
[bleeding episode, major, 6 yo and older]
Dose: individualize dose IV q12-24h until hemostasis; Info: estimated dose (units) is [wt (kg) x desired factor VIII level (%) x 0.5] where desired factor VIII level 80-100%
[bleeding prophylaxis, minor surgery, 2-5 yo]
Dose: individualize dose IV x1 preop, then repeat dose IV q12-24h for at least 1 day until healing complete; Info: estimated dose (units) is [wt (kg) x desired factor VIII level (%) x 0.5] where desired factor VIII level 50-80%
[bleeding prophylaxis, minor surgery, 6 yo and older]
Dose: individualize dose IV x1 preop, then repeat dose IV q24h for at least 1 day until healing complete; Info: estimated dose (units) is [wt (kg) x desired factor VIII level (%) x 0.5] where desired factor VIII level 50-80%
[bleeding prophylaxis, major surgery, 2-5 yo]
Dose: 40-60 units/kg/dose IV x1 preop, then 40-50 units/kg/dose IV x1 6-24h postop, then repeat dose IV q24h for at least 7 days after healing complete; Info: desired factor VIII level 80-120%
[bleeding prophylaxis, major surgery, 6 yo and older]
Dose: 40-60 units/kg/dose IV x1 preop, then 40-50 units/kg/dose IV x1 8-24h postop, then repeat dose IV q24h for at least 7 days after healing complete; Info: desired factor VIII level 80-120%
[routine bleeding prophylaxis]
Dose: 25-65 units/kg/dose IV q3-5 days; Start: 50 units/kg/dose IV q4 days; Info: more frequent or higher doses up to 80 units/kg/dose may be required for pts <6 yo

Renal dosing

[not defined]
renal impairment: not defined
HD/PD: not defined

Hepatic dosing

[not defined]

 

SRC: NLM .

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