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immune globulin intravenous and subcutaneous
immune globulin intravenous and subcutaneous
Brand names: Gammagard Liquid, Gamunex-C
| Form | Strength | ANAN | ASMP | LACH | LALK | LOHH | LOLR | LOWC | SDSD | SESE | SFSF | Formulary Status |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOLUTION, INJECTABLE | 10% |
Last updated: May. 9, 2023
- Black Box Warning: Renal dysfunction, acute renal failure
- Therapeutic Interchange: T.I.
- Do Not Tube-LALK
- Do Not Tube-LACH
Medications Approved for Automatic Therapeutic Interchange Dosage Conversion Guidelines
(Note: “Therapeutic Interchange” should be placed in the order comments
Immune Globulin Guidelines
In order help maintain our limited supply of IVIG, the following actions should be taken when an order is received:
Rationale:
IVIG distributes poorly into adipose tissue
Medication Ordered
Brand Name & Vials
Dosing Adjustment
Calculation of
Dose Determining Weight (DDW)
Frequency
Immune Globulin
Gamunex is Formulary
All other IVIG products are non-formulary
Dosing in obese patients (>20% above ideal body weight)
DDW = IBW + 0.4 (actual body weight – IBW)
Rounding: Round DOWN to the nearest vial size (unless the change would result in a >10% difference in dose)