IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.

IMMUNE GLOBULIN - INTRAVENOUS

(ih-MYOON GLOB-you-lin)

COMMON BRAND NAME(S): Gamimune N, Gammagard, Gammar, Iveegam, Polygam, Sandoglobulin

WARNING: This medication may cause serious (rarely fatal) kidney problems. The risk is higher in those who have kidney problems, diabetes, a serious blood infection (sepsis), a certain blood problem (paraproteinemia), or a severe loss of body fluids (dehydration), as well as in those who are older than 65 years or are taking other drugs that may harm the kidneys (e.g., gentamicin). Receiving this medication more slowly or using a less concentrated form of this drug may decrease the risk. Tell your doctor immediately if you notice shortness of breath, sudden weight gain, swelling of the hands/ankles/feet, a change in the amount/color of urine, or foamy/frothy urine.

USES: This medication is used to strengthen the body's natural defense system (immune system) to lower the risk of infection in persons with a weakened immune system. This medication is made from healthy human blood that has a high level of certain defensive substances (antibodies), which help fight infections. It is also used to increase the blood count (platelets) in persons with a certain blood disorder (idiopathic thrombocytopenia purpura-ITP). Platelets are needed to stop bleeding and form blood clots.

HOW TO USE: This medication is given by slow infusion into a vein as directed by your doctor.

Your health care professional will start the medication slowly while monitoring you closely. If you have few or no side effects, the medication will be given faster. Tell your health care professional immediately if you experience any side effects such as flushing, chills, muscle cramps, back/joint pain, fever, nausea, vomiting, or shortness of breath. The infusion may need to be stopped or given more slowly.

The dosage and frequency depends on your medical condition, weight, and response to treatment. For immune system problems, this medication is usually given once every 3 to 4 weeks. It may help to mark your calendar with a reminder. For blood problems (ITP), this medication may be given daily for 1 to 5 days the first time, with maintenance doses usually given one at a time based on your platelet count.

If you are giving this medication to yourself at home, learn all preparation and usage instructions from your health care professional. Before using, check this product visually for particles or discoloration. If either is present, do not use the liquid. Learn how to store and discard medical supplies safely.

Use this medication regularly in order to get the most benefit from it. Keep all your medical/lab appointments.