What is Rho Immune (D) Globulin also known as WinRho®?
 
WinRho( is a medicine used to treat Immune Thrombocytopenic Purpura (ITP).
 
It is given to increase the platelet count.
 
How WinRho® works is not completely understood.
 
I.T.P is an autoimmune disease in which your body makes antibodies against platelets.
 
These "antibody coated platelets" are seen as "foreign" cells by the body and are destroyed.
 
WinRho® is a medicine that contains a high amount of antibodies that like to attach to red blood cells.
 
After treatment with WinRho®, the body becomes "busy" destroying these "antibody coated red blood cells" therefore leaving the "antibody coated platelets" alone.
 
In a sense, WinRho® causes a mild anemia (low red blood cell count) intentionally, to allow the platelet count in the body to rise.
 
How is WinRho® made?
WinRho® comes from human plasma. Human plasma is the liquid part of the blood that does not contain red blood cells.
 
Special processes are used in manufacturing WinRho® to make it safe. These processes clean out any known viruses that may be found in human plasma.
 
What are the benefits of WinRho®?
WinRho® has been shown to temporarily raise platelet counts in patients with I.T.P.
 
WinRho® may be administered quickly over a few minutes.
 
WinRho® is significantly less expensive than some other treatments used to treat I.T.P.
 
How is WinRho® given?
WinRho® is given in the vein by intravenous infusion.
 
WinRho® is given during an outpatient visit in the Center for Ambulatory Treatment and Clinical Research (CAT/CR) on Farley 4.
 
Most WinRho® infusions take 30-60 minutes.
 
During the infusion, a nurse will carefully observe you/your child.
 
What are the possible side effects of WinRho®?
Temporary side effects from WinRho® are common and may include:
 
fever
 
chills
 
headache
 
nausea/vomiting
 
anemia
 
To avoid or minimize these symptoms you/your child may receive medication immediately before treatment with WinRho®. You/your child may receive additional IV fluid during your treatment. This extra fluid has been shown to ease side effects.
 
What are the risks of WinRho®?
There is always a small risk that blood products may contain viruses that cause infection.
 
There is small chance that a severe allergic reaction to WinRho® may occur. If that happens, the WinRho( infusion will be stopped. Medications used to treat allergic reactions will be given immediately.
 
WinRho® causes mild anemia in many patients, and rarely (in about 1 in 100 patients or less) can cause significant anemia and breakdown of red blood cells.
 
Avoid "live" vaccines (check with your doctor) within 3 months of WinRho®.
 
Are there choices that work as well as WinRho®?
There is more than one way to treat ITP.
 
These treatments include, but are not limited to steroids, gammaglobulin, observation, and splenectomy.
 
Each treatment, including WinRho®, has its own benefits and risks as well as cost consideration.
 
You and your/your child's physician, working together, are best equipped to decide the best treatment for you/your child.
 
Who to Call with Questions
If you have questions or concerns, please call your/your child's primary hematologist.
 
 
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