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Medical Forum / Diseases and Disorders / Arthritis / September 2006

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reaction to remicade :-(

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Diane - 01 Sep 2006 01:16 GMT
well, i've been getting remicade for 5 (?) years now, with no problem
at all. today, the nurse had just started the drip when i felt a
burning, tingling sensation that spread through my arms, across my
chest, and into my face and head. i also felt sort of dissociative,
like everyone was talking but i wasn't really there. does this sound
like anyone else's negative reaction? anyhow, i told the nurse, who
stopped the drip and said she didn't think it could be the remicade
because i probably hadn't had more than a drop of it by then. i admit i
was feeling a bit panicky as the sensation started and maybe i "thought
my way" into the rest of it? but i don't think so. (it felt like when
you get the contrast dye with a cat scan, for those of you who can
relate to that sensation). my bp, normally low, had skyrocketed to
180/115.

anyhow, she then gave me some IV benadryl (this office only uses a
dissolvable alavert tablet for antihistamine). once i felt better, she
slowly ran the drip and i was fine, except i began getting a raging
headache, which i still have despite tylenol. (it's better tho). since
i've never had a headache with remicade, i DO think my reaction was
really a reaction and that's part of it.

for those of you who've had reactions, did the same thing happen the
next time? i was ready to leave the office without it, but i'm glad i
stuck it out. i need my remi!

diane
d'huit - 01 Sep 2006 04:47 GMT
i honestly don't know, cuz i don't take infusions.  however, i think i'd ask
my doctor about what occurred, before i took the next one.

(((((((((((((((diane))))))))))))))  it sure didn't sound like a comfortable
experience for you, at all.  and your bp was scary, to me anyway.

kate
(hoping THAT doesn't happen again!)

well, i've been getting remicade for 5 (?) years now, with no problem
at all. today, the nurse had just started the drip when i felt a
burning, tingling sensation that spread through my arms, across my
chest, and into my face and head. i also felt sort of dissociative,
like everyone was talking but i wasn't really there. does this sound
like anyone else's negative reaction? anyhow, i told the nurse, who
stopped the drip and said she didn't think it could be the remicade
because i probably hadn't had more than a drop of it by then. i admit i
was feeling a bit panicky as the sensation started and maybe i "thought
my way" into the rest of it? but i don't think so. (it felt like when
you get the contrast dye with a cat scan, for those of you who can
relate to that sensation). my bp, normally low, had skyrocketed to
180/115.

anyhow, she then gave me some IV benadryl (this office only uses a
dissolvable alavert tablet for antihistamine). once i felt better, she
slowly ran the drip and i was fine, except i began getting a raging
headache, which i still have despite tylenol. (it's better tho). since
i've never had a headache with remicade, i DO think my reaction was
really a reaction and that's part of it.

for those of you who've had reactions, did the same thing happen the
next time? i was ready to leave the office without it, but i'm glad i
stuck it out. i need my remi!

diane
Diane - 01 Sep 2006 14:11 GMT
thanks kate. the doc knows, since the remicade is given in her office
and she okayed the benadryl. i will see her before the next infusion to
discuss it, though.

diane
d'huit - 07 Sep 2006 18:28 GMT
thanks kate. the doc knows, since the remicade is given in her office
and she okayed the benadryl. i will see her before the next infusion to
discuss it, though.

diane

well, duhhh . . . my brain was on holiday, wasn't it?LOL

kate
Barbee Doll - 01 Sep 2006 14:20 GMT
I have been on remicade for 5 or so years. I almost always start to
develop a migraine either during the infusion or shortly after.
Luckily, I tend to get visual disturbances and a little dissociative
(more than usual) before the headache pain begins. I just let the
nurse know and she brings me an Imitrex and slows the drip. The
Imitrex has always worked within about 20 minutes so they speed the
drip up again.

One time I did experience the burning, tingling stuff.  My pulse
jumped to an alarmingly fast rate and my bp went way up. I was
light-headed and short of breath. The doctor just happened to be in
the room and listened to my heart and lungs and said that all was okay
in there. One of the nurses decided that I needed to have my blood
sugar checked, but that was okay. I had this same kind of stuff a few
weeks prior while I was at the store and I thought I was having some
kind of stroke but the sensation passed in a few minutes and I felt
fine.  I've not had the same kind of thing happen since. All the lab
work came back okay, so it's likely that it was just a coincidental
occurrence.

BD

>well, i've been getting remicade for 5 (?) years now, with no problem
>at all. today, the nurse had just started the drip when i felt a
[quoted text clipped - 22 lines]
>
>diane
Nann Bell - 01 Sep 2006 23:11 GMT
scary!  Maybe the BP rise was alarm over this bizarre sensation but the
rest... well, maybe she hit a nerve when she inserted the needle?  And the
headache *might* be from all of the body's reactions to the panic.  Such
panic is certainly understandable, knowing how severe a reaction to Remicade
can be.

I wouldn't normally try to explain it away, but with the nurse saying you
couldn't have gotten more than a drop, something else might be at work.  I
hope you aren't reacting to the med.

Have you ever had headaches from benadryl before?  I'm totally non-functional
on even low doses of it and an IV dose could really hit me hard.

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Simply the thing I am shall make me live --- William Shakespeare

Diane - 02 Sep 2006 01:20 GMT
the more i think about it, the more i think it was a bona fide
reaction. i agree my bp could have shot up sue to panic, and i was
indeed feeling panicky by that point. but as a long-ago agoraphobic, i
certainly remember what panic attacks feel like and this felt unlike
anything i've ever experienced. i used to get IV benadryl all the time
when i got remicade in VA. i've never had a headache during or after
either benadryl or remicade before. tho maybe the crazy bp might have
given it to me? anyhow, i'm going to work on some calming self hypnosis
techniques before the next time.

diane
RoseB - 02 Sep 2006 04:30 GMT
They did not try to infuse it too quickly did they?
I wonder too if it was mixed properly.

I had a heart episode on Wed. with palpitations, shakiness, and a
feeling like the blood was leaving my legs and going to my head. I
left for a few moments, then returned, but the symptoms came back and
persisted. I left again and struggled with that feeling off and on for
about an hour. Everyone thought maybe low blood sugar but I have never
had issues with that.

I went to the doc, and he thought anxiety, but I have had anxiety
attacks and they did not feel like that. He did put me on a Holter
monitor, and I have to wear it until tomorrow afternoon.

The similarity is that it was an enbrel day for me. Because I was
tired I had difficulty mixing and drawing the enbrel, and I wonder if
there was something in my technique that meant the enbrel went into my
system differently. That is why I questioned the delivery of your
remicade.
I have had something similar and the enbrel nurse wondered if I were
properly hydrated. This time I should have been hydrated as I had
water in the morning and coffee.

I will do my enbrel injection tomorrow morning (a day early) because I
can not keep the holter monitor for another day.
    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
Kelly - 02 Sep 2006 05:11 GMT
Damn Rose - no more crisis in that family of yours.  You are way over the
limit for problems.

Hope they find it was just a blip.  Glad though that the doctor took it
seriously.  Diane - I think you need to follow your gut reaction.  We know
our bodies too well to ignore things like this.

Hope things improve for both of you.

Kelly

> They did not try to infuse it too quickly did they?
> I wonder too if it was mixed properly.
[quoted text clipped - 26 lines]
>
>     Please remove "Ima" to reply.
Diane - 02 Sep 2006 05:14 GMT
> They did not try to infuse it too quickly did they?
> I wonder too if it was mixed properly.
[quoted text clipped - 25 lines]
>
>      Please remove "Ima" to reply.
Diane - 02 Sep 2006 05:16 GMT
rose, what do you mean, you left and came back? where were you? i'm
glad you're trying the holter monitor. chances are, it's not related to
the enbrel at all, but it's best to see if you have that reaction
again. i hope you don't!

diane
RoseB - 02 Sep 2006 07:15 GMT
>rose, what do you mean, you left and came back? where were you?

Hi Diane,
I'm sorry I was not clear. I was in a workshop session when the
palpitations started so I left the room because I was afraid I would
pass out. I stayed out of the room for about ten minutes, then
returned for about ten, but the symptoms came back. I then just went
to our staffroom and sat for about an hour before I felt ready to go
home.
    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
Fire Chief - 02 Sep 2006 05:21 GMT
Rose B wrote:

> The similarity is that it was an enbrel day for me. Because I was
> tired I had difficulty mixing and drawing the enbrel, and I wonder if
> there was something in my technique that meant the enbrel went
> into my system differently.

I am at a loss!   I receive Embrel in single-use syringes - 4 a month.
No mixing, no drawing.  Just remove from the refrigerator 1/2 hour
before administering.

I thought that was the only way it was sold these days, after a
few years of reading everyones' complaints about the size of
the needles that came with the old method of distribution, then
nothing recently -- until you mention "mixing and drawing".

... Didn't drink, didn't smoke, ate right...got run over by a church
bus.
RoseB - 02 Sep 2006 07:16 GMT
There is the option of going to single dose pre-mixed but my rheumy
maintains that there is a better effect with the twice weekly dose. I,
on the other hand, would have been happy to switch.
    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
Nann Bell - 02 Sep 2006 22:30 GMT
> the more i think about it, the more i think it was a bona fide
> reaction. i agree my bp could have shot up sue to panic, and i was
[quoted text clipped - 7 lines]
>
> diane

hmmm, I wonder if it would be worth asking if *you* could get a standard
benadryl pre-med, even though that is not their usual procedure there.  As
you've done well with it before, it might be the safer way to continue.

Signature

Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

Diane - 07 Sep 2006 23:24 GMT
yes, nann, i'm definitely going to ask for the iv benadryl. then i'll
just nap when i get home.

diane
Harvey R. Stone - 08 Sep 2006 13:43 GMT
> yes, nann, i'm definitely going to ask for the iv benadryl. then i'll
> just nap when i get home.
>
> diane

I used to nap before I left the place and many people ask for a blanket
before anything gets done and some people bring their own snacks but I would
take what they gave me and listen to the radio with my ear phones so not to
bother anyone else.   Benadryl is a good thing.

Harv
Duckie - 07 Sep 2006 03:10 GMT
My last RD medicates with 25 mg Benadryl tablet and two Tylenol before
starting the drip. He started that after some of his long time Remicade
patitents both had reactions in the same day. When we moved across
country, this RD does the same thing.
Maybe you should take in your own Benadryl and Tylenol for the next time
but I would also call you RD.
Slow drip which does take longer is better than not having the Remicade.
at least that is my opinion.
Duckie

> well, i've been getting remicade for 5 (?) years now, with no problem
> at all. today, the nurse had just started the drip when i felt a
[quoted text clipped - 22 lines]
>
> diane
Fire Chief - 07 Sep 2006 17:49 GMT
> My last RD medicates with 25 mg Benadryl tablet and two Tylenol before
> starting the drip.............
> Slow drip which does take longer is better than not having the Remicade.

Your experience is the same as mine during 2-1/2 years
taking Remicade.  I took 2 Tylenol #3 just before leaving
home for the RD's office, then the nurse dispensed the
Benadryl.  She'd start the drip as fast as possible, then
reduce it if I developed an itch (always did).  The entire
process varied between 2-1/4 hours and 3 hours.

... There is no such thing as being a "little pregnant."
 
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