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Medical Forum / Diseases and Disorders / Lupus / March 2007

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Cytoxan

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kodama - 26 Mar 2007 17:12 GMT
Hi,

Has anyone in this group been on Cytoxan.  I think I'll be starting it
soon since I can't get my insurance to pay for the rhutuxamab
treatment.  I'd just like to hear about other people's exeperiences
with it, good, bad or indifferent,

Thanks!

Jeanne
George Parton - 27 Mar 2007 06:46 GMT
> Hi,
>
[quoted text clipped - 6 lines]
>
> Jeanne

Please check out the side effects.  My Rheumy told me some stats that
are scary.

http://www.rxlist.com/cgi/generic/cyclophosphamide_ad.htm

Good luck,
George
Steveo - 27 Mar 2007 22:01 GMT
I was on Cytoxin for about a month when I was first diagnosed.  It
would appear that I was allergic to it.  I got a fever that went from
104 to 94 every 12 hours.  I was promptly taken off of it (While in
the Hospitol for the fever) and was put on Cellcept.  Seems to be a
little nicer on the system.  One side affect for me from the cytoxin
was that it made me sterile, being 30yrs old with only one child, this
is a little devistating, I wanted more kids.  I have had the Rutuximab
treatments and it is a pain to get passed but you can do it if you
appeal it enough times.  search google for "peer review papers" on the
use of Ruxtimab or rutxan with Lupus and you can even call the company
that that makes rutuxan and they can provide you a wealth of
information to send with your appeal.  I will add that all my joint
pain disappeared with in 12hrs of my first dose, still gone 6months
later.  I have two more treatments this month and I had to go through
the whole thing again to get United Health Care to pay for it.  You
can get it done if you do enough work.

As for the Cytoxin......... it is rough on the body and it has a lot
of side affects.  Do as much research as you can on it and make an
informed decision before you take it.  Also if you have not had
Cellcept reseach it as well, it is a little milder on the body and
recent studies show it to be as good Cytoxin for use with Lupus.  I
hope this helps, and good luck.

Steve
kodama - 29 Mar 2007 00:45 GMT
Hi George and Steve,

Thanks for the comments.

I have tried Cellcept I've been on it for about five years or more.
My doctor and I have been trying to get the Rutuximab treatment for 8
months now.  It was a bit of a surprise to me that you got United
Health Care to pay for it.  We have been battling them since August
and it ended the end of January with no resolution.  Of course UHC has
many plans and ours was a self-funded one that they administered so
maybe that was a factor.  We had nothing but problems.  Even though
the appeal is supposed to be peer-reviewed, the doctor that made the
decision in my case was a pain management doctor not a
rhuematologist.  When my doctor complained it was ignored.  We went
through three appeals and were on the last appeal allowed which was
directly to the company my husband works for.  Then my husband changed
jobs.  I'm sure if we wait long enough we can get the treatment
approved.

But the problem is that I have been on a large dose of prednisone for
over a year now because of pericarditis and in the last month I've
become diabetic.  So my doctor feels we no longer have the luxury of
time.  I have  called the company that makes it and they do have some
sort of program if you are denied but it is financially based and we
don't qualify.

So the only thing left is the Cytoxin.  I have researched it and find
it depressing (especially when I know there is a better option out
there for me) but feel I really have no options left.  I can find a
lot of information about the drug but not so much about people's
personal exeperience with it, if you know what I mean.  So I very much
appreciate your comments.

Thanks

Jeanne
George Parton - 29 Mar 2007 02:28 GMT
> Hi George and Steve,
>
[quoted text clipped - 32 lines]
>
> Jeanne

Hi Jeanne,
I am always hesitant to quote actual data that I have heard because my
brain cells don't store as well as they used to.  However I do have a
wonderful capable wife whom I have consulted on this matter as she was
present during the discussion of Cytoxin. She verifies that our Rhuemy
Dr. says the odds are 1 in 4 to suffer serious irreversible side effects
 from Cytoxin. Enough to scare me off.

I receive my medical care through the VAMC, Phoenix. Contrary to what
one may have heard we get the best treatment available and there are no
holdbacks because of expense or insurance snafus. Because of this they
will offer the latest and greatest chemicals available with no
hesitation so the patient sorta has to think things out on their own. So
after going through 12 treatments of Retuxin my Rhuemy has pointed out
the dangers that are showing up from that treatment now. No thanks on
more Retuxin for me. I guess it boils down to the fact that chemicals
are dangerous!

I am truly sorry about your pericarditis and diabetes. As if the Lupus
isn't enough. I really hope you can get the care and support you need.
May God bless you as you carry on.
George
kodama - 29 Mar 2007 17:53 GMT
Hi George,

First of all I want to say how happy I am to hear you have a wonderful
capable wife. : )  Makes all the difference doesn't it?

And second, thanks for the statistic on Cytoxin and the kind words.
It really means a lot to me.

Jeanne
 
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