Drug General Information (ID: DDISLE703P)
  Drug Name Ibuprofen Drug Info Human Rho(D) immune globulin Drug Info
  Drug Type Small molecule Polyclonal antibody
  Therapeutic Class Analgesics Immune Globulins

 Mechanism of Ibuprofen-Human Rho(D) immune globulin Interaction (Severity Level: Major)
     Increased risk of nephrotoxicity Click to Show/Hide Mechanism Graph
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      Drug Name Ibuprofen Human Rho(D) immune globulin
      Mechanism Nephrotoxicity Nephrotoxicity
      Key Mechanism Factor 1
Factor Name Nephrotoxicity
Factor Description The combination of drugs that can induce nephrotoxicity may increase the risk of kidney injury. When kidney injury occurs, the inability to remove excess urine and waste from the body can lead to high levels of urea nitrogen, creatinine, and electrolytes (such as potassium and magnesium) in the blood.
      Mechanism Description
  • Increased risk of nephrotoxicity by the combination of Ibuprofen and Human Rho(D) immune globulin 

Recommended Action
      Management Intravenous immune globulin preparations should be administered cautiously in patients treated with other potentially nephrotoxic agents (e.g., e.g., aminoglycosides polypeptide, glycopeptide, and polymyxin antibiotics amphotericin B adefovir cidofovir tenofovir foscarnet cisplatin deferasirox gallium nitrate lithium mesalamine certain immunosuppressants intravenous bisphosphonates intravenous pentamidine high intravenous dosages of methotrexate high dosages and/or chronic use of nonsteroidal anti-inflammatory agents). Clinicians should ensure that patients are not volume depleted prior to the initiation of immune globulin therapy. Monitoring of urine output and renal function tests, including the measurement of blood urea nitrogen (BUN) and serum creatinine, is recommended prior to the initial infusion and at appropriate intervals thereafter.

References
1 Guo X, Nzerue C "How to prevent, recognize, and treat drug-induced nephrotoxicity.".
2 Centers for Disease Control and Prevention (CDC). Renal insufficiency and failure associated with immune globulin intravenous therapy--United States, 1985-1998.?MMWR Morb Mortal Wkly Rep. 1999;48(24):518-521. [PMID: 10401909]
3 Product Information. BabyBIG (botulism immune globulin). FFF Enterprises, Temecula, CA.