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Hepatitis B (Recombinant) Vaccine

Latest prescription information about Hepatitis B (Recombinant) Vaccine. Learn how to pronounce the drug’s name, its indications, dosage, how to take, when to take, when not to take, side effects, special precautions, its storage instructions and warnings if any when taken during pregnancy. Also listed are the International and Indian trade name(s) of the drug and its price list.
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Generic Name : Hepatitis B (Recombinant) Vaccine
Pronunciation : HEP a TYE tis
Therapeutic Classification : Immunizing Agents
ICD Code : Y59.0
Trade Name(s): 
India- Bevac, Biovac-B Inj, Engerix-B, Enivac-HB, Genevac-B, HB-Vac, Hepabig, Hepaccine, Hepaglob.
International- Recombivax , Engerix-B.
Why it is prescribed (Indications) : 
This medication is an immunizing agent, used to prevent hepatitis B infection. It stimulates the body to produce antibodies against hepatitis B infection.  
When it is not to be taken (Contraindications): 
Hypersensitivity to yeast or any component of the vaccine.

Pregnancy Category :

A B C D X
Category C : Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.

Dosage & When it is to be taken : 
Given via subcutaneous administration(injected just under the skin) in haemophiliacs. Adults 20 yr of age and older- IM - The recommended dose is 20 mcg at 0, 1, and 6th month.
Infants of HBsAg-Positive or -Negative Mothers Children and Adolescents 1 to 19 yr of age - IM- The recommended dose is 10 mcg at 0, 1, and 6th month.
How it should be taken : 
It is usually administered as an injection by a healthcare provider.
Warnings and Precautions : 
* If any alcohol or disinfectant is used for cleansing the skin it should be allowed to evaporate before vaccination otherwise inactivation of live vaccines may occur.
Side Effects : 
Heart- Palpitation, fainting and fast heart rate.
Central Nervous System- Dizziness, headache, multiple sclerosis (MS), nerve disease (including Bells palsy, Guillain-Barré syndrome, hypoesthesia, and paresthesia), paralysis and seizures.
Skin- Hair loss, skin inflammation, herpes zoster and unusual bleeding.
Eye and ENT- Inflammation of conjunctiva, earache, ringing in the ear and visual disturbances.
Gastrointestinal- Stomach upset, diarrhea, nausea and constipation.
Blood- Increased erythrocyte sedimentation rate and decrease in platelets.
Liver- Elevated liver enzymes.
Hypersensitivity- Hypersensitivity, including anaphylaxis and symptoms of immediate hypersensitivity reaction, severe allergic reactions, bronchial spasm, chest discomfort, difficulty in breathing, swelling in the leg, hypersensitivity syndrome (serum sickness–like reaction) of delayed onset (including ecchymosis, erythema multiforme, erythema nodosum), palpitation, itching, rash, symptoms consistent with hives and low blood pressure episode.
Local- Soreness, including discoloration of skin , redness, nodule formation, pain, itching, swelling, tenderness and warmth.
Musculoskeletal- Joint pain, muscle weakness and spine inflammation.
Respiratory- Inflammation of pharynx and upper respiratory tract infection.
Miscellaneous- Fever and inflammation of blood vessels.
Other Precautions : 
*Use full recommended dose of the vaccine.
Storage Conditions : 
It is usually handled and stored by a health care provider.

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Reference  

  • Food and Drug Administration (FDA)
  • National Institutes of Health (NIH)
  • PubMed
  • CIMS
  • Indian Pharma Reference Guide 2012
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