Intravenous immune globulin
INDICATIONS
FDA
FDA
- Bone marrow transplant (to prevent graft vs host disease)
 - Primary immunoglobulin deficiencies (hypogammaglobulinemia)
 - Idiopathic thrombocytopenic purpura (ITP)
 - Prevention of bacterial infections in HIV-infected children who are not receiving prophylaxis (FDA approved but generally not recommended)
 - Kawasaki disease
 - VZV post-exposure prophylaxis (if Varicella-Zoster immune globulin is not available)
 
NON-FDA APPROVED USES
NON-FDA APPROVED USES
- Autoimmune hemolytic anemias
 - Pure red cell aplasia
 - Guillain-Barre syndrome
 - Steroid resistant dermatomyositis
 - Polymyositis
 - Multifocal motor neuropathy
 - Multiple myeloma
 - Immune-mediated neutropenia
 - Post-transfusion purpura
 - Neonatal alloimmune thrombocytopenia
 - Solid-organ transplant
 - Myasthenia gravis
 - Multiple sclerosis
 - Systemic lupus diseases
 - Systemic vascular syndrome and vasculitis
 - Refractory seizures
 - Chronic inflammatory demyelinating polyneuropathy
 - Stiff person syndrome
 - Paraneoplastic syndrome
 - Thrombocytopenia refractory to platelet transfusion
 - Immune deficiencies and immune regulatory disorders
 
Infectious Diseases Use
- Measles post-exposure prophylaxis
 - Adjective therapy for RSV in the severely immunocompromised host (e.g. BMT)
 - Severe C. difficile-associated colitis
 - Anemia due to parvovirus B19 infection
 - CMV infections
 - BK virus nephropathy[1]
 
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Last updated: April 15, 2020
Citation
Avdic, Edina, and Paul A Pham. "Intravenous Immune Globulin." Johns Hopkins ABX Guide, The Johns Hopkins University, 2020. Pediatrics Central, peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540292/all/Intravenous_immune_globulin. 
Avdic E, Pham PA. Intravenous immune globulin. Johns Hopkins ABX Guide. The Johns Hopkins University; 2020. https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540292/all/Intravenous_immune_globulin. Accessed November 4, 2025.
Avdic, E., & Pham, P. A. (2020). Intravenous immune globulin. In Johns Hopkins ABX Guide. The Johns Hopkins University. https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540292/all/Intravenous_immune_globulin
Avdic E, Pham PA. Intravenous Immune Globulin [Internet]. In: Johns Hopkins ABX Guide. The Johns Hopkins University; 2020. [cited 2025 November 04]. Available from: https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540292/all/Intravenous_immune_globulin.
* Article titles in AMA citation format should be in sentence-case
TY  -  ELEC
T1  -  Intravenous immune globulin
ID  -  540292
A1  -  Avdic,Edina,Pharm.D.
AU  -  Pham,Paul,Pharm.D.
Y1  -  2020/04/15/
BT  -  Johns Hopkins ABX Guide
UR  -  https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540292/all/Intravenous_immune_globulin
PB  -  The Johns Hopkins University
DB  -  Pediatrics Central
DP  -  Unbound Medicine
ER  -  

Johns Hopkins ABX Guide

