Current Trends in IVIG Therapy
February 2012 - Vol. 9 No. 2 - Page #32

Q&A with Jerry Siegel, 
PharmD, FASHP

 

Pharmacy Purchasing & Products: Given the 30-year history of IVIG, how has therapeutic use of this product evolved over time?
Jerry Siegel: Initially, intravenous immunoglobulin (IVIG) was used to replace the use of intramuscular immunoglobulin G (IgG) for the treatment of patients with primary immune deficiency (PID). Due to the limited volume and physical pain associated with the injections, doses of IgG were low and relatively ineffective in preventing infection in patients with PID. The first IVIG products to be introduced enabled much higher doses of IgG to be administered at a single time with a single infusion. The original doses of IgG were smaller (125-250 mg/kg) compared to today where average IVIG doses are in the range of 400-500 mg/kg for replacement therapy.

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