Rules on Remicade and sickness

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snappy
Veteran Member


Date Joined Sep 2005
Total Posts : 675
   Posted 2/15/2008 7:37 AM (GMT -7)   
Someone said something last week about a doctor not giving an infusion to someone who is on antibiotics. Is this true? I seem to have chronic sinusitis and will finally get in to a doctor next Tuesday, just 10 days prior to my next scheduled infusion. I am predicting they will put me on antibiotics. Is my GI gonna reject me on Feb 29?
 
I also have a lovely stomach virus (verified virus since my son and wife had it two days before). I really, really hate Winter.
Bad fissure Feb 2005, still have it January 2006. On Pentasa and Imuran 100mg. Some slight swelling and ulceration of terminal ileum. No other symptoms. Now on Remicade!


bektold
Regular Member


Date Joined Jul 2007
Total Posts : 456
   Posted 2/15/2008 8:04 AM (GMT -7)   
It's probably the sinusitis, not the antibiotic, that might hold up the Remicade.  My GI had me on Cipro and Flagyl for my first 3 infusions with no problem.  But they always ask if I've been sick or felt like I might be coming down with something.  If the answer is yes they won't give it to me.

snappy
Veteran Member


Date Joined Sep 2005
Total Posts : 675
   Posted 2/15/2008 8:08 AM (GMT -7)   
Thanks!
 
Do they delay it by a week, or what? I can't imagine if they won't let me have it at all for an extended amount of time!
Bad fissure Feb 2005, still have it January 2006. On Pentasa and Imuran 100mg. Some slight swelling and ulceration of terminal ileum. No other symptoms. Now on Remicade!


Ides
Forum Moderator


Date Joined Nov 2003
Total Posts : 7077
   Posted 2/15/2008 12:39 PM (GMT -7)   
Snappy - I once got a bad, bad upper respiratory infection that then developed into pneumonia. I was scheduled for an infusion and showed up hacking and feverish with congested lungs. They prescribed a Z-pack and we rescheduled for one week later. I still had URI symptoms like a cough when I returned for my infusion. Since I had been on antibiotics and responded, they went ahead and gave me the infusion.

It would seem that the infusion people would delay until you finished the course of antibiotics (10 days?) or until they felt you were no longer at increased risk. Since your infusion is 10 days after your likely start of antibiotics, it's a close call. Call your infusion people and ask.

PS - If you are having chronic sinusitis, I would certainly consider that Remicade might be the culprit. It is know to cause this problem in a small percentage of Remicade recipients. I certainly would discuss this with your doctor on Tuesday.
Moderator Crohn's Disease Forum
CD, Ankylosing Spondylitis, small fiber peripheral neuropathy, avascular necrosis, diffuse connective tissue disease, Sjogren's Syndrome ?
 


snappy
Veteran Member


Date Joined Sep 2005
Total Posts : 675
   Posted 2/15/2008 12:46 PM (GMT -7)   
Thanks, Ides. I wonder if my GI would switch me to Humira? I think I'd like that, as long as the cost wasn't prohibitive. I guess if Remicade is causing my problem, Humira would probably do the same, though. Regardless, it's better than a fissure anyday!!

Bad fissure Feb 2005, still have it January 2006. On Pentasa and Imuran 100mg. Some slight swelling and ulceration of terminal ileum. No other symptoms. Now on Remicade!


bentwistle
Regular Member


Date Joined Jul 2006
Total Posts : 330
   Posted 2/15/2008 5:05 PM (GMT -7)   
I had my remicade postponed because I was on an antibiotic for an infection. They made me wait 10 days after I finished it. I guess it depends how strict your providers are.

Chasity102304
Regular Member


Date Joined Nov 2007
Total Posts : 165
   Posted 2/16/2008 6:23 PM (GMT -7)   
The infusion room at my GI's office/hospital won't give an infusion if you are on antibiotic. They require that you wait 10 days after the antibiotic is finished before they will give an infusion of remicade. I guess each place is different so I would suggest asking the infusion people you deal with in advance so you know. GOOD LUCK!

Fibromyalgia DX March 2003
Crohn's DX Jan 2006 (Symptoms since 96-Misdiagnosed as "female" problems-Major flare during pregnancy in 05 which lead to DX)
1st resection July 2007
Currently on Remicade/8 weeks


praying4healing
Veteran Member


Date Joined Dec 2007
Total Posts : 739
   Posted 2/16/2008 6:47 PM (GMT -7)   
i think the reason some docs make u wait until ur done w/antibiotics is to ensure that what ever infection you are being treated for is out of ur system. You can take antibiotics and be on remicade, but its dangerous to have an infection as our immune system is signifacantly lowered from the remicade. I developed a staph infection once and ended up in the hospital for two weeks! remicade hadnt worked the same since
25 y/o female- crohns disease since 14
Ileostomy pending-very worried
Tried asacol,pentasa,prednisone,remicade,6mp,azasan, no avail
Seatons placed
Worst year ever!

"For God has not given us the spirit of fear....."
Where does mine come from?!
 
Temp Ileostomy performed 1/29/08
Still Adusting
 
Healingwell.com has been my Godsend...Thank you

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