Source: FDA, National Drug Code (US) Revision Year: 2020
The use of ALBURX 5, Albumin (Human) 5% solution is contraindicated in patients with a history of an incompatibility reaction to such preparations (see ADVERSE REACTIONS). In addition, ALBURX 5 may be contraindicated in patients with cardiac failure or severe anemia because of the risk of acute circulatory overload.
ALBURX 5, Albumin (Human) 5% solution is made from human plasma. Products made from human plasma may contain infectious agents, such as viruses, that can cause disease. The risk that such products will transmit an infectious agent has been extremely reduced by screening plasma donors for prior exposure to certain viruses, by testing for the presence of certain current virus infections, and by inactivating and/or removing certain viruses through alcohol fractionation and through heat treatment of the product in the final container for 10 hours at 60ยบC. Despite these measures, such products can still potentially transmit disease. A theoretical risk for transmission of Creutzfeldt-Jakob Disease (CJD) is considered extremely remote. No cases of transmission of viral diseases or CJD have ever been identified for Albumin (Human). There is also the possibility that unknown infectious agents may be present in such products. All infections thought by a physician possibly to have been transmitted by this product should be reported by the physician or other healthcare provider to CSL Behring Pharmacovigilance Department at 1-866-915-6958.
The physician should discuss the risks and benefits of this product with the patient.
Turbid solutions must not be used. Do not begin administration more than 4 hours after introduction of the administration set.
Since ALBURX 5, Albumin (Human) 5% solution is sterile when coming from the manufacturer, bacterial contamination with the risk of post-infusion septicemia can only occur if the container has been damaged or following puncture of the rubber cap (see WARNINGS).
Though very rare, non-septic incompatibility reactions including nausea, chills, fever, urticaria, headache and hypotension following the administration of albumin-containing preparations have occasionally been observed.6,8,9,16 A favorable response to the intravenous administration of 50 to 100 mg of prednisolone was recorded.9 Severe allergic reactions such as anaphylactic shock have been reported.
Adequate precautions should be taken against circulatory overload (see DOSAGE AND ADMINISTRATION). Acute pulmonary edema is seen in 3 to 4 percent of patients resuscitated from severe shock, but this is neither related to any particular type of resuscitative fluid, nor is it necessarily due to circulatory overload.11 Helpful measures are pulmonary auscultation and if possible measurement of the central venous pressure. Special caution is indicated in patients with stabilized chronic anemia or renal insufficiency.
Animal reproduction studies have not been conducted with ALBURX 5, Albumin (Human) 5% solution. It is also not known whether ALBURX 5 can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. ALBURX 5 should be given to a pregnant woman only if clearly needed. There is, however, no evidence for any contraindication to the use of ALBURX 5 specifically associated with reproduction, pregnancy or the fetus.
Use an intravenous infusion set suitable for the infusion of blood and blood products.
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