Prothrombin complex concentrate, 4-factor (Kcentra)
کنسانتره کمپلکس پروترومبین ۴ فاکتوری (PCC)
🩸 Blood And Blood Forming OrgansCoagulation factors II, VII, IX, X
Market / country: 🇺🇸 USA
Kcentra (US)
🧮 Dose calculator
Life-threatening bleeding on anticoagulants (reversal) · Regimen source: FDA Kcentra · 2.1, Table 1
Enter age and weight.
🛡️ Safety & information
Contraindications
- ⛔ Anaphylaxis or severe reaction to any component (heparin, factors, proteins C and S, antithrombin, albumin); DIC; known HIT (contains heparin). FDA Kcentra · 4
Warnings
- • Boxed warning: arterial and venous thromboembolism (fatal and non-fatal). Give with vitamin K; repeat dosing not recommended; weight above 100 kg counts as 100 kg. FDA Kcentra · Boxed WarningFDA Kcentra · 2.1
- • Human plasma-derived — theoretical risk of transmitting infectious agents. FDA Kcentra · 5.3
Formulations
- 1000 unit vial (factor IX units; actual potency on carton) — powder for injection 🇺🇸 USA FDA Kcentra · 3
👥 Special populations
- 🤰 PregnancyUse with caution
Label states no clear risk or has limited data; use only if needed, under medical advice. FDA Kcentra · 8.1
“Risk Summary There are no data with KCENTRA use in pregnancy to inform on drug-associated risk.”
- 🤱 BreastfeedingUse with caution
Label: use with caution while breastfeeding; see the label text. FDA Kcentra · 8.2
“Risk Summary There is no information regarding the excretion of KCENTRA in human milk, the effect on the breastfed infant, or the effects on milk production.”
- 👶 ChildrenUse with caution
The label has conditions, age limits or notes for children; the label sentence is quoted below. FDA Kcentra · 8.4
“The safety and efficacy of KCENTRA in the pediatric population has not been studied.”
- 👴 Older adultsUse with caution
Label: use with caution in older adults, usually starting at the low end of the dose range. FDA Kcentra · 8.5
“Of the total number of subjects (431) with acute major bleeding or with the need for an urgent surgery/invasive procedure treated to reverse VKA anticoagulation in three clinical studies, 66% were 65 years old or greater and 39% were 75 years old or greater.”
- ⚥ Females & males of reproductive potentialNo data
The source for this drug has no section for this group.
🔗 Reference links
- FDA (approval record)BLA125421
- DailyMed (FDA label)FDA Kcentra
- MedlinePlus (NIH)❌ None
- WHO ATC/DDDB02BD01
- Darooyab (Iran)❌ None
🇮🇷 Not found in Iran list Darooyab · search
Darooyab lists no registered dosage form or brand for this drug. This does not prove it is unavailable.
📚 Reference status for this drug
Shows which sources have references recorded for this drug and which do not.
- FDA label (DailyMed)✅ PresentFDA Kcentra · 3FDA Kcentra · 2.1, Table 1FDA Kcentra · 4FDA Kcentra · Boxed WarningFDA Kcentra · 2.1FDA Kcentra · 5.3FDA Kcentra · SPL approval / marketing categoryFDA Kcentra · 8.1FDA Kcentra · 8.2FDA Kcentra · 8.4FDA Kcentra · 8.5
- UK SmPC (eMC / MHRA)❌ Not present
- Published guideline❌ Not present
- Licensed reference (medical school)❌ Not present
- Iranian leaflet (IFDA)❌ Not present
- Pharmacy website (secondary, unreliable)✅ PresentDarooyab · search
- Clinical review⚠ Unverified