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aflibercept

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Brand names: Eylea

Anti-VEGF (Ophthalmic Injection) Rx

AHZANTIVE is a medicine used to treat certain eye problems. It helps to stop blood vessels from growing and leaking in the eye.

What it does

AHZANTIVE treats wet age-related macular degeneration (AMD).

Common side effects

Bleeding in the eye, Eye pain, Clouding of the lens of the eye (cataract)

Key warnings

Injections with AHZANTIVE may cause serious eye infections (endophthalmitis), separation of the retina (retinal detachment), and inflammation of blood vessels in the retina.

How It Works

AHZANTIVE is a VEGF inhibitor. VEGF is a protein that promotes the growth of new blood vessels. By blocking VEGF, AHZANTIVE helps to reduce the growth of abnormal blood vessels in the eye and decrease leakage.

How to Take It

AHZANTIVE is given as an injection into your eye. A qualified doctor must give you this injection. The dose is 2 mg (0.05 mL). The frequency of injections depends on the eye condition being treated, and your doctor will determine the best schedule for you.

Pregnancy & Breastfeeding

It is not known if AHZANTIVE can harm an unborn baby. AHZANTIVE should be used during pregnancy only if the benefit justifies the risk. It is also not known if AHZANTIVE passes into breast milk.

Missed Dose

If you miss an appointment for your AHZANTIVE injection, contact your doctor as soon as possible to reschedule.

Storage

Store AHZANTIVE in the refrigerator at 36°F to 46°F (2°C to 8°C) in its original container to protect from light. Do not freeze.

Side Effects (from patient reports)

Based on 20,002 FDA adverse event reports.

Death
7,853
Trouble seeing
2,013
Using the medicine for something it's not approved for
1,509
Loss of sight
1,459
Eye infection
1,372
Worse eyesight
1,244
Eye ache
1,181
Unclear sight
1,161
Medicine not working
1,132
Missed dose
1,078

FDA Adverse Event Report Analysis

Detailed analysis of 29,874 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2007–2025.

Total Reports

29,874

Death-Related Reports

8,845

Hospitalization Reports

3,872

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 5,542 (51%)
Male 5,138 (48%)

Age Distribution

0–17 51
18–44 254
45–64 1,644
65–74 1,815
75+ 2,827

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DEATH 7,853
2 VISUAL IMPAIRMENT 2,013
3 OFF LABEL USE 1,509
4 BLINDNESS 1,459
5 ENDOPHTHALMITIS 1,372
6 VISUAL ACUITY REDUCED 1,244
7 EYE PAIN 1,181
8 VISION BLURRED 1,161
9 DRUG INEFFECTIVE 1,132
10 PRODUCT DOSE OMISSION ISSUE 1,078
11 BLINDNESS UNILATERAL 1,068
12 BLINDNESS TRANSIENT 1,028
13 EYE INFLAMMATION 970
14 EYE HAEMORRHAGE 797
15 VITREOUS FLOATERS 781

Reactions in Death Reports

DEATH 7,846
OFF LABEL USE 123
MYOCARDIAL INFARCTION 95
CEREBROVASCULAR ACCIDENT 71
DIARRHOEA 71
GENERAL PHYSICAL HEALTH DETERIORATION 60
NEOPLASM MALIGNANT 47
PNEUMONIA 47
DISEASE PROGRESSION 44
RENAL FAILURE 43

Reactions in Hospitalization Reports

HOSPITALISATION 309
DIARRHOEA 214
ENDOPHTHALMITIS 214
VISUAL IMPAIRMENT 200
OFF LABEL USE 166
FALL 162
CEREBROVASCULAR ACCIDENT 152
BLINDNESS 144
HYPERTENSION 141
EYE PAIN 133

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Injections with AHZANTIVE may cause serious eye infections (endophthalmitis), separation of the retina (retinal detachment), and inflammation of blood vessels in the retina. Tell your doctor right away if you have any signs of these problems. AHZANTIVE may also increase the risk of blood clots that can cause stroke or heart attack.

Common Questions

What if I am allergic to AHZANTIVE?
You should not take AHZANTIVE if you are allergic to aflibercept or any of the other ingredients in the injection.
Can AHZANTIVE be used for both eyes at the same time?
No, each pre-filled syringe or vial is for single eye use only.
What kind of needle is used to inject AHZANTIVE?
A 30-gauge × ½-inch sterile injection needle is needed but not provided.
How often will I need AHZANTIVE injections for wet AMD?
You will get an injection every 4 weeks for the first 12 weeks (3 months), followed by an injection once every 8 weeks (2 months).
How often will I need AHZANTIVE injections for diabetic macular edema?
You will get an injection every 4 weeks for the first 5 injections, followed by an injection once every 8 weeks (2 months).
Can I drive after getting an AHZANTIVE injection?
Your vision may be blurry after the injection. Do not drive or operate machinery until your vision is clear.
What should I do if my eye becomes red and painful after the injection?
Contact your doctor immediately. This could be a sign of an eye infection.
Will AHZANTIVE cure my eye condition?
AHZANTIVE can help to slow down the progression of your eye condition and improve your vision. It may not be a cure.
Are there any special instructions before the injection?
Your doctor will clean your eye and use numbing medicine before the injection.
Can I still wear contact lenses?
Talk to your doctor about when you can wear contact lenses after the injection.
What are the common side effects of aflibercept?
The most commonly reported side effects of aflibercept include Bleeding in the eye, Eye pain, Clouding of the lens of the eye (cataract), Separation of the vitreous gel from the retina, Spots in your vision. Based on 20,002 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
What drug class is aflibercept?
aflibercept belongs to the Anti-VEGF (Ophthalmic Injection) drug class. It requires a prescription (Rx). AHZANTIVE treats wet age-related macular degeneration (AMD).
Is aflibercept safe during pregnancy?
It is not known if AHZANTIVE can harm an unborn baby. AHZANTIVE should be used during pregnancy only if the benefit justifies the risk. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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What the FDA Data Shows for aflibercept

The FDA label for aflibercept (sold under brand names such as Eylea) classifies it as a prescription-only medication in the Anti-VEGF (Ophthalmic Injection) class. AHZANTIVE treats wet age-related macular degeneration (AMD). Official labeling lists 6 commonly reported side effects, including Bleeding in the eye, Eye pain, Clouding of the lens of the eye (cataract).

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 20,002 voluntary reports. Interaction data is drawn directly from FDA-approved prescribing information. Acquisition-cost data is surveyed weekly by CMS and updated as manufacturers report changes.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: October 27, 2025

All federal data sources used on this page