Indications & Dose:
Prophylactically to provide passive immunity to hepatitis B infection in individuals exposed to HBV or HBsAg-positive materials (blood plasma, serum). Also as postexposure prophylaxis after bite or percutaneous exposure, ingestion, direct mucous, membrane contact, sexual or intimate contact, and in neonates born to HBsAg-positive women.
DOSE
Following exposure to HBsAg:
Adults
1000-2000 i.u. i.m.
Children
32-48 i.u./kg body wt. This should be administered within 7 days (preferably within 48 hours) after exposure to HBsAg.
Neonates: Initial dose is 100-200 i.u. The first dose should be administered within 5 days after birth. The booster dose should be 32-48 i.u./kg of body wt. between 2 & 3 months after initial dose. specific immunoglobulin A (IgA) deficiency
Contraindications:
CONTRAINDICATION & PRECAUTIONS CAUTIOUS
History of systemic allergic reactions to immune globulin, thrombocytopenia or bleeding disorders. HBsAg-positive individuals, patients with
Cautions:
Precautions:
Interaction:
Drugs May interfere with immune response to Live Virus Vaccine (measles/mumps/rubella/poliovirus)
Warnings:
Adverse Effects:
Usually infrequent and mild.
Skin Hypersensitivity: urticaria, rash, angioedema, pruritus, erythema, sensitization (following large or repeated doses), anaphylaxis (rare).
Local: muscle stiffness; pain, tenderness, swelling, erythema of injection site.
Other: nausea, faintness, fever, dizziness, malaise, lassitude, body and joint pain, leg cramps.
Lactations:
Special Precautions:
Counselling:
Side Effects Or Adverse Reactions:
Patient And Carer Advice:
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