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Immune Globulin

VIVAGLOBIN®
 

FDA Approval: January 2006
Indication: Treatment of patients with primary immune deficiency (PID)
Pharmacology: Polyvalent human immunoglobulin
Usual Dose: Begin treatment one week after receiving a regularly scheduled IGIV infusion.
Initial weekly dose:  calculated by multiplying the previous IGIV dose by 1.37, then dividing this dose into weekly doses, administered subcutaneously [based on the patient's previous IGIV treatment time interval]
Recommended weekly dose:  100 to 200 mg/kg body weight, subcutaneously.
Contraindications: Selective immunoglobulin A (IgA) deficiency (serum IgA < 0.05 g/L) and known antibody against IgA
Warnings:

Do not administer intravenously

If anaphylactic or anaphylactoid reaction are suspected, discontinue immediately.

Vivaglobin has not been studied in patients younger than 2 years old.

A positive direct or indirect antiglobulin (Coombs') test may occur due to the transitory rise of passively transferred antibodies to erythrocyte antigens.

Pregnancy Category: C
Side Effects: Most common:  adverse events at the injection site

Anaphylactoid reaction, hypersensitivity reaction, allergic reaction,

Gastrointestinal disorder, nausea, diarrhea

Headache, fever, pain

Sore throat, increased cough

Skin disorder, rash

Tachycardia

Drug Interactions: Live attenuated virus vaccines



Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (“Multum”) is accurate, up-to-date, and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and end-users in the United States. Cerner Multum does not warrant that uses outside of the United States are appropriate.
Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve end-users viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. Healthcare practitioners should use their professional judgment in using the information provided. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient.
Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides.
The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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