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Hemangeol is a medicine used to treat a condition called proliferating infantile hemangioma (sometimes called "strawberry marks").
How does this medication work?
Hemangeol is thought to work directly on the blood vessels that make up the hemangioma. It narrows the blood vessels that already formed, prevents new ones from growing, and destroys and removes these unwanted cells from inside the hemangioma.
What are the beneficial effects of this medication and when should I begin to have results?
What: In a clinical trial, 60% of babies receiving Hemangeol had their hemangioma lesion completely or nearly completely resolved by 6 months of therapy versus only 4% of babies given no treatment.
When: Everyone responds differently to treatment, so try to be patient and follow your healthcare provider’s directions. It is important that you give Hemangeol to your child exactly as your healthcare provider has prescribed.
How do I know it is working?
Your child's hemangioma should begin to get smaller after starting treatment with Hemangeol.
The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.
More common side effects may include: sleep problems, worsening respiratory tract infections, diarrhea, vomiting.
Less common side effects may include:
Low blood sugar, with signs or symptoms such as paleness, blue or purple skin color, sweating, irritability, crying for no apparent reason, irregular or fast heartbeat, poor feeding, low body temperature, unusual sleepiness, seizures, breathing stops for short periods of time, and loss of consciousness.
New or worsening slow heart rate or low blood pressure, with symptoms such as pale skin color, slow or uneven heartbeats, cold arms or legs, blue or purple skin color, or fainting.
Increased risk of stroke in certain children who have severe problems with the blood vessels in their brain, particularly if your child has a large hemangioma that affects the face or head.
Hemangeol may also cause breathing problems or wheezing.
Do not give Hemangeol to your child if he/she is allergic to it or any of its ingredients.
Do not give Hemangeol to your child if he/she was born prematurely and has not reached the corrected age of 5 weeks.
Do not give Hemangeol to your child if he/she weighs less than 4 1/2 pounds.
Do not give Hemangeol to your child if he/she has asthma or a history of breathing problems.
Do not give Hemangeol to your child if he/she has a heart problem, slow heart rate (<80 beats per minute), or very low blood pressure.
Do not give Hemangeol to your child if he/she has pheochromocytoma (a tumor on the adrenal gland).
Tell your child's healthcare provider about all prescription, over-the-counter, and herbal medications your child is taking before beginning treatment with Hemangeol. Also, talk to your healthcare provider about your child's complete medical history, especially if your child has a lower respiratory tract infection.
The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.
Infants 5 weeks-1 year: Your healthcare provider will prescribe the appropriate dose for your child based on his/her weight. Your healthcare provider may adjust the dose as your child’s weight changes.
Give Hemangeol to your child exactly as your healthcare provider tells you. Do not change the dose or stop giving Hemangeol to your child without first talking to your child's healthcare provider.
Always give Hemangeol during or immediately after a feeding. Hemangeol is given 2 times each day, at least 9 hours apart.
If your child refuses to take Hemangeol through the oral dosing syringe, it can be mixed with a small amount of fruit juice or milk (breast or formula). Do not mix Hemangeol with a full bottle of milk or fruit juice.
If your child spits up a dose or if you are not sure your child got all of the medicine, do not give another dose. Wait until the next scheduled dose.
Please review the instructions that came with your child's prescription for information about the correct way to prepare and give a dose of Hemangeol.
Do not give Hemangeol to your child if he/she is not eating, for example, due to an illness or vomiting, until feedings are normal again.
If Hemangeol is taken with certain other drugs, the effects of either could be increased, decreased, or altered. Hemangeol may interact with numerous medications. Therefore, it is very important that you tell your healthcare provider about any other medications your child is taking.
Hemangeol is not for use in pregnant or breastfeeding women.
If your baby has missed a dose of Hemangeol or you are unsure whether they have gotten the entire dose due to vomiting, you can wait until the next scheduled dose. There is no need to make up the missed dose.
Store at room temperature. Do not freeze. Do not shake before use.
Safely throw away any opened bottle after 2 months, even if there is medicine left in the bottle.
In the event of a medical emergency call your doctor or 9-1-1 immediately. In the event of overdose, call your doctor or poison control for further instructions.
National Poison Control#: Call 1-800-222-1222
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