Table 4.

Considerations for the Use of rHuEpo Outside the Setting of Uremia

HIV-related anemia4-150 
Chemotherapy-induced anemia4-151 
Perisurgical setting 
Autologous blood collectionρ 
Anemia of prematurity 
Anemia of cancer 
Anemia associated with MM 
Anemia associated with non-Hodgkin lymphoma 
Acceleration of erythroid repopulation after allogeneic BMT 
Hyporegenerative anemia in patients undergoing organ transplantation and receiving cyclosporin A to avoid rejection 
Adjuvant for phlebotomy 
Anemia of rheumatoid arthritis 
Anemia of inflammatory bowel disease 
MDS 
Pure RBC aplasia 
Induction of Hb F synthesis in sickle cell anemia and thalassemia 
Orthostatic hypotension 
 
HIV-related anemia4-150 
Chemotherapy-induced anemia4-151 
Perisurgical setting 
Autologous blood collectionρ 
Anemia of prematurity 
Anemia of cancer 
Anemia associated with MM 
Anemia associated with non-Hodgkin lymphoma 
Acceleration of erythroid repopulation after allogeneic BMT 
Hyporegenerative anemia in patients undergoing organ transplantation and receiving cyclosporin A to avoid rejection 
Adjuvant for phlebotomy 
Anemia of rheumatoid arthritis 
Anemia of inflammatory bowel disease 
MDS 
Pure RBC aplasia 
Induction of Hb F synthesis in sickle cell anemia and thalassemia 
Orthostatic hypotension 
 

Considerations are listed in decreasing order of evidence for their effectiveness. Approved indications are listed first. Indications based on uncontrolled studies are listed last.

F4-150

Approved in the United States for treatment of anemia induced by AZT therapy in HIV-infected patients with endogenous Epo levels less than 500 mU/mL.

F4-151

Approved in the United States for anemia induced by chemotherapy of nonmyeloid malignancies.

Approved in the United States for reduction of allogeneic blood transfusion in surgery patients. Indication limited to anemic patients (Hb > 10 and <13 g/dL) undergoing elective surgery and patients at high risk for significant perioperative blood loss. Nonindicated for anemic patients willing to donate autologous blood or undergoing cardiac or vascular surgery.

ρ Approved in some European countries.

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