Guest guest Posted October 28, 2010 Report Share Posted October 28, 2010 > > My daughter, 14, has CVID and has had severe reactions to IVIG since she started IVIG 1 1/2 yrs ago. She started out with migraines. We had to get a neurologist involved to help with that. Also, she has MAJOR problems with her veins and we've had to reschedule due to not being able to get one. The Dr. finally got her to where she could tolerate the IVIG getting 24 grams over a 10 hour period once a month. She's gone back and forth with being lethargic and having migraines. It doesn't happen every time. Well, now this last time she had IVIG she developed aseptic meningitis. She had to stay in the hospital for 4 days. She is better now but has had a headache everyday ever since this happened. I have been talking to her Dr. about switching to SCIG. It looks like there are no side effects other than a possible rash. He is not willing to switch her and told me that the side effects are no different than with IVIG. ????? That's not what I'm finding. Is this true? I also know that his office doesn't do this and has not had one patient on it. Anyone know of any Dr.'s in the DFW area that do this? I feel like he doesn't want to do this b/c his office doesn't do it. Any suggestions or comments? > > Thanks, > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 28, 2010 Report Share Posted October 28, 2010 There are several sources of information about subcutaneous Ig replacement. Try the Immune Deficiency Foundation. Try the Vivaglobin website (it is still up http://www.vivaglobin.com/) Possibly your best bet is to have your doctor call the IDF's Consulting Immunologist program so that one doctor can speak to another doctor. It will reassure him that the subq form can have less side effects. Now what they are finding is that subq is not always side effect free and some patients do have similar reactions. But it is a small percentage and definitely not the norm. Macey was an IVIG patient for 7 years before subq was trialed here in Atlanta. She had reactions every infusion, she had the trial off because they were so bad. Her reactions were so bad that even though her vaccination tests and levels came back too low it was still considered safer to leave her off infusions as long as she wasn't getting sick. She couldn't stay off because of sepsis and infection. Then she had to go back on. But we sweated through the reactions until subq. She is having no reactions (topical or systemic) with subq. our experience. Ursula mom to Macey (15,CVID) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 28, 2010 Report Share Posted October 28, 2010 Your Dr is misinformed, SCIG generally has less side effects then IVIG for most people. We had horrible side effects from IG and the worst we've gotten in 3 years of sub-q is mild/moderate site reactions when we 1st started. ________________________________ From: goldilockskiki <kiki@...> Sent: Thu, October 28, 2010 7:22:04 AM Subject: Why still IVIG? My daughter, 14, has CVID and has had severe reactions to IVIG since she started IVIG 1 1/2 yrs ago. She started out with migraines. We had to get a neurologist involved to help with that. The Dr. finally got her to where she could tolerate the IVIG getting 24 grams over a 10 hour period once a month. She's gone back and forth with being lethargic and having migraines. It doesn't happen every time. Well, now this last time she had IVIG she developed aseptic meningitis. She had to stay in the hospital for 4 days. She is better now but has had a headache everyday ever since this happened. I have been talking to her Dr. about switching to SCIG. It looks like there are no side effects other than a possible rash. He is not willing to switch her and told me that the side effects are no different than with IVIG. ????? That's not what I'm finding. Is this true? I also know that his office doesn't do this and has not had one patient on it. Anyone know of any Dr.'s in the DFW area that do this? I feel like he doesn't want to do this b/c his office doesn't do it. Any suggestions or comments? Thanks, ------------------------------------ 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. To unsubscribe -unsubscribegroups (DOT) To search group archives go to: /messages Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 28, 2010 Report Share Posted October 28, 2010 I agree with about the Dr.  In our experience, Blake is one of the RARE cases as far as SCIG(Documented by CSL) He not only had Psycological issues he had severe breathing probles as well as the Hives & unbearable GI issues...this while Premedicated with the benadryl and steroids. We later found out it was because of the amount of IgA that was in the product. Blake has NO IgA so that makes getting VIVA contradictory to Blake's body. Whe they switched Blaek's Product to what he was geting through IV...we had a completly different turn out & will NOT look back at IV again UNLESS it is necessary to do so. Blake is now on Gammagard S/D. He was getting 25 grams every 2 weeks but still was not staying well and had several life threatening infections due to the Central line he had....It was being used for IVIG and IV antibiotics(Blake cannot break down the oral antibiotics to make them effective for the infections he had). When we switched to the 16% solution of VIVA we did not think PROBLEMS we were excited. THen after the first reaction....we were okay it is just Blake's body.....well after 3 months of infections and worsening of sensory issues and his Autism became more violent even for him!!! Blake's Immunologisr started looking for answers to help Blake. The only one was to go back to Gammagard S/D but we knew Blake has Factor V Liden which is a Rare Form of Blood Clotting Disease...his is genetic and he was found to have 4 different mutations of the Blood Clotting disorder that made his system attack anything forign in his body, so he could NOT possible have a Central line placed!  Since Gammagard S/D has not been approved for Sub-Q we went straight the Baxter Company. THey then helped us go to the FDA and get Medical Mercy for Blake to get Gammagard s?D through sub-q. Blake is currently on Gammagard S/D via Sub-Q and he receives 30 grams a week...(10 grams for 3 days)...we do it ALL at home...No Nurse is needed and Blake & I have the freedom to choose which days we will infuse and we can do it at night while Blake sleeps all he does is remove the needles when he awakens!!!! We have not been a hopsital since summer 2008. only last yr. when he had H1N1 and the regular flu...  It can be accomplished to get sub- and you surely will see a big difference....Blake went from spending 9 mos. a yr in a hospital to NOT being in one in 2 yrs. Yes he does still have infections but nothng that one or 2 rounds can clear......I Knock on wood everytime I say that because I do not want to send bad vibes to Blake's body and start having in issues. As far as the Psychological issue....no the meds. did not cause his Autism nor did it cause his Sensory issues But he is not back to the way he was when we had the worsening with VIVA. But we kenw there were chances that some folks may have reverse reactions just so happend Blake is one of the RARE folks who did..... But it still does NOT make Blake want to go back to IV and he is happy with doing his Treatments at home!!!!!  Just our Experience  , Mom to Blake 18 Severe Combined Immunodeficiency with Complete T-Cell Dysfunction, Autisim, Severe Asthma GERD, Pancratic Insufficiency, Factor V Lieden(BLood clotting disorder) http://www.caringbrige.org/visit/thetalesofblake Come & see just WHY i call him The Greatest Adventure of MY Lifetime!!!! " Children are like butterflies in the wind. Some fly higher than others, BUT each one flies the best they can!!!! " From: <bluetaelon@...> Subject: Re: Why still IVIG? Date: Thursday, October 28, 2010, 1:03 PM  Your Dr is misinformed, SCIG generally has less side effects then IVIG for most people. We had horrible side effects from IG and the worst we've gotten in 3 years of sub-q is mild/moderate site reactions when we 1st started. ________________________________ From: goldilockskiki <kiki@...> Sent: Thu, October 28, 2010 7:22:04 AM Subject: Why still IVIG? My daughter, 14, has CVID and has had severe reactions to IVIG since she started IVIG 1 1/2 yrs ago. She started out with migraines. We had to get a neurologist involved to help with that. The Dr. finally got her to where she could tolerate the IVIG getting 24 grams over a 10 hour period once a month. She's gone back and forth with being lethargic and having migraines. It doesn't happen every time. Well, now this last time she had IVIG she developed aseptic meningitis. She had to stay in the hospital for 4 days. She is better now but has had a headache everyday ever since this happened. I have been talking to her Dr. about switching to SCIG. It looks like there are no side effects other than a possible rash. He is not willing to switch her and told me that the side effects are no different than with IVIG. ????? That's not what I'm finding. Is this true? I also know that his office doesn't do this and has not had one patient on it. Anyone know of any Dr.'s in the DFW area that do this? I feel like he doesn't want to do this b/c his office doesn't do it. Any suggestions or comments? Thanks, ------------------------------------ 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. To unsubscribe -unsubscribegroups (DOT) To search group archives go to: /messages Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 28, 2010 Report Share Posted October 28, 2010 It is a VERY viable option. He can contact Dr. Jane Purser in Tulsa if he wants to talk to someone who has been doing it for YEARS. She is FANTASTIC. We lived in Tulsa until last year and Acreedo (home infusion company out of Arkansas) provided it at home for us for 3 years without ANY problems. My son is 14 was on IV for 8 years and then switched to sub Q. We personally are VERY happy with the outcome and he does not even get a localized problem now at all. You could also have him call IDF and talk to some of the other doctors in the Dallas area to see if he could get more comfortable. Worst case scenario is to go to the Childrens Hospital in Dallas to get another opinion since I am sure they are doing it there. BARBIE ________________________________ From: goldilockskiki <kiki@...> Sent: Thu, October 28, 2010 7:22:04 AM Subject: Why still IVIG? My daughter, 14, has CVID and has had severe reactions to IVIG since she started IVIG 1 1/2 yrs ago. She started out with migraines. We had to get a neurologist involved to help with that. The Dr. finally got her to where she could tolerate the IVIG getting 24 grams over a 10 hour period once a month. She's gone back and forth with being lethargic and having migraines. It doesn't happen every time. Well, now this last time she had IVIG she developed aseptic meningitis. She had to stay in the hospital for 4 days. She is better now but has had a headache everyday ever since this happened. I have been talking to her Dr. about switching to SCIG. It looks like there are no side effects other than a possible rash. He is not willing to switch her and told me that the side effects are no different than with IVIG. ????? That's not what I'm finding. Is this true? I also know that his office doesn't do this and has not had one patient on it. Anyone know of any Dr.'s in the DFW area that do this? I feel like he doesn't want to do this b/c his office doesn't do it. Any suggestions or comments? Thanks, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 28, 2010 Report Share Posted October 28, 2010 We have been using Gammagard SD since 2006 without ANY problems. My son also has had no IgA most of his life. Some people have had better experiences just by changing products but your daughter does not need to suffer due to the ignorance of your doctor. Just keep on looking out there for someone to help you. You are on the right track. BARBIE ________________________________ From: s <momtoboywholoveshisgoats@...> Sent: Thu, October 28, 2010 11:58:41 AM Subject: Re: Why still IVIG? I agree with about the Dr. In our experience, Blake is one of the RARE cases as far as SCIG(Documented by CSL) He not only had Psycological issues he had severe breathing probles as well as the Hives & unbearable GI issues...this while Premedicated with the benadryl and steroids. We later found out it was because of the amount of IgA that was in the product. Blake has NO IgA so that makes getting VIVA contradictory to Blake's body. Whe they switched Blaek's Product to what he was geting through IV...we had a completly different turn out & will NOT look back at IV again UNLESS it is necessary to do so. Blake is now on Gammagard S/D. He was getting 25 grams every 2 weeks but still was not staying well and had several life threatening infections due to the Central line he had....It was being used for IVIG and IV antibiotics(Blake cannot break down the oral antibiotics to make them effective for the infections he had). When we switched to the 16% solution of VIVA we did not think PROBLEMS we were excited. THen after the first reaction....we were okay it is just Blake's body.....well after 3 months of infections and worsening of sensory issues and his Autism became more violent even for him!!! Blake's Immunologisr started looking for answers to help Blake. The only one was to go back to Gammagard S/D but we knew Blake has Factor V Liden which is a Rare Form of Blood Clotting Disease...his is genetic and he was found to have 4 different mutations of the Blood Clotting disorder that made his system attack anything forign in his body, so he could NOT possible have a Central line placed! Since Gammagard S/D has not been approved for Sub-Q we went straight the Baxter Company. THey then helped us go to the FDA and get Medical Mercy for Blake to get Gammagard s?D through sub-q. Blake is currently on Gammagard S/D via Sub-Q and he receives 30 grams a week...(10 grams for 3 days)...we do it ALL at home...No Nurse is needed and Blake & I have the freedom to choose which days we will infuse and we can do it at night while Blake sleeps all he does is remove the needles when he awakens!!!! We have not been a hopsital since summer 2008. only last yr. when he had H1N1 and the regular flu... It can be accomplished to get sub- and you surely will see a big difference....Blake went from spending 9 mos. a yr in a hospital to NOT being in one in 2 yrs. Yes he does still have infections but nothng that one or 2 rounds can clear......I Knock on wood everytime I say that because I do not want to send bad vibes to Blake's body and start having in issues. As far as the Psychological issue....no the meds. did not cause his Autism nor did it cause his Sensory issues But he is not back to the way he was when we had the worsening with VIVA. But we kenw there were chances that some folks may have reverse reactions just so happend Blake is one of the RARE folks who did..... But it still does NOT make Blake want to go back to IV and he is happy with doing his Treatments at home!!!!! Just our Experience , Mom to Blake 18 Severe Combined Immunodeficiency with Complete T-Cell Dysfunction, Autisim, Severe Asthma GERD, Pancratic Insufficiency, Factor V Lieden(BLood clotting disorder) http://www.caringbrige.org/visit/thetalesofblake Come & see just WHY i call him The Greatest Adventure of MY Lifetime!!!! " Children are like butterflies in the wind. Some fly higher than others, BUT each one flies the best they can!!!! " From: <bluetaelon@...> Subject: Re: Why still IVIG? Date: Thursday, October 28, 2010, 1:03 PM Your Dr is misinformed, SCIG generally has less side effects then IVIG for most people. We had horrible side effects from IG and the worst we've gotten in 3 years of sub-q is mild/moderate site reactions when we 1st started. ________________________________ From: goldilockskiki <kiki@...> Sent: Thu, October 28, 2010 7:22:04 AM Subject: Why still IVIG? My daughter, 14, has CVID and has had severe reactions to IVIG since she started IVIG 1 1/2 yrs ago. She started out with migraines. We had to get a neurologist involved to help with that. The Dr. finally got her to where she could tolerate the IVIG getting 24 grams over a 10 hour period once a month. She's gone back and forth with being lethargic and having migraines. It doesn't happen every time. Well, now this last time she had IVIG she developed aseptic meningitis. She had to stay in the hospital for 4 days. She is better now but has had a headache everyday ever since this happened. I have been talking to her Dr. about switching to SCIG. It looks like there are no side effects other than a possible rash. He is not willing to switch her and told me that the side effects are no different than with IVIG. ????? That's not what I'm finding. Is this true? I also know that his office doesn't do this and has not had one patient on it. Anyone know of any Dr.'s in the DFW area that do this? I feel like he doesn't want to do this b/c his office doesn't do it. Any suggestions or comments? Thanks, ------------------------------------ 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. To unsubscribe -unsubscribegroups (DOT) To search group archives go to: /messages Quote Link to comment Share on other sites More sharing options...
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