Lymphocyte immune globulin, anti-thymocyte globulin (equine)


Generic Name: lymphocyte immune globulin, anti-thymocyte globulin (equine)
Brand Name: Atgam

Lymphocyte immune globulin, anti-thymocyte globulin (equine) is used for:

Treating rejection in kidney transplant patients. It is also used with other medicines to delay the onset of kidney transplant rejection. Lymphocyte immune globulin, anti-thymocyte globulin (equine) is also used to treat moderate to severe aplastic anemia in certain patients who cannot have a bone marrow transplant.

Lymphocyte immune globulin, anti-thymocyte globulin (equine) is a lymphocyte-selective immunosuppressant. It works by decreasing the action of certain types of blood cells (T lymphocytes), which are part of the body's immune system.

Do NOT use lymphocyte immune globulin, anti-thymocyte globulin (equine) if:

  • you are allergic to lymphocyte immune globulin, anti-thymocyte globulin (equine), any ingredient in lymphocyte immune globulin, anti-thymocyte globulin (equine), or any other gamma globulin made from horse serum
  • you have a severe decrease in white blood cell counts or severely decreased blood platelets

Contact your doctor or health care provider right away if any of these apply to you.

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Before using lymphocyte immune globulin, anti-thymocyte globulin (equine):

Some medical conditions may interact with lymphocyte immune globulin, anti-thymocyte globulin (equine). Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances

Some MEDICINES MAY INTERACT with lymphocyte immune globulin, anti-thymocyte globulin (equine). However, no specific interactions with lymphocyte immune globulin, anti-thymocyte globulin (equine) are known at this time.

This may not be a complete list of all interactions that may occur. Ask your health care provider if lymphocyte immune globulin, anti-thymocyte globulin (equine) may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use lymphocyte immune globulin, anti-thymocyte globulin (equine):

Use lymphocyte immune globulin, anti-thymocyte globulin (equine) as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Lymphocyte immune globulin, anti-thymocyte globulin (equine) is usually administered as an injection at your doctor's office, hospital, or clinic.
  • If lymphocyte immune globulin, anti-thymocyte globulin (equine) contains particles or is discolored, or if the vial is cracked or damaged in any way, do not use it.
  • Keep this product, as well as syringes and needles, out of the reach of children. Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor or pharmacist to explain local regulations for proper disposal.
  • If you miss a dose of lymphocyte immune globulin, anti-thymocyte globulin (equine), contact your doctor immediately.

Ask your health care provider any questions you may have about how to use lymphocyte immune globulin, anti-thymocyte globulin (equine).

Important safety information:

  • THIS MEDICINE CONTAINS ALBUMIN, which comes from human blood. There is an extremely rare risk of developing a viral disease or a central nervous system disease called Creutzfeldt-Jakob disease. No cases of viral diseases or Creutzfeldt-Jakob disease from albumin have been identified.
  • Lymphocyte immune globulin, anti-thymocyte globulin (equine) may cause dizziness or lightheadedness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to lymphocyte immune globulin, anti-thymocyte globulin (equine). Using lymphocyte immune globulin, anti-thymocyte globulin (equine) alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
  • A skin test is normally performed before the first dose to check for possible allergy to horse serum.
  • LAB TESTS, including blood cell counts, liver function tests, and kidney function tests, may be performed to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.
  • Caution is advised when using lymphocyte immune globulin, anti-thymocyte globulin (equine) in CHILDREN because they may be more sensitive to its effects.
  • PREGNANCY and BREAST-FEEDING: It is unknown if lymphocyte immune globulin, anti-thymocyte globulin (equine) can cause harm to the fetus. If you become pregnant while taking lymphocyte immune globulin, anti-thymocyte globulin (equine), discuss with your doctor the benefits and risks of using lymphocyte immune globulin, anti-thymocyte globulin (equine) during pregnancy. It is unknown if lymphocyte immune globulin, anti-thymocyte globulin (equine) is excreted in breast milk. If you are or will be breast-feeding while you are using lymphocyte immune globulin, anti-thymocyte globulin (equine), check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of lymphocyte immune globulin, anti-thymocyte globulin (equine):

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Diarrhea; headache; joint pain; nausea; night sweats; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); back pain; chest pain; confusion or disorientation; decreased urination or dark urine; fast, slow, or irregular heartbeat; fever, chills, or sore throat; irritation or sores in the mouth; muscle pain; pain, redness, or swelling at the injection site; pain or swelling in the legs; pain or swelling in the neck or under the arms; red, swollen, or blistered skin; seizures; severe dizziness, lightheadedness, or headache; stomach pain; unusual bleeding or bruising; unusual skin sensations (eg, burning or tingling).

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of lymphocyte immune globulin, anti-thymocyte globulin (equine):

Store lymphocyte immune globulin, anti-thymocyte globulin (equine) in the refrigerator between 36 and 46 degrees F (2 and 8 degrees C). Do not freeze. Keep lymphocyte immune globulin, anti-thymocyte globulin (equine) out of the reach of children and away from pets.

General information:

  • If you have any questions about lymphocyte immune globulin, anti-thymocyte globulin (equine), please talk with your doctor, pharmacist, or other health care provider.
  • Lymphocyte immune globulin, anti-thymocyte globulin (equine) is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take lymphocyte immune globulin, anti-thymocyte globulin (equine) or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about lymphocyte immune globulin, anti-thymocyte globulin (equine). It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to lymphocyte immune globulin, anti-thymocyte globulin (equine). This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using lymphocyte immune globulin, anti-thymocyte globulin (equine).

Issue Date: April 2, 2014
Database Edition 14.2.1.001
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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