This medication is used to help prevent infection from the hepatitis B virus. Hepatitis B infection can cause serious problems including liver failure, persistent hepatitis B infection, cirrhosis, and liver cancer. Preventing infection can prevent theses problems.Hepatitis B vaccine is a genetically engineered (man-made in the laboratory) piece of the virus. It does not contain live virus, so you can not get hepatitis from the vaccine. This vaccine causes the body to make immune defensive substances (antibodies) against hepatitis B virus that can protect you from infection with it. Hepatitis B vaccine does not protect you from other virus infections (e.g., HIV virus which causes AIDS, hepatitis A/C/E, HPV virus which causes genital warts and other problems).The vaccine is recommended for persons of all ages, especially those at an increased risk of getting the infection. Those at an increased risk include health care personnel, laboratory workers who handle blood and patient specimens, police, fire and emergency medical personnel who give first aid treatment, hemophiliacs, dialysis patients, household and intimate contacts of persons with persistent hepatitis B infections, persons with multiple sex partners, men who have sex with men, sex workers, injection drug abusers, and persons traveling to high-risk areas.
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Overview | Photos | How
To Use | Side
Effects | Precautions | Missed
Dose | Drug
Interactions | |
Recombivax HB IM
Uses
This medication is used to help prevent infection from the hepatitis B virus. Hepatitis B infection can cause serious problems including liver failure, persistent hepatitis B infection, cirrhosis, and liver cancer. Preventing infection can prevent theses problems.Hepatitis B vaccine is a genetically engineered (man-made in the laboratory) piece of the virus. It does not contain live virus, so you can not get hepatitis from the vaccine. This vaccine causes the body to make immune defensive substances (antibodies) against hepatitis B virus that can protect you from infection with it. Hepatitis B vaccine does not protect you from other virus infections (e.g., HIV virus which causes AIDS, hepatitis A/C/E, HPV virus which causes genital warts and other problems).The vaccine is recommended for persons of all ages, especially those at an increased risk of getting the infection. Those at an increased risk include health care personnel, laboratory workers who handle blood and patient specimens, police, fire and emergency medical personnel who give first aid treatment, hemophiliacs, dialysis patients, household and intimate contacts of persons with persistent hepatitis B infections, persons with multiple sex partners, men who have sex with men, sex workers, injection drug abusers, and persons traveling to high-risk areas. Notes
- Laboratory and/or medical tests (e.g., hepatitis B antibody levels) may be performed periodically for some patients at risk of a poor response to the vaccine.
- Consult your doctor for more details.
Storage
- Store refrigerated between 36-46 degrees F (2-8 degrees C) away from light.
- Do not freeze.
- Discard any product that has been frozen.
- Keep all medicines away from children and pets.
How
To Use - This vaccine is usually given by injection into a muscle (shoulder or thigh) by a health care professional.
- Injection under the skin may be used if you have a bleeding disorder.
- Hepatitis B vaccine is a slightly milky, white suspension.
- Before giving this medication, inspect it visually for particles or discoloration.
- If either is present, do not use the liquid.
- Shake the vial or prefilled syringe well before giving the dose.
- Do not dilute.
- Use the full recommended dose of the vaccine.
- Discard any remaining vaccine left in single-dose vials.A series of 3 to 4 injections is usually used over a 6- to 12-month period.
- Your doctor will give you a vaccination schedule, which must be followed closely for best effectiveness.
- If you have an infection with fever at the time a vaccination is scheduled, your doctor may choose to delay the injection until you are better.Dosage is based on your age and risk of hepatitis B exposure.If you are receiving the first hepatitis B vaccine injection at a time when your doctor feels you may have been exposed to hepatitis B, you will also receive an injection of hepatitis B immune globulin (HBIG).
- HBIG is a dose of antibodies against the virus and will immediately help protect you from developing an infection.
- These antibodies only last a few months.
- For long-term protection, it is important to follow your vaccination schedule exactly.
Side
Effects - Pain/redness/swelling at the injection site, fever, headache, and dizziness may occur.
- Rare side effects may include bruising/itching at the injection site, pain/stiffness in the arm/shoulder/neck, sweating, tiredness, weakness, chills, muscle/joint aches, cold symptoms, nausea, vomiting, temporary loss of appetite, abdominal cramps, constipation, diarrhea, swollen glands (lymph nodes), irritability, agitation, and trouble sleeping.
- If any of these effects persist or worsen, tell your doctor or pharmacist promptly.Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects.
- Many people using this medication do not have serious side effects.
- Report all side effects to your doctor before you receive the next injection.Tell your doctor immediately if any of these unlikely but serious side effects occur: fast/irregular heartbeat, heartburn, fainting, severe headache (migraine).Tell your doctor immediately if any of these rare but very serious side effects occur: tingling/numbness, inability to make muscles of the legs/arms/face work (paralysis), vision changes, seizures, easy bruising/bleeding, mental/mood changes (e.g., unusual behavior, confusion, severe drowsiness, severe tiredness, stiff neck, visual sensitivity to light).A very serious allergic reaction to this drug is rare.
- However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching, swelling, severe dizziness, trouble breathing.If you notice other effects not listed above, contact your doctor or pharmacist.
Precautions
- Before getting hepatitis B vaccine, tell your doctor or pharmacist if you are allergic to it; or to yeast, thimerosal, or other vaccines; or if you have any other allergies.
- Some vials and prefilled syringes may use latex rubber stoppers or plungers.
- Tell your doctor if you are allergic to latex.Before using this medication, tell your doctor or pharmacist your medical history, especially of: bleeding problems (e.g., hemophilia, low platelets, anticoagulant treatment), current illness with fever.If you are a hemodialysis patient, you may not respond as well to the vaccine and will need to have hepatitis B antibody levels checked yearly.
- If antibodies drop too low over time, you may be given a booster vaccine.If you have decreased immune function from other medications (see also Drug Interactions) or other illness (e.g., HIV, leukemia, lymphoma, other cancer), your body may not make enough antibodies to protect you from hepatitis B infection.
- Antibody levels should be checked after the vaccine series.The elderly may not make as many antibodies to the vaccine and should have their antibody levels checked after the vaccine series.During pregnancy, this medication should be used only when clearly needed.
- Discuss the risks and benefits with your doctor.It is not known whether this drug passes into breast milk.
- Consult your doctor before breast-feeding.
Missed
Dose - It is important to receive each vaccination as scheduled.
- Be sure to ask when each dose should be received and make a note on a calendar to help you remember.
Drug
Interactions - Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them.
- Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of medications that can decrease immune function: corticosteroids (e.g., prednisone), cancer chemotherapy, organ transplant drugs (e.g., cyclosporine, azathioprine).If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting the hepatitis B vaccine series.Other vaccines may be given at the same time as hepatitis B vaccine, but should be given with separate syringes and at different injection sites.
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CONDITIONS
OF USE: The information in this database is intended to supplement, not substitute
for, the expertise and judgement of healthcare professionals. The information
is not intended to cover all possible uses, directions, precautions, drug interactions
or adverse effects, nor should it be construed to indicate that use of a particular
drug is safe, appropriate or effective for you or anyone else. A healthcare professional
should be consulted before taking any drug, changing any diet or commencing or
discontinuing any course of treatment. |