ADYNOVATE [Antihemophilic Factor (Recombinant), PEGylated] Important Information 
    Indications and Limitation of Use ADYNOVATE is a human antihemophilic factor indicated in children and adults with hemophilia A (congenital factor VIII deficiency) for:
    
        On-demand treatment and control of bleeding episodes 
        Perioperative management 
        Routine prophylaxis to reduce the frequency of bleeding episodes 
     
    
        ADYNOVATE is not indicated for the treatment of von Willebrand disease.
    
    DETAILED IMPORTANT RISK INFORMATION 
    CONTRAINDICATIONS 
    
        Prior anaphylactic reaction to ADYNOVATE, to the parent molecule (ADVATE [Antihemophilic Factor (Recombinant)]), mouse or hamster protein, or excipients of ADYNOVATE (e.g. Tris, mannitol, trehalose, glutathione, and/or polysorbate 80).
    
    WARNINGS & PRECAUTIONS 
    Hypersensitivity Reactions:  Hypersensitivity reactions, including anaphylaxis, have been reported with ADYNOVATE. Hypersensitivity reactions that can progress to anaphylaxis may include angioedema, chest tightness, dyspnea, wheezing, urticaria, pruritus, and nausea and vomiting. Immediately discontinue administration and initiate appropriate treatment if hypersensitivity reactions occur.
    
        Neutralizing Antibodies:  Formation of neutralizing antibodies (inhibitors) to factor VIII can occur following administration of ADYNOVATE. Monitor patients regularly for the development of factor VIII inhibitors by appropriate clinical observations and laboratory tests. Perform an assay that measures factor VIII inhibitor concentration if the plasma factor VIII level fails to increase as expected, or if bleeding is not controlled with expected dose.
    
    ADVERSE REACTIONS 
    
        The most common adverse reactions (≥1% of subjects) reported in the clinical studies were headache, diarrhea, rash, nausea, dizziness and urticaria.
    
    
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    ADVATE [Antihemophilic Factor (Recombinant)] Important Information 
    Indications 
    ADVATE is a recombinant antihemophilic factor indicated for use in children and adults with hemophilia A (congenital factor VIII deficiency) for:
    
        Control and prevention of bleeding episodes 
        Perioperative management 
        Routine prophylaxis to prevent or reduce the frequency of bleeding episodes 
     
    ADVATE is not indicated for the treatment of von Willebrand disease.
    DETAILED IMPORTANT RISK INFORMATION 
    CONTRAINDICATIONS 
    Patients who have life-threatening hypersensitivity reactions, including anaphylaxis, to mouse or hamster protein or other constituents of the product.
    WARNINGS & PRECAUTIONS 
    Hypersensitivity Reactions:  Allergic-type hypersensitivity reactions, including anaphylaxis, have been reported with ADVATE. Symptoms include dizziness, paresthesia, rash, flushing, facial swelling, urticaria, dyspnea, pruritus, and vomiting. Discontinue ADVATE if hypersensitivity symptoms occur and administer appropriate emergency treatment.
    
        Neutralizing Antibodies:  Neutralizing antibodies (inhibitors) have been reported following administration of ADVATE predominantly in previously untreated patients (PUPs) and previously minimally treated patients (MTPs). Monitor all patients for the development of factor VIII inhibitors by appropriate clinical observation and laboratory testing. If expected plasma factor VIII activity levels are not attained, or if bleeding is not controlled with an expected dose, perform an assay that measures factor VIII inhibitor concentration.
    
    ADVERSE REACTIONS 
    
        Serious adverse reactions seen with ADVATE are hypersensitivity reactions, including anaphylaxis, and the development of high-titer inhibitors necessitating alternative treatments to factor VIII. 
        The most common adverse reactions observed in clinical trials (>5% of subjects) were pyrexia, headache, cough, nasopharyngitis, arthralgia, vomiting, upper respiratory tract infection, limb injury, nasal congestion, and diarrhea. 
     
    
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