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Tetanus Immune Globulin (Human)
Pronunciation
U.S. Brand Names
Generic Available
Synonyms
Pharmacological Index
Use
Pregnancy Risk Factor
Contraindications
Warnings/Precautions
Adverse Reactions
Drug Interactions
Stability
Mechanism of Action
Pharmacodynamics/Kinetics
Usual Dosage
Administration
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Patient Information
Dosage Forms

Pronunciation
(TET a nus i MYUN GLOB yoo lin HYU man)

U.S. Brand Names
Hyper-Tet®

Generic Available

No


Synonyms
TIG

Pharmacological Index

Immune Globulin


Use

Passive immunization against tetanus; tetanus immune globulin is preferred over tetanus antitoxin for treatment of active tetanus; part of the management of an unclean, wound in a person whose history of previous receipt of tetanus toxoid is unknown or who has received less than three doses of tetanus toxoid; elderly may require TIG more often than younger patients with tetanus infection due to declining antibody titers with age


Pregnancy Risk Factor

C


Contraindications

Hypersensitivity to tetanus immune globulin, thimerosal, or any immune globulin product or component; patients with IgA deficiency; I.V. administration


Warnings/Precautions

Have epinephrine 1:1000 available for anaphylactic reactions; do not administer I.V.


Adverse Reactions

>10%: Local: Pain, tenderness, erythema at injection site

1% to 10%:

Central nervous system: Fever (mild)

Dermatologic: Urticaria, angioedema

Neuromuscular & skeletal: Muscle stiffness

Miscellaneous: Anaphylaxis reaction

<1%: Sensitization to repeated injections


Drug Interactions

Never administer tetanus toxoid and TIG in same syringe (toxoid will be neutralized); toxoid may be given at a separate site; concomitant administration with Td may decrease its immune response, especially in individuals with low prevaccination antibody titers


Stability

Refrigerate


Mechanism of Action

Passive immunity toward tetanus


Pharmacodynamics/Kinetics

Absorption: Well absorbed


Usual Dosage

I.M.:

Children: 4 units/kg; some recommend administering 250 units to small children

Adults: 250 units

Treatment of tetanus:

Children: 500-3000 units; some should infiltrate locally around the wound

Adults: 3000-6000 units


Administration

Do not administer I.V.; I.M. use only


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

No effects or complications reported


Patient Information

Be aware of adverse reactions


Dosage Forms

Injection: 250 units/mL


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