Understanding precautions and warnings with darbepoetin alfa before starting treatment can help reduce risks. Darbepoetin alfa may accelerate the worsening of cancer and shorten survival (if hemoglobin levels become too high). It can also increase the risk of serious cardiovascular problems, including heart attacks, strokes, and blood clots. Do not take darbepoetin alfa if you have untreated high blood pressure or are allergic to the medicine.
Any allergies, including allergies to food, dyes, or preservatives.
Also, let your healthcare provider know if you are:
Pregnant or thinking of becoming pregnant
Breastfeeding.
Make sure to tell your healthcare provider about all other medicines you are taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.