Once weekly treatment with epoetin-ß
A. Manzoni Hospital, Lecco, Italy
Correspondence and offprint requests to: Professor Francesco Locatelli, Divisione di Nefrologia e Dialisi, Via Dell' Eremo, 9/11, 23900 Lecco, Italy. Email: nefrologia{at}ospedale.lecco.it
Studies have shown that both intravenous (i.v.) and subcutaneous (s.c.) administration of epoetin-ß therapy are effective and well tolerated in the treatment of renal anaemia; however, the s.c. route provides enhanced efficacy with a lower dose compared with the i.v. route and it is more cost-effective. Epoetin dosing frequency is an important issue for health care professionals and patients. Recent studies have shown that epoetin-ß administered once weekly and once every 2 weeks can maintain stable target haemoglobin and haematocrit levels in dialysis patients. Such reduced dosing frequencies may improve patient satisfaction and compliance with treatment, and encourage patients to self-administer. Furthermore, less frequent dosing administration would be associated with economic benefits in terms of reduced nursing time in the clinic or out-patient setting. Where this is clinical practice, fewer injections and visits to the clinic should also improve patients' quality of life. A range of effective dosing regimens with epoetin-ß administered via either pre-filled syringes, multidose vials or injector pens allows physicians to tailor treatment to an individual patient's preference.
Keywords: anaemia; chronic kidney disease; dosing frequency; epoetin-ß; haemoglobin
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