healthcare operations utilization protocols 2007 - Health Plan of ...
healthcare operations utilization protocols 2007 - Health Plan of ...
healthcare operations utilization protocols 2007 - Health Plan of ...
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HEALTHCARE OPERATIONS<br />
UTILIZATION PROTOCOLS <strong>2007</strong><br />
Unlabeled uses: IGIVs may also be useful in chronic fatigue syndrome; quinidine-induced<br />
thrombocytopenia; chronic inflammatory demyelinating polyneuropathy; Guillain-Barre<br />
syndrome<br />
Dosing Recommendations<br />
1. Immunodeficiency syndrome<br />
a. Sandoglobulin: Administer 100–400 mg/kg/month by infusion. Increase to 300mg/kg if<br />
IgG serum level is 100mg/kg are<br />
recommended.<br />
c. Gammar-P IV: Administer 200 to 400mg/kg every 3 to 4 weeks in adults.<br />
d. Gamimune N: Administer 100 to 200mg/kg/month. The dosage may be given more<br />
frequently or increased as high as 400 mg/kg (8 mL/kg) if the clinical response is<br />
inadequate or the level <strong>of</strong> IgG is insufficient<br />
e. Iveegam: 200mg/kg/month. Doses <strong>of</strong> 800 mg/kg/month have been tolerated<br />
f. Polygam S/D: 100mg/kg/month. An initial dose <strong>of</strong> 200 to 400 mg/kg may be<br />
administered to individualize treatment.<br />
g. Venoglobulin-S: 200mg/kg/month<br />
-4-<br />
This guideline is to be used in the decision-making process and does not represent standards <strong>of</strong> care <strong>of</strong> an individual<br />
patient. The use <strong>of</strong> this guideline should not substitute for the pr<strong>of</strong>essional judgment <strong>of</strong> a provider which takes into<br />
account the unique problems and circumstances <strong>of</strong> the individual patient. They are proprietary documents and may<br />
not be copied or distributed without express permission.