You should not use this medication if you have ever had an allergic reaction to an immune globulin or if you have immune globulin A (IgA) deficiency with antibody to IgA.
If you have certain conditions, you may need a dose adjustment or special tests to safely use this medication. Before you use immune globulin intravenous, tell your doctor if you have:
- kidney disease;
- diabetes (especially if you use insulin);
- a history of stroke or blood clot;
- heart disease or high blood pressure;
- a condition called paraproteinemia; or
- if you are over 65 years old.
FDA pregnancy category C. It is not known whether immune globulin is harmful to an unborn baby. Before using this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment.
It is not known if immune globulin passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
Do not receive live-virus vaccines such as measles, mumps, or rubella. The live vaccine may not work as well during this time, and may not fully protect you from disease.
Seek emergency medical attention if you think you have used too much of this medicine.
Call your doctor for instructions if you miss a dose of this medication.
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have a serious side effect such as:
- urinating less than usual or not at all, swelling, weight gain, feeling short of breath;
- drowsiness, confusion, mood changes, increased thirst, loss of appetite, nausea and vomiting;
- trouble breathing, blue lips;
- fever with headache, neck stiffness, chills, increased sensitivity to light, purple spots on the skin, and/or seizure (convulsions);
- pale or yellowed skin, dark colored urine, fever, confusion or weakness;
- slow heart rate, weak pulse, fainting, slow breathing (breathing may stop);
- sudden numbness or weakness, especially on one side of the body;
- sudden headache, confusion, problems with vision, speech, or balance;
- feeling like you might pass out;
- fever, sore throat, and headache with a severe blistering, peeling, and red skin rash; or
- nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
Less serious side effects may include:
- upset stomach, mild nausea, vomiting, diarrhea;
- back pain, joint pain, minor chest pain;
- mild itching or skin rash; or
- runny or stuffy nose, cough, sore throat;
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may report side effects to FDA at 1-800-FDA-1088.
Immune globulin can be harmful to the kidneys, and these effects are increased when immune globulin is used together with other medicines that can harm the kidneys. Before taking immune globulin, tell your doctor if you are also using:
- lithium (Lithobid);
- methotrexate (Rheumatrex, Trexall);
- pain or arthritis medicines such as aspirin (Anacin, Excedrin), acetaminophen (Tylenol), diclofenac (Cataflam, Voltaren), etodolac (Lodine), ibuprofen (Advil, Motrin), indomethacin (Indocin), naproxen (Aleve, Naprosyn), and others;
- medicines used to treat ulcerative colitis, such as mesalamine (Pentasa) or sulfasalazine (Azulfidine);
- medicines used to prevent organ transplant rejection, such as cyclosporine (Gengraf, Neoral, Sandimmune), sirolimus (Rapamune) or tacrolimus (Prograf);
- IV antibiotics such as amphotericin B (Fungizone, AmBisome, Amphotec, Abelcet), amikacin (Amikin), bacitracin (Baci-IM), capreomycin (Capastat), gentamicin (Garamycin), kanamycin (Kantrex), streptomycin, or vancomycin (Vancocin, Vancoled);
- antiviral medicines such as adefovir (Hepsera), cidofovir (Vistide), or foscarnet (Foscavir); or
- cancer medicine such as aldesleukin (Proleukin), carmustine (BiCNU, Gliadel), cisplatin (Platinol), ifosfamide (Ifex), oxaliplatin (Eloxatin), plicamycin (Mithracin), streptozocin (Zanosar), or tretinoin (Vesanoid).
This list is not complete and there may be other drugs that can interact with immune globulin. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.
Carimune, Flebogamma, Gamimune N 5%, Gammagard, Gammagard S/D, Gammar-P I.V., Gamunex, Iveegam En, Octagam, Panglobulin, Polygam S/D, Sandoglobulin, Venoglobulin-S 10%, Venoglobulin-S 5%, immune globulin intravenous, Gamimune N 10%, Panglobulin NF, and Privigen
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Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04