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Reblozyl vs. Retacrit

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, and it is specifically used for anemia in adults with beta thalassemia or certain myelodysplastic syndromes (MDS). It is given every 3 weeks by a healthcare provider. On the other hand, Procrit is an erythropoiesis-stimulating agent (ESA) that mimics a natural hormone in the 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, and can be administered at home. Procrit can be given daily, three times a week, or weekly, depending on your condition. While both medications can raise the risk of blood clots and high blood pressure, Procrit also has specific warnings for cancer patients and those with uncontrolled hypertension. Additionally, Procrit requires adequate iron levels to be effective, whereas Reblozyl does not have this requirement.

Reblozyl

(luspatercept)

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Retacrit

(epoetin alfa-epbx)

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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 Retacrit

Prescription only

Retacrit (epoetin alfa-epbx) is an injection used to treat certain types of anemia. It's a biosimilar to Epogen (epoetin alfa) and Procrit (epoetin alfa), and it's FDA approved for people with anemia caused by chronic kidney disease (CKD), zidovudine treatment for HIV, or cancer chemotherapy. It's also used to lower the need for blood transfusions in people having certain surgeries. You can get Retacrit (epoetin alfa-epbx) as an injection under the skin or into a vein either once a day, once a week, or 3 times a week. Common side effects include high blood pressure, fever, and joint pain.

Indications for Retacrit

Pros and Cons for Retacrit

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 Retacrit

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 Retacrit

  • 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. Retacrit

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Reblozyl1 vial / 75mg
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Retacrit4 vials / 1ml of 10000 units/ml
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