Smoking and Humira

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MAG102886
Veteran Member


Date Joined Jul 2008
Total Posts : 674
   Posted 8/27/2008 9:22 AM (GMT -7)   
Ok, so after 3 months of being out of the hospital and me and my GI trying to figure out why I don't feel like 150% like I did for 2 weeks after I first got out, he did a whole bunch of research on smoking and the effects of nicotine and Humira.  He told me that nicotine actually has adverse reactions with Humira, and basically completely wipes it out. We both knew obviously that smoking isnt good for Crohns or in general anyways, but he said I felt so great because I hadnt smoked for 13 days, and had no nicotine in my system so the Humira was doing its job.  So I'm left with quit cold turkey, or just feel "ok" not great.  I really want to feel the way I did when I first got out, but I cant use a patch or gum or anything, because it would be putting nicotine into my body, and the stress from just stopping is enough to put me over the edge. I made it a whole 8 hours (lol) without having a cig before I started having panic attacks from just knowing I didnt have pack, so I went and bought one.  Blah I feel so hopeless.  Ive tried to do some research on my own about Humira and nicotine to confirm what he told me (not that he would lie, but maybe I might find something saying smoking is good for crohns! haha, wishful thinking) but I cant seem to find anything on it.  Any advice from former smokers, or anyone trying to quit right now?  Maybe it would be better if I did a patch or gum for a little while to see if I can cut back, instead of trying to go cold turkey? Or does anyone have any information about Humira and nicotine? Any kind of help would be appreciated.
 
Thanks,
Melissa
Dianogsed with Crohns at 16, 21 yrs old now.
Surgeries:1 Bowel Resection, Gallbladder Removed. Another Resection Scheduled for September.
Current Meds: Humira (weekly), 95mg Pred (ugh), Levbid, Nexium.


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14994
   Posted 8/27/2008 9:29 AM (GMT -7)   
I quit over 8 years ago, but I did it cold turkey. I didn't want to use the patches or gum becuz I was trying to get the nicotine out of my body and didn't want to replace it with a patch. I won't lie it was hard, but I feel so much better now that I did quit. I can breathe better, I don't smell like a ashtray, and my skin is so much nicer.

Now on what to use? Have you talked your doctors about Chantix? I know that is a new stop smoking medication you can take. I also believe they are using Wellbutrin or something like that to help people stop smoking too.

Hope that helps and I wish you lots of good luck with your quitting.
Been living with Crohn's Disease for 32 years.  Currently on Asacol, Prilosec 60 mg, Estrace, Prinivil, Diltiazem, Percoset prn for pain and Calcium.  Resections in 2002 and 2005.  Recently diagnosed with Fibromyalgia and doing tests to see if I have Inflammatory Arthritis or AS.


NewToCD
Regular Member


Date Joined Jul 2008
Total Posts : 57
   Posted 8/27/2008 10:17 AM (GMT -7)   
I quit just about 2 years ago & i also did it cold turkey. It is def not easy but totally worth it!
i had tried the patch a few times previously & always went back after a few months
I think after the first few days, it is totally mental & you just have to really want to quit

stay strong, u can do it.
You will be so proud of yourself!

Rider Fan
Veteran Member


Date Joined May 2008
Total Posts : 1434
   Posted 8/27/2008 10:51 AM (GMT -7)   
Are you on 95mg of prednisone?
Dx'ed in 1999. No surgeries.

Current meds: 75 mg 6MP. 3mg prednisone (trying to taper). Udo's Choice Probiotics (30 billion).


d2parrotperson
Regular Member


Date Joined Aug 2008
Total Posts : 320
   Posted 8/27/2008 10:55 AM (GMT -7)   
I quit 12 yrs ago, cold turkey. We did keep a pack in the house for the psychological effect though. Cigs are soooo bad for CD! Now, if you had gotten UC, smoking helps that. You chose badly (lol)!! Just a snicker to lighten up your day.

Keep a pencil in your fingers; i.e. do crosswords, or crochet. Chew gum, or keep a candy in your mouth. Keeping the mouth and fingers occupied is essential to success. All the best. You can do this. It's so worth it.
150mg Azathioprine, Lomotil, Iron, Nexium 2/day, Fentanyl patch, Oxycodone, Baclofin
Crohn's, Fibromyalgia, Several bulging discs, Bone spurs, Osteoarthritis, Osteopenia, Reflux, Stenosis, Strictures, Dengenerating facet joints
2 resections
 
Stephanie
When I am weak, then am I strong


MAG102886
Veteran Member


Date Joined Jul 2008
Total Posts : 674
   Posted 8/27/2008 1:09 PM (GMT -7)   
Thanks for all the replies.  Rider Fan, I was on 95 MG of pred for a month, I'm currently down to 75MG, everytime I get to around 30-40 MG I flare up real bad so they keep bumping me up and down on it. 

d2, I know right, I see all this stuff about smoking helping with UC and I'm like why not meeeee, why do I have to have crohns! haha


Dianogsed with Crohns at 16, 21 yrs old now.
Surgeries:1 Bowel Resection, Gallbladder Removed. Another Resection Scheduled for September.
Current Meds: Humira (weekly), 95mg Pred (ugh), Levbid, Nexium.


kimberlayn
Regular Member


Date Joined Jul 2007
Total Posts : 239
   Posted 8/27/2008 6:55 PM (GMT -7)   
Whyquit.org and just a week on the nicotine patches is what i used to quit. The stories and info on whyquit are enough to keep you motivated. the first week after the patch i was a zombie, time moved sooooooo slowly, but that week w/the patch helped me figure it out other things to do when I would normally have a smoke. good luck
diagnosed w/Crohn's 11/06. 34f with 2 boys, a lovable dog, and a wonderful husband. 150 mg Imuran, bentyl, vicodin as needed, metoprolol for orthostatic hypotension and heart palpitations. Bowel resection 9/07. Active disease back, darn it 8/08. 11 year old son with IBS-C, on Bentyl.


VIOLA19
New Member


Date Joined Aug 2008
Total Posts : 3
   Posted 8/28/2008 11:41 AM (GMT -7)   
OMG remindes me of my strugle with smoking so bad...afetr my diagnosis it took me 3 years, many medications and a surgery to realize that smoking is soooo bad for crohn! Smoking and stress makes it much worse!
I JUST QUIT COLD TURKEY, no other way to do it, cause if you smoke less, you do it for couple days and than smoke even more. Psycologically its very hard to except that ur favorite thing afer a big meal, or after a drink needs to be gone :((
I dont smoke for almost half a year, very but very rarely when i go out and have a drink, i can allow myself one cig, (not that its so great) but it really hepls mentally not to want it all the time, cause i know i can allow myself to do so once in a while and have my fun, and not hurt myself too much!
It feels so much better not to smoke, breath better ,no stomach aches.....do it for yourself its extremely important!

MAG102886
Veteran Member


Date Joined Jul 2008
Total Posts : 674
   Posted 8/28/2008 10:26 PM (GMT -7)   
Thanks for all the replies.  I went to an actual Crohns specialist today my GI refered me to him (he has crohns too!! which is kinda cool, since for once in my life I feel like I have a doctor that REALLY TRUELY understands what I say)  I told him about my smoking issue, and he told me to ask my PCP about Wellbutrin, since the high dose of pred Im on is practically leaving me mentally unstable, and its also being used to help smokers quit that it would be killing two birds with one stone if it works for me. But the bad news is I'm def going to be having bowel resection #2 before the end of september, and with me being on 75mg of pred we are going to start tapering down 20mg a week (flare ups here we go!) but after the surgery no more prednisone for me (crosses fingers)!! Cant wait to be able to look in the mirror and not see my lips all puckered up 24/7 because my cheeks are so chubby that it pushes them together, and for my what I like to call "gorilla chin" to be gone!! and I most certainly wont be missing the night sweats, acne, moodiness, sleepless nights so on and so forth that it brings to the table. (hope im not jinxing myself *knocks on wood*)
 
 
Viola, you're so right about cutting back making you smoke more, when I try to cut back I wont smoke for like 5-6 hours but then I'll have 3 in a row lol, and I find some way to try to justify it; It just doesnt work for me, hopefully my PCP will be able to prescibe me something to help if it comes down to it.
Dianogsed with Crohns at 16, 21 yrs old now.
Surgeries:1 Bowel Resection, Gallbladder Removed. Another Resection Scheduled for September.
Current Meds: Humira (weekly), 75mg Pred (tapering down 20mg a week to prepare for surgery, not looking forward to the flare that I know will come at 40mg lol) , Levbid, Nexium.


peanut1
New Member


Date Joined Sep 2009
Total Posts : 8
   Posted 9/15/2009 12:24 PM (GMT -7)   
i am tryin the 21mg patch so far i dun smoked with it its not wrking ive hurd a lot about chantex everyone i have nown that has used it has quit im tryin it az soon az i can get it
Peanut1


chrisnsteph1022
Veteran Member


Date Joined Apr 2003
Total Posts : 973
   Posted 9/15/2009 12:57 PM (GMT -7)   
I've tried the patch, wellbutrin, chantix, nicotrol inhalers, cold turkey. I've quit for a year at a time twice now. Then SOMEthing always happens that stresses me and I go buy a pack. I'm kicking myself, and REALLY need to quit. I'm only 29 an started smoking at 18. So really, it's not near as long as others. But it's still really dang hard!
Stephanie, 29, married for 10 wonderful years and mommy to two awesome toddlers
dx with Crohn's 4/2003, in remission from 11/2003 to 7/2009
omeprazole 40mg, zoloft 100mg, apriso 1500mg, dicyclomine 3/day
dx with bipolar II 8/2009, still trying to figure it out


frogeleita
Regular Member


Date Joined Jul 2009
Total Posts : 342
   Posted 9/15/2009 2:38 PM (GMT -7)   
I think the doctor might just be telling you that...because they are all anti-smoking..i used to smoke for a few years...Newports...the worst! I quit cold turkey no prob...i am not sure why it would be a prob with the medicine..unless the fact that smoking can restrict your blood vessels and maybe that has some effect on the medicine..getting to where it needs to go? I am not sure...and if my sister heard me say this she would say "there you go again practicing medicine without a license". lol...

 


MAG102886
Veteran Member


Date Joined Jul 2008
Total Posts : 674
   Posted 9/15/2009 2:43 PM (GMT -7)   
Wow, Haha, this is over a year old.  Anyways, Ive quit smoking and I feel MUCH better.  Smoking def makes Crohns worse, and the reason doctors say not to smoke when you have Crohns is because of the inflamation it causes in the intestines, and also because it takes your body longer to heal itself when you smoke.  My doctor presrcibed me Wellbutrin, and it seems to be doing the trick, and it def  helps my mood.
Dianogsed with Crohns: At 16 years old. 22 years old now.
Surgeries:2 Bowel Resections, Gallbladder Removed, 3 Abscess Cleanings
Current Meds: Cimzia, Methorexate, Vitamin B12 (injections), Nexium.
Next Surgery: Sept 4, 2009 to Take Down Abdominal Fistula!!  (On hold until current flare is under control, boo!)
 

chrisnsteph1022
Veteran Member


Date Joined Apr 2003
Total Posts : 973
   Posted 9/15/2009 2:58 PM (GMT -7)   
Ha! I saw August in the date and didn't pay attention to the year. Someone else bumped it and I replied. Anyway, glad to hear you were able to quit. Maybe I should give wellbutrin another try.
Stephanie, 29, married for 10 wonderful years and mommy to two awesome toddlers
dx with Crohn's 4/2003, in remission from 11/2003 to 7/2009
omeprazole 40mg, zoloft 100mg, apriso 1500mg, dicyclomine 3/day
dx with bipolar II 8/2009, still trying to figure it out


MAG102886
Veteran Member


Date Joined Jul 2008
Total Posts : 674
   Posted 9/15/2009 4:28 PM (GMT -7)   
Def give it a try. I know not everything works for everyone..but I seriously thought I was hopeless.  I smoked a pack a day, and when I tried to quit on my own I would go for maybe 8 hours then binge smoke like half a pack in an hour.  The Wellbutrin helped me a ton, don't get me wrong, I still have cravings..but not those "I'll do anything to have a cig!!!" kind.  It for sure takes the edge off though, and if I even just find the smallest thing to distract me the craving is gone.
Dianogsed with Crohns: At 16 years old. 22 years old now.
Surgeries:2 Bowel Resections, Gallbladder Removed, 3 Abscess Cleanings
Current Meds: Cimzia, Methorexate, Vitamin B12 (injections), Nexium.
Next Surgery: Sept 4, 2009 to Take Down Abdominal Fistula!!  (On hold until current flare is under control, boo!)
 

pillpopper
Regular Member


Date Joined Jan 2009
Total Posts : 209
   Posted 9/15/2009 5:33 PM (GMT -7)   
Nice job all of you quitters!
I smoked Marlboros for 30 years.
Found my only allergy when I tried Wellbutrin.
Switched to small cigars for a month,
then went cold turkey,the week before a bowel
resection.(no way will stand out side with an I.V. pole
and ass hanging out)
B-12injections,Pentasa,Loperamide,Entocort,6mp,Hydrochlorothiazide,8 week
Remicade,vitamin-D,Terbinafine,
Remission since surgery
and 8-week Remicade.


LBJ
Veteran Member


Date Joined May 2005
Total Posts : 511
   Posted 9/15/2009 6:34 PM (GMT -7)   
Smoking makes my crohn's worse so I know it isn't good for us crohnies. I quit 4 years ago when I found out
I was pregnant with my son. I did really good until this past March when I was dealing with stress at work.
I have felt like crud since then. I am kicking myself for even starting back up. I know I need to quit again
and I'm really trying here. I just need to do it cold turkey.
Living with Crohn's Disease since Jan./2000 but had a few years prior
I'm a true Crohnie with IBS and Arthrities too
 
Meds I have tried:  Too many to list- LOL
Meds currently on:  Tramadol for the pain
                               *Waiting to go on Cimzia                      
No Surgeries
 


lamb61
Veteran Member


Date Joined Jan 2005
Total Posts : 1566
   Posted 9/16/2009 10:04 AM (GMT -7)   
I quite 18 yrs ago cold turkey, but I still get the occasional craving. I guess that addiction never really goes away.
 


pimfram
Veteran Member


Date Joined May 2009
Total Posts : 506
   Posted 9/16/2009 10:08 AM (GMT -7)   
I quit smoking almost 4 years ago cold turkey. In the beginning it was pretty hard, seeing nearly all my friends smoke (and still do) but you need to just deal with it. Yeah I get a craving every so often, but it's not too bad. I still have an occasional cigar, though.
Diagnosed with CD July 2007
Currently on Remicade, Imuran, probiotics, folic acid, multivitamin.

Amor fati - Nietzsche

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