why can't you take your Humira shot if you have a fever?

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pb4
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Date Joined Feb 2004
Total Posts : 20577
   Posted 1/13/2015 10:20 AM (GMT -7)   
I feel a cold coming on, I take Humira injections once a week and have tried to find info about why you are not suppose to take Humira when you have a fever, so far all I can find is, "do not start Humira if you have an infection or fever" but technically I'm not starting it I'm already on it, but I don't know if I'm suppose to skip a shot if I happen to have a fever the day I'm due to take my shot.

So does anyone know why or what happens if you take your shot if you have a fever?
DX with Crohn's Disease in 1991 shortly after becoming ill. CD was affecting small and large bowel & anus (perianal crohn's skin tags) & rectum for first 2 yrs of becoming sick, CD remained constant in colon (Crohn's colitis) & anus with anal tags, intolerant to oral meds. Currently on Humira (Feb 2014) once a week and B12, Vitamin A and Omega's daily. In remission but trying to combat IBS D/C.

DBwithUC
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Date Joined Feb 2011
Total Posts : 3932
   Posted 1/13/2015 11:18 AM (GMT -7)   
fever can mean infection. the infection could escalate with the immune suppression. calculated risk.
11/08: ischemic colitis and scope perf colon. 12cm colon/ileocecal resected. IV antib:sepsis.
01/10: Dx: Mod. UC pancolitis. Rx: Lialda 3x.
02/11: Major flare w/antib:sinus. Rx: 40mg Pred taper. 6mp.
07/11: Histol remiss rt/trans; worse sigmoid. Rx: Rowasa & hydrocort
---
Curr: 1-2 soft-formed stool, no urgency: Lialda 2x, NO PRED, probiotics, Vit-D/C

garylouisville
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Date Joined Aug 2012
Total Posts : 9088
   Posted 1/13/2015 11:21 AM (GMT -7)   
Personally, I think the obvious is the answer. Humira is something that weakens the immune system, which might make whatever disease you have worse. You do have a point though that since your immune system is already weakened from the past Humira shots then maybe this would be an inconsequential worry. I believe most of those warnings are before starting Humira in the first place. I don't know your shot schedule. Is it something you can delay a few days? I would probably call the doc's office or Humira for a definitive answer. I do personally know someone who developed a life threatening infection while already on Humira and had to stop it. She needed surgery due to the infection and things could have gone down very badly.
Pentasa (500mg) 2 pills X 2; VSL 1 pill X 2; Prescrip Assist Probiotic 1 pill X 2; Grape seed extract (1)400mg X 2; Vitamin D3 10,000 IU; daily generic Allegra; Canasa as needed; DAO as needed due to dietary histamine intolerance; lotion daily

Gave me trouble: Zymactive, Renew Life Probiotic 80 billion, Florastor, high histamine foods

NiceCupOfTea
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Date Joined Jan 2010
Total Posts : 10079
   Posted 1/13/2015 11:31 AM (GMT -7)   
Colds often cause a temporary fever and are nothing to worry about: the fever is usually gone after a couple of days.

It would be more worrisome if you didn't have a clue what was causing your fever. Check with your GI office to be on the safe side, but I don't see why you can't take the Humira as usual, tbh.
Dx Crohn's in summer of 2000. (Yay skull)
Tried and failed: 5-ASAs, Azathioprine, 6MP, Remicade, Methotrexate, Humira.
Diet didn't make any difference either.
Became steroid-dependent.

Had surgery 2/13 - subtotal colectomy with end ileostomy. Currently on no meds and in remission. Also prone to depression and anxiety. Ask me anything >_>

quincy
Elite Member


Date Joined May 2003
Total Posts : 29840
   Posted 1/13/2015 11:58 AM (GMT -7)   
How high is your fever?

I would think that if something is brewing for the potential of making you quite sick, humira could make it sooooo much more worse. For some, a cold is nothing except a nuisance...for others, they're quite sick.

I sure hope this isn't a bad cold. Is anyone else in your family or circle of contacts sick?
q
*Heather* I give suggestions, do with them what you will.
Status: ...Asacol 3 @ 2x daily; Salofalk enema @ 3rd night (nightly/ flares, tapered/maintenance)
~diagnosed January 1989 UC (proctosigmoiditis)
~Bentylol 20mg as needed; Zantac 150mg; Pulmicort/Airomir (asthma);Effexor XR 37.5 (depression)
~vitamins/minerals/supplements; Probiotics....(RenewLife Ultimate Flora Critical Care+Primadophilus Reuteri capsules @ bedtime)
~Metamucil capsules 6 twice daily with meals; Vitamin D 4500 IU
~URSO for PBC(or PSC?) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!

Poppie
Veteran Member


Date Joined Feb 2014
Total Posts : 1993
   Posted 1/13/2015 12:03 PM (GMT -7)   
I feel like you need to speak to someone before going ahead with another shot, better to be safe I think with this.
Samantha, 45 yrs
Stopped smoking Jan 2013.
Diagnosed. Left sided UC, 8th Feb 2014
Pentasa..2g daily
2 x Ultimate Flora 50 billion probotics, Vit D, and Multi vitamin tab daily.
Gluten free from Sept 2014

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 1/13/2015 12:44 PM (GMT -7)   
Thanks everyone!!

I don't have a fever at the moment, but last night I felt as if a cold was coming on (I took a contact C before bed cuz I tend to get sick in the middle of my sleeps) and so far I feel ok since I got up this morning, but in case I ended up with a fever I wanted to first find out about Humira shots with a fever.

Yes Q, there's a nasty flu going around, both my hubby and son got sick but I never caught it from them (at least not near the degree they had it) for me just some sniffling here and there so I used contact c before bed whenever I thought I felt a little off...so far so good though, just trying to cover my bases with being on Humira cuz sometimes with me colds/flus will hit me really hard and out of the blue and other times I just get little symptoms (like as of late) and then they just end up turning into nothing...I don't get sick often (before Humira) and haven't been really sick since going on it last February...I've only had one minor cold since starting Humira almost a year ago.

Thanks again all for your replies! Be well!
DX with Crohn's Disease in 1991 shortly after becoming ill. CD was affecting small and large bowel & anus (perianal crohn's skin tags) & rectum for first 2 yrs of becoming sick, CD remained constant in colon (Crohn's colitis) & anus with anal tags, intolerant to oral meds. Currently on Humira (Feb 2014) once a week and B12, Vitamin A and Omega's daily. In remission but trying to combat IBS D/C.

pmedic
Veteran Member


Date Joined Nov 2009
Total Posts : 1680
   Posted 1/13/2015 9:13 PM (GMT -7)   
Pb4 I got the flu one week after my last Cimzia shot. I got very ill and am still sick a month later. Went back to the Dr today for the third time and was given amoxicillin. Personally, I would delay the shot until you are sure you are not getting sick.

Take care!
Dx:Ulcerative Colitis March 2008
Dx: Crohns May 2008
Avascular necrosis bilateral knees from Prednisone. Surgery on left knee Oct 2011, Right knee April 2013. 8 blood transfusions, SVT, Anxiety due to past reactions. C-diff, pancreatitis and metabolic acidosis from medication.Currently on Lialda, Ambien, xanax(prn) D3, probiotic, Rowasa, Cimzia Azathioprine, Vancomycin

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 1/14/2015 10:59 AM (GMT -7)   
Thank you pmedic!!!

Sorry that you had to go through that...what I thought was a cold coming on seems to have disappeared oddly...that never happens to me where I feel like I'm getting sick and then nothing really comes of it and the weird thing is I felt a sore throat last week and took a contact C before bed then too and woke up the next day feeling fine and then days later I felt the dripping nose and sneezing thing I mentioned in my initial post above and so far nothing ended up coming from it, I felt fine all day yesterday and woke up feeling fine today as well so I don't know if maybe it's my sinusitis that's making me feel this way or what, but I thought just in case I was getting really sick (as the flu is going around-both hubby and son have had it) that I was likely getting it too, that I should enquire about fevers and Humira...

Thanks to all the replies I'm at least more prepared now if I do get sick with a fever.

Take care!
DX with Crohn's Disease in 1991 shortly after becoming ill. CD was affecting small and large bowel & anus (perianal crohn's skin tags) & rectum for first 2 yrs of becoming sick, CD remained constant in colon (Crohn's colitis) & anus with anal tags, intolerant to oral meds. Currently on Humira (Feb 2014) once a week and B12, Vitamin A and Omega's daily. In remission but trying to combat IBS D/C.
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