NOVOMEDLINK™

Dosing & Administration

Dosing Guidelines

NovoSeven® RT should be given as early as possible after the start of a bleeding episode. Be sure to follow recommended dosing to ensure optimal efficacy.

Treatment of Bleeding Episodes—Recommended dosing of NovoSeven® RT

Hemophilia A or B with inhibitors 90 mcg/kg every 2 hours until bleeding resolves
Congenital Factor VII deficiency 15 to 30 mcg/kg every 4 to 6 hours until bleeding resolves
Acquired Hemophilia 70 to 90 mcg/kg every 2 to 3 hours until bleeding resolves

Surgery—Recommended dosing of NovoSeven® RT

Hemophilia A or B with inhibitors Preoperative and intraoperative 90 mcg/kg immediately prior to surgery. Repeat 90 mcg/kg dose every 2 hours during surgery

Hemophilia A or B with inhibitors

Postoperative—Major Surgery 90 mcg/kg every 2 hours for 5 days. After 5 days, 90 mcg/kg every 4 hours until healing has occurred.

Hemophilia A or B with inhibitors

Postoperative—Minor Surgery 90 mcg/kg every 2 hours for the first 48 hours. After 48 hours, 90 mcg/kg every 2 to 6 hours until healing has occurred.
Congenital Factor VII deficiency Intraoperative and postoperative dosage—Major and minor surgery 15 to 30 mcg/kg every 4 to 6 hours until bleeding resolves

NovoSeven® RT Dosing Calculator

Administration

NovoSeven® RT is intended for intravenous bolus administration only.

Reconstitution
NovoSeven® RT is reconstituted with the included diluent (a solution containing a histidine buffer). NovoSeven® RT dissolves rapidly and can be used up to 3 hours after reconstitution.

Infusion
NovoSeven® RT is administered as a slow bolus injection over 2 to 5 minutes, depending on the dose administered.

  1. NovoSeven® RT Coagulation Factor VIIa (Recombinant) Room Temperature Stable Indications and Usage

    NovoSeven® RT is indicated for the treatment of bleeding episodes in hemophilia A or B patients with inhibitors to FVIII or FIX and in patients with acquired hemophilia; prevention of bleeding in surgical interventions or invasive procedures in hemophilia A or B patients with inhibitors to FVIII or FIX and in patients with acquired hemophilia; treatment of bleeding episodes in patients with congenital Factor VII deficiency and prevention of bleeding in surgical interventions or invasive procedures in patients with congenital FVII deficiency.

    NovoSeven® RT Important Safety Information

    • Most common adverse events: pyrexia, hemorrhage, injection site reaction, arthralgia, headache, hypertension, hypotension, nausea, vomiting, pain, edema, and rash.
    • Patients with disseminated intravascular coagulation (DIC), advanced atherosclerotic disease, crush injury, septicemia, or concomitant treatment with activated or nonactivated prothrombin complex concentrates (aPCCs/PCCs) may have a potential risk of developing thrombotic events in association with NovoSeven® treatment.
    • Use with caution in patients with known hypersensitivity to NovoSeven®, its components, or mouse, hamster, or bovine proteins.
    • Serious adverse events that may or may not have been related to the use of NovoSeven® in acquired hemophilia (10 of 139 patients in the compassionate use program, HTRS registry, and the published literature) included thrombotic serious adverse events and death.
    • Serious adverse events that may or may not have been related to the use of NovoSeven® occurred in 14 of 298 patients with hemophilia A or B with inhibitors in the initial clinical program.
    • Development of antibodies against FVII has been reported in FVII-deficient patients after treatment with NovoSeven®. These patients had previously been treated with human plasma and/or plasma-derived FVII.
    • Concomitant use of NovoSeven® RT with other formulations of NovoSeven® is not recommended due to potential dosing errors based on different concentrations.
    • The effect of prolonged post-hemostatic dosing of NovoSeven® RT has not been extensively studied in a clinical setting.

    Please see Prescribing Information.