IVIG treatment for GBS is not cost effective.There is circumstantial evidence that standard IVIG dose (2 g/kg bodyweight) is not, or not sufficiently, effective in some GBS patients because a proportion of GBS patients continues to deteriorate after a standard course of IVIG [1]. Recently a girl of 17 yrs died in spite of IVIG treatment in a hospital with ICU support in Bangladesh. So is there any alternate cost effective treatment available for GBS?
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2883091/#CR13
Iv IG is one if the traetment modaluties for GBS, after the 1St Dose if there was no response or even the patient showed deterioration another dose of 2gm per kg can be given, Plasmapharesis is another option but should be done by qualified personelle in qualified centers. There is a category in GBS Response to treatment called Treatment Related Flactuation in GBS
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