Medical Forum / Diseases and Disorders / Arthritis / May 2006
Rituxan
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Rosemarie Shiver - 24 Apr 2006 22:18 GMT ....and apparently I don't have RA. So this is new ground ( a UCTD person on this particular biologic) but my RD is putting it thru anyway. Seems my ankle is so bad that the MTX isn't enuff...but I don't have RA, so he sez. The connective tissue damage from inflammation is such that he wants me to be on Rituxan if I'm approved insurance-wise.
I haven't had any of the biologics, ever, but he wants me on Rituxan ASAP. Sure hope he does some heavy duty arm twisting to get it done.
Guess I'm not as ok as I thought. It's sit and wait to see if they'll let me on it and I'll stay on MTX, too.
Good vibes that I get to get Rituxan are appreciated!
Hugs from Rosie
 Signature "If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II
ladylove77 - 24 Apr 2006 22:44 GMT Rosie, adding a prayer and crossing my fingers. Gwen
> ....and apparently I don't have RA. So this is new ground ( a UCTD person > on [quoted text clipped - 12 lines] > > Hugs from Rosie Rosemarie Shiver - 25 Apr 2006 00:44 GMT Thanx, Gwen!
Hugs from Rosie
 Signature "If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II
> Rosie, adding a prayer and crossing my fingers. > Gwen [quoted text clipped - 15 lines] > > > > Hugs from Rosie johnie - 25 Apr 2006 00:30 GMT >Good vibes that I get to get Rituxan are appreciated! Good vibes all round kiddo. So, why is he so sure you don't have RA.
big desert vibes, johnie
Rosemarie Shiver - 25 Apr 2006 00:53 GMT Heya, johnie,
Because it's more left sided than right sided and my ANA titer 1:3200 which is too high for RA but too low for Lupus and I'm seronegative and the only redness is some Amerind blood I have and my red welts from dermographia. I got both feet and ankles X-Ray'd today to see if there's bone damage. He doesn't think there will be...which means he's trying to save the feet themselves rather than bone.
Good thing he can explain that 'cuz it's readily approved for RA but CTD is a Limboland, m'dear. I haven't the slightest idea if I'll get approved to have Rituxan given the signs and symptoms I have. I'm a fertrue thru and thru arthritic and Gimp but not an RA'er.
Is that good or bad, desert bud? I ain't sure!! Thanx for asking, tho'!
Arizona Hugs from Florida Rosie
 Signature "If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II
> >Good vibes that I get to get Rituxan are appreciated! > > Good vibes all round kiddo. So, why is he so sure you don't have RA. > > big desert vibes, > johnie Duckie - 25 Apr 2006 02:55 GMT It did the trick for me. Still on Remicade and Arava but it made both of them work again. I had the Rituxan last May or June I think. 4 doses total - one a week for 4 weeks. Got my fingers crossed for you. Duckie
> ....and apparently I don't have RA. So this is new ground ( a UCTD person on > this particular biologic) but my RD is putting it thru anyway. Seems my [quoted text clipped - 11 lines] > > Hugs from Rosie Diane - 25 Apr 2006 16:22 GMT duckie, i didn't realize you had rituxan. did it make you feel sick? do you get it again or was it just those 4 weeks? did they load you up with steroid IV first or do i have it mixed up with another drug? and how much remicade are you on now?
diane, nosy today!
Duckie - 27 Apr 2006 07:41 GMT Did it make me feel sick. Yes to me and absolutely no to the lady who was getting with me. She was bouncing off the wall and I was curled up in a ball. Actually, my body seemed to be really fighting the treatment like putting a stick into a hornet's nest. After the 3rd treatment, I got them to give me vicodin to get through the 4th treatment. Basically it put me to bed for several days after with every joint of my body screaming at me. Was it worth it -- oh my yes. I figure it was a sign of what my life could be like without any of these drugs. Did it last forever - no. Did it happen during the treatment - no. Have I gotten it again - not yet. My new doctor had a way to test for the level of my T cells and they are still suppressed so we continue to cross our fingers and hope it holds. :) So I guess I am at 10 months and counting. I got the same 25mg benedryl and Tylenol as I do with Remicade. The rumor has it that if you are to have an allergic reaction, it will happen on the first dose probably as they bump into the faster drip times. I did not have trouble with my first three and when I did have trouble it not only was with the last dose but over half way through the last dose. They stopped it, called the doctor, he came down and stared at me, shook his head and we decided together to restart at a slower pace. But first, they injected bendryl [ouch] into the iv and shot me with something else [guessing steroid but can't remember this long ago]. The stoppage took a couple of hours to get restarted and the slower drip took a lot longer. So instead of 3 or 5 hours -- it took 10 that day. I did not notice a change until nearly the 2 month after treatment. The lady I was with was flying after the 1st dose and then running errands for her next door neighbor after the second. remicade is not 500mg? used to be 430 but they don't have so many Remicade like they did in Boston so they don't like to split the bags. There were always min of three of us there and usually more so splitting bags meant things were not wasted. Here they would have had to toss the left over. I told them I would be their trash can. It has allowed me to go from 6 weeks to 7. Did try 8 weeks but by the 7th week I was looking for the calendar and when the next Remicade was coming. You can be nosy, I don't mind. :) Ask your RD about it. Might let you continue with your Remicade. Duckie
> duckie, i didn't realize you had rituxan. did it make you feel sick? do > you get it again or was it just those 4 weeks? did they load you up > with steroid IV first or do i have it mixed up with another drug? and > how much remicade are you on now? > > diane, nosy today! Rosemarie Shiver - 25 Apr 2006 18:59 GMT Thanks, Duckie! Are you done done or will they use it for you again if needed?
Hugs from Rosie
 Signature "If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II
> It did the trick for me. Still on Remicade and Arava but it made both of > them work again. [quoted text clipped - 18 lines] > > > > Hugs from Rosie Duckie - 27 Apr 2006 07:41 GMT When the t cell count begins to rise, we will do it again. Duckie
> Thanks, Duckie! Are you done done or will they use it for you again if > needed? > > Hugs from Rosie Nann Bell - 25 Apr 2006 19:12 GMT hmm, osme types of arthritis also affect the tissues, PsA comes to mind as that's my flavor. And neither my RD, my hand surgeon or the radiologist saw any joint erosion on Xray, but it was there when he operated on my thumb. All of which goes to support what we already know - there's a lot of messy overlap and grey area with these diseases!
May the Rituxan go through and may it be your miracle!
 Signature Nann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare
Rosemarie Shiver - 25 Apr 2006 19:53 GMT Thanks, Nann!
I'm dubious but whut the hey...mebbe someone besides the doc will think it's worth giving it a go. The cost Rituxan is lots lower than if I lose my self-propulsion ability thru NOT having it. But that doesn't often factor into ins.funding. The pay me now or pay me later syndrome makes sense....but not a whole lot about ins. approvals does. We all already know about that, too.
As a friend elsewhere sez: Battle On! <g>
Hugs from Rosie
 Signature "If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II
> hmm, osme types of arthritis also affect the tissues, PsA comes to mind as > that's my flavor. And neither my RD, my hand surgeon or the radiologist saw [quoted text clipped - 3 lines] > > May the Rituxan go through and may it be your miracle! Charrlygrl1 - 27 Apr 2006 19:55 GMT Rosie, have they done any MRIS? I was misdiagnosed with RA, then it changed to poly erosive arthritis, then eventually and finally to ankylosing spondylitis. Nothing showed on my xrays, but I insisted on MRIs and there it was: erosions in both wrists and in my SI joints. With AS, enthetisis (sp?), inflammation where tendon inserts into bone is common, and the inflammation also can affect other tendons and muscles. Just a thought-
<sigh> Anyway, prayers are on the way for the Rituxan.
Rosemarie Shiver - 27 Apr 2006 20:57 GMT Heya, Char2,
Every MRI I ever had ( other than the brain one LOL) has shown soft tissue and muscle damage. I have lesions on my lumbar muscles and thigh muscles side and back. So I have sciatica and then some. ( No brain lesions, thank heavens!!) They don't even wanna look at my upper back and shoulders for whut they'll find:-(
Nerver any bone involvement. Instead of developing fusions my bones slip and slide around due to the damaged muscles ( and my Ehlers-Danlos) not holding the bones in place. Some RD's 30 years ago tried to Dx me with psoriatic arthritis but all these years later I still don't have psoriasis so that's that on that.
I have an ANA titer of 3200 which means the damage at the cellular level is showing up...and it's smack in between what it is for RA and what it is for Lupus. Undifferentiated Connective Tissue Disease is what this is called. This RD keeps telling DH that at least there's no organ involvement in the damage so this isn't life threatening. I don't hafta describe what moving damaged muscles is like to Gimps. Y'all know or can imagine.
So there's where I'm a lot different than many; different than U fertrue, Char2, but similar in a lot of ways to some others. I have a few of the 170+ forms of Arthur Itis and UTCD is one... chronically inflamed muscles due to auto-immune reaction. It's breaking new ground to use Rituxan for non-RA non-lymphoma auto-immune disease <that's a lotta hyphens>. For Duckie it's keeping the T cells muted...for me it's the B cells.
We both are Gimps, tho' and FM'ers, too.
Hugs from Rose2
 Signature "If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II
> Rosie, have they done any MRIS? I was misdiagnosed with RA, then it > changed to poly erosive arthritis, then eventually and finally to [quoted text clipped - 5 lines] > > <sigh> Anyway, prayers are on the way for the Rituxan. Squirrely - 29 Apr 2006 18:23 GMT Have been thinking of you alot lately Rosie, I sure hope this works out for you and that you get to the bottom of what is going on. You are always in my thoughts even though, I don't tell you enough. Healing vibes and good vibes being sent your way from Denise and me.
 Signature Thinking of you and hugs to you Squirrely Jo
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> ....and apparently I don't have RA. So this is new ground ( a UCTD person > on [quoted text clipped - 12 lines] > > Hugs from Rosie melodymom - 09 May 2006 05:00 GMT Rosie, I've been thinking about you bunches, and wishing all good things for you - no matter what it looks like!
{{{{{{{{{{Rosie}}}}}}}}}
luv&stuff, DeMelodymom
Rosemarie Shiver - 10 May 2006 01:16 GMT Thanks, Mel!
It's good 2 C you! I'll see if I can give you and Squish each a call this weekend sometime. :-)
Many Hugs from Rosie
 Signature "If you wanna get it done, you gotta fight for yourself." -- Meat Loaf, Bat Outta Hell II
> Rosie, I've been thinking about you bunches, and wishing all good things > for you - no matter what it looks like! [quoted text clipped - 3 lines] > luv&stuff, > DeMelodymom melodymom - 10 May 2006 02:01 GMT Great! I should be around. If I get an offer I can't resist, I'll let you know. :) luv&stuff, Denise deMel
Squirrely - 10 May 2006 04:49 GMT Thanks Rosie, that would be appreciated but I am in a mood so you might not want to, I can't handle this darn heat.
 Signature Love and hugs Jo
(\__/) .~ ~. )) /O O ./ .' {O__, \ { / . . ) \ |-| '-' \ } )) Warning: squirrels. .( _( )_.' '---.~_ _ _&
> Thanks, Mel! > > It's good 2 C you! I'll see if I can give you and Squish each a call > this weekend sometime. :-) > > Many Hugs from Rosie
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