Medical Forum / Diseases and Disorders / Arthritis / May 2005
Dose #4 Rituxan
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Duckie - 17 May 2005 00:12 GMT It has been one long day. The usual dose time turned from 5-6 to 10. Had a reaction about half way in just after they did a bump increase to 2.10 from 1.68 not sure what that means on the pump but guessing it is the rate the dose is metered. Anyway, began to taste metallic and then the tongue began to swell. Thought I might be imagining it but it didn't get better so called over the nurse. She said when I called her name and she turned around, I looked terrified. She reached out and pulled the infusion meter plug loose. The tongue stopped swelling and then the throat began to close which quickly stopped but I lost my voice for about 5 minutes during all of this. After the throat stopped trying to close, the inside of my throat was really ticklish and raw. After 15 minutes this was 85% gone. My doctor came down to check on me, made a few phone calls, decided to give me IV Benedryl and hydrocortizone and then restart me at a lower dosing rate. That IV Benedryl burns but they put it in slowly and use a hot pack while they do it. I asked why they though the hot pack would help -- didn't get a good answer to that one. lol So got my last dose in and now I wait. Last week, by Wednesday, I was having such a rebound from this that I finally got drunk to deal with the pain. My Ultram didn't touch it but that concoction of JD, triple sec and rum worked really well. :) I called the RD to find out if this was a normal thing and was told that it could be. It might take 3-4 months to work for me And would I please try and take the next dose. So I did and now have it in me. I also have a new pain pill in the house for this Wednesday. The molten lava in all my joints was a bit much last week. I guess I am just special as the lady who started with me and taking the same dose and schedule was flying after dose 2. Her fatigue of 10 lifted 5 days after dose 2 and 6 days after all pain except existing pain in her knees is gone. So after her dose three, she said she was running errands for neighbors while I was writhing in pain. After dose three the ability to taste has left me all but tart and sour. Last Wednesday, I started getting mouth sores but they disappeared as quickly as they appeared. I have gained 5 pounds on this so far as carbs are about the only thing that appeals to me. And I have stopped eating 3 meals a day. Just not hungry. Didn't put two and two together until yesterday. I sure hope this is going to be worth it in the long run. I had so wanted it to work right away for me. Duckie who finds 50mg of benedryl a bit much Reposted from Rheumorweb.com
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d'huit - 17 May 2005 00:36 GMT ((((((((((((duckie))))))))))))) damn, that sounded scary! i'm soooo glad that's overwith!--- right along with you, i'm sure. you are one gutsy lady! what a warrior spirit you have!!! (i'd have probably freaked and headed for the hills!) fingers crossed that rituxan kicks in soon for you, but i have a feeling i won't have to keep them crossed for long. i'll just coax it along a little bit---come onnn baby, do your good stuff for our duckie!!!
they generally use hot packs on cold wintery days or when a patient's skin is cold to the touch, when an i.v. has to be put in or for drawing blood, especially in difficult cases (they also use warm blankets for that, too). so, chances are they used the hot pack to make sure your vein was not constricted/constricting possibly as a reaction to the benedryl. and/or maybe so the low dose med would flow easier and faster for you in that way? it would seem counterintuitive to use heat to treat the burning from benedryl to make it feel better.
ok. so, with that process behind you now, it sounds like you should totally feel ready to party hardy come the gimpfest!<grin> i can't wait to see you, especially feeling great!
kate
> It has been one long day. The usual dose time turned from 5-6 to 10. Had a > reaction about half way in just after they did a bump increase to 2.10 [quoted text clipped - 36 lines] > Duckie who finds 50mg of benedryl a bit much > Reposted from Rheumorweb.com Duckie - 17 May 2005 01:13 GMT I used to always be wrapped in hot towels to plump up the veins but I have less trouble since i lost weight. I would be willing to be it was so the vein was larger to handle it. They removed it once the benedryl was in. This stuff, Rituxan, and Remicade is always served chilled - not stirred. From your mouth to God's ears. Having my left knee injected just in case the 13th Guessing who didn't make it to Pilates tonight. I usually can warrior through most anything but 50 mg was just too much in the system for even me to fight against. Duckie
> ((((((((((((duckie))))))))))))) damn, that sounded scary! i'm soooo glad > that's overwith!--- right along with you, i'm sure. you are one gutsy lady! [quoted text clipped - 58 lines] >>Duckie who finds 50mg of benedryl a bit much >>Reposted from Rheumorweb.com
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Adelle - 17 May 2005 04:58 GMT Kiddo, 50 mg is enough to put me to sleep for hours!!!! And I used to pop other sedating antihistamines and decongestants like they were m&m's! I seem to recall being told Benadryl was first created as a sedative. It was only after it was in use that they discovered it was an antihistamine.
Go sleep it off sweetie. And take extra fluids tomorrow. Antihistamines really dry one out; and being dry will prolong the fatigue.
Adelle
>I used to always be wrapped in hot towels to plump up the veins but I have >less trouble since i lost weight. I would be willing to be it was so the [quoted text clipped - 70 lines] >>>Duckie who finds 50mg of benedryl a bit much >>>Reposted from Rheumorweb.com Duckie - 17 May 2005 23:00 GMT That is a good suggestion about the water. Maybe I will treat this stuff just like I was taking MTX and drink all the water I can for a week. Duckie
> Kiddo, 50 mg is enough to put me to sleep for hours!!!! And I used to pop > other sedating antihistamines and decongestants like they were m&m's! I seem [quoted text clipped - 5 lines] > > Adelle Nann Bell - 18 May 2005 12:53 GMT > Kiddo, 50 mg is enough to put me to sleep for hours!!!! And I used to pop > other sedating antihistamines and decongestants like they were m&m's! I seem > to recall being told Benadryl was first created as a sedative. It was only > after it was in use that they discovered it was an antihistamine. Actaully, I think it was the other way around, LOL! Whenever I emntion how benadryl wipes me out and I can't take it, my mom tells me how happy they were to get it when she was in high school as it was the first anti-histamine available. I tell her I still can't take it - it leaves me as fogged in as the allergies do.
That and some anti-histamine that begins with an A are the most common sleeping pills in hospitals. I always wondered about giving those patients the antihistamine side effects.
 Signature Nann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare
d'huit - 17 May 2005 20:42 GMT >I used to always be wrapped in hot towels to plump up the veins but I have >less trouble since i lost weight. I would be willing to be it was so the [quoted text clipped - 6 lines] > me to fight against. > Duckie h0ly c0w. 50mg?! bet they gave you that much cuz your tongue swelled and your throat started to close up. did they let you drive yourself home? i think its good you stayed home from pilates---i can just see you falling asleep on the mat or the ball. with that much benedryl in you, there's no avoiding getting the rest you need. how are you feeling today, sweetie?
kate
>> ((((((((((((duckie))))))))))))) damn, that sounded scary! i'm soooo >> glad that's overwith!--- right along with you, i'm sure. you are one [quoted text clipped - 59 lines] >>>Duckie who finds 50mg of benedryl a bit much >>>Reposted from Rheumorweb.com Duckie - 17 May 2005 23:36 GMT They were to give 50 to begin but I had only been taking 25 for all the rest due to the sleeping issue. So they only added another 25 to that... zzzzzzz Slept well last night - gee wonder why. I feel pretty good today but that was the same as last week and then Wednesday the wheels fell off my cart. So here's to not having that happen tomorrow. Duckie
> h0ly c0w. 50mg?! bet they gave you that much cuz your tongue swelled and > your throat started to close up. did they let you drive yourself home? i [quoted text clipped - 69 lines] >>>>Duckie who finds 50mg of benedryl a bit much >>>>Reposted from Rheumorweb.com
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Mary Z - 17 May 2005 03:04 GMT > Last Wednesday, I started getting >mouth sores but they disappeared as quickly as they [quoted text clipped - 5 lines] >run. I had so wanted it to work right away for me. >Duckie who finds 50mg of benedryl a bit much Yikes I had heard Rituxan can have a nasty reaction. Sorry this is not working faster. The reaction sounds really scary, I am so glad Remicade continues to be my miracle, my even response seems to surprise my RD. Praying you find some relief soon. You need to be healthy for Oregon. Now if this blasted rain would stop by June! We are receiving winter rain now, go figure what a really weird year, and the weather bureau keeps blowing the long range forecast. -- MZ
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Duckie - 17 May 2005 22:54 GMT rofl John said he looked at the river gauge when you said you were canceling your May trip and the #11 is still in my mind. It scared him. He said if the rate didn't drop to a certain level, he might just be renting a raft to row instead of a canoe. Duckie
> Yikes I had heard Rituxan can have a nasty reaction. Sorry this is > not working faster. The reaction sounds really scary, I am so glad [quoted text clipped - 6 lines] > Visit my website: > http://www.mzuschlag.com
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Diane - 17 May 2005 05:10 GMT duckie!!!!!!!!!!!! i echo what kate said. you are one brave duck. my tongue starts swelling, and i'm outta there.
i would love to have 50 mg of benedryl those nights i just can't sleep. the 12.5 i get with my remicade knocks me out. i can't even imagine how you feel on 50.
youve been through so much. this better work for you or i'm going to be mad.
diane
Duckie - 17 May 2005 23:00 GMT You and me both Diane. Today I feel like I did last week at the same time, more energy and little pain. If things go the way they did last week, I will be chewing pain pills tomorrow. Wonder if the hydrocortisone they also gave me after the reaction will help that? And then there is the water I am pushing. Duckie
> youve been through so much. this better work for you or i'm going to be > mad. > > diane
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Cindy - 17 May 2005 12:49 GMT Oh Poor Duckie...I pray that this gets better for you... Soft hugs Cindy
> It has been one long day. The usual dose time turned from 5-6 to 10. Had a > reaction about half way in just after they did a bump increase to 2.10 [quoted text clipped - 36 lines] > Duckie who finds 50mg of benedryl a bit much > Reposted from Rheumorweb.com Harvey R. Stone - 17 May 2005 17:35 GMT Aaah me,,,,, dam, dam ,dam...... what we go through when ALL we want is control, a little control. I can say that you are my hero Duckie and I wish I could hold your hand and get a cool glass of water or the best Marguerite(and one for myself). Why one for me you say,,, its that email for money and my youngest daughter in England when I can not cover what is taking place for the wife and I over the next few years. I could send a grand and then in a few weeks its would be an email about the great trip to Germany to see this and that. I just want to scream but I would not trade it all for what you are going through. love ya,,,,, in my prayers,,,,, so it goes. Harv
> It has been one long day. The usual dose time turned from 5-6 to 10. Had a > reaction about half way in just after they did a bump increase to 2.10 [quoted text clipped - 36 lines] > Duckie who finds 50mg of benedryl a bit much > Reposted from Rheumorweb.com Duckie - 17 May 2005 23:08 GMT Prop your feet up on the bar here next to me Harv. So does this youngest have a job? lol Duckie
> Aaah me,,,,, dam, dam ,dam...... what we go through when ALL we want is > control, a little control. I can say that you are my hero Duckie and I [quoted text clipped - 48 lines] >>Duckie who finds 50mg of benedryl a bit much >>Reposted from Rheumorweb.com
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Harvey R. Stone - 18 May 2005 03:07 GMT > Prop your feet up on the bar here next to me Harv. So does this youngest > have a job? lol > Duckie Yes,,,,, she did have two classes she also worked in the library until here wrists gave out and had both of them in braces for awhile. Getting doctors degrees in England in English is not easy. So it goes. Harv
debbie m. - 17 May 2005 22:00 GMT ((((((((((Duckie))))))))))
I am also thinking of your Mom and hope her surgery goes well.
debbie m.
Nann Bell - 18 May 2005 12:53 GMT Oh, how frightening. Sounds like they tok good care of you though. I can easily believe that 50 mg of benadryl have done you in. I wouldn't have even been able to type out the saga for a couple of days after that much! Please be gentle with yourself and rest and let this stuff battle it out with your body. I still can't believe all you've done in recent months. I'm still trying to recover from one day of spring cleaning.
((((((((((Duckie))))))))))))
 Signature Nann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare
Squirrely - 18 May 2005 19:02 GMT Duckie,
Denise and I have you in our hearts, thoughts, and prayers. We are always talking about you, so if you have a ringing in your ear, that is what that is all about. ;-)
We hope this Rituxan does the trick. Hope you never ever have a problem like you did with this last dose.
We are also sending mega prayers for you and your mom. We hope it is a very good outcome.
 Signature Love and hugs to all Good thoughts coming your way too.
Squirrely Jo
> It has been one long day. The usual dose time turned from 5-6 to 10. Had a > reaction about half way in just after they did a bump increase to 2.10 [quoted text clipped - 36 lines] > Duckie who finds 50mg of benedryl a bit much > Reposted from Rheumorweb.com
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