Remicade & Fatigue

Hello all. I've been on Remicade since Oct. 08 and will be having my 6th infusion next week. My colon symptoms are 90% better, I have no blood or mucus whatsoever. I still have D, 6-8 BMs with urgency but overall I can live with this if this is as good as it gets. I'm still on all the meds listed below.

My main concern is that I am extremely fatigued. Comments please! :-)


42 yr old female diagnosed w/UC (30cm) in 2006
Remicade, Colazal - 12 daily, Imuran - 100 mg daily,
Mesalamine enemas - 8 g (2 daily A.N.),
Dicyclamine - 20 mg (up to 4 daily A.N)
Prednisone - last dose in 7/08
OTC Probiotic Acidophylus, Omega 3 Fish Oil, & Super B Complex vitamins

Zeebeez,

I have had fatigue from 6-mp (which is very similar to Imuran); the days that I do not take 6-mp I have more energy. You could be having a reaction to the Mesalamine or just the UC flare itself.... it is really hard to place blame for the fatigue just on one medication.

The fatigue problem is probably a good conversation to have with your GI.

I am stopping the 6-mp and starting either Remicade or Humira soon... hopefully my energy levels will increase.

--Keith


DX'd with Pan-Colitis June 2005
Current Status: Flaring
 
Current Meds:  50 mgs 6-mp
Supplements:  Forvia multi-vitamin
 

Zeebeez, welcome to HealingWell! I too am on Remicade, and when I first started it I was also on Imuran. My GI took me off of Imuran because of the possibility of getting Lymphoma while using the two meds together. Now that I think about it, I don't have the fatigue that I used to have while taking it, so you might want to check with your doc about this. Also, B-12 with Biotin helped me quite a bit; you might want to try the supplement out and see if this gives you a bit more energy.


Carol

Remicade - will have my 27th infusion on March 19 Vitamin B-12/Biotin, Probiotics
 
Co-Moderator for the UC Forum
 
 

Fatigue is a factor for my daughter too. Turns out she is Anemic, among other things wrong with her last labs. Have your full profile checked. Fatigue can also be a rare side affect of Lupus induced by the Remicade. That is another possibility for us, as her ANA is 640. Have your blood work done to be safe.


Daughter,15 diagnosed 1-08 w/ UC .
Previous drug sampling: Asacol, Prevacid, Flagyl, Prednisone- 50mg to 0, 4 major flares '08.Hospital four x. Low residue diet,
6MP, Colazal , Cortifoam enemas,
Trying probiotics, Niferex, fish oil, Magnesium, Acupuncture.
Remicade 10mg per kilo@ 8wks, since 10-08. Still on 6mp and Colazal

I think fatigue is just a symptom of UC, even in remission. I'm not anemic and my ANA levels are normal, but I'm still exhausted all the time.
I'm currently coming out of a really bad flare and am starting to feel great. I just had my 5th Remicade infusion and I don't notice any fatigue at all. This is probably because I was so exhausted during my flare that anything is better than it was. I agree that fatigue is more of a symptom of UC than anything else.


Diagnosed '93. 
 
Asacol, Prednisone, Remicade, Imuran
 

Very true; fatigue is part of UC. I think I've finally trained my brain to realize that I can't push myself too far or I'll hit the wall. I still have my days, but not as often and when I do...I just kick back and relax. I used to feel so guilty for that... but not anymore!


Carol

Remicade - will have my 27th infusion on March 19 Vitamin B-12/Biotin, Probiotics
 
Co-Moderator for the UC Forum
 
 

Thank you for all the replies...and wishing everybody a speedy and long remission!


42 yr old female diagnosed w/UC (30cm) in 2006
Remicade, Colazal - 12 daily, Imuran - 100 mg daily,
Mesalamine enemas - 8 g (2 daily A.N.),
Dicyclamine - 20 mg (up to 4 daily A.N)
Prednisone - last dose in 7/08
OTC Probiotic Acidophylus, Omega 3 Fish Oil, & Super B Complex vitamins