IVIG Services
AxelaCare is committed to the clinical care of patients with complex and chronic conditions who need IVIG therapy in a homecare or alternative setting. Putting the patient first, AxelaCare utilizes a team approach ensuring the coordination of evidence based home infusion therapies for autoimmune neuromuscular and immune deficient disorders.
Our pharmacists and nurses have extensive experience in the administration of IvIg therapies. AxelaCare provides medication, nursing and associated supplies, that, are coordinated around the patients’ schedules offering convenient administration of this complex therapy in the comfort of their homes.
AxelaCare Provides:
- Tenured professional staff including pharmacist and registered nurse, with extensive experience with IVIG.
- Patient education is provided for each patient.
- Screening for drug interactions.
- Communication with physician for the best treatment plan possible.
- 24 hour, 7 day a week on call pharmacist.
Diseases in which IVIG is an effective treatment include but are not limited by:
- Myasthenia gravis./li>
- CIDP
- Multifocal motor neuropathy
- Pemphigus and Pemphigoid Disease
- Multiple Sclerosis (MS),relapsing remitting.
- Guillain-Barré syndrome
- Relapsing-remitting multiple sclerosis (MS)
- Lambert-Eaton myasthenic syndrome
- Polymyositis
- Dermatomyositis
- Idiopathic Thrombocytopenia
- Hyperimmunoglobulinemia E syndrome
- Kawasaki Disease
- Systemic lupus erythematosus (SLE)
- Selective IgG subclass deficiencies
- Renal transplantation from live donor with ABO incompatibility or positive cross-match
- Churg-Strauss Syndrome (CSS) (allergic granulomatosis)
- Refractory autoimmune hemolytic anemia
- Toxic shock syndrome or toxic necrotizing fasciitis due to group A streptococcus
| Gamunex | Gammagard liquid | Gammagard S/D | Carimune NF | Flebogamma | Octagam | |
| Producer | Talecris | Baxter | Baxter | ZLB bioplasma | Grifols | Octapharma |
| Concentration | 10% | 10% | 5%, 10% | 3% 6% 9% 12% | 5% | 5% |
| Stabilizer | Glycine | Glycine | Glucose | Sucrose | Sorbitol | Maltose |
| Sodium | Trace | Trace | 0.85-1.7% | <20mg/g protein | <3mEq/L | <30mmol/L |
| Osmolarity | 258 mOsm/kg | 240-300 mOsm/kg | 636 (5%)-1250 (10%) mOsm/kg | 384 (6%)-768 (12%) mOsm/kg | 240-350 mOsm/kg | 310-380 mOsm/kg |
| pH | 4.0-4.5 | 4.6-5.1 | 6.4-7.2 | 6.4-6.8 | 5.0-6.0 | 5.1-6.0 |
| IgA micrograms/ml | 45 | 37 | <2.2 | 720 | <50 | <100 |
| Notes | Caprolyte/ chromatography purification | Solvent detergent, nanofiltration, acid purification | Solvent detergent purification | Nano-filtration | Pasteurization | Solvent detergent purification |