[CIS PIDD] [cis-pidd] SubQ first dose

[Howard Lederman]

We always do first infusion of a new product in our clinic, whether the product is being given SQ or IV.

For SQ, there is probably only a tiny risk of any serious reaction, but it is helpful to have someone around who can distinguish a hive from the standard redness that some people get at a SQ site.

Howard
Howard M. Lederman, M.D., Ph.D.
Professor of Pediatrics, Medicine and Pathology Division of Pediatric Allergy and Immunology Johns Hopkins Hospital - CMSC 1102 600 N. Wolfe Street Baltimore, MD 21287-3923
Phone: 410-955-5883
Fax: 410-955-0229
Email: Hlederm1 at jhmi.edu

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-----Original Message-----
From: Riedl, Marc [mailto:MRiedl at mednet.ucla.edu] 
Sent: Thursday, May 23, 2013 3:49 PM
To: CIS-PIDD
Subject: Re: [cis-pidd] SubQ first dose

IV: first dose always supervised in the infusion center.  SQ: comfortable with patients starting at home with nursing education/supervision.

Marc Riedl, M.D., M.S.
Associate Professor of Medicine
Section Head, Clinical Immunology and Allergy UCLA - David Geffen School of Medicine
10833 Le Conte Ave, 37-131 CHS
Los Angeles, CA  90095-1680
Tel 310.206.4345  Fax 310.267.0090





On 5/23/13 12:14 PM, "Sullivan, Kathleen" <sullivak at mail.med.upenn.edu>
wrote:


>Question to allŠ

>

>It has been our tradition to always give a first dose of any new

>immunoglobulin product under medical supervision (i.e. not at home).   I

>wonder how many people do that for subcutaneous products though.  I 

>think the risk of a reaction that needs medical attention is very low.

>

>What do all of you do?

>

>Kate

>Kate Sullivan, MD PhD

>Professor of Pediatrics

>ARC 1216 Immunology CHOP

>3615 Civic Center Blvd.

>Philadelphia, PA 19104

>(p) 215-590-1697

>(f) 267-426-0363

>

>

>

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