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Experience with biologics

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Ulcerative Colitis
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bUsS3r
New Member
Joined : Nov 2020
Posts : 2
Posted 12/30/2020 11:40 PM (GMT -7)
Hi everyone, I new here.

I will tell my history with UC. Im a 21 male and in April of 2020 I started with blood on the stool, mocus and urgency to go to the bathdroom. after a colonoscopy the doctor gave me the diagnosis of UC. I started with mesalazine oral and supositories and budesonide oral but it didnt worked for me. Later, the doctor gave me azatioprine and it dint worked too! I feel like i dont take any medicines!

Yesterday I visited the Doctor and he told me that its moment to join the party with biologics. (Humira). Now Im waiting the remission dosis and I feel very anxious.

I want to ask of all of those who have been through biological therapy: how they felt, side effects, and if it really helped them to enter a remission.

I am very worried about this. 8 Months with flares is exhausting :c

Sorry if i have bad English sad
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Casey_LB
Regular Member
Joined : Mar 2015
Posts : 298
Posted 12/31/2020 12:46 AM (GMT -7)
I have been on Remicade, Humira, and Entyvio. No side effects from any of them. Remicade and Humira did not help me much. Neither did mesalamine, balsalaside, azathioprine, prednisone.

Entyvio helped a lot, moving my UC from moderately severe to mild. But not full remission.

Just started Stelara 3 weeks ago. No effects good or bad yet.

Good luck!
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poopydoop
Veteran Member
Joined : Dec 2018
Posts : 915
Posted 12/31/2020 3:10 AM (GMT -7)
I've been on 2 biologics, no significant side effects, and massive improvements compared to mesalazine and azathioprine. As in, like night and day.
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TP177
Regular Member
Joined : Feb 2010
Posts : 110
Posted 12/31/2020 2:17 PM (GMT -7)
Hi,

First off, good luck!

I was diagnosed 16 years ago, very lucky, no issues. Major flare 4 years ago, currently in WORST flare ever. Failed Humira after 10 weeks and still on pred (since Aug 1). But I had no side effects from Humira. (prednisone, ugh, massive side efffects......5'1 / 112 pounds to ?????? Jabba the Hutt)

Primary GI wants me to switch to Stelara.

Just got out of 2nd opinion who says Remicade plus Imuran - or 6pm (anti TNF). Will work that out with primary GI next week

You have to make the best decisions you can based on your honesty with your doc, your history, your willingness to commit to treatment properly. Don't shy away from a 2nd opinion, it's not rude, it's appropriate. You have to be your own advocate.

I wasn't "afraid" of biologics, I just felt like moving onto that phase was one less option for the future. Like, what happens when I'm 70???? Then do I get the bag? :---)

You HAVE to stay ahead of your symptoms, be honest with doc. Be well!

P
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UCer23
Regular Member
Joined : Aug 2017
Posts : 153
Posted 12/31/2020 10:57 PM (GMT -7)
Welcome to the biologics club!

I have been on Humira and currently on Entyvio.

I tried Humira first and got no reaction from it nor any side affects. The bad thing about biologics is that it can take weeks to see if you have a good reaction to it. So you cant just try it once and know if it will work or not.

I started Entyvio after Humira failed. Entyvio has two loading dosages and then infusions every 8 weeks. People start to see reactions to it at different points. I saw improvement around the loading dosages and things continued to get better from there. Some people dont see reactions for a while so be patient.

Overall, biologics is a huge part of why I am in remission today. Im hoping Entyvio lasts for decades. Good luck. Hope you get in remission soon.
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iPoop
Forum Moderator
Joined : Aug 2012
Posts : 16180
Posted 1/6/2021 7:26 AM (GMT -7)
I've been in a remission 8 years on remicade, no side effects and not any more sick than my normal. We've had a few posters who've been on remicade since the initial clinical trials back in 1999, still in a remission and on it.

Try a biologic and see, as delaying only means more suffering. While I wish everyone had success with a med, there's about 65 percent odds of getting an initial response. Some if us fail meds repeatedly until finding our solution, it's just the way this hyper individualized illness goes. It's all trial and error.
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limey
Regular Member
Joined : Sep 2016
Posts : 163
Posted 1/12/2021 7:39 AM (GMT -7)
Ive been on Humira , Entivio and each only had a certain working lifespan with myself.
I started on Xeljanx on March 27 2019 and it worked for me after just 2 days and it has been working good every since.
The thing with biologics is that how well they work is very personal to each of us and in my case it turned out to be Xeljanx.
No side effects either.
Good luck but don't be afraid of them.
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D.Brasco
Regular Member
Joined : Apr 2014
Posts : 72
Posted 1/14/2021 10:10 PM (GMT -7)
I'm 10 weeks into entyvio - so I got my 3 loading doses - I am still taking mesalamine orally and still strugling with enemas, still having urgencies, so in short I think entyvio has failed me. this sucks because I feel I took a big gamble going into biologics and not to see any improvement because of it.. I may need to try another biologic.
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D.Brasco
Regular Member
Joined : Apr 2014
Posts : 72
Posted 1/14/2021 10:15 PM (GMT -7)
hey iPoop (catchy name) have you had infections more often by being on remicade? don't these biologics beat the crap out of the immune system? maybe not beat the crap but severely lower it.
Have they done research or gathered data on how people have fared with more frequent infections because of being on biologics such as remicade?
That is my biggest fear - I go to fix colitis and I get sick more often from other diseases - or god forbid get cancer (as a side effect of Xeljanx e.g.)

iPoop said...
I've been in a remission 8 years on remicade, no side effects and not any more sick than my normal. We've had a few posters who've been on remicade since the initial clinical trials back in 1999, still in a remission and on it....

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poopydoop
Veteran Member
Joined : Dec 2018
Posts : 915
Posted 1/15/2021 2:58 AM (GMT -7)
I didn't get any infections on remicade. Had quite a few colds on entyvio though (because it still has some effect on the respiratory tract). I've been on xeljanz almost exactly 2 years and in that time (knock on wood) I've had one cold and one skin infection (that did not require antibiotics). I don't think xeljanz is known for a cancer risk, it does have a thrombosis risk for certain groups of people.
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D.Brasco
Regular Member
Joined : Apr 2014
Posts : 72
Posted 1/15/2021 6:12 PM (GMT -7)
Crazy question: could entyvio do the oposite? instead of helping, it possibly prevent remission?
Anyone heard of any cases like this? Because that's how I feel about myself.
I've had UC since 2013 and every time I'd get a flare I would be able to calm it down within a week or 2 and go about my business. This time I was flaring for 2 months, I did a poor job trying to contain it, and my GI started me on entyvio and I went along, now 2.5 months into entyvio and still flaring.
Furthermore, Whatever improvements I get are because of the different enemas I use, and the various adjustments I am making. If Entyvio was working I am certain I would have noticed the "invisible hand" fixing things, but that is not working. I feel it's preventing what used to work for me to continue to work
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FlowersGal
Veteran Member
Joined : Feb 2017
Posts : 909
Posted 1/16/2021 10:04 AM (GMT -7)
Been in remission for almost 4 years on entyvio. It is slow acting so not unusual to not see a lot of change after only 3 doses. I did see some small changes by then — such as being able to wean off steroids and a lessening of symptoms. By 4-5 months I was symptom free although a colonoscopy still showed I flat and disease at the microscopic level. So don’t give up quite yet. Are you seeing any improvement at all? Even slight?
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geezernow
Regular Member
Joined : Nov 2017
Posts : 221
Posted 1/17/2021 6:29 AM (GMT -7)
My GI doc got approval for me to begin Remicade in 1997. It wasn't approved for UC back then, but he's a great doc and a very smart fellow. I had NO reactions or side effects from Remicade until my feeble old body developed antibodies about two years ago. I'm now on Entyvio and doing well, but Remicade was, by far, the best biologic I was on....tried Humira also and failed it. There are certainly no guarantees as to what will or won't work for each of us. You have to decide for yourself, what to try. For me....I'd try almost ANYTHING not to be in a flare. Best of luck to you.
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Chazy Charles
New Member
Joined : Apr 2019
Posts : 12
Posted 1/17/2021 9:02 AM (GMT -7)
Remicade was a life saver for me. I was on for a couple years 2013-2015 then built antibodies. When I stopped taking it, I was in remission till about 2019. Been in a mild/mod flare ever since. Luckily low doses of prednisone has been able to keep the flare under control. My GI actually told me to just stay on low dose of pred for a while. I don’t want to but he said I cant take remicade or humira. I would go thru with remicade again if i could. Never had any side effects or nothing. Hardly had a cold either and if i did catch a cold is was very mild and gone within a few days. Good luck.
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straydog
Forum Moderator
Joined : Feb 2003
Posts : 18304
Posted 1/17/2021 12:29 PM (GMT -7)
@Chazy Charles, your gi is not doing you any favors with the prednisone. There are several other very good biologics available other than Remicade & Humira.

I would have a talk about moving to something else. Take care.
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