section name header

Pronunciation

im-MYOON GLO-byoo-lin

Classifications

Therapeutic Classification: vaccines/immunizing agents

Pharmacologic Classification: immune globulins

Indications

IM:

REMS


Action

  • A human serum fraction containing gamma globulin antibodies (IgG).
Therapeutic effects:
  • Provision of passive immunity against many infections.
  • Decreased consequences of idiopathic thrombotypenic purpura.
  • Decreased incidence of coronary artery damage in Kawasaki syndrome.
  • Improvement in symptoms of chronic inflammatory demyelinating polyneuropathy.

Pharmacokinetics

Absorption: IV administration results in complete bioavailability. Well absorbed following IM administration; 73% bioavailable following SUBQ administration.

Distribution: Rapidly and evenly distributed.

Metabolism/Excretion: Removed by redistribution, tissue binding, and catabolism.

Half-Life: 21–24 days.

Time/Action Profile

(antibody levels)

ROUTEONSETPEAKDURATION
SUBQ1 wkunknownunknown
IM5 daysunknownunknown
IVimmediateunknown3–4 wk

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

Neuro: aseptic meningitis syndrome, headache, lightheadedness, malaise

Resp: dyspnea, wheezing

CV: THROMBOEMBOLIC EVENTS, chest pain, vascular occlusion

GI: nausea

GU: RENAL FAILURE, diuresis (maltose containing-products), nephrotic syndrome

Derm: cyanosis, urticaria

Local: at SUBQ or IM sitemuscle stiffness, pain, tenderness, at IV sitelocal inflammation, phlebitis, urticaria

Hemat: hemolytic anemia

MS: arthralgia, back pain, hip pain

Misc: ANAPHYLAXISALLERGIC REACTIONS INCLUDING , angioedema, chills, fever, sweating

Interactions

Drug-drug:

Route/Dosage

Primary Immunodeficiency Disorder

Hepatitis A Prophylaxis (IM)

Measles Prophylaxis (IM)

Immunoglobulin Deficiency (IM)

Varicella (IM)

Rubella (IM)

Immunodeficiency (IV)

Idiopathic Thrombocytopenic Purpura

Prevention of Bacterial Infections in HIV-Infected Patients, or B cell CLL

Kawasaki Syndrome

Chronic Inflammatory Demyelinating Polyneuropathy

Availability

Assessment

Lab Test Considerations:

Implementation

IV Administration:

Patient/Family Teaching

Evaluation/Desired Outcomes

US Brand Names

immune globulin IM: GamaSTAN S/D,

immune globulin IV: Carimune NF, Flebogamma, Gammagard S/D, Gammaplex, Gamunex-C, Iveegam EN, Privigen,

immune globulin SUBQ: Gamunex-C, Hizentra, Vivaglobin

Pot. Nursing Diagnoses

Code

NDC Code