What is Ferriprox?
Ferriprox is a prescription medicine used to treat people with thalassemia syndromes who have iron overload from blood transfusions, when current iron removal (chelation) therapy does not work well enough.
It is not known if Ferriprox is safe and effective to treat iron overload due to blood transfusions in people with any other type of anemia that is long lasting (chronic) in children
FERRIPROX (deferiprone) oral solution contains 100 mg/mL deferiprone (3-hydroxy-1,2-dimethylpyridin-4-one), a synthetic, orally active, iron-chelating agent. The molecular formula for deferiprone is C7H9NO2 and its molecular weight is 139.15 g/mol. Deferiprone has the following structural formula:
Deferiprone is a white to pinkish-white powder. It is sparingly soluble in deionized water and has a melting point range of 272 °C – 278 °C.
FERRIPROX oral solution is a clear, reddish orange colored solution. Each mL of oral solution contains 100 mg deferiprone and the following inactive ingredients: purified water, hydroxyethylcellulose, glycerin, hydrochloric acid, artificial cherry flavor, peppermint oil, FD&C Yellow No. 6, and sucralose.
Mechanism of Action
Deferiprone is a chelating agent that binds with ferric ions (iron III) to form neutral 3:1 (deferiprone:iron) complexes that are stable over a wide range of pH values. Deferiprone has a lower binding affinity for other metals (e.g., copper, aluminum and zinc) than for iron.
What is the most important information I should know about Ferriprox?
Ferriprox can cause serious side effects, including a very low white blood cell count. One type of white blood cell that is important for fighting infections is called a neutrophil. If your neutrophil count is low (neutropenia), you may be at risk of developing a serious infection that can lead to death. Neutropenia is common with Ferriprox and can become severe in some people. Severe neutropenia is known as agranulocytosis. If you develop agranulocytosis, you will be at risk of developing serious infections that can lead to death.
Your healthcare provider should do a blood test before you start Ferriprox and weekly during treatment to check your neutrophil count. If you develop neutropenia, your healthcare provider should check your blood counts every day until your white blood cell count improves. Your healthcare provider may temporarily stop treatment with Ferriprox if you develop neutropenia or infection.
Stop taking Ferriprox and get medical help right away if you develop any of these symptoms of infection:
- sore throat or mouth sores
- flu-like symptoms
- chills and severe shaking.
See “What are the possible side effects of Ferriprox?” for more information about side effects.
Who should not take Ferriprox?
Do not take Ferriprox if you are allergic to deferiprone or any of the ingredients in Ferriprox.
See the end of this Medication Guide for a complete list of ingredients in Ferriprox.
What should I tell my healthcare provider before taking Ferriprox?
Before you take Ferriprox, tell your healthcare provider about all of your medical conditions, including if you:
- have liver problems
- are pregnant or plan to become pregnant. Ferriprox can harm your unborn baby. You should avoid becoming pregnant during treatment with Ferriprox. Tell your healthcare provider right away if you become pregnant during treatment with Ferriprox.
- Females who are able to become pregnant:
- Your healthcare provider should do a pregnancy test before you start treatment with Ferriprox.
- You should use effective birth control during treatment with Ferriprox and for at least 6 months after the last dose.
- Males with female partners who are able to become pregnant:
- You should use effective birth control during treatment with Ferriprox and for at least 3 months after the last dose.
- are breastfeeding or plan to breastfeed. It is not known if Ferriprox passes into your breast milk. Do not breastfeed during treatment with Ferriprox and for 2 weeks after the last dose.
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins and herbal supplements.
How should I take Ferriprox?
- Take Ferriprox exactly as your healthcare provider tells you.
- Your healthcare provider will check your body iron level during treatment with Ferriprox and may change your dose if needed. Your healthcare provider may also change your dose of Ferriprox if you have certain side effects. Do not change your dose of Ferriprox unless your healthcare provider tells you to.
- There are 2 types of Ferriprox tablets that are taken on different schedules. Be sure you are taking the correct tablet and ask your healthcare provider if unsure.
- Ferriprox tablets (3 times a day):
Take these Ferriprox tablets 3 times each day. Take your first dose in the morning, the second dose at mid-day, and the third dose in the evening. Taking Ferriprox tablets with meals may help reduce nausea.
- Ferriprox tablets (2 times a day):
Take these Ferriprox tablets 2 times each day. Take your first dose in the morning and the second dose in the evening. Taking Ferriprox tablets with meals may help reduce nausea.
- Ferriprox tablets (3 times a day):
- If you must take a medicine to treat indigestion (antacid), or supplements that contain iron, aluminum, or zinc during treatment with Ferriprox, allow at least 4 hours between taking Ferriprox and these products.
- If you take too much Ferriprox, call your healthcare provider.
- If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and then continue with your regular schedule. Do not try to catch-up or take 2 doses at the same time to make up for a missed dose.
What should I avoid when taking Ferriprox?
Ferriprox tablets (2 times a day):
- Avoid drinking alcohol during treatment with Ferriprox tablets (2 times a day). This may cause a faster release of the medicine.
What are the possible side effects of Ferriprox?
Ferriprox can cause serious side effects, including:
- See “What is the most important information I should know about Ferriprox?”
- Increased liver enzyme levels in your blood. Your healthcare provider should do monthly blood tests to check your liver function during treatment with Ferriprox.
- Decreased levels of zinc in your blood. Your healthcare provider will do blood tests to check your zinc levels during treatment with Ferriprox and may prescribe a zinc supplement for you if your zinc levels are low.
The most common side effects of Ferriprox include:
Ferriprox may cause a change in urine color to reddish-brown. This is not harmful and is expected during treatment with Ferriprox.
These are not all the possible side effects of Ferriprox.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1‑800-FDA-1088.
General information about the safe and effective use of Ferriprox
Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use Ferriprox for a condition for which it was not prescribed. Do not give Ferriprox to other people, even if they have the same symptoms that you have. It may harm them. You can ask your pharmacist or healthcare provider for information about Ferriprox that is written for health professionals.
How should I store Ferriprox?
- Store Ferriprox tablets at room temperature, 68°F to 77°F (20°C to 25°C).
- Store Ferriprox tablets (3 times a day) in the original bottle and tightly closed to protect from moisture.
Keep Ferriprox and all medicines out of the reach of children.
What are the ingredients in Ferriprox?
Active ingredient: deferiprone
- Ferriprox tablets (3 times a day): Tablet core: methylcellulose, crospovidone, and magnesium stearate. Coating: hypromellose, hydroxypropyl cellulose, macrogol, and titanium dioxide.
- Ferriprox tablets (2 times a day): Tablet core: hypromellose acetate succinate, magnesium oxide, colloidal silicon dioxide and magnesium stearate. Coating: triethyl citrate, talc, titanium dioxide, and methacrylic acid and ethyl acrylate copolymer.
PACKAGE LABEL.PRINCIPAL DISPLAY PANEL SECTION
- ApoPharma USA, Inc. NDC 52609-4502-7
- FERRIPROX oral solution
- 100 mg/mL (50 g/500 mL)
- Rx only
- 500 mL
SRC: NLM .