NovoSeven RT, illustration of injection vial form (not a photo of the actual pack)

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NovoSeven RT

Eptacog Alfa (activated)

Prescription required

$1040.00

1mg · 1 vial

BrandBranded medicine· By Novo Nordisk

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FDA boxed warningThrombosis

Serious arterial and venous thrombotic events following administration of NOVOSEVEN RT have been reported.

Discuss the risks and explain the signs and symptoms of thrombotic and thromboembolic events to patients who will receive NOVOSEVEN RT.

Monitor patients for signs or symptoms of activation of the coagulation system and for thrombosis.

Read this with the rest of the clinical information

About NovoSeven RT

Overview

NovoSeven RT contains recombinant activated coagulation factor VII, a protein involved in blood clotting, supplied as a powder in a vial for preparation and injection into a vein. It is used to treat bleeding episodes and manage bleeding around surgery in adults and children with hemophilia A or B with inhibitors, congenital factor VII deficiency, or Glanzmann’s thrombasthenia when platelet transfusions are not effective. It is also used to treat bleeding episodes and manage bleeding around surgery in adults with acquired hemophilia. It works by activating other clotting proteins, helping form a clot at the site of bleeding.

What it treats

Used to treat bleeding episodes and manage bleeding around surgery in: - Adults and children with hemophilia A or B with inhibitors. - Adults and children with congenital factor VII deficiency. - Adults and children with Glanzmann’s thrombasthenia when platelet transfusions are not effective, with or without antibodies to platelets. - Adults with acquired hemophilia.

Safety information

Side effects

Blood clots were the most common and serious side effects reported in clinical trials. They occurred in 4% of patients with acquired hemophilia and in 0.2% of bleeding episodes in patients with congenital hemophilia. Contact a doctor immediately if a blood clot is suspected. Allergic reactions, including anaphylaxis, can occur and require immediate medical attention. If symptoms appear, the infusion must be stopped and appropriate treatment given. Patients with factor VII deficiency may develop antibodies to factor VII. Monitoring of clotting tests, factor VII activity and antibody formation is needed.

FDA boxed warning

Thrombosis

Serious arterial and venous thrombotic events following administration of NOVOSEVEN RT have been reported.

Discuss the risks and explain the signs and symptoms of thrombotic and thromboembolic events to patients who will receive NOVOSEVEN RT.

Monitor patients for signs or symptoms of activation of the coagulation system and for thrombosis.

A boxed warning is the strongest warning the US Food and Drug Administration requires on a medicine label. Text is taken from the official label, with internal section references removed.

When to call your doctor

• Seek medical attention immediately if you suspect a blood clot. • Seek medical attention immediately if you suspect a severe allergic reaction (anaphylaxis).

If symptoms are severe or getting worse quickly, seek emergency care rather than waiting.

Before taking this medicine

The label lists no known contraindications to NovoSeven RT. Severe allergic reactions, including anaphylaxis, can occur. If symptoms appear, the infusion must be stopped and appropriate treatment given. People with factor VII deficiency may develop antibodies to factor VII. They should be monitored for prothrombin time (PT), factor VII clotting activity and antibodies to NovoSeven RT.

Interactions

NovoSeven RT should not be used at the same time as activated prothrombin complex concentrates (aPCCs) or coagulation factor XIII (FXIII). Using it with factor XIII may cause blood clots. Tell your doctor if you receive either of these treatments. NovoSeven RT must not be mixed with infusion solutions.

Using NovoSeven RT

Dosing

Dosing is set by your prescriber. Each health care professional may prescribe medication differently according to a patient's medical history and condition, so follow the directions on your prescription label and speak to your doctor or pharmacist before changing anything.

Storage

Store in the original carton below 25°C, protected from light, unless the pack states refrigeration. Do not freeze. Keep all medicines out of the sight and reach of children.

Clinical information on this page is summarised from the US FDA label NOVOSEVEN RT (COAGULATION FACTOR VIIA (RECOMBINANT)) KIT [NOVO NORDISK] (DailyMed, retrieved 19 September 2026).

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