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Pentaglobin

Pentaglobin is an IgM-enriched intravenous immunoglobulin preparation.

Pentaglobin is a polyclonal immunoglobulin preparation comprised of immunoglobulin G (IgG) and immunoglobulin A (IgA), enriched with immunoglobulin M (IgM). 

Each ml contains 50 mg of human plasma protein (at least 95% immunoglobulin), with IgM 6 mg, IgA 6 mg, and IgG 38 mg.

It is prepared from pooled material from not fewer than 1,000 donors. 

Mechanism of action: The IgM in the preparation plays a role in complement activation and neutralization of bacterial endo- and exotoxins.

Pentaglobin is used as an adjuvant in the treatment of severe bacterial infections and is also being investigated against peritonitis, sepsis, and COVID-19. 

It is used to treat immunoglobulin deficiency and inflammatory disorders including primary immune thrombocytopenia, Guillain-Barré syndrome, Kawasaki disease, chronic inflammatory demyelinating polyneuropathy (CIDP), and multifocal motor neuropathy. 

Administration: Pentaglobin is given by intravenous infusion. In neonates and infants the rate is 1.7 ml/kg/hour; in children and adults, 0.4 ml/kg/hour. It should be warmed to at least room temperature before administration and stored at +2°C to +8°C. 

It may cause injection site reactions, headache, fever, flu-like symptoms, and throat tightness. 

It can also reduce the efficiency of some live vaccines such as measles/mumps/rubella or chickenpox vaccines. 

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