Q:

5/6/2013
It has always been my practice to have the first dose of IVIG administered in an infusion center, then if tolerated, and according to the patient's preference and insurance requirements, either at home or to be continued at the infusion center. I am starting 2 new patients (whose carrier will not cover subcu Ig) on IVIG who will not pay for IVIG in an infusion center, even for the first dose. Is this a safe practice?

A:

Thank you for your inquiry.

Yes, it is reasonably safe to administer the first dose of intravenous immunoglobulin via a nursing service at home. The other alternative, if you are concerned about the first dose being given at home, would be to consider infusing the first dose in your office and subsequent doses at home if there was no difficulty.

Thank you again for your inquiry and we hope this response is helpful to you.

Sincerely,
Phil Lieberman, M.D.

AAAAI - American Academy of Allergy Asthma & Immunology