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Updates in Chronic Inflammatory Demyelinating Polyneuropathy Treatment
0:52
Updates in Chronic Inflammatory Demyelinating Polyneuropathy Treatment
a month ago
by
Amy Duong, PharmD, BCACP(+1 more)

Pediatric multisystem inflammatory syndrome. kawasaki disease symptoms.

Glucocorticoids alone were found to reduce treatment failure and fever duration, but the combination with intravenous immunoglobulin (IVIG) significantly reduced the need for adjunctive immunotherapy following treatment.

Infusion management: Close-up of a butterfly cannula

Subcutaneous immunoglobulin was found to elicit fewer viral infections compared with other routes of immunoglobulin replacement therapy, including intravenous immunoglobulin.

Juan Ovalles, MD, PhD, discusses how high placebo response rates driven by background therapy complicate lupus drug trials, and outlines evolving strategies in trial design, clinical practice, and pharmacist-led care to ensure investigational biologics are fairly evaluated and appropriately used in systemic lupus erythematosus.

Injectors and dosing pens for subcutaneous injection of antidiabetic medications or a anti-obesity medication lying on a pink backdrop, top view. Medicine and weight loss, concept.

Subcutaneous immunoglobulin (SCIg) is a hopeful alternative to intravenous immunoglobulin in patients with inflammatory myositis due to a lack of adverse effects and fewer financial constraints.

Microscopic View of Hematological Slide Showing Thrombocytopenia and Low Platelet Count in Blood

IVIG treatment significantly boosts platelet counts in pregnant people with thrombocytopenia, revealing key predictors for effective response and optimizing clinical decisions.

A little asian girl is sick in the hospital,Kawasaki disease

Additional intravenous immunoglobulin (IVIG) treatment shows promise for patients with Kawasaki disease who are resistant to infliximab, potentially matching the efficacy of second IVIG doses in patients resistant to IVIG.

Doctor hold Blood sample for Primary Immunodeficiency (PID) test. Medical testing concept with laboratory background.

Despite being an effective treatment option, intravenous immunoglobulin (IVIG) can cause transient adverse events in pediatrics with primary immunodeficiency, including headache and fever.

Hand holding model of human kidney organ at body

Intravenous immunoglobulin (IVIG) treatment for dermatologic conditions shows effectiveness but poses risks of kidney decline and thromboembolism, necessitating careful monitoring.

New trial results highlight intravenous immunoglobulin (IVIG) 10% as an effective rescue treatment for relapsing chronic inflammatory demyelinating polyradiculoneuropathy (CIDP), enhancing patient care and pharmacist involvement in management.

Antibody (Ab), also known as an immunoglobulin (Ig). 3d vector.

A study reveals IVIG treatment shows no significant benefits over tocilizumab for severe COVID-19, highlighting higher adverse events and costs.

Composition with pills of Bayer Aspirin

Although the rate of coronary artery lesions decreased across both cohorts of this trial of children with Kawasaki disease, there were no differences in lesion reduction between those receiving intravenous immunoglobulin (IVIG) alone and those receiving IVIG with aspirin.

Pharmacists should educate patients about their treatment regimen and potential adverse effects.

Given rituximab’s tendency to cause infections in patients being treated for autoimmune diseases, the addition of intravenous immunoglobulin works to reduce that risk and induce clinical improvements.

Evidence-based guidelines support the safe and effective administration of Ig therapy in clinical practice.

As indicated by prior literature, a second dose of intravenous immunoglobulin (IVIG) in patients with Guillain-Barré syndrome increases serum immunoglobulin G levels without improving clinical outcomes.

Neutrophil with red blood cells

Though rare and typically presenting as transient, a case study demonstrates severe, chronic neutropenia in a patient with multifocal motor neuropathy treated with intravenous immunoglobulin (IVIG).

Myasthenia Gravis: The Muscle Weakness and Fatigue - Picture a person with highlighted neuromuscular junction showing dysfunction, experiencing muscle weakness and fatigue

Given the increasing age of patients with generalized myasthenia gravis, knowing which therapies are most effective for different subgroups is essential.

Blood plasma as a hope for treatment of coronavirus infection. Syringe with blood plasma in a hand in a blue medical glove against the sky. Platelet-Rich plasma preparation.

Plasma therapy can involve burdensome procedures and infusions for patients, but pharmacists can use their expertise to make the process easier and more convenient.

Compared with other treatments for myasthenia gravis, nipocalimab demonstrated more significant improvements in disability scores, with tolerable safety.

Medical mock-up of a heart under a magnifying glass on a blue background. Heart disease concept, inflammation of the heart muscle, myocardial infarction, coronary heart disease.

Often an indicator of fibrosis or damage to the heart, late gadolinium enhancement was found to be unaffected by the administration of intravenous immunoglobulin (IVIG) in pediatric patients with myocarditis.

Advances in Dermatomyositis Treatment

These results provide a pediatric lens into the potential risk of thromboembolic events in patients with dermatomyositis.

IV drip -- Image credit: sudok1 | stock.adobe.com

An infusion and specialty clinical pharmacist is a valuable integrated member of the health care team as demonstrated by cost avoidance and high satisfaction reported by both veterans and specialty providers.

CIDP can lead to muscle weakness and numbness if not treated properly. | Image Credit: © Chinnapong | stock.adobe.com

A series of patient cases demonstrates the potential harm that patients with chronic inflammatory demyelinating polyneuropathy (CIDP) may face when transitioning from intravenous immunoglobulin (IVIG) to FcRn therapy.

Leukemia blood cells medical science background concept.

Admissions to the hospital for fever were reduced in pediatric patients with medium-risk ALL receiving intravenous immunoglobulin, a potentially useful finding to help prevent infections in vulnerable patients.

Peripheral Neuropathy pain in elderly patient on hand, palm, fingers and sensory nerves with numb, aching, muscle weakness, stabbing, burning from chronic inflammatory demyelinating polyneuropathy

Managing comorbidities, ensuring proper dosing, and treating IVIG-related adverse events are areas where pharmacists play a large role.

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