藥品名稱 drug name | 狂犬病免疫球蛋白 Rabies Immune Globulin (Human) (HyperRAB) (HRIG) 300 IU/vial |
藥檔狀態 | 使用中 (需冷藏) |
成 份 Ingredient | Rabies Immune Globulin (Human) |
單位含量 | 300 IU/vial |
Dosage Forms | Solution, Injection [preservative free]:HyperRAB: 300 IU/vial |
外觀描述 | 針劑/注射 |
Appearance | injection |
標 示 outward | |
廠商名稱 Manufacturer | Grifols Therapeutics Inc., USA |
製 造 商 Manufacturer | Grifols Therapeutics Inc., USA |
字 號 Product ID | 疾管署 |
藥理分類 Pharmacologic Category | BIOLOGIC AND IMMUNOLOGIC AGENTS/ Immune Globulins/ Immune Globulins |
作用機轉 Mechanism of action | Rabies immune globulin is a solution of globulins dried from the plasma or serum of selected adult human donors who have been immunized with rabies vaccine and have developed high titers of rabies antibody. |
用途/適應症 | 狂犬病免疫球蛋白 |
Use |
Provide passive immunity to rabies in individuals to the disease or virus.
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衛福部核准適用症狀 MOHW approved indications |
提供被動免疫以預防狂犬病感染。
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Dose |
Postexposure prophylaxis: Local wound infiltration or IM, once at the same time as the first dose of rabies vaccine. Adults and children: 20 IU/kg
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懷孕分級 Pregnancy Risk Factor |
C
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禁忌症 |
對本品成分有過敏的病人。
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Contraindications |
There are no contraindications listed in the manufacturer`s labeling. Documentation of allergenic cross-reactivity for immune globulins is limited. However, because of similarities in chemical structure and/or pharmacologic actions, the possibility of cross-sensitivity cannot be ruled out with certainty.
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常見副作用 | 接種部位疼痛或結節、頭痛、腹痛、腹瀉、腹脹、鼻塞與口咽疼痛。 |
Common adverse drug reactions | Injection site pain or nodule, headache, abdominal pain, diarrhea, flatulence, nasal congestion and oropharyngeal pain. |
Adverse Reactions |
>10%: Central nervous system: Headache (8% to 15%) Local: Pain at injection site (31% to 33%)
1% to 10%: Central nervous system: Fatigue (2% to 6%), dizziness (1% to 6%) Dermatologic: Sunburn (≦3%) Gastrointestinal: Diarrhea (8%), flatulence (8%), nausea (4%), abdominal pain (1% to 4%) Genitourinary: Leukocyturia (3% to 5%), hematuria (2% to 4%) Hematologic & oncologic: Bruise (1% to 3%) Local: Injection site nodule (8%) Neuromuscular & skeletal: Myalgia (7% to 9%), arthralgia (≦6%) Respiratory: Upper respiratory tract infection (9% to 10%), nasal congestion (8%), oropharyngeal pain (8%)
Frequency not defined: Central nervous system: Malaise Dermatologic: Skin rash Genitourinary: Nephrotic syndrome Hypersensitivity: Anaphylaxis, angioedema Local: Local soreness/soreness at injection site, tenderness at injection site Neuromuscular & skeletal: Stiffness (at injection site) Miscellaneous: Fever (mild)
<1%, postmarketing, and/or case reports: Hypersensitivity reaction, hypoesthesia, limb pain
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監測 Monitoring |
Blood viscosity: At baseline in patients at risk for hyperviscosity Signs and symptoms of thrombosis: In patients at risk for thrombosis or thrombotic complications, for at least 24 hours after administration Signs and symptoms of hypersensitivity: In patients with a history of prior systemic allergic reactions after administration of human immune globulin products Signs and symptoms of hemolysis
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警語與注意事項 | [請冷藏]給藥前確認「預防接種紀錄卡」有醫師簽章後,由藥師謄寫【藥名】與【批號】於紀錄卡後,交還病人 |
Warnings & precautions | 請持處方簽、`暴露後狂犬病疫苗及免疫球蛋白使用表`至藥局領藥並存查。 |
針劑溶解條件 |
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針劑稀釋條件 |
HyperRAB 300 IU/1mL/Vial (紅色盒子):經計算劑量後,若需要稀釋時,需以「5%葡萄糖水1比1倍稀釋」後使用。(1080114仿單資料)
HyperRAB S/D 300 IU/2mL/Vial (白色盒子):若需要稀釋時,需以「生理鹽水將被動免疫製劑適當稀釋 2 至 3 倍」 。
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針劑不相容性 |
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針劑施打條件 |
應按建議劑量將免疫球蛋白製劑全部浸潤注射到傷口週圍後,尚有剩餘免疫球蛋白製劑時,應將其注射到最接近患肢同側的深部肌肉(如肌肉注射於同側的上臂肌肉或同側大腿外肌群),以避免影響疫苗的效果。(1080102仿單資料,疑似狂犬病或麗沙病毒動物抓咬傷臨床處置指引)
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針劑保存安定性 |
2-8℃冷藏存放。
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最近修改日期時間 Updated | 9/4/2019 3:36:05 PM |