- Approval Id
- 2b7e4daedd2b5c06
- Drug Name
- Ig VENA Solution for Infusion 50g/l
- Product Name
- Ig VENA Solution for Infusion 50g/l
- Approval Number
- SIN14050P
- Approval Date
- 2011-11-11
- Registrant
- EURO ASIA MEDICO PTE. LTD.
- Licence Holder
- EURO ASIA MEDICO PTE. LTD.
- Drug Type
- Therapeutic
- Forensic Classification
- Prescription Only
- Dosage Form
- INFUSION, SOLUTION
- Dosage
- <p><strong>4.2 Posology and method of administration</strong><br>
<strong>Posology</strong><br>
The dose and dosage regimen is dependent on the indication.<br>
In replacement therapy, the dosage may need to be individualised for each patient dependent on the pharmacokinetic and clinical response. The following dosage regimens are given as a guideline.</p>
<p><u>Replacement therapy in primary immunodeficiency syndromes</u><br>
The dosage regimen should achieve a trough level of IgG (measured before the next infusion) of at least 4–6 g/l. Three to six months are required after the initiation of therapy for equilibration to occur.<br>
The recommended starting dose is 0.4–0.8 g/kg followed by at least 0.2 g/kg every three weeks.<br>
The dose required to achieve a trough level of 6 g/l is of the order of 0.2–0.8 g/kg/month.<br>
The dosage interval when steady state has been reached varies from 2–4 weeks.<br>
Trough levels should be measured in order to adjust the dose and dosage interval.</p>
<p><u>Replacement therapy in myeloma or chronic lymphocytic leukaemia with severe secondary hypogammaglobulinaemia and recurrent infections; replacement therapy in children with AIDS and recurrent infections</u><br>
The recommended dose is 0.2–0.4 g/kg every three to four weeks.</p>
<p><u>Idiopathic Thrombocytopenic Purpura</u><br>
For the treatment of an acute episode, 0.8–1.0 g/kg on day one, which may be repeated once within 3 days, or 0.4 g/kg daily for two to five days. The treatment can be repeated if relapse occurs.</p>
<p><u>Guillain Barré syndrome</u><br>
0.4 g/kg/day for three to seven days.<br>
Experience in children is limited.</p>
<p><u>Kawasaki disease</u><br>
1.6–2.0 g/kg should be administered in divided dose over two to five days or 2.0 g/kg as a single dose. Patients should receive concomitant treatment with acetylsalicylic acid.</p>
<p><u>Allogeneic bone marrow transplantation</u><br>
Human normal immunoglobulin treatment can be used as part of the conditioning regimen and after the transplant.<br>
For the treatment of infections and prophylaxis of graft versus host disease, dosage is individually tailored. The starting dose is normally 0.5 g/kg/week, starting seven days before transplantation and for up to three months after transplantation.<br>
In case of persistent lack of antibody production, dosage of 0.5 g/kg/month is recommended until antibody level returns to normal.</p>
<p>The dosage recommendations are summarised in the following table:</p>
<img src="/TGIF/IGVena-Table1.png" alt="IG Vena Dosage Table 1" /><br><br>
<p><strong>Method of administration</strong><br>
Ig VENA should be infused intravenously at an initial rate of 0.46–0.92 ml/kg/hr (10–20 drops per minute) for 20–30 minutes. If well tolerated, the rate of administration may gradually be increased to a maximum of 1.85 ml/kg/hr (40 drops/minute) for the remainder of the infusion.</p>
- Route Of Administration
- INTRAVENOUS
- Indication Info
- <p><strong>4.1 Therapeutic indications</strong><br>
<u>Replacement therapy in Primary immunodeficiency syndromes</u> such as:</p>
<ul>
<li>congenital agammaglobulinaemia and hypogammaglobulinaemia</li>
<li>common variable immunodeficiency</li>
<li>severe combined immunodeficiency</li>
<li>Wiskott Aldrich syndrome.</li>
</ul>
<p>Myeloma or chronic lymphocytic leukaemia with severe secondary hypogammaglobulinaemia and recurrent infections.<br>
Children with congenital AIDS and recurrent infections.</p>
<p><u>Immunomodulation</u><br>
Idiopathic thrombocytopenic purpura (ITP), in children or adults at high risk of bleeding or prior to surgery to correct the platelet count.<br>
Guillain Barré syndrome.<br>
Kawasaki disease.</p>
<p><u>Allogeneic bone marrow transplantation</u></p>
- Contraindications
- <p><strong>4.3 Contraindications</strong><br>
Hypersensitivity to any of the components.<br>
Hypersensitivity to homologous immunoglobulins, especially in very rare cases of IgA deficiency when the patient has antibodies against IgA.</p>
- Atc Code
- J06BA02
- Atc Item Name
- immunoglobulins, normal human, for intravascular adm.
- Pharma Manufacturer Name
- DUO MEDICAL PTE. LTD.