Hi Everyone!
Thought I'd drop in real quick to say hello and to see if any of you
know about the new meds that are coming down the pipeline for RA!
As most of you know, I got pretty sick over new years and landed in the
hospital for 8 days. Whew, haven't been that sick in a good long while.
Doctors ended up diagnosing me with pertussis, also known as whooping
cough! Naive me, I didn't even know you could _get_ whooping cough
any more! The doctor in the hospital told me that even if you've been
immunized, the immunization tends to wear off to some degree as we get
older. That combined with the immunosuppressants we take, set me up for
this god awful disease! In any case, the cough that comes with it has
been just horrendous to deal with. I still can not sleep at all laying
down. In fact, laying down causes immediate coughing spells that leave
me totally unable to catch my breath. I have at least gotten to the
point where I can sleep for an hour or so at a time without coughing by
sitting upright and just leaning my head back against the back of the
couch. Thank goodness I have high back couches. I have been on cough
syrup with codeine, tylenol 4 with codeine, tesslon pearls, and throat
lozenges and still get into these nasty coughing spells that I can
barely catch my breath from and oh how my every muscle hurts from
coughing so hard for so long. Needless to say, it has not been fun and
the doctors say it can take up to 8 weeks for the cough to disappear
completely. Uggggggh! Of course, my body didn't think we were
having enough fun with all of the above, so broke out in a rash and
hives all over last weekend. Can we say hello benedryl and 100 mg of
pred so that my lungs wouldn't end up spasming more! The rash/hives are
just now starting to disappear completely. We think the rash is from
an allergic reaction to the antibiotic they had me on.
I also had some new moderate interstitial fibrosing that showed up on my
chest x-ray, which is not a good thing. Saw the RD yesterday and he is
continuing to hold both my enbrel and my mtx until the lung doctor can
figure out what is going on. If the lung doctor thinks this is
rheumatoid lung or if he thinks it is from the mtx, my RD will pull me
off the mtx and enbrel permanently! I just broke down and cried when
he told me that! It is a bit scary to think I may have to come off
all my meds and be back to square 1 with the RA. Thankfully my RD is a
great guy and he told me to cry and get everything out as he didn't want
me holding things in. He said he knew I was one pretty tough bird, but
that I was also human and sometimes us humans just have to let it loose
and let the tears flow. How sweet! In any case, he also told me not
to get too freaked out if I have to come off the enbrel and the mtx as
there are at least 2 new drugs coming down the pipeline. I think he
may have said one of them was called ?rituxin??? Any of you know what
the new meds are that are coming? He said both are considered
biologics but that both new meds are far less likely to cause infection
risks. Any info on these would be greatly appreciated!!!
I'm still pretty sick and still trying to get back to some semblance of
normal around here, so probably won't see me posting a whole lot just
yet. Know, however, that I am thinking of you all and that I am
praying for all those who are also sick or who need the prayer in other
ways!!!
Hugs and blessings to you all and thank you so very, very, much to those
of you who have called, sent cards via snail mail, via email, etc!!!
You bless me beyond words!!!
happy new year to you all and may 2005 be a better year for everyone!!!
Donna G
RoseB - 22 Jan 2005 23:42 GMT
Hi Donna.
Sorry to hear that you have been so sick.
I hope that things improve for you soon.
We have outbreaks of pertussis from time to time with school aged
kids. It sounds pretty nasty.
Regarding the rituxan, we have heard about this one at various times.
It is the one that suppresses B- lymphocytes, IIRC.
Check:
http://www.gene.com/gene/pipeline/status/immunology/rituxan/
http://www.biogen.com/news/BiogenIDECPR_043.htm
http://www.hopkins-arthritis.com/news-archive/2004/rituximab_ra.html
Rose @}>->--
Being educated means that rather than fearing the unknown, one seeks to understand it. RB
Please remove "Ima" to reply.
Diane - 22 Jan 2005 23:47 GMT
donna, welcome back! you've been missed and worried about. i'm so sorry
you've had such a terrible time, and especially sorry that it's still
going on for you. i hope the thing with your lung gets worked out and
you can get on some dmard soon.
i don't know anything about the new ones, but i'm thrilled to here
they're on the way.
hugs,
diane
Jo Firey - 23 Jan 2005 00:35 GMT
Damn Donna. You are about the last person that had any business getting
Whooping Cough. I'm grateful that you are doing well enough to let us know
how things are progressing.
And yes, older and immune suppressed can et pertussus and there is enough of
it out there to be a risk.
I didn't get my immunizations as a child (long story) so I got them all
along with my oldest child when I was in my twenties. And I'm pretty sure
my doc gave me a backup on the dpt a few years ago but I really need to
remember to check with him.
Jo
> Hi Everyone!
>
[quoted text clipped - 59 lines]
>
> Donna G
Newsgroup Spambuster - 23 Jan 2005 02:27 GMT
>And yes, older and immune suppressed
>can get pertussus and there is enough >of
>it out there to be a risk.
I am so surprised that this is true and it makes me wonder what other
diseases that one has been immunized against that you think you are safe
from, but can get as an adult! I asked the doctors if now that I have
had the whooping cough if I am immune from it in the future and they
said no, I can get it again! Yikes --- I just had no idea!
Rose, don't you get worried about being exposed to those kids who get
pertussis at school? That has got to be worrisome to you with your RA
and such!
Jo, glad to know you finally got your immunizations and hopefully you
are covered a little longer in life since you got them later in life!
I know you have pretty significant asthma too, so I pray you never pick
up this very nasty bug. Part of the reason I ended up in the hospital
for as long as I did was because the coughing spells kept my lungs in
constant bronchospasm and the doctors were afraid to send me home by
myself for fear that I might go into a spell where I would need help and
wouldn't be able to get it in time! I have to say the first few days
home by myself were pretty rough and a bit scary!
Donna G
Jo Firey - 23 Jan 2005 04:10 GMT
Being alone and can't breathe is such a scary feeling. And knowing that the
very most important thing you can do is relax doesn't make it any easier.
The only thing harder was when my daughter would have an attack and I'd have
to be calm and together for her. I must be a pretty scary mom. Once I
managed to get her admitted to a hospital, into a bed and getting treatment
when they couldn't reach her doctor right away. Just on my say so that he
had told me if she got worse to get her to the hospital.
I hope you heal soon and with no lasting problems.
Jo
>>And yes, older and immune suppressed
> >can get pertussus and there is enough >of
[quoted text clipped - 21 lines]
>
> Donna G
Ann - 23 Jan 2005 01:42 GMT
Donna, I'm so glad you are getting better even if it's a very slow
process. Pertussis is bad enough if you don't have lung problems but
you must have been so very sick. I've been remembering you in my daily
prayers since I first read you were in the hospital and will continue to
do so until you get rid of the nasty cough. Sorry that I don't know
anything about the new meds but it sure is wonderful that they are
available.
Ann
jb - 23 Jan 2005 01:50 GMT
Donna
so sorry you have been so sick. I hope you coontinue to improve and I will
keep you in my prayers
janice
| Hi Everyone!
|
[quoted text clipped - 59 lines]
|
| Donna G
Mary Z - 23 Jan 2005 01:55 GMT
>I think he
>may have said one of them was called ?rituxin??? Any of you know what
>the new meds are that are coming? He said both are considered
>biologics but that both new meds are far less likely to cause infection
>risks. Any info on these would be greatly appreciated!!!
As rose said it is Rituxan (Rituximab) and has had an excellent
success in clinical trials. Currently it is approved for Lymphoma,
the one problem with this drug is the high potential for infusion
reactions. They have been giving people fairly high doses of steroids
before they take the drug. On the bright side the drug treatment lasts
a really long time 52 weeks for some people in one study. Cancer
patients get Rituxan in the hospital due to infusion reactions. I am
not sure what the doses are for cancer vs RA.
I think the other drug is the one Michael G was on from Belgium. I
think it is the new MS drug that was just approved. It is in clinical
trials and looks promising. The drug is Antegren , Tysabri or
Natalizumab (they have changed the name a couple times).
I have posted a number of articles on Rituxan and there have been a
few on Tysabri. Might do a web search for more information. -- MZ
Visit my website:
http://www.mzuschlag.com
Melissa - 23 Jan 2005 02:33 GMT
Donna,
Just thought I would give you a heads up...there is a rheumorweb.com
thread going on the RA board about a member who is in a trial for rituxan
thought you might want to see what's going on there.
So sorry to hear that you've been having such a difficult time.
(((Donna)))
melissa
>>I think he
>>may have said one of them was called ?rituxin??? Any of you know what
[quoted text clipped - 21 lines]
>Visit my website:
>http://www.mzuschlag.com
Newsgroup Spambuster - 23 Jan 2005 02:49 GMT
Oh, thanks, Mary Z for that information! Will definitely do some
research on these.
Would be REALLY nice if the rituxin lasted for 52 weeks!!! My RD did
say something about some trials starting in the near future and that he
would consider me for them if we need to make changes. The risk for the
trials, of course, is that you might end up with the placebo. Will see
how this all pans out.
Funny, that you would tell me about the second drug, Mary, as they were
just talking about tysabri on the news last night!
Definitely got some research to do for myself! Sure do appreciate the
leads though Mary---thanks!!!
Donna G
BTW, thanks to you too Rose for the links you provided!
Jo Firey - 23 Jan 2005 04:11 GMT
Why do they keep naming drugs things I can't pronounce?
Jo
>>I think he
>>may have said one of them was called ?rituxin??? Any of you know what
[quoted text clipped - 21 lines]
> Visit my website:
> http://www.mzuschlag.com
Joan Carter - 23 Jan 2005 04:19 GMT
>Why do they keep naming drugs things I can't pronounce?
It's part of the plot. :-)
---
Joan
firechief - 23 Jan 2005 07:24 GMT
> Why do they keep naming drugs things I can't pronounce?
"Aspirin" was already being used.
Pic - 23 Jan 2005 02:38 GMT
Hi Donna...good to see you back..sooooo sorry to hear of all your recent
medical problems....I didn't think you could get "Whooping cough" anymore,
but here has been a lot of it going around here too......I hope things just
continually get better for you.....prayers and good thoughts coming your
way.
(((((Donna)))) Pic
BTW: Cindy is in a drug study and starts the 31st with the Rituxin (I
believe that's it)......hope it's her miracle too.....
> Hi Everyone!
>
[quoted text clipped - 59 lines]
>
> Donna G
Newsgroup Spambuster - 23 Jan 2005 19:31 GMT
Hey, Pic, so good to see you posting here in ASA!!! How the heck have
you been?
Thanks for the heads up about Cindy. I will have to give her a call
and have a little chat with her about her trial. Sure hope this is
the one for her as she has been through so much and nothing seems to be
holding her disease process at bay at all!
Thanks for the prayers and well wishes! Tell your hubby hello and stick
around ASA!
Hugs!
Donna G
Pic - 24 Jan 2005 02:41 GMT
Hey Donna....Hubby says to tell you hello, and sending his best wishes to
you!
I knew that you'd want to know about Cindy....and like you I hope this is
her miracle....something has to work soon....
And I'll be sticking around ASA.....you guys are great!!!
> Hey, Pic, so good to see you posting here in ASA!!! How the heck have
> you been?
[quoted text clipped - 10 lines]
>
> Donna G
Athena - 24 Jan 2005 04:51 GMT
My husband also says Hello. We're both sorry to hear you've been
having such a scary time. We hope things get better soon.
Elizabeth
d'huit - 23 Jan 2005 05:22 GMT
> Hi Everyone!
>
[quoted text clipped - 59 lines]
>
> Donna G
((((((((((((((((((((((((((((donnag)))))))))))))))))))))))))))) you have
been so missed. pertussis sounds like an absolutely miserable thing to
have to deal with. it just doesn't seem fair that you had to come down
with it. you've had more than your share of battles. i can't tell you how
much i admire your courage and strength, donna.
it's soooo good to see you back on the ng, but at the same time, i can't
help being concerned that you get enough rest so that you recover totally
and quickly. please take your time, do baby steps and try not to rush
things. it's makes me feel sad that you can't lie down to rest your whole
body more comfortably. i hope you will be able to very soon.
i love your rd for being so compassionate and gentle with you. he really
does sound like a great guy. sometimes, tears can be a healing release and
i'm glad he understood that.
you are still in my prayers, thoughts and heart and will continue to be. i
hope the next ra drug your rd tries on you will be the perfect one for you
and will work beyond both of your wildest hopes. get well soon, sweetie.
lovingly,
kate
delcorso - 23 Jan 2005 05:28 GMT
Hi Donna!!! I'm so glad to see you posting!! I've been so worried
about you!! I called a couple of times, but just got your answering
machine. I think you must have been in the hospital. I haven't
called since because I didn't want to take the chance of waking you if
you were sleeping.
You should email Cindy P. She's starting a drug trial for one of
those new drugs. I can't remember the name of it, but it's one that
you get 2 infusions and people have gone into remission for months or
years.
I'm still home. I had the surgery on my wrist and arm and haven't be
able to go back to work yet. Let me know if you're up to a phone call
and I'll give you a call.
Take care, Donna!!
Carol
Newsgroup Spambuster - 23 Jan 2005 19:36 GMT
Hi Carol,
How'd your surgery go? How much longer will you still be home from
school? I imagine by now, you are chomping at the bit to get back to
school, as I know you really hate being tied down at home!
Carol, feel free to give me a call anytime. I literally have no real
sleep pattern at this point---it's just kind of when ever the coughing
eases up enough to let me get a few winks in here and there. So, just
call whenever and don't worry about it. If for some reason I am not up
to talking, I will let you know!
Am anxious to hear how your surgery went and what the ortho thinks as
far as the outcome.
Hugs to you dear friend!
Donna G
Nell - 23 Jan 2005 05:58 GMT
> Hi Everyone!
>
[quoted text clipped - 59 lines]
>
> Donna G
(((((((((((((((((DONNA)))))))))))))))))))))
Oh, golly, I'm so glad to see you posting. OTOH, you do need your rest.
Thanks for the update, though.
Do you have a recliner? It'd be especially nice if you could get the
electric kind which would be less tiring to get in the proper position.
Take care.
Nell
Newsgroup Spambuster - 23 Jan 2005 19:39 GMT
Hi Nell,
Can't do the recliner, as it is still leaning back too much. I still
really have to sleep pretty much sitting straight up or I just cough
nonstop!
BTW, thanks so much for your phone call and message you left me! I am
just thrilled to hear that your granddaughter finally got her heart
transplant and is doing so well. Is she home yet? You all must be
beside yourself with excitement and joy!!! What a huge christmas
blessing for your family!!!
Donna G
Karen Palmer - 23 Jan 2005 13:50 GMT
Abatacept, a biologic drug from Bristol Meyers is in Phase 3 studies. It
targets the stimulaters of the T-cells which makes it a bit different from
the other biologics.
http://www.bms.com/news/press/data/pf_press_release_5074.html
Karen
> Hi Everyone!
>
[quoted text clipped - 59 lines]
>
> Donna G
Newsgroup Spambuster - 23 Jan 2005 19:40 GMT
Thanks Karen for that information and for the link! I greatly
appreciate it!
Donna G
debbie m. - 23 Jan 2005 14:38 GMT
Donna,
So good to see you posting. I've missed your posts. I hope this cough
thing heals up soon.
debbie m.
http://www.angelfire.com/ga2/angels1/
> Hi Everyone!
>
[quoted text clipped - 59 lines]
>
> Donna G
Newsgroup Spambuster - 23 Jan 2005 19:41 GMT
Hi Debbie,
How's things with you, Nikki, and your dad coming along?
Donna G
Caroline Marold - 23 Jan 2005 22:43 GMT
So glad to see you posting again. I used to get
pertussis as a child. Actually I slept in a crib until
I was 6 so my parents could tent the crib with a sheet
and use one of those old vaporizers [glass with the
metal spout] puffing away under the sheet. My very
first memory as a child is seeing white when I open my
eyes. It was that sheet. Makes me NOT ever want a bed
with a canopy. lol
So glad you are back and feeling better even if just a bit.
Duckie
> Hi Everyone!
>
[quoted text clipped - 59 lines]
>
> Donna G

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Caroline Marold - 23 Jan 2005 22:44 GMT
Those of you on Humira -- are you using MTX with that one?
Duckie
> Hi Everyone!
>
> Thought I'd drop in real quick to say hello and to see if any of you
> know about the new meds that are coming down the pipeline for RA!
Lee Thompson-Herbert - 25 Jan 2005 02:50 GMT
>Those of you on Humira -- are you using MTX with that one?
>Duckie
Not me. Can't. That's why I'm on a every-10-days dosage schedule.
The literature says that if you're not on MTX, once a week is the best
dosage schedule, but some people do fine on every fourteen days. You're
less likely to form autoantibodies if you're on a shorter dosage schedule.
They _think_ it's because there's less of a trough in your drug levels on
the shorter schedule.

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Lee M.Thompson-Herbert lee@retro.com KoX 1995, SP4
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"A head-on collision between Morticia Adams and Martha Stewart"
Caroline Marold - 25 Jan 2005 07:19 GMT
Ah ha -- I can't take MTX so I have been usding Arava
with my Remicade but want other options if this fails.
Thanks for the info.
Duckie
>>Those of you on Humira -- are you using MTX with that one?
>>Duckie
[quoted text clipped - 5 lines]
> They _think_ it's because there's less of a trough in your drug levels on
> the shorter schedule.

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(_<_)
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__('< *QUACK!*
<_{__)
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(_<_)
RBushnell - 14 Feb 2005 01:33 GMT
I was taking 25mg of MTX weekly and Humira every 2 weeks. I'm having a blip
in one of my liver enzymes so I am now taking 22.5 mg. Mt RD wants to take
the MTX lower than that though.
Rosanne
> Those of you on Humira -- are you using MTX with that one?
> Duckie
[quoted text clipped - 3 lines]
> > Thought I'd drop in real quick to say hello and to see if any of you
> > know about the new meds that are coming down the pipeline for RA!
Caroline Marold - 14 Feb 2005 04:10 GMT
Are you taking milk thistle for your liver? Over the
counter and you can get it in any drug store or wal mart.
Duckie
> I was taking 25mg of MTX weekly and Humira every 2 weeks. I'm having a blip
> in one of my liver enzymes so I am now taking 22.5 mg. Mt RD wants to take
> the MTX lower than that though.
>
> Rosanne
Nann Bell - 14 Feb 2005 07:12 GMT
> Are you taking milk thistle for your liver? Over the
> counter and you can get it in any drug store or wal mart.
> Duckie
except mine :( they've been out of milk thistle for 10 days, at least and
my stock runs out in a few days. Time to check KMart.
Rosanne, I agree with Duckie on its effectiveness though. My LFTs were
getting too high and the milk thistle brought them right on down.

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Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare
Harvey R. Stone - 14 Feb 2005 14:48 GMT
> Are you taking milk thistle for your liver? Over the counter and you can
> get it in any drug store or wal mart.
[quoted text clipped - 7 lines]
>>
>> Rosanne
Just a thought about milk thistle,,,, when a person is having a enzyme
spike, it is a good time to take it for awhile. When an RD is adjusting a
persons DMARD because of high readings it may not be a good time to take it.
The RD will get better readings and may think that this is the right amount
of Methx or Arava for this persons control of inflam.arth. and their liver
WHEN actually it was the milk thistle and the amount of medicine taken could
be too high. JMO and open to other thoughts.
Harv
Janet R - 14 Feb 2005 15:41 GMT
I was wondering that very thing too Harv.
Janet R
>> Are you taking milk thistle for your liver? Over the counter and you
>> can get it in any drug store or wal mart.
[quoted text clipped - 16 lines]
> medicine taken could be too high. JMO and open to other thoughts.
> Harv
hacbac@bellsouth.net - 27 Jan 2005 03:40 GMT
I'm on the same drugs and also had a lung problem. It turned out to be
sarcoidosis and can be brought on by the enbrel. Immunex has now listed
sarcoidosis as a possible side effect in the latest literature I received.
It's listed under the respiratory section. My doctor has 2 other patients
who developed the same thing. It can be serious and can affect other parts
of the body. I hope this isn't the case with you.
Barb C.
> Hi Everyone!
>
[quoted text clipped - 59 lines]
>
> Donna G
Newsgroup Spambuster - 27 Jan 2005 17:41 GMT
Hmmmmm..........thanks Barb for that information! I will definitely
ask my lung doctor about that as I do have a family history of
sarcoidosis as well.
I actually saw the lung doctor earlier this week and he was very
concerned about what is showing up on my chest x-rays and how quickly it
appeared and appeared to effect a moderate area of both lungs. That
along with my symptoms and the non-stop coughing was a big worry to him.
He drew some more blood work while I was there in his office, scheduled
me for a high resolution CT scan of the lungs, and then I will be going
into the hospital sometime soon to have a bronchoscopy done and if that
doesn't give him enough info, I will then have an open lung biopsy done.
He hopes to do all of this in the next week or so. It is a bit scary,
but we need some answers as to what is going on. Until then, no dmards
what so ever for me, but 60 mg of prednisone for now.
Barb, what meds do you now take for your RA with the sarcoidosis?
Thanks again for sharing your information and I will definitely bring
this info up with my lung doctor.
Donna G
Nann Bell - 27 Jan 2005 22:07 GMT
Oh, dear, that is all worrisome Donna. I'm lighting a candle for you
tonight.

Signature
Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare
> Hmmmmm..........thanks Barb for that information! I will definitely
> ask my lung doctor about that as I do have a family history of
[quoted text clipped - 18 lines]
>
> Donna G
Newsgroup Spambuster - 28 Jan 2005 06:24 GMT
Thanks, Nann, I so appreciate that!!!
Donna G
XOZA - 28 Jan 2005 10:17 GMT
Hi Donna,
I have been coughing for only 4 days and hurt soooo much. I can't imagine how
awful you feel after what you have been through...and to think they say the
cough may last another month or more. I have never coughed this hard before in
my life. My goal in life today (Thur) was to sit still and NOT cough!!
My PCP started me on antibiotics on Wed. If I haven't had some improvement by
Sat I have to call him that morning and he'll call in stronger antibiotics.
After reading your story if I am not vastly improved by Mon I will be calling
my rheumy and my pulmonary doc.
Sure hope you fell much better real soon.
Newsgroup Spambuster - 29 Jan 2005 06:20 GMT
XOZA,
Surely hope you get to feeling better real soon!!!
My cardiologist told me yesterday that there are some really nasty bugs
going around with the cough being the worst part of it. He said he had
something right after christmas and he still gets into some coughing
jags. He said he has good lungs and still had to spend several nights
sleeping sitting up due to the coughing. I hope your stuff clears up
quickly with the antiobiotics!
I am worried about doing all the testing and about doing the
bronchoscopy as I still cough a lot and don't know how I am going to be
able to lie down for the tests and for the bronchoscopy. Should be
interesting!
Good luck to you and feel better soon!!!
Donna G
Squirrely - 31 Jan 2005 16:00 GMT
Donna,
We need another update. How are you doing now?

Signature
Love and hugs to all
Good thoughts coming your way too.
Squirrely Jo
> Hi Everyone!
>
[quoted text clipped - 59 lines]
>
> Donna G