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Hooray, hooray! We all look forward to your post telling us that you no longer have any need for a power chair and rarely use a walker. Keep on going!
Yes, when having a “relapse” of CIDP I sometimes have my fingers do that and it feels just like a cramp, pain and all.
Sounds like you have a nurse who doesn’t really know what he/she is doing. You should insist on a rate no higher than 60. It is a well known fact that the higher the rate the more likely there will be a reaction. It is your body and not the nurses or anyone elses. Stand your ground. Start at 30 and then go to 60 and stay there. I spent 9 years on IVIG every 3 weeks. Rate and percent solution are big deals. Take charge.
Wow, I guess I am really lucky. I see a neurologist, a nephrologist, a retinal surgeon, a general surgeon, a podiatrist. ALL of them listen to me. ALL of them lay out the options and let me pick. I have first choice on what happens to my body. One of them said: “I am just a plumber with really high-tech equipment”. Am I lucky or what!
Hi,
I guess the neuro would say it is ok because he/she believes it to be ok. Many of us get the shot annually and many of us don’t. I have had cidp for 14 years and have had the flu shot each year with no problem. Each of my neuros (4) have said I should get it. One bluntly said “flu will kill you but you already have CIDP which won’t kill you”. I found out the hard way a year ago what an infection will do to my cidp and I don’t want another one. I will get the flu shot again.
Hi Rene,
Amantadine, as far as I know, is used with GBS and some CIDP to combat fatigue. I don’t know of it being used for other symptoms. BUT, I am not an MD and make no claim to know all the treatments for CIDP.
It is my understanding that the “first line” treatment for CIDP is IVIG or plasmapheresis. I have had both for 14 years with great success as they keep me basically symptom free. If I try to get off of either one I get weak and can not lift and have great difficulty walking. I would not hesitate to give IVIG a try. For me it was miraculous and very simple. 3- 4 hours of infusion with maybe a little headache and I was on my way, hiking, running etc.
I hope the Amantadine does the job for you. If it doesn’t I really suggest strongly the IVIG.
Luck to you and good health.
Hi Lisa,
I think I know how you feel. I am not wild about new things. I had IVIG for 9 years and it worked well. Then like you I had a reaction that they labeled “anaphalactoid” and my two docs said they would sign no more orders for IVIG. They put me on plasmaexchange, tubes in neck and all. It has worked well but is very time consuming. 5 days every 4 weeks is a lot more than one IVIG every 3 weeks, plus I must now travel 3 hours round trip as opposed to 10 minute round trip for IVIG. After two years plasmaexchange I now have a fistula in my arm and it is a lot simpler and much safer than the neck catheters. I hope that your experience with pe is as good as mine.
Why hospitalized? I go into the dialysis unit as an out patient for my pe.
Hi Julie,
I received IVIG for 9 years. 1st year every 8 weeks, second year every 6 weeks, 3rd year every four weeks and then next 6 years every 3 weeks. This schedule kept me basically symptom free. I never had a fever associated with either the IVIG or CIDP.
Forget the insurance company. Of course they don’t want to pay. Find a good plaintiff’s lawyer.
My Neuro sent me to an immunologist to consider IVIG subcu. She does it all the time for PID patients and it is approved for them. It looked great as a way to get IG and greatly lower the risk of reaction. (I had a biggie and thus am no longer doing IVIG) BUT, Medicare would not approve subcu IVIG for CIDP. So, I did not get to be the trial but would really like to do it as the details I was given make it really look great compared to intravenous. Make a posting if you get to do it. I will probably go back to IVIG but I would really like to do the subcu pump. I forget the name of the company and the product but I understand it is a higher concentration than the usual IVIG of 5 or 10%.
Stacey,
It took about a year from first “real” signs of CIDP to treatment for me. Down hill all the way. I never thought about “accepting” or not. I just thought treatment would make me “ok”. It did. Fatigue always there but I was again able to hike and climb and run. Lucky me. I still respond well to treatment. But, if I don’t get treatment I am quickly unable to walk, etc. I guess I sort of take a “Polyanna” view that it surely could be a lot worse. I can think of a lot of things out there worse than CIDP. I don’t mean to say CIDP isn’t bad for it is. But I would rather have CIDP than lung cancer, heart disease, Lou Gehirg’s disease. Of course, I would prefer not to have CIDP or anything else. But, I am where I am and that is where I am and feeling sorry for myself just doesn’t get it done. HOWEVER, who knows, you and I might some day get better! It might go away! Mean while, we do the best we can.
When you reach the end of your rope, tie a knot and hang on.Stacey,
The goal for most of us on IVIG or Plasma exchange is to find a cycle of treatment that keeps us on the level. For example: I was doing IVIG every 4 weeks. Then I started getting weak in the 4th week. So, we tried a cycle of every 3 weeks and this kept me from getting weak. I am now on exchange (due to reaction) and we follow the same pattern. We experimented with the number of exchanges and the time between and finally found that 5 exchanges in each 4 week period keeps me basically symptom free.
I don’t know if this is the answer you are looking for but I do hope it helps. Don’t let your Dr. or yourself get you into a “yoyo” cycle.
Yes, I had the same experience. The solution was to reduce the time between ivig. I started at every 8 weeks, then reduced to every 6 weeks, then when I started to backslide, reduced to every 4 weeks and finally wound up after a couple of years at every 3 weeks which kept me running for years with no back sliding.
Julia
The Doc told me it was given in the stomach and uses a small “pump” similar to what some diabetics use who need insulin around the clock. It sounds great but I have a hard time imagining 340 ml pumped under the skin at the stomach.
Thanks to all of you for your input. If and when I learn some more I will post it.
I was seen by a physiatrist at the beginning of the diagnostic period for my neurological problem. The physiatrist ran the standard EMG tests and then referred me to a neurologist for diagnosis and treatment. What I know – which is very little – of the area covered by “physical medicine”, the area of expertise for a physiatrist, would not have a physiatrist treating neuropathies especially not one as seemingly complex as CIDP. The following is info I picked up from the Ohio State school of medicine:
“A Physiatrist is a medical doctor who has specialized in the area of Physical Medicine & Rehabilitation (PM&R). PM&R is the field of medicine that is primarily involved in improving the functional ability and quality of life of people with congenital or acquired disabilities. A Physiatrist not only manages the rehabilitation of people with strokes, spinal cord injuries, brain injuries and other severely disabling conditions, he/she also is involved in taking care of individuals with work injuries, sports injuries, amputations, or chronic pain.A Physiatrist also performs EMGs and nerve conduction studies to evaluate people for problems with their muscles and nerves. In addition to utilizing traditional medical treatments, Physiatrists work closely with other rehabilitation professionals such as physical therapists, occupational therapists, speech therapists, rehabilitation nurses, psychologists, and social workers to provide the most comprehensive, quality care possible. ”
I hope this is of some help.