Generic Name: immune globulin (human) (im-UN GLOB-u-lin)
Brand Name: Examples include Flebogamma and Panglobulin NF
Panglobulin NF may increase the risk of serious and sometimes fatal kidney problems. The risk may be greater if you already have kidney problems or are older than 65 years of age. You may also be at increased risk if you have diabetes, dehydration or low blood volume, a blood infection, or abnormal proteins in the blood (paraproteinemia), or if you are taking other medicines that may harm the kidney. Contact your doctor immediately if you experience decreased urination, lower back or flank pain, swelling or bloating, sudden weight gain, shortness of breath, or weakness.
Panglobulin NF may increase the risk of blood clots. The risk may be increased in older patients, if you will be confined to a bed or chair for a period of time, if you take estrogen products, or if you have certain catheters. The risk may also be increased if you have a condition that may increase your risk of blood clots, thick blood, heart problems, or a history of blood clots. Blood clots can occur if you do not have any of these conditions. Tell your doctor right away if you develop one-sided numbness or weakness; pain, redness, tenderness, warmth or swelling in the arms or legs; change in color of an arm or leg; chest pain or discomfort; shortness of breath; fast heartbeat; or coughing up blood. Discuss any questions or concerns with your doctor.
Panglobulin NF is used for:
Providing antibodies to help prevent infection in certain patients who have a weakened immune system. It may also be used for other conditions as determined by your doctor.
Panglobulin NF is an immune globulin. It works by providing antibodies which fight infection.
Do NOT use Panglobulin NF if:
- you are allergic to any ingredient in Panglobulin NF
- you have had a severe allergic reaction (eg, severe rash, hives, difficulty breathing, dizziness) to sorbitol, thimerosal, blood, or products that are produced from blood
- you have had an allergic reaction to gamma globulin or anti-immunoglobulin A (IgA) antibodies
- you have IgA deficiency or antibodies to IgA
Contact your doctor or health care provider right away if any of these apply to you.
Before using Panglobulin NF:
Some medical conditions may interact with Panglobulin NF. 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
- if you have recently received any vaccinations
- if you have heart problems, blood vessel problems (eg, narrowed arteries), thick blood, or a history of stroke, heart attack, or blood clots
- if you have kidney problems, diabetes, dehydration or low blood volume, a blood infection, abnormal proteins in the blood, or asthma
Some MEDICINES MAY INTERACT with Panglobulin NF. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Medicines that may harm the kidney (eg, aminoglycoside antibiotics [eg, gentamicin], amphotericin B, cyclosporine, nonsteroidal anti-inflammatory drugs [NSAIDs] [eg, ibuprofen], tacrolimus, vancomycin) because the risk of kidney side effects may be increased. Ask your doctor if you are unsure if any of your medicines might harm the kidney.
- Hydantoins (eg, phenytoin) because the risk of side effects may be increased
- Vaccinations (eg, measles, mumps, and rubella) because effectiveness may be decreased by Panglobulin NF
This may not be a complete list of all interactions that may occur. Ask your health care provider if Panglobulin NF 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 Panglobulin NF:
Use Panglobulin NF as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Panglobulin NF is usually administered as an injection at your doctor's office, hospital, or clinic. If you are using Panglobulin NF at home, carefully follow the injection procedures taught to you by your health care provider.
- If Panglobulin NF 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 and away from pets. 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 Panglobulin NF, contact your doctor for instructions.
Ask your health care provider any questions you may have about how to use Panglobulin NF.
Important safety information:
- Panglobulin NF may cause lightheadedness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Panglobulin NF. Using Panglobulin NF alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
- Aseptic meningitis syndrome (AMS) has been reported to occur rarely in association with the use of Panglobulin NF. This syndrome usually begins within several hours to 2 days following treatment. Symptoms include severe headache, neck stiffness, drowsiness, fever, painful eye movements, sensitivity to light, nausea, and vomiting.
- Avoid vaccinations with live virus vaccines (eg, measles, mumps, oral polio) while you are using Panglobulin NF. Vaccinations may be less effective.
- Diabetes patients - Panglobulin NF may cause incorrect test results with some blood and urine glucose tests. Check with your doctor before you adjust the dose of your diabetes medicine or change your diet.
- Some of these products contain latex in the packaging. If you are allergic to latex, ask your doctor or pharmacist if your product contains latex.
- Panglobulin NF is made from human plasma. There is an extremely low risk of developing a viral infection or Creutzfeldt-Jakob disease (CJD) after using Panglobulin NF. Discuss any questions or concerns with your doctor.
- LAB TESTS, including kidney function, blood thickness, and antibody levels, may be performed to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.
- Use Panglobulin NF with caution in the ELDERLY because they may be more sensitive to its effects, especially kidney failure.
- Use Panglobulin NF with extreme caution in CHILDREN. Safety and effectiveness of certain products have not been established for certain age groups. Check with your doctor or pharmacist if you have questions about the use of Panglobulin NF in a child.
- PREGNANCY and BREAST-FEEDING: It is unknown if Panglobulin NF can cause harm to the fetus. If you become pregnant while taking Panglobulin NF, discuss with your doctor the benefits and risks of using Panglobulin NF during pregnancy. It is unknown if Panglobulin NF is excreted in breast milk. If you are or will be breast-feeding while you are using Panglobulin NF, check with your doctor or pharmacist to discuss the risks to your baby.
Possible side effects of Panglobulin NF:
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:
Seek medical attention right away if any of these SEVERE side effects occur:
Cough; diarrhea; headache; pain, swelling, muscle stiffness, or redness at the injection site; sore throat; stuffy nose.
Severe allergic reactions (rash; itching; hives; difficulty breathing or swallowing; tightness in the chest; swelling of the mouth, hands, face, lips, eyes, throat, or tongue); bloating; calf pain or tenderness; chest pain; confusion; dark urine; decreased urination; fainting; fast or irregular heartbeat; fever or chills; flushing; hoarseness; lower back or flank pain; nausea; numbness of an arm or a leg; one-sided weakness; painful eye movements; red, swollen, blistered, or peeling skin; seizures; sensitivity to light; severe headache, dizziness, or stomach pain; shortness of breath; speech problems; stiff neck; sudden weight gain; swelling; unusual drowsiness; vision problems; vomiting; weakness; yellowing of the skin or eyes.
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 Panglobulin NF:
Panglobulin NF is usually handled and stored by a health care provider. If you are using Panglobulin NF at home, store Panglobulin NF as directed by your pharmacist or health care provider. Keep Panglobulin NF out of the reach of children and away from pets.
- If you have any questions about Panglobulin NF, please talk with your doctor, pharmacist, or other health care provider.
- Panglobulin NF 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 Panglobulin NF 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 Panglobulin NF. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Panglobulin NF. 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 Panglobulin NF.
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.