Albumin

Albumin

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Manufacturer Warnings

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FDA Labeling Changes

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Uses

1.1 Hypovolemia

ALBUMIN (HUMAN) 20% is indicated in the emergency treatment of hypovolemia with or without shock. Its effectiveness in reversing hypovolemia depends largely upon its ability to draw interstitial fluid into the circulation. It is most effective in patients who are well hydrated. When blood volume deficit is the result of hemorrhage, compatible red blood cells or whole blood should be administered as quickly as possible. [1, 2]

When hypovolemia is long standing and hypoalbuminemia exists accompanied by adequate hydration or edema, 20% - 25% albumin solutions should be used. [ 1 ]

1.2 Hypoalbuminemia

For subjects with hypoalbuminemia who are critically ill and/or are bleeding actively, ALBUMIN (HUMAN) 20% infusions may be indicated. [ 3 ] When albumin deficit is the result of excessive protein loss, the effect of administration of ALBUMIN (HUMAN) 20% will be temporary unless the underlying disorder is reversed.

1.3 Prevention of Central Volume Depletion after Paracentesis due to Cirrhotic Ascites (Treatment Adjunct)

ALBUMIN (HUMAN) 20% may be used to maintain cardiovascular function following the removal of large volumes of ascitic fluid after paracentesis due to cirrhotic ascites. [ 2 ]

1.4 Ovarian Hyperstimulation Syndrome (OHSS)

ALBUMIN (HUMAN) 20% may be used as a plasma expander in fluid management relating to severe forms of ovarian hyperstimulation syndrome (OHSS). [7, 8]

1.5 Adult Respiratory Distress Syndrome (ARDS) (Treatment Adjunct)

ALBUMIN (HUMAN) 20% infusions may be indicated in conjunction with diuretics to correct the fluid volume overload associated with ARDS. [ 5 ]

1.6 Acute Nephrosis (Treatment Adjunct)

ALBUMIN (HUMAN) 20% may be used to treat edema in patients with acute nephrosis who are refractory to cyclophosphamide and corticosteroid therapy. [ 1 ]

1.7 Hemolytic Disease of the Newborn (HDN)

ALBUMIN (HUMAN) 20% is indicated in the treatment of hyperbilirubinemia. It may be used prior to or during an exchange procedure in an attempt to bind free and to enhance its removal. [ 6 ]

History

There is currently no drug history available for this drug.

Other Information

ALBUMIN (HUMAN) 20% is a sterile, liquid preparation of albumin derived from large pools of human plasma. All units of human plasma used in the manufacture of ALBUMIN (HUMAN) 20% are provided by FDA approved blood establishments only.

The product is manufactured by cold ethanol fractionation followed by ultra- and diafiltration. The manufacturing process includes final container pasteurization and additional bulk pasteurization at 60 +/- 0.5°C for 10 – 11 hours. The ALBUMIN (HUMAN) 20% manufacturing process provides a significant viral reduction in in vitro studies (table 2). These reductions are achieved through a combination of process steps including Cohn fractionation and final container pasteurization.

No procedure, however, has been shown to be completely effective in removing viral infectivity from derivatives of human plasma.[see Warnings and Precautions, Infection Risk from Human Plasma (5.7)]

Table 2 In vitro reduction factor during ALBUMIN (HUMAN) 20% manufacturing

Image File



PRV:Pseudorabies Virus

SBV: Sindbis Virus

HIV-1:Human Immunodeficiency Virus - 1

Reo 3:Reovirus Type 3

PPV:Porcine Parvovirus

HAV:Hepatitis A Virus


ALBUMIN (HUMAN) 20% is a clear, slightly viscous liquid; it is almost colorless or slightly yellow or green.

The composition of ALBUMIN (HUMAN) 20% is as follows:

Component Quantity/1000 ml

Protein, of which greater than or equal to

96% is human albumin

200 g

Sodium

130 – 160 mmol

Potassium

less than or equal to 2 mmol

N-acetyl-DL-tryptophan

0.064 - 0.096 mmol/g protein

Caprylic acid

0.064 - 0.096 mmol/g protein

Water for Injection

ad. 1000 ml

ALBUMIN (HUMAN) 20% contains no preservatives and components used in its packaging are latex-free.

Albumin Manufacturers


  • Octapharma Usa Inc
    Albumin (Human) (Albumin Human) Solution [Octapharma Usa Inc]
  • Octapharma Usa Inc
    Albumin (Human) (Albumin Human) Solution [Octapharma Usa Inc]
  • Octapharma Usa Inc
    Albumin (Human) (Albumin Human) Solution [Octapharma Usa Inc]
  • Octapharma Pharmazeutika Produktionsgesellschaft M.b.h.
    Albumin (Human) (Albumin Human) Solution [Octapharma Pharmazeutika Produktionsgesellschaft M.b.h.]
  • Octapharma Pharmazeutika Produktionsgesellschaft M.b.h.
    Albumin (Human) (Albumin Human) Solution [Octapharma Pharmazeutika Produktionsgesellschaft M.b.h.]
  • Octapharma Pharmazeutika Produktionsgesellschaft M.b.h.
    Albumin (Human) (Albumin Human) Solution [Octapharma Pharmazeutika Produktionsgesellschaft M.b.h.]

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