Peginterferon Alfa-2b

(peg in ter FEER on AL fa too bee)

What key warnings do I need to know about before giving this drug to my child?

• Alpha interferons may cause or make diseases of the mind worse. Taking one's own life, ideas of killing yourself or murder, low mood (depression), forceful actions, hallucinations, and psychoses have happened with use. Alpha interferons may make infections worse, cause blood flow problems or some autoimmune diseases. If you think you have any of these health problems, call your doctor right away. Side effects such as low blood pressure, a fast heartbeat, and heart attacks have happened while taking alpha interferons. If you have very bad signs or if signs of these health problems get worse, talk with your doctor about stopping this drug. Problems are most often fixed after stopping the drug.
• Do not give this drug alone to your child to treat hepatitis C infection.
• Sometimes drugs are not safe when your child takes them with other drugs. They can cause bad side effects. This is one of those drugs. Be sure to talk to your child’s doctor about all the drugs your child takes.
• Please read the medication guide.

Is it safe for my child to take this drug?

• Not if your child has an allergy to peginterferon alfa-2b or any other part of this drug.
• Be sure to let the doctor know if your child has any allergies or side effects to drugs, foods, or dyes. Make sure to tell about the allergy and what signs your child had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
• Not if your child has autoimmune hepatitis or liver disease.
• Not if your child has had a transplant.
• Not if your child is taking peginterferon alfa-2b alone to treat hepatitis C infection.

Why does my child need this drug?

• It is used to treat hepatitis C infection.

How does this drug work?

• Peginterferon alfa-2b helps fight viral infections.

How is this drug given?

• It is given as a shot into the fatty part of the skin.
• Your child's doctor will teach you how to give the shot.
• The shot is most often given once a week for a year.
• If you are not getting better after 3 to 6 months of care, the drug is most often stopped.
• Wash your hands before and after use.
• Throw syringe away after use. Do not use more than one time.
• Throw away needles in a needle/sharp disposal box and take the box back to your doctor when it is full.
• Have your child drink lots of noncaffeine liquids every day unless told to drink less liquid by your child's doctor.

How long does this drug take to work?

• It may take a few months to see the full effect.

What do I do if my child misses a dose? (does not apply to patients in the hospital)

• Give a missed dose as soon as you think about it.
• If it is close to the time for your child's next dose, skip the missed dose and go back to your child's normal time.
• Do not give 2 doses or extra doses.
• Do not change the dose or stop your child's drug. Talk with your child's doctor.

What safety measures do I need to take when my child is using this drug?

• Keep a list of all your child's drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child's doctor.
• If your child has any eye problems, talk with the doctor.
• If your child has high blood sugar (diabetes), talk with the doctor.
• If your child has heart disease, talk with the doctor.
• If your child has kidney disease, talk with the doctor.
• If your child has lung disease, talk with the doctor. He/she may be more sensitive to this drug.
• If your child has mental illness, talk with the doctor.
• If your child has thyroid disease, talk with the doctor.
• Have your child's blood work checked. Talk with your child's doctor.
• Check all drugs your child is taking with your child's doctor. This drug may not mix well with some other drugs.
• Tell dentists, surgeons, and other doctors that your child is using this drug.
• This drug may cause your child to be less alert. Have your child avoid tasks or actions that call for alertness. These include playing (for example, riding a bicycle, rollerblading, sports) or using items that call for your child to have focus or coordination (for example, scissors, lawnmower, electric scooters, or toy cars). Your child's actions will be closely watched until you see how this drug affects him/her. School work may be hard for your child to focus on and get done.
• Avoid giving your child other drugs and natural products that may slow your child's actions.

What are some side effects of this drug?

• Flu-like signs. These include headache, weakness, fever, shakes, aches, pains, and sweating. Your child may be given drugs before this shot to avoid these signs.
• Feeling lightheaded, sleepy, having blurred eyesight, or a change in thinking clearly. Have your child avoid tasks or actions that call for him/her to be alert or have clear eyesight until you see how this drug works.
• Headache.
• Upset stomach or throwing up. Many small meals and good mouth care may help. Older children may suck hard, sugar-free candy.
• Loose stools (diarrhea).
• Belly pain.
• Not hungry.
• Skin irritation.
• Hair loss. Hair most often grows back when this drug is stopped.
• Not able to sleep.
• Anemia, low white blood cell count, and low platelet count.
• Irritation where the shot is given.

When do I need to call my child's doctor?

• If any of this news causes you to be worried, any of the unwanted side effects happen, or if your child is not better after taking this drug.
• If you think there was an overdose, call your local poison control center or ER right away.
• If your child shows signs of a very bad reaction, call your child's doctor or the ER right away. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; swelling of face, lips, tongue, or throat; or if your child is not acting normal.
• If your child shows signs of low mood (depression), thoughts of killing him/herself, nervousness, emotional ups and downs, thinking that is not normal, anxiety, or lack of interest in life.
• If your child has chest pain or pressure or a fast heartbeat.
• If your child has trouble breathing.
• If your child has very bad belly pain or bloody loose stools.
• If your child has a very bad upset stomach or is throwing up.
• If your child has any bruising or bleeding.
• If your child is feeling very tired or weak.
• If your child has more trips to the bathroom, more thirst, or weight loss.
• If your child is not able to eat.
• If your child has dark urine or yellow skin or eyes.
• If your child is feeling very cold.
• If your child has a big weight loss.
• If your child has a big weight gain.
• If your child has a sudden change in eyesight, eye pain, or irritation.
• If your child gets a rash.
• If your child’s health problem does not get better or if you believe your child’s health problem is worse.

How do I store and/or throw out this drug?

• Store vials at room temperature. Do not freeze.
• Store Redipen® syringes in the refrigerator. Do not freeze.
• Do not shake.
• Use right away after mixing or you may store in a refrigerator for up to 24 hours.
• Throw away any part of the opened vial not used after the shot is given.

General drug facts

• If your child has a very bad allergy, he/she needs to wear an allergy ID at all times.
• You may get this drug by drug order only. If there are refills, call your pharmacy. If your child does not have refills left, you may need to call your child's doctor.
• Get rid of this drug when your child no longer needs it or if the drug is outdated.
• Most drugs may be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
• In Canada, take any unused drugs to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.
• Do not share your child's drug with others and do not give anyone else's drug to your child.
• Keep all drugs out of the reach of children and pets.
• Keep a list of all your child's drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child's doctor.
• Call your doctor for help with any side effects. If in the U.S., you may also call the FDA at 1-800-FDA-1088 or if in Canada, you may also call Health Canada's Vigilance Program at 1-866-234-2345.
• Talk with the doctor before giving your child any new drug, including OTC, natural products, or vitamins.
• If you do not use a drug the right way, it may not be safe. Follow what your child’s doctor tells you.

Copyright © 1978- Lexi-Comp Inc., The Children's Hospital, Denver, CO., and Pediatric Pharmacy Advocacy Group, Inc. All Rights Reserved. This information is protected under US and international copyright law. Unauthorized use or reproduction is prohibited.