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Erythropoiesis-stimulating agent

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648:. The overall oxygen delivery system (blood oxygen levels, as well as heart stroke volume, vascularization, and lung function) is one of the major limiting factors to muscles' ability to perform endurance exercise. Therefore, the primary reason athletes may use ESAs is to improve oxygen delivery to muscles, which directly improves their endurance capacity. With the advent of recombinant erythropoietin in the 1990s, the practice of autologous and homologous blood transfusion has been partially replaced by injecting erythropoietin such that the body naturally produces its own red cells. ESAs increase hematocrit (% of blood volume that is red cell mass) and total red cell mass in the body, providing a good advantage in sports where such practice is banned. In addition to ethical considerations in sports, providing an increased red cell mass beyond the natural levels reduces blood flow due to increased viscosity, and increases the likelihood of thrombosis and stroke. Due to dangers associated with using ESAs, their use should be limited to the clinic where anemic patients are boosted back to normal hemoglobin levels (as opposed to going above the normal levels for performance advantage, leading to an increased risk of death). 860:, forced other team members to dope as well. It also went to the root of their doping network, targeting the shadowy doctors and back room enablers who helped cyclists procure and administer drugs as well as highly placed executives who helped to avoid doping controls and hide positive test results. Armstrong was subsequently stripped of all of his victories from 1998 onward—including his Tour wins and his performance in the 2000 Summer Olympics. The UCI concurred with the decision. While several of the doping offenses took place outside the normal eight-year statute of limitations for doping offenses, USADA contended the statute of limitations did not apply due to Armstrong's "fraudulent concealment" of his doping. Longstanding precedent in U.S. law holds that the statute of limitations does not apply in cases of fraudulent conduct by a defendant. In accordance with this decision, Tour organizers removed Armstrong's name and results from the race's history. 49: 2397: 2479: 588:, which early literature during its development often termed as novel erythropoiesis-stimulating protein (NESP), is a form created by five substitutions (Asn-30, Thr-32, Val-87, Asn-88 and Thr-90) that create two new N-glycosylation sites. This glycoprotein has a longer terminal half-life, meaning it is possible to administer it less frequently. 320: 894:
residues. It was hoped that this would make a longer-acting product than existing brands. There were concerns that such production would also make Dynepo undetectable in the urine tests for EPO used, at that time, to detect doping by athletes. Dynepo was withdrawn from European markets on 17 February
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journalist Jean-Michel Rouet that EPO had no "fundamental" effect on performance and that if his riders used it, it would not "scandalize" himself. After the journalist pointed out several riders were suspected of dying from EPO, Ferrari said EPO was not dangerous, and only abuse of it was dangerous,
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Though EPO was believed to be widely used in the 1990s in certain sports, there was no way at the time to directly test for it, until in 2000, when a test developed by scientists at the French national antidoping laboratory (LNDD) and endorsed by the World Anti-Doping Agency (WADA) was introduced to
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that the 50% limit was "an open invitation to dope to that level", pointing out that normally haematocrit levels would start "around 40-42%" and drop during the course of a "grand tour", but after EPO, they were staying at 50% for "weeks at a time". By 1998, EPO use had become widespread, and the
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Since 2002, EPO tests performed by US sports authorities have consisted of only a urine or "direct" test. From 2000 to 2006, EPO tests at the Olympics were conducted on both blood and urine. However, several compounds have been identified that can be taken orally to stimulate endogenous EPO
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The 2020 Cochrane Anaesthesia Review Group review of erythropoietin (EPO) plus iron versus control treatment including placebo or iron for preoperative anaemic adults undergoing non‐cardiac surgery demonstrated that patients were much less likely to require red cell transfusion and in those
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Kohler M, Ayotte C, Desharnais P, Flenker U, Lßdke S, Thevis M, VÜlker-Schänzer E, Schänzer W (Jan 2008). "Discrimination of recombinant and endogenous urinary erythropoietin by calculating relative mobility values from SDS gels".
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saying, "It's also dangerous to drink 10 liters of orange juice." The 'orange juice' comment has been widely misquoted. Ferrari was fired shortly after, but continued to work in the industry with top riders, allegedly including
2251:"Report on proceedings under the world anti-doping code and the usada protocol united states anti-doping agency, claimant, v. lance armstrong, respondent. reasoned decision of the united states anti-doping agency" 875:. The first development steps were performed by HMR and Aventis. Aventis obtained the license in Europe in 2002. The company expected to launch the product in Europe in 2006, although patents held by the American 1994:
Lundby C, Robach P, Boushel R, Thomsen JJ, Rasmussen P, Koskolou M, Calbet JA (Aug 2008). "Does recombinant human Epo increase exercise capacity by means other than augmenting oxygen transport?".
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transfused, the volumes were unchanged (mean difference -0.09, 95% CI -0.23 to 0.05). Pre-op hemoglobin (Hb) concentration was increased in those receiving 'high dose' EPO, but not 'low dose'.
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Lasne F, Martin L, Crepin N, de Ceaurriz J (Dec 2002). "Detection of isoelectric profiles of erythropoietin in urine: differentiation of natural and administered recombinant hormones".
2524: 667:, the founder and then-director of the UCLA Olympic Analytical Lab, reported finding darbepoetin alfa, a form of erythropoietin, in a test sample for the first time in sports. At the 2529: 971: 99: 652:
detect pharmaceutical EPO by distinguishing it from the nearly identical natural hormone normally present in an athlete's urine. The first EPO-doping cases were found by the
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of their own blood in the 1980s. Donati felt this work "opened the road to EPO . . . because blood doping was a trial to understand the role of EPO".
459: 358: 706:, which leads to increased production of erythropoietin and improved performance. It has been used for this purpose in Russia since at least 2004. 904: 2376: 206: 1275:"Erythropoietin plus iron versus control treatment including placebo or iron for preoperative anaemic adults undergoing non-cardiac surgery" 934:"Information on Erythropoiesis-Stimulating Agents (ESA) Epoetin alfa (marketed as Procrit, Epogen), Darbepoetin alfa (marketed as Aranesp)" 653: 1370:
Burtis, C.A.; Ashwood, E.R. and Bruns, D.E. Tietz Textbook of Clinical Chemistry and Molecular Diagnostics. 5th Edition. Elsevier. pp 1554
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Aapro MS, Link H (2008). "September 2007 Update on EORTC Guidelines and Anemia Management with Erythropoiesis-Stimulating Agents".
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ESAs are used to maintain hemoglobin at the lowest level that both minimizes transfusions and best meets a person's needs. Medical
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which activate the EPO gene. The compounds include oxo-glutarate competitors, but also simple ions such as cobalt(II) chloride.
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Witnesses testified that code words used for EPO included "Edgar", "Poe", "Edgar Allan Poe", and "Zumo" (Spanish for 'juice').
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admitted to using performance-enhancing drugs, including EPO, throughout his career as a professional cyclist. In 2012, the
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were not only immediately disqualified, but banned from racing for two weeks. Robert Millar, former racer, later wrote for
778: 2469: 633: 2302: 872: 1226:"Late erythropoiesis-stimulating agents to prevent red blood cell transfusion in preterm or low birth weight infants" 749:, a former student and protege of Conconi, had a controversial interview mentioning the drug in 1994, just after his 237: 1633: 1604: 1575: 1543: 1514: 1435: 1406: 1112: 692: 540: 222: 148: 84: 2288:
Statement From USADA CEO Travis T. Tygart Regarding The U.S. Postal Service Pro Cycling Team Doping Conspiracy
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WHO EML 2016-2017 - Application for erythropoietin-stimulating agents (erythropoietin type blood factors)
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Recombinant EPO is believed to have come into use in cycling about 1990. In theory, EPO use can increase
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Lodewijkx HF, Brouwer B (Dec 2011). "Some empirical notes on the epo epidemic in professional cycling".
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ESAs may fail to achieve an adequate therapeutic response when one or more of the following is present:
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Dynepo was made in cultured human cells. It was therefore expected to have an authentic human form of
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for three days, and came second in the points classification with the assistance of EPO. In 2010,
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was tested positive for Dynepo on a test taken on December 24, 2007, while Dekker was riding for
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Jelkmann W (2012). "The disparate roles of cobalt in erythropoiesis, and doping relevance".
1869: 1833: 1805: 1725: 1538: 1401: 1343: 1335: 1294: 1286: 1245: 1237: 1152: 1120: 1004: 621: 585: 352: 214: 1599: 1570: 896: 2483: 1765: 1191: 891: 853: 845: 833: 763: 746: 723: 601: 198:. It is unclear if use is safe during pregnancy. They work similar to naturally occurring 2432: 2420: 2504: 1348: 1323: 1322:
Chung EY, Palmer SC, Saglimbene VM, Craig JC, Tonelli M, Strippoli GF (February 2023).
1299: 1274: 1250: 1225: 857: 841: 837: 791: 617: 331: 249: 199: 140: 104: 54: 2132: 1837: 774:, presented a report accusing Conconi of being linked to the use of EPO in the sport. 2493: 2051: 933: 876: 817: 767: 727: 672: 419: 371: 2007: 1980: 1889: 1063: 1016: 205:
They were first approved for medical use in the United States in 1989. It is on the
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has claimed that the history of doping in cycling can be traced to the Italian Dr
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There is no evidence that one agent is better than another in the setting of CKD.
1729: 163:. The different agents are more or less equivalent. They are given by injection. 1916: 887: 782: 629: 613: 605: 388: 136: 132: 2150: 836:. The report contained affidavits from numerous riders on the team, including 664: 218: 167: 39: 2310: 2364:
Ride a Stage of the Tour De France The Legendary Climbs and How to Ride Them
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World Health Organization model list of essential medicines: 21st list 2019
2396: 2283: 2133:"Blood testing for professional cyclists: What's a fair hematocrit limit?" 2089:"An Interview With Dr. Michele Ferrari, part two: That l'Equipe Interview" 1873: 995:
Tanne JH (2010). "FDA restricts use of erythropoiesis stimulating drugs".
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2009, for commercial reasons. On July 1, 2009, professional cycling team
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Martin DT, Ashenden M, Parisotto R, Pyne D, Hahn AG (March–April 1997).
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EPIAO (rHuEPO), made by Shenyang Sunshine Pharmaceutical Co.. LTD. China
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Macdougall IC (Jul 2000). "Novel erythropoiesis stimulating protein".
1008: 244:(CKD) who have hemoglobin levels greater than 10 g/dL and do not have 609: 476: 425: 406: 245: 191: 187: 144: 80: 1091:(69 ed.). British Medical Association. 2015. pp. 666–671. 319: 72:
Erythropoiesis-stimulating drugs, erythropoietin-type blood factors
2273:"A lifetime ban: Does the time fit the crime?" Velo News, 12/16/13 1463: 880: 828:
released a report on its investigation into massive doping by the
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ESAs may help reduce the need for red blood cell transfusions.
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trademark name for an erythropoiesis stimulating protein, by
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PDpoetin, made by pooyeshdarou biopharmaceutical company IRAN
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patterns giving rise to alpha, beta, delta, and omega forms:
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by Jean-Michel Rouet, from l'Equipe, 1994, reprinted excerpt
977:(Report). WHO. WHO EML 2016–2017, Version 3. Archived from 596:
Erythropoiesis-stimulating agents have a history of use as
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US Food and Drug Administration – Drug Safety Information
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Dynepo is the brand name for a form of EPO developed by
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Juliet Macur: Cycle of Lies: The Fall of Lance Armstrong
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Nanokine (Nanogen Pharmaceutical biotechnology, Vietnam)
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World Health Organization's List of Essential Medicines
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Cinnapoietin, made by CinnaGen biopharmaceutical Iran.
2467: 1183:"Five Things Physicians and Patients Should Question" 2284:"U.S. Postal Service Pro Cycling Team Investigation" 1768:, www.doping.chuv.ch (page visited on 11 June 2014). 738:. Conconi had worked on the idea of giving athletes 1759:
History of the Swiss Laboratory for Doping Analyses
110: 98: 76: 66: 61: 32: 883:may have precluded its sale in the United States. 439:Abseamed (Medice Arzneimittel PĂźtter GmbH Co. KG) 27:Medicine that stimulates red blood cell production 159:. In these situations they decrease the need for 2037: 2035: 691:production. Most of the compounds stabilize the 687:, tested positive for EPO and was disqualified. 240:do not recommend the use of ESAs in people with 1138: 1136: 1064:"Epoetin alfa Use During Pregnancy | Drugs.com" 2525:World Anti-Doping Agency prohibited substances 1565: 1563: 1058: 1056: 1054: 722:by a significant amount, making it useful for 2530:World Health Organization essential medicines 2063: 2061: 1803:"FDA Reports New Risks Posed by Anemia Drugs" 8: 2326:"Public statement on Dynepo (epoetin delta)" 566:Shanpoietin, made by Shantha Biotechnics Ltd 370:Recombinant erythropoietin has a variety of 1328:The Cochrane Database of Systematic Reviews 1230:The Cochrane Database of Systematic Reviews 563:ReliPoietin, made by Reliance Life Sciences 327:The following types of ESAs are available: 2457:"Methoxy polyethylene glycol-epoetin beta" 806:if he would use EPO, but Bassons refused. 726:like cycling. Italian antidoping advocate 221:. Use among athletes is prohibited by the 155:, major surgery, or certain treatments in 91:, major surgery, or certain treatments in 47: 2015: 1953:Research Quarterly for Exercise and Sport 1347: 1298: 1249: 1124: 965: 963: 961: 959: 957: 955: 953: 951: 928: 926: 924: 922: 920: 753:team had a remarkable performance in the 1862:International Journal of Sports Medicine 1462:. Ortho Biotech Products. Archived from 1089:British national formulary : BNF 69 675:, the gold medalist in the 50-kilometer 460:Methoxy polyethylene glycol-epoetin beta 376: 359:Methoxy polyethylene glycol-epoetin beta 271:Occult blood loss and/or iron deficiency 209:. Commercially available agents include 2474: 1279:Cochrane Database of Systematic Reviews 1031:"Highlights of Prescribing Information" 970:Banzi R, Gerardi C (23 December 2016). 916: 816:won one stage, held the Tour de France 693:hypoxia-inducible transcription factors 554:Erykine, made by Intas Biopharmaceutica 2050:. chrisharrisonwriting. Archived from 1224:Aher SM, Ohlsson A (28 January 2020). 1190:Choosing Wisely: an initiative of the 661:Winter Olympic Games in Salt Lake City 505:(biosimilar forms for epoetin alpha): 29: 1119:. Geneva: World Health Organization. 569:Zyrop, made by Cadila Healthcare Ltd. 7: 2463:. U.S. National Library of Medicine. 2451:. U.S. National Library of Medicine. 2439:. U.S. National Library of Medicine. 2427:. U.S. National Library of Medicine. 2415:. U.S. National Library of Medicine. 654:Swiss Laboratory for Doping Analyses 533:EPOTrust, made by Panacea Biotec Ltd 2367:. London: A & C Black. p.  2232:"Landis admits to illegal drug use" 944:from the original on 14 April 2022. 182:. Serious side effects may include 2249:United States Anti Doping Agency. 2213:. Theaustralian.com.au. 2013-07-25 1487:. probiomed.com.mx. Archived from 772:Italian National Olympic Committee 560:Espogen, made by LG life sciences. 25: 2500:Erythropoiesis-stimulating agents 2402:Erythropoiesis-stimulating agents 1709:Jelkmann W, Lundby C (Sep 2011). 125:Erythropoiesis-stimulating agents 18:Erythropoiesis-stimulating agents 2477: 2395: 1711:"Blood doping and its detection" 798:. One manager offered a 270,000- 557:Wepox, made by Wockhardt Biotech 541:Serum Institute of India Limited 536:Erypro Safe, made by Biocon Ltd. 166:Common side effects may include 33:Erythropoiesis-stimulating agent 2195:. Bicycling.com. Archived from 2008:10.1152/japplphysiol.90484.2008 349:Epoetin zeta (Silapo, Retacrit) 1965:10.1080/02701367.2011.10599811 1340:10.1002/14651858.CD010590.pub3 1291:10.1002/14651858.CD012451.pub2 1242:10.1002/14651858.CD004868.pub6 1197:American Society of Nephrology 1179:American Society of Nephrology 1157:10.1634/theoncologist.13-S3-33 830:US Postal Service cycling team 1: 2309:. BBC Radio 5. Archived from 1996:Journal of Applied Physiology 1838:10.1016/S0003-2697(02)00407-4 1273:Kaufner L, Heymann C (2020). 779:Union Cycliste Internationale 2151:"Pantani: Future 'in doubt'" 2044:"The Man Who Knows Too Much" 1730:10.1182/blood-2011-02-303271 551:Epofit, made by Intas pharma 1917:10.13055/ojhmt_3_1_6.121211 1381:"Aranesp(darbepoetin alfa)" 436:Bioyetin, made by Probiomed 2546: 2068:Gifford B (Jan–Feb 2006). 1905:Open Journal of Hematology 281:Infection and inflammation 238:professional organizations 2333:European Medicines Agency 2106:10 liters of orange juice 2042:Harrison C (2003-03-01). 1634:European Medicines Agency 1605:European Medicines Agency 1576:European Medicines Agency 1544:European Medicines Agency 1515:European Medicines Agency 1436:European Medicines Agency 1407:European Medicines Agency 1113:World Health Organization 143:. They are used to treat 115: 46: 37: 2301:Chapman M (2012-10-15). 1460:"Procrit (Epoetin alfa)" 832:under the leadership of 519:, Pfizer Europe MA EEIG) 299:Primary disease activity 223:World Anti-Doping Agency 149:end stage kidney disease 85:end stage kidney disease 2515:Antianemic preparations 2461:Drug Information Portal 2449:Drug Information Portal 2437:Drug Information Portal 2425:Drug Information Portal 2413:Drug Information Portal 2303:"Cycling's Dirty Truth" 2187:Startt J (2012-10-15). 2172:Millar R (2003-10-23). 2070:"Paging Doctor Ferrari" 1826:Analytical Biochemistry 1778:Steeg JL (2007-02-28). 1659:Seminars in Nephrology 547:Emcure Pharmaceuticals 397:Epocept (Lupin pharma) 394:Darbecept (Celon labs) 324: 242:chronic kidney disease 2510:Anti-aging substances 2108:: see the article on 1874:10.1055/s-2007-989369 873:Shire Pharmaceuticals 736:University of Ferrara 529:Lupin Pharmaceuticals 510:STADA Arzneimittel AG 450:NeoRecormon, made by 403:Epofit (Intas pharma) 322: 309:Pure red cell aplasia 196:pure red cell aplasia 2404:at Wikimedia Commons 2342:on 24 September 2015 2313:on October 16, 2012. 2290:. USADA. 2012-10-10. 802:-per-month raise to 681:2008 Summer Olympics 669:2012 Summer Olympics 634:cross country skiing 302:Transplant rejection 278:or folate deficiency 141:make red blood cells 135:which stimulate the 1811:The Washington Post 811:1998 Tour de France 796:1998 Tour de France 757:race. Ferrari told 287:Hyperparathyroidism 284:Inadequate dialysis 2445:"Darbepoetin Alfa" 2174:"The Bare Minimum" 2153:. BBC. 5 June 1999 2110:Water intoxication 2087:Maloney T (2003). 1937:. 8 February 2014. 1764:2016-03-29 at the 1548:. 20 December 2019 984:on 31 August 2020. 804:Christophe Bassons 770:, working for the 766:. That same year, 755:La Flèche Wallonne 642:mixed martial arts 539:Repoitin, made by 424:Binocrit, made by 325: 161:blood transfusions 2400:Media related to 2378:978-1-4081-3333-0 1685:"Boxing Scandals" 1638:. 14 January 2020 1440:. 31 October 2019 1411:. 13 January 2020 1206:on April 16, 2012 1009:10.1136/bmj.c1050 940:. 31 March 2017. 732:Francesco Conconi 583: 582: 527:Epocept, made by 452:Hoffmann–La Roche 340:(Procrit, Epogen) 293:Patient adherence 290:Aluminum toxicity 122: 121: 62:Class identifiers 16:(Redirected from 2537: 2482: 2481: 2480: 2473: 2464: 2452: 2440: 2428: 2416: 2409:"Erythropoietin" 2399: 2383: 2382: 2361:Bauer K (2011). 2358: 2352: 2351: 2349: 2347: 2341: 2335:. 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Cycling News. 2171: 2170: 2166: 2156: 2154: 2149: 2148: 2144: 2130: 2129: 2125: 2120: 2116: 2104: 2100: 2095:. Cycling News. 2086: 2085: 2081: 2067: 2066: 2059: 2041: 2040: 2033: 1993: 1992: 1988: 1950: 1949: 1942: 1931:"Breathe it in" 1929: 1928: 1924: 1902: 1901: 1897: 1858: 1857: 1853: 1823: 1822: 1818: 1801: 1797: 1788: 1786: 1777: 1776: 1772: 1766:Wayback Machine 1757: 1753: 1724:(9): 2395–404. 1713: 1708: 1707: 1703: 1694: 1692: 1691:. December 2011 1689:Bleacher Report 1683: 1682: 1678: 1656: 1655: 1651: 1641: 1639: 1629:"Retacrit EPAR" 1627: 1626: 1622: 1612: 1610: 1609:. 10 March 2020 1598: 1597: 1593: 1583: 1581: 1580:. 23 April 2009 1569: 1568: 1561: 1551: 1549: 1537: 1536: 1532: 1522: 1520: 1510:"Abseamed EPAR" 1508: 1507: 1503: 1494: 1492: 1483: 1482: 1478: 1469: 1467: 1458: 1457: 1453: 1443: 1441: 1431:"Binocrit EPAR" 1429: 1428: 1424: 1414: 1412: 1400: 1399: 1395: 1386: 1384: 1379: 1378: 1374: 1369: 1365: 1334:(2): CD010590. 1321: 1320: 1316: 1285:(8): CD012451. 1272: 1271: 1267: 1236:(1): CD004868. 1223: 1222: 1218: 1209: 1207: 1203: 1192:ABIM Foundation 1185: 1177: 1176: 1172: 1142: 1141: 1134: 1111: 1110: 1106: 1099: 1087: 1086: 1082: 1072: 1070: 1062: 1061: 1052: 1042: 1040: 1033: 1029: 1028: 1024: 994: 993: 989: 981: 974: 969: 968: 949: 932: 931: 918: 913: 899:announced that 892:oligosaccharide 869: 854:Levi Leipheimer 846:George Hincapie 834:Lance Armstrong 764:Lance Armstrong 747:Michele Ferrari 719: 712: 594: 524:Miscellaneous: 418:Eprex, made by 368: 366:Available forms 317: 277: 265: 231: 57: 28: 23: 22: 15: 12: 11: 5: 2543: 2541: 2533: 2532: 2527: 2522: 2520:Drugs in sport 2517: 2512: 2507: 2502: 2492: 2491: 2487: 2486: 2466: 2465: 2453: 2441: 2433:"Epoetin beta" 2429: 2421:"Epoetin alfa" 2417: 2405: 2391: 2390:External links 2388: 2385: 2384: 2377: 2353: 2316: 2293: 2275: 2266: 2241: 2223: 2202: 2199:on 2012-10-18. 2179: 2164: 2142: 2137:Sports Science 2123: 2114: 2112:, for example. 2098: 2079: 2057: 2054:on 2014-02-26. 2031: 1986: 1940: 1922: 1895: 1851: 1816: 1795: 1770: 1751: 1701: 1676: 1649: 1620: 1591: 1559: 1539:"Mircera EPAR" 1530: 1501: 1476: 1451: 1422: 1402:"Aranesp EPAR" 1393: 1372: 1363: 1314: 1265: 1216: 1170: 1145:The Oncologist 1132: 1104: 1097: 1080: 1050: 1022: 987: 947: 915: 914: 912: 909: 868: 865: 858:Johan Bruyneel 842:Tyler Hamilton 838:Frankie Andreu 814:Stuart O'Grady 794:tarnished the 792:Festina affair 717: 711: 708: 593: 590: 581: 580: 579: 578: 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2238:. 2010-05-20. 2237: 2233: 2227: 2224: 2212: 2206: 2203: 2198: 2194: 2190: 2183: 2180: 2175: 2168: 2165: 2152: 2146: 2143: 2138: 2134: 2127: 2124: 2118: 2115: 2111: 2107: 2102: 2099: 2094: 2090: 2083: 2080: 2075: 2071: 2064: 2062: 2058: 2053: 2049: 2048:Sport Monthly 2045: 2038: 2036: 2032: 2027: 2023: 2018: 2013: 2009: 2005: 2001: 1997: 1990: 1987: 1982: 1978: 1974: 1970: 1966: 1962: 1959:(4): 740–54. 1958: 1954: 1947: 1945: 1941: 1936: 1935:The Economist 1932: 1926: 1923: 1918: 1914: 1910: 1906: 1899: 1896: 1891: 1887: 1883: 1879: 1875: 1871: 1867: 1863: 1855: 1852: 1847: 1843: 1839: 1835: 1832:(2): 119–26. 1831: 1827: 1820: 1817: 1813: 1812: 1807: 1804: 1799: 1796: 1785: 1781: 1774: 1771: 1767: 1763: 1760: 1755: 1752: 1747: 1743: 1739: 1735: 1731: 1727: 1723: 1719: 1712: 1705: 1702: 1690: 1686: 1680: 1677: 1672: 1668: 1665:(4): 375–81. 1664: 1660: 1653: 1650: 1637: 1635: 1630: 1624: 1621: 1608: 1606: 1601: 1600:"Silapo EPAR" 1595: 1592: 1579: 1577: 1572: 1571:"Dynepo EPAR" 1566: 1564: 1560: 1547: 1545: 1540: 1534: 1531: 1518: 1516: 1511: 1505: 1502: 1491:on 2018-03-26 1490: 1486: 1480: 1477: 1466:on 2009-10-26 1465: 1461: 1455: 1452: 1439: 1437: 1432: 1426: 1423: 1410: 1408: 1403: 1397: 1394: 1382: 1376: 1373: 1367: 1364: 1359: 1355: 1350: 1345: 1341: 1337: 1333: 1329: 1325: 1318: 1315: 1310: 1306: 1301: 1296: 1292: 1288: 1284: 1280: 1276: 1269: 1266: 1261: 1257: 1252: 1247: 1243: 1239: 1235: 1231: 1227: 1220: 1217: 1202: 1198: 1194: 1193: 1184: 1180: 1174: 1171: 1166: 1162: 1158: 1154: 1150: 1146: 1139: 1137: 1133: 1127: 1122: 1118: 1114: 1108: 1105: 1100: 1098:9780857111562 1094: 1090: 1084: 1081: 1069: 1065: 1059: 1057: 1055: 1051: 1039: 1032: 1026: 1023: 1018: 1014: 1010: 1006: 1002: 998: 991: 988: 980: 973: 966: 964: 962: 960: 958: 956: 954: 952: 948: 943: 939: 935: 929: 927: 925: 923: 921: 917: 910: 908: 906: 902: 901:Thomas Dekker 898: 897:Silence–Lotto 893: 889: 884: 882: 878: 877:biotechnology 874: 866: 864: 861: 859: 855: 851: 847: 843: 839: 835: 831: 827: 823: 819: 818:yellow jersey 815: 812: 807: 805: 801: 797: 793: 788: 784: 780: 777:In 1997, the 775: 773: 769: 768:Sandro Donati 765: 760: 756: 752: 751:Gewiss–Ballan 748: 743: 741: 737: 733: 729: 728:Sandro Donati 725: 721: 709: 707: 705: 701: 696: 694: 688: 686: 682: 678: 674: 673:Alex Schwazer 670: 666: 662: 657: 655: 649: 647: 643: 639: 635: 631: 627: 623: 619: 615: 611: 607: 603: 599: 591: 589: 587: 574: 571: 568: 565: 562: 559: 556: 553: 550: 548: 544: 542: 538: 535: 532: 530: 526: 525: 523: 518: 514: 511: 507: 506: 504: 501: 500: 499: 492: 491: 489: 488:epoetin omega 486: 482: 478: 475: 474: 472: 471:epoetin delta 469: 465: 462:(Mircera) by 461: 458: 455: 453: 449: 448: 446: 443: 438: 435: 432: 429: 427: 423: 421: 420:Janssen-Cilag 417: 414: 412: 408: 405: 402: 399: 396: 393: 390: 387: 386: 384: 381: 380: 379: 378: 375: 373: 372:glycosylation 365: 360: 357: 354: 351: 348: 346:(NeoRecormon) 345: 342: 339: 336: 333: 330: 329: 328: 321: 314: 310: 307: 304: 301: 298: 295: 292: 289: 286: 283: 280: 273: 270: 269: 268: 262: 260: 257: 253: 251: 248:symptoms. In 247: 243: 239: 236: 228: 226: 224: 220: 216: 212: 208: 203: 201: 197: 193: 189: 185: 184:heart attacks 181: 177: 173: 169: 164: 162: 158: 154: 150: 146: 142: 138: 134: 130: 126: 118: 114: 109: 106: 103: 101: 97: 94: 90: 86: 82: 79: 75: 71: 69: 65: 60: 56: 53:Structure of 50: 45: 42: 41: 36: 31: 19: 2460: 2448: 2436: 2424: 2412: 2363: 2356: 2344:. Retrieved 2337:the original 2332: 2319: 2311:the original 2306: 2296: 2287: 2278: 2269: 2258:. Retrieved 2244: 2235: 2226: 2215:. Retrieved 2205: 2197:the original 2193:This Just In 2192: 2182: 2167: 2155:. Retrieved 2145: 2136: 2126: 2117: 2105: 2101: 2092: 2082: 2073: 2052:the original 2047: 2002:(2): 581–7. 1999: 1995: 1989: 1956: 1952: 1934: 1925: 1908: 1904: 1898: 1865: 1861: 1854: 1829: 1825: 1819: 1809: 1798: 1787:. Retrieved 1783: 1773: 1754: 1721: 1717: 1704: 1693:. Retrieved 1688: 1679: 1662: 1658: 1652: 1640:. Retrieved 1632: 1623: 1611:. Retrieved 1603: 1594: 1582:. Retrieved 1574: 1550:. Retrieved 1542: 1533: 1521:. 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Amgen.com 1073:13 December 1043:13 December 888:sialic acid 881:Amgen, Inc. 783:haematocrit 704:HIF-1-alpha 671:in London, 630:snowshoeing 606:horseracing 389:Darbepoetin 219:biosimilars 194:growth, or 137:bone marrow 133:medications 117:In Wikidata 2494:Categories 2260:2012-10-28 2217:2013-07-25 2017:10553/6534 1868:(1): 1–6. 1789:2009-03-31 1695:2011-12-22 1495:2018-03-21 1470:2009-04-29 1387:2009-04-29 1210:August 17, 911:References 890:and other 665:Don Catlin 604:, such as 600:agents in 515:Retacrit ( 409:, made by 305:Malignancy 235:speciality 168:joint pain 40:Drug class 2346:31 August 2074:Bicycling 1808:story in 1784:USA Today 1151:: 33–36. 1068:Drugs.com 1003:: c1050. 677:race walk 646:triathlon 481:Shire plc 391:(Aranesp) 361:(Mircera) 355:(Aranesp) 274:Vitamin B 2484:Medicine 2236:BBC News 2076:: 50–59. 2026:18535134 1981:34350476 1973:22276416 1890:11677786 1882:18050057 1846:12470670 1762:Archived 1738:21652677 1671:10928340 1642:10 March 1613:10 March 1584:10 March 1552:10 March 1523:10 March 1444:10 March 1415:10 March 1358:36791280 1309:32790892 1260:31990982 1165:18458123 1115:(2019). 1017:72017313 942:Archived 905:Rabobank 879:company 759:l'Equipe 638:biathlon 508:Silapo ( 456:Recormon 180:headache 176:vomiting 157:HIV/AIDS 100:ATC code 93:HIV/AIDS 68:Synonyms 2256:. USADA 2157:30 June 1911:: 3–6. 1746:2685044 1349:9924302 1300:8095002 1251:6986694 809:In the 734:at the 710:Cycling 685:Beijing 679:in the 614:cycling 517:Hospira 433:Procrit 323:Mircera 263:Failure 147:due to 83:due to 2470:Portal 2375:  2024:  1979:  1971:  1888:  1880:  1844:  1744:  1736:  1669:  1356:  1346:  1307:  1297:  1258:  1248:  1163:  1095:  1015:  867:Dynepo 663:, Dr. 644:, and 618:rowing 610:boxing 592:Misuse 493:Epomax 477:Dynepo 426:Sandoz 415:Epogin 407:Epogen 246:anemia 217:, and 192:cancer 188:stroke 178:, and 145:anemia 131:) are 81:Anemia 2505:Amgen 2340:(PDF) 2329:(PDF) 2254:(PDF) 1977:S2CID 1886:S2CID 1742:S2CID 1718:Blood 1714:(PDF) 1636:(EMA) 1607:(EMA) 1578:(EMA) 1546:(EMA) 1517:(EMA) 1438:(EMA) 1409:(EMA) 1204:(PDF) 1186:(PDF) 1034:(PDF) 1013:S2CID 982:(PDF) 975:(PDF) 826:USADA 800:franc 700:xenon 464:Roche 411:Amgen 334:(Epo) 315:Types 105:B03XA 2373:ISBN 2348:2015 2159:2011 2022:PMID 1969:PMID 1878:PMID 1842:PMID 1734:PMID 1667:PMID 1644:2020 1615:2020 1586:2020 1554:2020 1525:2020 1446:2020 1417:2020 1354:PMID 1332:2023 1305:PMID 1283:2020 1256:PMID 1212:2012 1161:PMID 1093:ISBN 1075:2017 1045:2017 745:Dr. 213:and 172:rash 2012:hdl 2004:doi 2000:105 1961:doi 1913:doi 1870:doi 1834:doi 1830:311 1726:doi 1722:118 1344:PMC 1336:doi 1295:PMC 1287:doi 1246:PMC 1238:doi 1153:doi 1121:hdl 1038:FDA 1005:doi 1001:340 997:BMJ 720:max 683:in 139:to 129:ESA 77:Use 2496:: 2459:. 2447:. 2435:. 2423:. 2411:. 2371:. 2369:35 2331:. 2305:. 2286:. 2234:. 2191:. 2135:. 2091:. 2072:. 2060:^ 2046:. 2034:^ 2020:. 2010:. 1998:. 1975:. 1967:. 1957:82 1955:. 1943:^ 1933:. 1907:. 1884:. 1876:. 1866:29 1864:. 1840:. 1828:. 1782:. 1740:. 1732:. 1720:. 1716:. 1687:. 1663:20 1661:. 1631:. 1602:. 1573:. 1562:^ 1541:. 1512:. 1433:. 1404:. 1352:. 1342:. 1330:. 1326:. 1303:. 1293:. 1281:. 1277:. 1254:. 1244:. 1232:. 1228:. 1195:, 1188:, 1181:, 1159:. 1149:13 1147:. 1135:^ 1066:. 1053:^ 1036:. 1011:. 999:. 950:^ 936:. 919:^ 907:. 852:, 848:, 844:, 840:, 716:VO 656:. 640:, 636:, 632:, 628:, 624:, 620:, 616:, 612:, 608:, 490:: 473:: 447:: 385:: 276:12 225:. 202:. 186:, 174:, 170:, 151:, 87:, 2472:: 2381:. 2350:. 2263:. 2220:. 2161:. 2139:. 2028:. 2014:: 2006:: 1983:. 1963:: 1919:. 1915:: 1909:3 1892:. 1872:: 1848:. 1836:: 1792:. 1748:. 1728:: 1698:. 1673:. 1646:. 1617:. 1588:. 1556:. 1527:. 1498:. 1473:. 1448:. 1419:. 1390:. 1360:. 1338:: 1311:. 1289:: 1262:. 1240:: 1234:1 1167:. 1155:: 1123:: 1101:. 1077:. 1047:. 1019:. 1007:: 718:2 512:) 127:( 20:)

Index

Erythropoiesis-stimulating agents
Drug class

erythropoietin
Synonyms
Anemia
end stage kidney disease
chemotherapy
HIV/AIDS
ATC code
B03XA
In Wikidata
medications
bone marrow
make red blood cells
anemia
end stage kidney disease
chemotherapy
HIV/AIDS
blood transfusions
joint pain
rash
vomiting
headache
heart attacks
stroke
cancer
pure red cell aplasia
erythropoietin
World Health Organization's List of Essential Medicines

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