Reply To: questions from recently diagnosed CIDP
Immunosuppresants generally take weeks to months to reach maximum effect. If you are declining rapidly, you need the five-day treatment of IvIg promptly. If you continue to decline, you may need more IvIg or even plasma exchange. I had two five-day regimens of IvIg, continued to decline, then had plasma exchange. By the time I received PE, I was already mostly paralyzed below the shoulders. If you are getting weaker at a noticeable rate daily, you need more aggressive treatment as soon as it can be arranged.