Caplacizumab

Generic name: Caplacizumab
Brand names: Cablivi
Dosage form: injectable kit (yhdp 11 mg)
Drug class: Platelet aggregation inhibitors

Usage of Caplacizumab

Caplacizumab is used to treat acquired thrombotic thrombocytopenic purpura (aTTP) in adults. Caplacizumab is given together with immunosuppressant medication and plasma exchange (transfusion).

Caplacizumab may also be used for purposes not listed in this medication guide.

Caplacizumab side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Caplacizumab may cause serious side effects. Call your doctor at once if you have:

  • easy bruising or bleeding (nosebleeds, bleeding gums);
  • unusual vaginal bleeding;
  • any bleeding that will not stop; or
  • signs of stomach bleeding--bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds.
  • Common side effects of caplacizumab may include:

  • nosebleeds, bleeding gums; or
  • headache.
  • This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

    Before taking Caplacizumab

    You should not use caplacizumab if you are allergic to it.

    Tell your doctor if you have ever had a bleeding or blood clotting disorder such as hemophilia.

    Follow your doctor's instructions about using caplacizumab if you are pregnant. Caplacizumab may increase the risk of bleeding in both mother and baby. However, the benefit of treating aTTP in the mother during pregnancy may outweigh those risks. Tell your doctor right away if you become pregnant.

    It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk.

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    How to use Caplacizumab

    Usual Adult Dose for Idiopathic (Immune) Thrombocytopenic Purpura:

    Initial dose:-First day of treatment: 11 mg bolus IV injection at least 15 minutes prior to plasma exchange followed by an 11 mg suBCutaneous injection after completion of plasma exchange on Day 1Maintenance dose:-Subsequent days of treatment during daily plasma exchange: 11 mg subcutaneous injection once a day following plasma exchange-Treatment after plasma exchange period: 11 mg subcutaneous injection once a day continuing for 30 days following the last daily plasma exchange. If after initial treatment course sign(s) of persistent underlying disease such as suppressed ADAMTS13 activity levels remain present, treatment may be extended for a maximum of 28 days.Comments:-Discontinue this drug if the patient experiences more than 2 recurrences of acquired thrombotic thrombocytopenic purpura (aTTP) during treatment with this drug.-Withhold this drug 7 days prior to elective surgery, dental procedures, or other invasive interventions.Use: Treatment of patients with acquired thrombotic thrombocytopenic purpura (aTTP) in combination with plasma exchange and immunosuppressive therapy

    Warnings

    Caplacizumab can increase your risk of bleeding. Call your doctor if you have unusual bruising or bleeding, or any bleeding that will not stop.

    What other drugs will affect Caplacizumab

    Tell your doctor about all your other medicines, especially:

  • a blood thinner--warfarin, Coumadin, Jantoven; or
  • any medicine used to treat or prevent blood clots.
  • This list is not complete. Other drugs may affect caplacizumab, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

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