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Recombinant human erythropoietin treatment


Authors: J. Slipac
Authors‘ workplace: Předseda: doc. MUDr. Ivan Čundrle, CSc. ;  Česká společnost bezkrevní medicíny, Brno
Published in: Prakt. Lék. 2009; 89(10): 576-580
Category: Of different specialties

Overview

Recombinant human erythropoietin (rHuEPO) is used in the treatment of various types of anaemia (eg. in patients with chronic renal insufficiency, anaemia in premature babies, anaemia in certain onco-hematological illnesses, chemotherapy-induced anaemia, anaemia in human immunodeficiency virus (HIV) infection, and to redress anaemia before surgery). Erythropoietin stimulates the production of red blood cells from the bone marrow, speeds up red cell maturation 3–4 times and increases the reticulocyte count within 3–4 days. RHuEPO can be effectively used in strategies to avoid blood transfusion. The response is improved by oral or intravenous iron. Erythropoietin has proven efficacy in addressing anaemia associated with a variety of conditions and, with or without iron, can be an alternative to red blood cells transfusion.

Key words:
bloodless medicine, anaemia, erythropoietin, iron.


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