Discontinue use if pure red cell aplasia is diagnosed; severe cutaneous skin reaction eg, SJS or TEN develops. Fe deficiency & inflammatory disorders; chronic blood loss, bone marrow fibrosis, severe Al overload, folic acid or vit B
12 deficiencies & hemolysis. Patients w/ hemoglobinopathies, seizures or platelet level >500 x 10
9/L. May lead to excessive increase in Hb for non-anaemic persons. Evaluate Fe status & adequately control BP prior to & during treatment. Monitor closely for skin reactions. Not to be switched to Mircera if Ab to erythropoietin is suspected or confirmed. Pregnancy & lactation. Ped <18 yr.