Is Remicade dosage ever adjusted for weight loss?

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snappy
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Date Joined Sep 2005
Total Posts : 675
   Posted 10/8/2009 6:41 AM (GMT -7)   
I was moved up twice for weight gain, but will it ever go down with weight loss, or would that be dangerous? Thanks.
Bad fissure Feb 2005. Started Remicade 2006. Fissure #1 healed, now deal with smaller fissure that comes and goes. Clean scope 2009 except for fissure. Also on Pentasa.


PV
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Date Joined May 2006
Total Posts : 1177
   Posted 10/8/2009 8:21 AM (GMT -7)   
When my husband gets his infusion, they weigh him before preparing his infusion. So yes, they should be adjusting for weight loss and for weight gain. Typically one gets 5mg of remicade / kg of body weight every 8 weeks. For some people this isn't a high enough dosage, or it doesn't last them the whole 8 weeks, so they may move it up to every 6 weeks. If this is insufficient, they may double the dose of remicade to 10mg/kg.
Husband with Crohn's
Diagnosed March 2003 Ulcerative Proctitis
Diagnosed March 2008 Crohn's & C-diff, hospitalized 45 days
Canasa, Lialda, Remicade, VSL#3, Florastor
In Remission since June 2008
Stopped vancomycin for c-diff Jan 1 2009
C-diff free, until Sep 2, 2009
Fighting c-diff, I guess for life


snappy
Veteran Member


Date Joined Sep 2005
Total Posts : 675
   Posted 10/8/2009 8:25 AM (GMT -7)   
I get 10mg/kg which is the max dosage. But I've lost about 12 pounds (good). I bet in my case they wouldn't lower the dosage since I'm not symptom free but I was just wondering if that would ever be an option. Also hoping the same dosage at a lower weight will make it work better for me!

Bad fissure Feb 2005. Started Remicade 2006. Fissure #1 healed, now deal with smaller fissure that comes and goes. Clean scope 2009 except for fissure. Also on Pentasa.

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