Rhogam

From WikiMD's Wellness Encyclopedia

What is RhoGAM?[edit | edit source]

RhoGAM is an immune globulin.

What are the uses of this medicine?[edit | edit source]

This medication is indicated for use in preventing Rh immunization for pregnancy and other obstetrical conditions in Rh-negative women and in any Rh-negative person after incompatible transfusion of Rh-positive blood.

How does this medicine work?[edit | edit source]

  • RhoGAM and MICRhoGAM act by supressing the immune response of Rh-negative individuals to Rh-positive red blood cells.
  • These products are not effective in altering the course or consequences of Rh immunization once it has occurred.

Who should not use this medicine?[edit | edit source]

This medicine cannot be used for:

  • Rh-positive individuals
  • patients with a known history of anaphylactic or severe systemic reactions to administration of human globulin products.

Is this medicine FDA approved?[edit | edit source]

  • RhoGAM was approved for use in the United States in 1968.

How should this medicine be administered?[edit | edit source]

  • RhoGAM and MICRhoGAM should be for intramuscular use only.
  • RhoGAM should be administered within 72 hours of delivery postpartum if the newborn is Rh-positive. It can also be administered antepartum within 72 hours of suspected or proven exposure to Rh-positive red blood cells.
  • MICRhoGAM should be administered within 72 hours if there is an actual or threatened termination of pregnancy up to and including 12 weeks gestation.
  • RhoGAM may be administered if MICRhoGAM is not available.

What are the dosage forms and brand names of this medicine?[edit | edit source]

This medicine is available in the following dosage forms:

  • MICRhoGAM Ultra-Filtered PLUS - 50 μg (250 IU) Dose
  • RhoGAM Ultra-Filtered PLUS - 300 μg (1500 IU) Dose

What side effects can this medication cause?[edit | edit source]

Common possible side effects of this medicine include local reactions such as:

  • swelling
  • slight elevation in temperature
  • induration
  • redness and mild pain at the site of injection

What special precautions should I follow?[edit | edit source]

  • Severe hypersensitivity reactions may occur with the use of RhoGAM and MICRhoGAM.
  • RhoGAM and MICRhoGAM should be administered in a setting where appropriate equipment, medications such as epinephrine, and personnel trained in the management of hypersensitivity, anaphylaxis, and shock are available.
  • Patients treated for Rh-incompatible transfusion should be monitored by clinical and laboratory means for signs and symptoms of a hemolytic reaction.

What to do in case of emergency/overdose?[edit | edit source]

  • There are no reports of known overdoses in patients treated with RhoGAM.

Can this medicine be used in pregnancy?[edit | edit source]

  • RhoGAM is used in pregnant women for the supression of Rh isoimmunization. This medication does not harm the fetus or affect reproduction capacity.

Can this medicine be used in children?[edit | edit source]

  • The safety and effectiveness of RhoGAM in pediatric patients have not been established.

What should I know about storage of this medication? [edit | edit source]

  • Store at 2 to 8°C. Do not store frozen.
  • Do not use after the expiration date printed on the syringe.
Rhogam Resources
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Contributors: Prab R. Tumpati, MD