Conversations with Your Doctor - Understanding Your Factor VIII Replacement Therapy Options

An understanding of hemophilia, and its available treatment options is important to enable people with hemophilia throughout their treatment journey. Preparing for your doctor's appointment can play an important part in taking control of your hemophilia treatment and goals. 

An understanding of hemophilia, and its available treatment options is important to enable people with hemophilia throughout their treatment journey. Preparing for your doctor's appointment can play an important part in taking control of your hemophilia treatment and goals. 

Before Your Appointment

Before visiting your doctor, you should prepare a small list of your symptoms, treatment history, and current medications. You can document your concerns and questions in order to have a productive appointment. Keeping a detailed log of bleeding episodes, treatment responses and treatment side effects can help you and your doctor in setting clear and achievable treatment goals.

Before visiting your doctor, you should prepare a small list of your symptoms, treatment history, and current medications. You can document your concerns and questions in order to have a productive appointment. Keeping a detailed log of bleeding episodes, treatment responses and treatment side effects can help you and your doctor in setting clear and achievable treatment goals.

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Be Prepared: Know Your Hemophilia Infusion Treatment Options

You should understand your treatment options, including those that are preventive or on-demand, types of available therapies like factor VIII replacement, factor mimetic, and gene therapy, before discussing a treatment plan with your doctor.   

You should understand your treatment options, including those that are preventive or on-demand, types of available therapies like factor VIII replacement, factor mimetic, and gene therapy, before discussing a treatment plan with your doctor.   

Factor VIII replacement therapy options

Factor VIII replacement therapy is an effective treatment for hemophilia A, especially severe hemophilia A, and works to replace the missing blood clotting factor (factor VIII). Two main categories of replacement therapies include those that are Extended Half-Life (EHL) or Standard Half-Life (SHL). EHL therapies are designed to last longer in the bloodstream, potentially reducing the frequency of infusions needed to manage people with hemophilia. SHL therapies have a shorter duration of action and may require more frequent dosing. The choice of therapy can depend on various factors, including the severity of hemophilia A, lifestyle considerations, and the treatment goals set by doctors in collaboration with their patients. 

Factor VIII replacement therapy is an effective treatment for hemophilia A, especially severe hemophilia A, and works to replace the missing blood clotting factor (factor VIII). Two main categories of replacement therapies include those that are Extended Half-Life (EHL) or Standard Half-Life (SHL). EHL therapies are designed to last longer in the bloodstream, potentially reducing the frequency of infusions needed to manage people with hemophilia. SHL therapies have a shorter duration of action and may require more frequent dosing. The choice of therapy can depend on various factors, including the severity of hemophilia A, lifestyle considerations, and the treatment goals set by doctors in collaboration with their patients. 

Non-factor VIII replacement therapies

The two other treatment options include non-factor replacement therapies—a factor VIII mimetic that targets different points in the clotting process rather than simply replacing the missing factor VIII and gene therapy— a one-time treatment that works by replacing a missing or faulty gene to create factor VIII. These non-factor therapies are only for prophylactic use.

The two other treatment options include non-factor replacement therapies—a factor VIII mimetic that targets different points in the clotting process rather than simply replacing the missing factor VIII and gene therapy— a one-time treatment that works by replacing a missing or faulty gene to create factor VIII. These non-factor therapies are only for prophylactic use.

Hemophilia treatment at home

Although hemophilia care is often provided at specialized treatment centers, at-home treatments, such as factor VIII infusion is an alternative. This option, alongside regular visits to the doctor, may allow you to live a more normal life and ensure that bleeding is treated promptly. Further, it can help you better adhere to your treatment plan.

Although hemophilia care is often provided at specialized treatment centers, at-home treatments, such as factor VIII infusion is an alternative. This option, alongside regular visits to the doctor, may allow you to live a more normal life and ensure that bleeding is treated promptly. Further, it can help you better adhere to your treatment plan.

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Your Personalized Treatment Goals

Personalized treatment goals are essential and must reflect the severity of hemophilia, your lifestyle, and health requirements. Goals include adjusting your lifestyle, recognizing bleeding, and assessing your risk. You should discuss these goals with your doctor to ensure that they are appropriate and relevant. 

Personalized treatment goals are essential and must reflect the severity of hemophilia, your lifestyle, and health requirements. Goals include adjusting your lifestyle, recognizing bleeding, and assessing your risk. You should discuss these goals with your doctor to ensure that they are appropriate and relevant. 

Prophylaxis treatment

Prophylaxis in hemophilia refers to the regular administration of clotting factor to prevent bleeding episodes before they occur. Patients with severe hemophilia should consider prophylactic treatment with factor VIII replacement to prevent bleeds and joint damage. The treatment should be tailored to your needs, considering elements like factor activity levels and personal preferences. 

Prophylaxis in hemophilia refers to the regular administration of clotting factor to prevent bleeding episodes before they occur. Patients with severe hemophilia should consider prophylactic treatment with factor VIII replacement to prevent bleeds and joint damage. The treatment should be tailored to your needs, considering elements like factor activity levels and personal preferences. 

Factor VIII replacement therapies on-demand

On-demand treatment can provide you with the means to manage spontaneous bleeding episodes effectively. The on-demand treatment is effective for stopping bleeds. While it offers flexibility and autonomy, it is important for you and your doctor to weigh the benefits against the potential challenges.  

On-demand treatment can provide you with the means to manage spontaneous bleeding episodes effectively. The on-demand treatment is effective for stopping bleeds. While it offers flexibility and autonomy, it is important for you and your doctor to weigh the benefits against the potential challenges.  

Having Open Conversations with Your Doctor

It is important for you to have clear and concise communication with your doctor. Prioritize your concerns, be open to suggestions, and discuss all aspects of your treatment, including considerations.

It is important for you to have clear and concise communication with your doctor. Prioritize your concerns, be open to suggestions, and discuss all aspects of your treatment, including considerations.

Keeping the conversation going

Regular follow-ups are crucial to ensure that the treatment plan remains effective, and your goals are being met. A strong partnership between you and your doctor is the foundation for successful hemophilia A management. 

Understanding your hemophilia and treatment options is the key to helpful discussions with your doctor. By preparing for appointments, knowing your treatment options, planning your treatment goals, and maintaining open communication, you can manage your hemophilia effectively. Remember, you are not alone on this journey—treatment, support system, and healthcare professionals dedicated to helping you in this journey are available. 

Regular follow-ups are crucial to ensure that the treatment plan remains effective, and your goals are being met. A strong partnership between you and your doctor is the foundation for successful hemophilia A management. 

Understanding your hemophilia and treatment options is the key to helpful discussions with your doctor. By preparing for appointments, knowing your treatment options, planning your treatment goals, and maintaining open communication, you can manage your hemophilia effectively. Remember, you are not alone on this journey—treatment, support system, and healthcare professionals dedicated to helping you in this journey are available. 

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Sanofi Hemophilia Community Relations and Education (CoRe) Managers offer education to people living with hemophilia and their families. CoRe Managers provide information about living with hemophilia and treatment options. Use our handy CoRe Locator to find the CoRe team member nearest you.
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