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FAQs

Q: Does Rhophylac® contain thimerosal or mercury?

Q: Is Rhophylac® a generic form of RhoGAM®?

Q: Is Rhophylac® AB rated?

Q: Will Rhophylac® cause more pain on injection due to the volume and needle length?

Q: Can Rhophylac® be administered with vaccines?

Q: In what other countries is Rhophylac® used?

Q: What if the Rhophylac® syringe is not compatible with my IV system?

Q: Is Rhophylac® available as a micro-dose?

Q: When was Rhophylac® approved by the FDA?

Q: Which distributors stock Rhophylac®?

Q: Are the Rhophylac® syringes bar-coded for inventory purposes?

Q. What is the shelf life of Rhophylac®?

Q: How is Rhophylac® packaged; in what quantities?

Q: Does Rhophylac® contain thimerosal or mercury?

A. Rhophylac® has never contained thimerosal or mercury and is latex-free.

Q: Is Rhophylac® a generic form of RhoGAM®?

A: No. Unlike RhoGAM®, Rhophylac® has never contained thimerosal (mercury). In addition, Rhophylac® is made with state-of-the-art manufacturing techniques to produce Rh prophylaxis with a guaranteed 300 mcg dose, a 3-step viral safety process, and the purity to be administered either IV or IM.

Q: Is Rhophylac® AB rated?

A: No. The AB rating is a coding system developed by the FDA confirming that a generic product is pharmaceutically and therapeutically equivalent to a branded drug based on bioequivalent studies. Since Rhophylac® is a branded product with distinct clinical benefits, this rating does not apply.

Q: Will Rhophylac® cause more pain on injection due to the volume and needle length?

A: There is no evidence to suggest that a Rhophylac® injection causes more pain than injections of other anti-D products with less volume or shorter needles. In a clinical trial, only 2 women-0.9%-reported pain at the injection site. The 1 1/2-inch needle length allows clinicians to decide the best injection site: buttocks, upper arm, or thigh. In addition, the needle is not permanently attached to the syringe, so the clinician can choose a different length needle.

Q: Can Rhophylac® be administered with vaccines?

A: The prescribing information for Rhophylac® states that the product should not be given concurrently with vaccines. This is true of all Ig products and of IVIG products when larger doses are given. If an Rh-negative pregnant woman received a vaccine along with Rhophylac®, her blood levels should be retested in 3 months to be sure that the titer levels of the vaccine are high enough to be effective.

Q: In what other countries is Rhophylac® used?

A: Rhophylac® is used in many countries throughout the world, including Belgium, Brazil, Denmark, Egypt, England, Finland, France, Germany, Greece, Iceland, Ireland, Israel, Italy, Kuwait, Luxembourg, Mexico, the Netherlands, Norway, Portugal, Sweden, Switzerland, and Syria.

Q: What if the Rhophylac® syringe is not compatible with my IV system?

A: If an adaptor is required, the SAFSITE Needle-free IV System is recommended. Working with the SAFSITE Needle-free IV System is easy. According to the instructions of the IV System manufacturer, close the clamp above the port and/or reset the pump. Swab the top of the port per hospital protocol, then follow these simple instructions:

1. Remove the clear cap from the SAFSITE valve and attach it to the IV port by turning clockwise.

2. Remove the blue end cap from the SAFSITE valve and discard. Be careful not to touch the opening of the SAFSITE valve; alcohol swabbing is not necessary.

3. After removing the white cap from the Rhophylac® syringe, attach it to the SAFSITE valve by turning the syringe until it is firmly seated on the valve.

4. When administration of Rhophylac® is complete, remove the SAFSITE valve from the IV port, discard the valve with the Rhophylac® syringe still attached, and then open the IV clamp and/or restart the pump.

Q: Is Rhophylac® available as a micro-dose?

A: Rhophylac® is not currently available as a micro-dose.

Q: When was Rhophylac® approved by the FDA?

A: Rhophylac® was approved for use in the US in 2004. The product has been used effectively in Europe since 1996 and more than 1.5 million doses have been administered.

Q: Which distributors stock Rhophylac®?

A: See a list of authorized distributors for Rhophylac®.

Q: Are the Rhophylac® syringes bar-coded for inventory purposes?

A: Each package is bar-coded and has the NDC number listed. The enclosed syringe has a peel-off label with the lot number and expiration date to place within hospital nursing records.

Q: What is the shelf life of Rhophylac®?

A: Shelf life from date of manufacture is 36 months-longer than any other currently available anti-D products.

Q: How is Rhophylac® packaged; in what quantities?

A: Rhophylac® comes in a single box containing a 300-mcg dose for IV or IM administration and is also available in a 10-pack. A control card and patient ID card are included in the product packaging. See HOW SUPPLIED in Prescribing Information.

RhoGAM is a registered trademark of Ortho-Clinical Diagnostics, Inc.


Important Safety Information

Rhophylac® is indicated for suppression of rhesus (Rh) isoimmunization in:

  • Pregnancy and obstetric conditions in non-sensitized, Rho(D)-negative women with an Rh-incompatible pregnancy, including routine antepartum and postpartum Rh prophylaxis and Rh prophylaxis in cases of obstetric complications, invasive procedures during pregnancy, or obstetric manipulative procedures.
  • Incompatible transfusions in Rho(D)-negative individuals transfused with blood components containing Rho(D)-positive red blood cells.

For suppression of Rh isoimmunization, Rhophylac® can be administered IM or IV.

Rhophylac® is indicated to raise platelet counts in Rho(D)-positive, non-splenectomized adult patients with chronic immune thrombocytopenic purpura (ITP). For the treatment of ITP, Rhophylac® must be administered IV.

Rhophylac® is contraindicated in individuals with known anaphylactic or severe systemic reaction to human immune globulin products.

Allergic or hypersensitivity reactions may occur with Rhophylac®; early signs of hypersensitivity include generalized urticaria, chest tightness, wheezing, hypotension, and anaphylaxis. Individuals with selective IgA deficiency can develop antibodies to IgA and may develop severe hypersensitivity and anaphylactic reactions. For these individuals, weigh the expected benefits of treatment against the potential risks.

Rhophylac® is derived from human plasma. The risk of transmission of infectious agents, including viruses and, theoretically, the Creutzfeldt-Jakob disease (CJD) agent, cannot be completely eliminated.

Suppression of Rh Isoimmunization: For postpartum use following an Rh-incompatible pregnancy, Rhophylac® should not be given to the newborn infant.

The most common adverse reactions in the suppression of Rh isoimmunization with Rhophylac® are nausea, dizziness, headache, injection-site pain, and malaise.

Immune Thrombocytopenic Purpura: The most serious adverse reactions in patients receiving Rho(D) immune globulin have been observed in the treatment of ITP. ITP patients being treated with Rhophylac® should be monitored for signs and symptoms of intravascular hemolysis, including back pain, shaking chills, fever, and hemoglobinuria. Potentially serious complications of intravascular hemolysis include clinically compromising anemia, acute renal insufficiency, and, very rarely, disseminated intravascular coagulation, and death.

The most common adverse reactions observed in the treatment of ITP are chills, pyrexia/increased body temperature, and headache. Mild extravascular hemolysis has also been observed. In patients with preexisting anemia, weigh the benefits of Rhophylac® against the potential risk of increasing the severity of the anemia.

Please see full prescribing information.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.