I have just been told I have to have IVIG tomorrow, Thurs 25th, counts 26 and the threshold the hema says is 30. I am due for my Covid shot on 26th. My hema says it is OK to have the two things close together and I trust him but his main concern is I will have bruising from the shot (big deal that will be nothing new in my life!) The point is I am concerned about having the two things so close together and whether I am just being neurotic about this (I am usually a level headed, calm person.) Would appreciate some of your thoughts on this. TIA
For persons receiving antibody therapies not specific to COVID-19 treatment (e.g., intravenous immunoglobulin, RhoGAM), administration of mRNA COVID-19 vaccines either simultaneously with or at any interval before or after receipt of an antibody-containing product is unlikely to substantially impair development of a protective antibody response. Thus, there is no recommended minimum interval between other antibody therapies (i.e., those that are not specific to COVID-19 treatment) and mRNA COVID-19 vaccination.
The following user(s) said Thank You: Christine, email@example.com
It is not enough to click the thank you button but I thank you from the bottom of my heart because I was getting quite worked up about it. I already have a husband who believes he is going to have an adverse reaction and I have been trying to convince him about the alternative of not having the vaccine. Will let you know how it all goes and thank you again. Christine
Diagnosis of ITP in 2014. Retired (Nov 2019) renal specialist nurse, 46 years on the NHS front line. My belief is empower patients to be involved as much as possible in their care. Read, read, read & ALWAYS question medics about the evidence base they use
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I have spent hours trawling the internet for scientific journal articles addressing the issue of pre vaccination platelet counts.
Is this just the haemo's personal preference?
I would ask your Haem for an evidence base regarding a minimum platelet count of 30. It would be interesting to see if there actually is any.
I certainly would not take IVIg purely to raise a count for a vaccination that may or may not affect my count. If asymptomatic i would have the jab and see what happens. If I was symptomatic a quick bolus of Prednisolone is all I would consider taking.
The hema has always had the threshold of thirty in order to have IVIG, he is concerned about a haematoma at the jab site - least of my worries! It just happens to be the day before my COVID shot and I was concerned about the "mixing" of the two things in my system. I will check again before the IVIG and again before I have my shot tomorrow. The article poseymint found was helpful and put my mind at ease somewhat, however, I will check again before I have my IVIG today and my shot tomorrow. Thank you for your insight and helping me. Christine
Everything medical wise re: IVIG / shot, went OK and I wonder now why I worried. Thank you every one for your helpful advice. I will put the story of my week in social chat and it may help you realize why I was starting to "loose my cool"
Thank you - everything went OK. My main fear was the IVIG would "void" the COVID vaccination and vica versa. I was reassured by my hema and people on this site. Thank you once again folks. I was in the middle of a bad week - see social chat.
Thanks for sharing that. I seem to consistently crash whenever my immune system goes on alert for any reason. I can't say I regret getting the vax but on my ITP specialists recommendation I won't get the 2nd one. Dammit. I really, really miss hugs!
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