[CIS PIDD] [cis-pidd] Nausea with IVIG infusions

[Pere Soler Palacin]

Dear all, I absolutely agree with Robert. We have some similar cases both with IVIG and with other kind of treatment. Premedication  (a couple of hours before) with lorazepam (1mg) and psicological support may be helpful. 



Pere. 



Pere Soler Palacín, MD, PhD. Pediatric Infectious Diseases and Immunodeficiencies Unit. Hospital Universitari Vall d'Hebron.     Assistant Professor. Universitat Autònoma de Barcelona.                                                       
Passeig de la Vall d'Hebron 119-129. 
08035 Barcelona. Spain. 
Tel: 0034934893140. Fax: 0034934893039. 
E-mail: psoler at vhebron.net ; 34660psp at comb.cat . Web: www.upiip.com . 
  

No imprimir aquest correu ajudarà a preservar el medi ambient. 
Si vostè no és el destinatari del missatge, o l'ha rebut per error, si us plau notifiqui-ho al remitent i destrueixi el missatge amb tot el seu contingut. Està prohibida la distribució no autoritzada del contingut d'aquest missatge. 

No imprimir este correo ayudará a preservar el medio ambiente. 
Si usted no es el destinatario del mensaje, o lo ha recibido por error, notifíquelo por favor al remitente y destruya el mensaje con todo su contenido. Está prohibida la distribución no autorizada del contenido de este mensaje. 




Pere Soler Palacín, MD, PhD. Pediatric Infectious Diseases and Immunodeficiencies Unit. Hospital Universitari Vall d'Hebron.     Assistant Professor. Universitat Autònoma de Barcelona.                                                       
Passeig de la Vall d'Hebron 119-129. 
08035 Barcelona. Spain. 
Tel: 0034934893140. Fax: 0034934893039. 
E-mail: psoler at vhebron.net ; 34660psp at comb.cat . Web: www.upiip.com . 
  

No imprimir aquest correu ajudarà a preservar el medi ambient. 
Si vostè no és el destinatari del missatge, o l'ha rebut per error, si us plau notifiqui-ho al remitent i destrueixi el missatge amb tot el seu contingut. Està prohibida la distribució no autoritzada del contingut d'aquest missatge. 

No imprimir este correo ayudará a preservar el medio ambiente. 
Si usted no es el destinatario del mensaje, o lo ha recibido por error, notifíquelo por favor al remitente y destruya el mensaje con todo su contenido. Está prohibida la distribución no autorizada del contenido de este mensaje. 

----- Mensaje original ----- 
De: "Robert Sokolic (NIH/NHGRI) [E]" <sokolicr at mail.nih.gov> 
Para: "CIS-PIDD" <cis-pidd at lists.clinimmsoc.org> 
Enviados: Sábado, 26 de Enero 2013 12:55:05 
Asunto: RE:[cis-pidd] Nausea with IVIG infusions 

If she is having nausea immediately as the infusion starts, it may be similar to anticipatory nausea with chemotherapy. Ativan works well for this. 
RS 
________________________________________ 
From: Church, Joseph [JChurch at chla.usc.edu] 
Sent: Friday, January 25, 2013 7:26 PM 
To: CIS-PIDD 
Subject: [cis-pidd] Nausea with IVIG infusions 

Colleagues: 

I follow a young adult woman with CVID who has had multiple problems, originally severe headaches, with Ig infusions.  We have tried SCIG (hated), IVIG q4 and q2weeks, premedications with iv diphenhydramine and motrin. 

Most recently she has done better with regards to headache on a q week schedule with pre-Ig hydration, motrin and iv diphenhydramine, and Maxault prn 

Now her complaint is nausea that she states starts soon after the IVIG begins infusing and worsens over the next 12-24 hours despite use of Phenergan (not my Rx) and Zofran. 

Any thoughts? 

Thanks in advance. 

Joe Church 
Children's Hospital Los Angeles 



--------------------------------------------------------------------- 
CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, 
is for the sole use of the intended recipient(s) and may contain confidential 
or legally privileged information. Any unauthorized review, use, disclosure 
or distribution is prohibited. If you are not the intended recipient, please 
contact the sender by reply e-mail and destroy all copies of this original message. 

--------------------------------------------------------------------- 

--- 

The CIS-PIDD listserv is supported by: 

[http://www.clinimmsoc.org/UserFiles/image/cis-pidd-list-logo_v1.jpg] 
The science & practice of human immunology 

P: +1.414.224.8095 
E: info at clinimmsoc.org 

Not a member of CIS? Please visit www.clinimmsoc.org<https://cis.execinc.com/edibo/Signup> to join! 

You are currently subscribed to cis-pidd as: sokolicr at mail.nih.gov<mailto:sokolicr at mail.nih.gov>. 
To unsubscribe click here: http://lm.clinimmsoc.org/u?id=183824760.3ff55aacd8c930275f65c3a15acc4c67&n=T&l=cis-pidd&o=42598547 


--- 
The CIS-PIDD listserv is supported by the Clinical Immunology Society 
The science & practice of human immunology 

P: +1.414.224.8095 
E: info at clinimmsoc.org 

Not a member of CIS? Please visit www.clinimmsoc.org to join! 

You are currently subscribed to cis-pidd as: psoler at vhebron.net. 
To unsubscribe click here: http://lm.clinimmsoc.org/u?id=183824761.73091a40f7bf46d8490bc6c1b5779db2&n=T&l=cis-pidd&o=42600557 
or send a blank email to leave-42600557-183824761.73091a40f7bf46d8490bc6c1b5779db2 at lists.clinimmsoc.org 

---
The CIS-PIDD listserv is supported by the Clinical Immunology Society
The science & practice of human immunology

P: +1.414.224.8095
E: info at clinimmsoc.org

Not a member of CIS? Please visit www.clinimmsoc.org to join!

You are currently subscribed to cis-pidd as: pagid at list.clinimmsoc.org.
To unsubscribe click here: http://lm.clinimmsoc.org/u?id=183939985.3ea13d40a15475ac00ebbd9cd8a37d6d&n=T&l=cis-pidd&o=42600587
or send a blank email to leave-42600587-183939985.3ea13d40a15475ac00ebbd9cd8a37d6d at lists.clinimmsoc.org
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://seven.pairlist.net/pipermail/pagid/attachments/20130126/0a0b25f6/attachment.html>