What is in this leaflet
This leaflet answers some common questions about Tetanus Immunoglobulin-VF (For Intravenous Use). It does not contain complete information about Tetanus Immunoglobulin-VF (For Intravenous Use). It does not take the place of talking to your doctor.
If you have any concerns about using this medicine, ask your doctor. Follow your doctor’s advice even if it is different from what this leaflet says.
Please read this leaflet carefully and keep it for future reference.
The information in this leaflet is subject to change. Please check with your doctor whether there is any new information about this medicine that you should know since you were last treated.
What Tetanus Immunoglobulin-VF (For Intravenous Use) is used for
Tetanus Immunoglobulin-VF (For Intravenous Use) is manufactured from human plasma (the liquid component of blood) collected by Australian Red Cross Lifeblood. Donations are selected on the basis that they contain high levels of antibodies against the poison produced by bacteria which cause tetanus. This medicine is used for the treatment of tetanus infection.
Ask your doctor if you have any questions about why Tetanus Immunoglobulin-VF (For Intravenous Use) has been prescribed for you. Your doctor will have assessed the risks and benefits for you associated with the use of this product.
Before you are given Tetanus Immunoglobulin-VF (For Intravenous Use)
Tell your doctor if you have, or have had, an allergy to human immunoglobulin products or to maltose. Some of the symptoms of an allergic reaction may include rash, itchiness, swelling of the lips and tongue, shortness of breath.
Tell your doctor if you have allergies to any other medicines or if you have ever had an allergic reaction to an injection.
Tell your doctor also if you:
- have previously been advised that you have Immunoglobulin A (IgA) deficiency
- have previously been advised that you have kidney disease
- have previously been advised that you have diabetes
- are taking or using any other medicines. These include medicines bought from pharmacies, supermarkets and health food stores.
- have any other medical conditions
- are pregnant or breast-feeding
- have had any vaccination within the last two weeks.
Vaccinations: Please inform your doctor if you are planning to have a vaccination. Tetanus Immunoglobulin-VF (For Intravenous Use) may impair the effect of some virus vaccines such as measles, mumps, rubella and chicken pox for a period of at least 6 weeks, and up to 3 months. After receiving this medicine, a period of 3 months should be allowed before vaccination with some virus vaccines. In the case of measles vaccine, this effect may last for up to 1 year. Therefore, your vaccinating doctor should check the effectiveness of the measles vaccination.
If you want any further information, consult your doctor.
About blood products
When products are made from human blood and injected into you, it is possible that viruses or other substances could be present in the product and cause an illness. These could be viruses such as hepatitis, human immunodeficiency virus (HIV), or human parvovirus B19 and theoretically the Creutzfeldt-Jakob Disease (CJD) agent. There could also be other infectious agents some of which may not yet have been discovered.
To reduce the risk of this happening, extra steps are taken when manufacturing this product. Strict controls are applied when selecting blood donors and donations. The product is specially treated to remove and kill certain viruses. These special treatments are considered effective against viruses known as enveloped viruses such as HIV, hepatitis B virus and hepatitis C virus and non-enveloped viruses, such as hepatitis A virus and human parvovirus B19. Despite these measures, the risk of viral and other agent’s infectivity cannot be totally eliminated.
Vaccines are available against some of these viruses and your doctor will be able to help you decide whether it is worthwhile having any of those vaccines.
Please discuss the risks and benefits of this product with your doctor.
How to use Tetanus Immunoglobulin-VF (For Intravenous Use)
Your doctor will determine the dose(s) of Tetanus Immunoglobulin-VF (For Intravenous Use) that you are to receive. Your doctor will give you Tetanus Immunoglobulin-VF (For Intravenous Use) as an infusion, that is, an injection given slowly into the vein.
Along with their intended effects, medicines occasionally cause some unwanted effects, some of which are serious. Individuals may react differently to similar doses of the same product. This applies to Tetanus Immunoglobulin-VF (For Intravenous Use).
Severe allergic reactions to immunoglobulins are rare. Should a hypersensitivity reaction occur, the doctor will stop the infusion.
Unwanted effects which may occur include: stomach pain, headache, chest-tightness, flushed or pale face, feeling hot, shortness of breath, non-itchy skin rash, itching, faintness, nausea or vomiting, or a hot feeling or redness at the site of the injection. Should any of these effects develop during infusion, the doctor will take appropriate action.
Some patients may develop delayed unwanted effects such as nausea, vomiting, chest pain, chills or shivering, dizziness or aching legs. These effects may occur after the infusion has stopped but usually within 24 hours.
A condition called Aseptic Meningitis Syndrome (AMS) has been reported to occur infrequently in association with infusions similar to Tetanus Immunoglobulin-VF (For Intravenous Use). It usually begins within several hours to two days following treatment. The signs include severe headache, neck stiffness, drowsiness, fever, inability to stand bright light, painful eye movements, and nausea and vomiting. The condition reverses without ill effects when treatment is stopped.
There have been reports that the kidneys may be affected with infusions similar to Tetanus Immunoglobulin-VF (For Intravenous Use). These occurrences are extremely rare.
If you experience any of the mentioned effects or any other abnormal signs after treatment, contact your doctor immediately.
Contact your doctor immediately if you experience any of these symptoms at any time: fever, loss of appetite, extreme tiredness, stomach pain, jaundice (yellow skin and eyes), dark urine, joint pains and skin rashes.
Interference with glucose estimations
The maltose present in Tetanus Immunoglobulin-VF (For Intravenous Use) may interfere with some blood glucose measurements, resulting in the overestimation of blood glucose results. If this glucose measurement is used to guide treatment, hypoglycaemia may occur. Only certain glucose tests have been implicated, so when monitoring glucose levels consult your doctor to ensure that maltose does not interfere with the blood glucose reading of the test you are using.
If you want further information, or if you are worried about any other symptoms after the infusion, consult your doctor.
No cases of overdose have ever been reported.
Storing Tetanus Immunoglobulin-VF (For Intravenous Use)
Store at 2°C to 8°C (Refrigerate. Do not freeze). Protect from light.
Do not use after the expiry date shown on the label.
Tetanus Immunoglobulin-VF (For Intravenous Use) can only be obtained on a doctor’s prescription. This leaflet does not contain the complete information about Tetanus Immunoglobulin-VF (For Intravenous Use). If you require further information about Tetanus Immunoglobulin-VF (For Intravenous Use) and your treatment generally, or if you have any questions or are not sure about something in this leaflet, consult your doctor.
What it looks like
Tetanus Immunoglobulin-VF (For Intravenous Use) is a clear, colourless, non-viscous (not thick) solution. It is available in glass bottles.
In each vial of Tetanus Immunoglobulin-VF (For Intravenous Use) is a sterile solution containing 6% blood proteins of which at least 98% is immunoglobulins with a tetanus antitoxin activity of 4000 IU per vial. It also contains 10% maltose (a sugar).
Tetanus Immunoglobulin-VF (For Intravenous Use) is manufactured in Australia by:
CSL Behring (Australia) Pty Ltd
ABN 48 160 734 761
189-209 Camp Road
Broadmeadows VIC 3047
Australian Red Cross Lifeblood
Date of revision
Australian Register Number
AUST R 31829
Published by MIMS July 2021