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Varicella-Zoster Immune Globulin (VariZIG): Patient Guide

Published: July 26, 2026Updated: August 24, 2026

Varicella-Zoster Immune Globulin (VariZIG) is an injection made from human antibodies that can help prevent chickenpox after a close exposure to varicella. It is used mainly for susceptible people at high risk, including some immunocompromised patients, pregnant patients, and certain exposed newborns; it does not treat an existing chickenpox infection.

Quick summary

VariZIG is a prescription antibody injection used to reduce the risk of chickenpox after exposure in susceptible people at high risk. It should be given by a health care professional, ideally within 96 hours of exposure, and it does not replace varicella vaccination.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy

Key facts at a glance

ATC
J06BB03
RxNorm
39385
Generic
Varicella-Zoster Immune Globulin
Class
atc-j06
Brands
VariZIG
Availability
rx
Lactation
unknown
Routes
intramuscular
Forms
injection
Regions
US, EU, CN
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
125 IU per 10 kg body weight
Maximum
consult physician
Frequency
single dose within 10 days of exposure
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
125 IU per 10 kg body weight
Maximum
consult physician
Frequency
single dose within 10 days of exposure
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
125 IU per 10 kg body weight
Maximum
consult physician
Frequency
single dose within 10 days of exposure
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose exceeding recommended weight-based dosing that may cause volume overload or hyperviscosity-related complications
Chronic overdose: Repeated doses exceeding recommended intervals may lead to cumulative fluid overload, renal strain, or aseptic meningitis syndrome
Immediate actions
Discontinue infusion, monitor vital signs, assess renal function, consider diuretics for fluid overload
Antidote
No specific antidote exists(Supportive care is primary management; no specific antagonist available)
Poison Control: 1-800-222-1222

Special Populations

10 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

use only if clearly needed

Key Recommendations

use only when benefits outweigh potential risks to fetus

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

second trimester
caution
FDA Category
C
Dose Adjustment

use only if clearly needed

Key Recommendations

consider benefits vs risks for post-exposure prophylaxis

Monitor

standard prenatal care

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
C
Dose Adjustment

use only if clearly needed

Key Recommendations

use for post-exposure prophylaxis when benefits outweigh risks

Monitor

standard prenatal monitoring

Use with caution and monitor for adverse effects.

✓

lactation

breastfeeding
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

compatible with breastfeeding

Monitor

no specific monitoring required

✓

pediatric_age

neonates
safe
FDA Category
C
Dose Adjustment

weight-based dosing

Key Recommendations

indicated for neonates born to mothers with varicella around time of delivery

Monitor

monitor for signs of varicella infection

✓

pediatric_age

children
safe
FDA Category
C
Dose Adjustment

weight-based dosing

Key Recommendations

indicated for post-exposure prophylaxis in immunocompromised children

Monitor

monitor for infusion reactions

⚠

geriatric

elderly
caution
FDA Category
C
Dose Adjustment

no specific adjustment but use with caution

Key Recommendations

use based on risk assessment and exposure history

Monitor

monitor vital signs during infusion

Use with caution and monitor for adverse effects.

✓

renal_impairment

mild to moderate
safe
FDA Category
C
Dose Adjustment

no adjustment needed

Key Recommendations

use standard dosing for post-exposure prophylaxis

Monitor

standard monitoring

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
C
Dose Adjustment

use with caution

Key Recommendations

limited data available use only if benefits outweigh risks

Monitor

monitor liver function tests

Use with caution and monitor for adverse effects.

✓

other

immunocompromised
safe
FDA Category
C
Dose Adjustment

higher dose may be considered

Key Recommendations

indicated for immunocompromised patients exposed to varicella

Monitor

close monitoring for efficacy and adverse effects

Statistics and clinical data

drug_classWHO Collaborating Centre
2023

ATC classification code

Value:J06

Immune sera and immunoglobulins classification

prescribingPharmaceutical database
2023

Commonly prescribed since

Value:1990s

General information about medication introduction

common_usesClinical pharmacology reference
2023

Primary indication

Value:Prevention of varicella in high-risk individuals

Main therapeutic use of the medication

common_usesClinical guidelines
2023

Target population

Value:Immunocompromised patients, pregnant women, neonates

Patient groups for whom the drug is typically prescribed

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy