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Re: Sub Q sites

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That's odd, we have to rotate sites because we blow a site every time. We

place 2 sites but for some reason dd only infuses into 1 site and then has a

hard lump for several weeks after. Nufactor says its drug residue build up

from infusing it all into one site. We can't infuse any where near one of

those things because it will not infuse no matter what and can't even place

a needle into it.

Sub Q sites

> My son has been on SCIG (Vivaglobin) for about 6 months. I am very

> confused about whether we are supposed to rotate sites or not. Our

> immunologist and the nurse have told me repeatedly not to rotate

> sites. They said that pockets will form at those sites which will

> allow the IgG to flow in easier and the clinical trials showed that

> not rotating sites minimized site reactions. However, the Vivaglobin

> website has a link to the NIH instructions on how to give a SubQ

> infusion and it specifically states to rotate sites. Additionally, I

> have contacted others whose children are on SubQ and they have said

> they were instructed to rotate sites to minimize scar tissue.

>

> My husband administered the SubQ for my son the other day and he said

> that pushing the needles in was more difficult this time than any

> other time. So now I am wondering if that is because scar tissue is

> forming in those locations.

>

> We have also experienced infusions where one site will puff up and

> the other will remain rather flat, so the IgG is probably flowing

> into only one site. I mentioned this to the Dr. and he said that

> some areas are more difficult to infuse than others and that is one

> more reason to not rotate sites.

>

> Would love to get everyone's experience with this.

> Thanks!

>

> Amy M.

>

>

> ------------------------------------

>

> This forum is open to parents and caregivers of children diagnosed with a

> Primary Immune Deficiency. Opinions or medical advice stated here are the

> sole responsibility of the poster and should not be taken as professional

> advice.

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We are not rotating sites. Using the outer hips or love handles with great

results. We are not using Vivoglobin. I personally believe that although there

is more volume with 10% solution it is less caustic so the tissue is less

irritated. But.... I do not know if it is different with using Vivoglobin since

it is 16%.

BARBIE

Sub Q sites

My son has been on SCIG (Vivaglobin) for about 6 months. I am very

confused about whether we are supposed to rotate sites or not. Our

immunologist and the nurse have told me repeatedly not to rotate

sites. They said that pockets will form at those sites which will

allow the IgG to flow in easier and the clinical trials showed that

not rotating sites minimized site reactions. However, the Vivaglobin

website has a link to the NIH instructions on how to give a SubQ

infusion and it specifically states to rotate sites. Additionally, I

have contacted others whose children are on SubQ and they have said

they were instructed to rotate sites to minimize scar tissue.

My husband administered the SubQ for my son the other day and he said

that pushing the needles in was more difficult this time than any

other time. So now I am wondering if that is because scar tissue is

forming in those locations.

We have also experienced infusions where one site will puff up and

the other will remain rather flat, so the IgG is probably flowing

into only one site. I mentioned this to the Dr. and he said that

some areas are more difficult to infuse than others and that is one

more reason to not rotate sites.

Would love to get everyone's experience with this.

Thanks!

Amy M.

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Hi Amy,

my daughter has been on Vivaglobin for two years now, and she rotate sites as

she begins to build up scar tissue under the skin if she doesn't and it becomes

difficult/impossible to insert the needles. For her, it is a necessity to rotate

sites. The advice of your immuno & nurse are news to me.  If your husband is

having difficulty inserting the needles, and NIH instructions said to rotate, I

would certainly go ahead and opt to rotate.

Hope it all works out for the best.

(, 18, cvid, jra)

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