PEGYLATED INTERFERON ALPHA-2B
Background and Date of Approval
Pegylated Interferon Alpha-2B is an antineoplastic agent belonging to the interferon class of medicines. It received U.S. FDA approval on June 27, 2001, for the treatment of Chronic Hepatitis C.
Uses
Pegylated Interferon Alpha-2B is indicated for the treatment of Chronic hepatitis C infection in patients above 18 years of age with compensated liver disease.
How is it administered?
Pegylated Interferon Alpha-2B injection is administered as a subcutaneous injection (under your skin). If this drug is recommended for you, it will be given by a doctor. Do not self-administer. The recommended dose is 1.5 micrograms/kg/week. Your doctor will choose the dosage and administration frequency based on the condition because it differs from person to person.
Side Effects
The common side effects of Pegylated Interferon Alpha-2B are headache, hair loss, muscle pain, insomnia, eye irritation, weight loss and loss of appetite. Other serious side effects include low or high BP, increased heart rate and depression. Inform your physician if you face any of the symptoms.
Warnings
This Pegylated Interferon Alpha-2B is contraindicated in patients who have hypersensitivity reactions. This medicine may cause allergic reactions in some people. Symptoms of an allergic reaction include itching, difficulty breathing, swelling of the face or throat, and a rapid heartbeat. If you experience any of these symptoms, consult your doctor immediately. This medicine should not be used in patients with decompensated liver disease. It is a serious condition where the liver is severely damaged and is no longer able to function properly, so it is highly advised to avoid taking this medicine.
Precautions
This medicine should be used with caution in patients with creatinine clearance below 50 mL/min, as this indicates moderate to severe impairment of renal function. This can lead to slower clearance of the medication, which may increase the risk of toxicity and adverse effects. The dosage of Pegylated Interferon Alpha-2B should be reduced in these patients, and they should be closely monitored for signs of toxicity, such as fatigue, depression, or decreased white blood cell count. Therefore, the dose should be adjusted accordingly in patients with renal impairment. Tell your healthcare provider before beginning this treatment if you are pregnant or planning to have a baby. As this drug may cause harm to an unborn baby, it is advised for both men and women to follow proper contraceptive methods during and one week after the last dose of Pegylated Interferon Alpha-2B. Avoid breastfeeding your baby while you are on the treatment, as this drug can impact the growth and development of the baby by passing into the breast milk.
Word of Advice
Pegylated Interferon Alpha-2B may cause dizziness, weakness, or fatigue. If you experience dizziness, confusion, or significant tiredness during treatment, avoid driving or operating heavy machinery. Since this medication may affect liver function and blood cell counts, regular medical tests are important to monitor your health and detect any potential complications early.
This treatment may also weaken the body’s immune response, increasing the risk of infections. To reduce this risk, avoid close contact with people who are unwell and maintain good hand hygiene. Keep the injection safely out of the reach of children and pets. Any unused or expired medication should be disposed of according to proper medication-disposal guidelines rather than being thrown into regular household waste.
References
Biocon, [Revised on Aug 2015] [Accessed on 26th Jul 2021], https://www.biocon.com/docs/prescribing_information/virology/CimiPeg_PI_v1.pdf Schering Corporation, US Food & Drug Administration, [Revised on 26th Sep 2003] [Accessed on 26th Jul 2021], https://www.accessdata.fda.gov/drugsatfda_docs/label/2001/pegsche080701lb.htm Q.M. Anstee, D.E.J. Jones, Liver and biliary tract disease, Davidson's Principles and Practice of Medicine, 22nd Edition, 2014, 921-988. KD Tripathi, Antiviral Drugs (Anti-retrovirus), Essentials of Medical Pharmacology, 8th Edition, 2019, 860-872.
Frequently Asked Questions
Why is PEG added to interferon?
By adding PEG, interferon alpha-2b has a longer half-life, meaning that it remains in the body for a longer period of time before being cleared. Also, it can reduce the immune response to the drug, by decreasing the likelihood of adverse reactions.
Can Pegylated Interferon Alpha-2B be used in combination with other drugs?
Yes, it is used in combination with the antiviral drug ribavirin. This combination therapy has been shown to be more effective in achieving sustained virologic response (SVR) than using Pegylated Interferon Alpha-2B alone.
Does Pegylated Interferon Alpha-2B cause hair loss?
Thinning or loss of your hair will usually start within two to four weeks of your first dose of Pegylated Interferon Alpha-2B. You may also have thinning or loss of eyelashes, eyebrows, and other body hair. Consult your doctor if you have excessive hair loss.
What are the contraindications to Pegylated Interferon Alpha-2B?
This Pegylated Interferon Alpha-2B is contraindicated in patients with decompensated liver disease. It is a serious condition where the liver is severely damaged and is no longer able to function properly, so it is highly advised to avoid taking this medicine.
Which condition is treated by Pegylated Interferon Alpha-2B?
Pegylated Interferon Alpha-2B is often used in combination with other antiviral medications to treat chronic hepatitis B and C infections.
Does Pegylated Interferon Alpha-2B weaken the immune system?
No, Pegylated Interferon Alpha-2B does not weaken the immune system, but rather helps it to work more efficiently against the virus.