Important Remicade Question

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festeris101
Regular Member


Date Joined Dec 2008
Total Posts : 115
   Posted 12/30/2009 10:11 AM (GMT -7)   
Hello all, In between my 3rd loading dose and my 4th infusion I've developed a few flares and my GI want me upped to 10mg/kilo on the Remi. My concern is that I'm already on 15mg Prednisone & 250mg Imuran daily and she wants mr to start a 2 month course of Bactrim. She's a little concerned about my risk for infections and so am I!

I was wondering if any of you guys were on the same course of treatment and if you had any issues to report!
35 mg Fosamax - weekly
15 mg Prednisone - daily
250 mg - Imuran - daily
20 mg - Prilosec - daily
First Remicade infusion - 10/14/09 - Hoping & praying for it to work...
Second Remicade infusion - 10/27/09 - working like a charm!


PV
Veteran Member


Date Joined May 2006
Total Posts : 1177
   Posted 12/30/2009 10:28 AM (GMT -7)   
Hmm, what about adding something from the mesalamine family (like Asacol, Lialda, Pentasa, etc) before changing the remicade dosage? Also, I think you can play around with the frequency of remicade first before adjusting the dosage. For example, my husband is currently on remicade every 6 weeks instead of every 8 weeks. I've also heard of people going to remicade every 4 weeks. I'd try that before upping the dosage to 10mg/kilo.

Discuss those options with your doc, and see if insurance will let you change the frequency of the infusion.

Hope things stabilize soon!

PV
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


festeris101
Regular Member


Date Joined Dec 2008
Total Posts : 115
   Posted 12/30/2009 10:40 AM (GMT -7)   
Extremely allergic to asacol so that's not an option but I will discuss the frequency with her on Monday, Thanks!
35 mg Fosamax - weekly
15 mg Prednisone - daily
250 mg - Imuran - daily
20 mg - Prilosec - daily
First Remicade infusion - 10/14/09 - Hoping & praying for it to work...
Second Remicade infusion - 10/27/09 - working like a charm!

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