Gammaked intravenous and subcutaneous and Toremifene Citrate

• Generic Name: immune globulin intravenous and subcutaneous
• Dosage Forms: n.a.
• Other Brand Names: Gammagard, Gammaked, Gamunex-C, Gammagard Liquid

Gammaked is a sterilized solution made from human plasma. It contains the antibodies to help your body protect itself against infection from various diseases.

Gammaked (for injection into a vein or under the skin) is used to treat primary immunodeficiency (PI), idiopathic thrombocytopenic purpura (ITP), or chronic inflammatory demyelinating polyneuropathy (CIDP). This medication is also used to improve muscle strength in adults with multifocal motor neuropathy.

Gammaked may also be used for purposes not listed in this medication guide.

• Generic Name: toremifene
• Dosage Forms: n.a.
• Other Brand Names: Fareston

Palliative treatment of metastatic breast cancer in postmenopausal women with estrogen-receptor positive or estrogen-receptor unknown tumors (designated an orphan drug by FDA for this use). Not recommended for treatment of estrogen-receptor negative breast tumors. Similar efficacy and toxicity as tamoxifen. Not known whether toremifene offers a therapeutic advantage over tamoxifen for the treatment of advanced breast cancer in eligible patients.

Under investigation for use as adjuvant therapy for early-stage breast cancer in node-positive postmenopausal women. Results from trials to date suggest similar efficacy and toxicity as tamoxifen.

Efficacy in treatment of advanced breast cancer in men not demonstrated.

Because of demonstrated cross-resistance with tamoxifen, usefulness of toremifene as second-line endocrine therapy for treatment of metastatic breast cancer refractory to tamoxifen appears to be limited.

Under investigation as a preventive agent for prostate cancer in men with high-grade prostatic intraepithelial neoplasia and no evidence of prostate cancer.