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Reblozyl vs. Procrit

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Reblozyl (luspatercept) and Procrit (epoetin alfa) are both injectable medications used to treat anemia, but they work in different ways and are used for different types of anemia. Reblozyl is a biologic called an erythroid maturation agent that helps immature red blood cells develop properly. It is used for anemia in adults with beta thalassemia or certain myelodysplastic syndromes (MDS) who need regular red blood cell transfusions. Procrit, on the other hand, is an erythropoiesis-stimulating agent (ESA) that works similarly to a natural hormone in your body to stimulate red blood cell production. It is used for anemia due to chemotherapy, chronic kidney disease, and zidovudine use in HIV-infected individuals, as well as to reduce the need for transfusions in certain surgeries. Reblozyl is typically given every 3 weeks by a healthcare provider, while Procrit can be administered more frequently, ranging from daily to weekly, and can be given at home if appropriate. Both medications can raise the risk of blood clots and high blood pressure, but Procrit also has specific warnings about increased risks of death, heart problems, and tumor growth in cancer patients. Additionally, Procrit requires adequate iron levels to be effective, whereas Reblozyl does not have this requirement.

Reblozyl

(luspatercept)

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Procrit

(epoetin alfa)

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Summary for Reblozyl

Prescription only

Reblozyl (luspatercept or luspatercept-aamt) is an injectable medication used to treat anemia (low red blood cells) in adults with beta thalassemia or certain myelodysplastic syndromes (MDS) who require regular red blood cell transfusions. Reblozyl (luspatercept) is given by a healthcare provider every 3 weeks.

Indications for Reblozyl

Pros and Cons for Reblozyl

Pros

  • Treatment is every 3 weeks
  • Can lower the need for RBC transfusions
  • Dose is individualized for each person

Cons

  • Not approved for children
  • Has to be given by injection
  • Can't give yourself the injection; must be given by a provider

Common Side Effects for Reblozyl

  • Tiredness (14-41%)
  • Headache (14-26%)
  • Muscle or bone pain (20%)
  • Joint pain (19%)
  • Dizziness (11-18%)
  • Nausea (9-16%)
  • Diarrhea (12-16%)
  • Cough (14%)
  • Stomach pain (14%)
  • Difficulty breathing (13%)
  • Allergic reaction (10%)

Warnings for Reblozyl

  • Blood clots
  • High blood pressure
  • Harm to unborn baby

Summary for Procrit

Prescription only

Procrit (epoetin alfa) is an injection used to treat anemia, or low red blood cell count, caused by chronic kidney disease (CKD), taking zidovudine for HIV, or cancer chemotherapy. It's also used to reduce the need for blood transfusions in people undergoing certain surgeries. The medication given as a shot under the skin or into a vein, often in a clinic, dialysis center, or sometimes at home. Depending on your condition, you might take it once a day, once a week, or 3 times a week. Common side effects include high blood pressure, fever, and muscle or joint pain.

Indications for Procrit

Pros and Cons for Procrit

Pros

  • Can reduce the need for blood transfusions
  • If appropriate, can be injected at home
  • Approved for both children and adults
  • Dose can be adjusted to fit your individual needs

Cons

  • Raises the risk of blood clots, heart attack, and stroke
  • Only works if iron levels are high enough
  • Need regular blood tests to check hemoglobin levels
  • Can take 2 to 6 weeks for it to work

Common Side Effects for Procrit

Chronic kidney disease (CKD)

  • High blood pressure (up to 28%)
  • Joint pain (up to 16%)
  • Fever (10%)
  • Dizziness (10%)

Taking zidovudine for HIV

  • Fever (42%)
  • Cough (26%)
  • Rash (19%)

Cancer chemotherapy

  • Nausea (35%)
  • Vomiting (20%)
  • Muscle pain (10%)
  • Joint pain (10%)
  • Mouth sores (10%)

Certain surgeries

  • Nausea (up to 56)
  • Vomiting (up to 28%)
  • Itchiness (up to 21%)
  • Headache (up to 18%)
  • Injection-site pain (up to 13%)

Warnings for Procrit

  • Higher risk of death and serious events
  • Cancer survival and tumor growth
  • High blood pressure
  • Seizures
  • No hemoglobin response
  • Red blood cell condition
  • Serious allergic reactions
  • Severe skin reactions
  • Risk of serious gasping syndrome in babies
  • Risk of infection from human blood

Prices with our coupons for Reblozyl vs. Procrit

Price Card Drug Icon
Reblozyl1 vial / 75mg
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Procrit2 vials / 1ml of 20000 units/ml
$1,086.60$1,316.85
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