BryanF

Your Replies

  • May 6, 2017 at 12:26 pm

    LMayberry,

    Give this a try. Grifols is the parent company for Gamunex. They have an assistance program. Call (888) 694-2686 M-F 8a/8p EST

    Worth a try.

    Bryan

    May 5, 2017 at 11:09 pm

    I have no idea how much the above info holds true. But, in my case, I seem to respond to IVIG. My symptoms include sensory loss, but it turns into motor control issues shortly thereafter.

    Might explain why the prednisone doesn’t seem to work. But I am going to ask my neurologist about the 25% remission rate from steroids. I’d be willing to stay on prednisone, side effects and all for 3 more months if there is even the slightest chance of remission.

    May 5, 2017 at 4:53 pm

    Finished up the IVIg treatment today. The slower infusion rate definitely made a difference in terms of how I felt after each session.

    The faster rate I dealt with in early April, which was 2.5-3 hours, left me feeling drained and exhausted.

    With the 4-4.5 hour sessions, I felt perfectly fine at the end of the treatment.

    Now I’m hoping that I see some great results in terms of my symptoms by the end of next week : )

    May 5, 2017 at 4:48 pm

    Also, from an article I think linked by Jim, regarding prednisone.

    http://emedicine.medscape.com/article/1172965-medication#2

    “Oral corticosteroid that suppresses inflammation and immune responses by altering protein synthesis in cells. Naturally occurring hormone that crosses cell membranes to bind to cytoplasmic receptors. Some mechanisms of action in CIDP are altering mediator function at site of inflammation and suppressing immune response.
    Studies have shown that 6 months of pulsed dexamethasone or 8 months of daily prednisone can achieve long-term remission in over 25% of patients.”

    May 1, 2017 at 4:16 pm

    Thanks Jim for the link.

    May 1, 2017 at 4:15 pm

    So, still here at the “new” infusion center. Going on 4+ hours.

    Last place I was done in 2.5-3 hours. The nurse said slower is better and allows IVIg to be absorbed better. Said can’t believe they administered that fast.

    Thought I had read slower is better?

    April 28, 2017 at 5:21 pm

    Jim,

    I learn something every time you post. Thanks.

    As far as exertion goes. This month is the “busier” season where I work. I went in at 3am and left at 2:30 pm this afternoon.

    My IVIG treatment from April 2-7 finally started to kick in last week. If lifted the horrible feeling of fatigue and I regain a lot of stamina, but numbness and a bit of motor control issue still remain (hoping next week’s treatments work on these areas).

    But after almost 12 hours on my feet, the numbness in my hands, calf muscles, and feet have been dial up to an 8. Walking and gripping right now are horrible. Over doing it is a bad thing. The problem is balancing that with the need for money and insurance ; )

    I’ll probably hit the hay by 6:30 tonight and hope a good night’s sleep fixes things. Since the IVIG’s effects have kicked in, I do seem to recover quicker during the last week and a half.

    Now that my new doctor is going to give me a maintenance dose of IVIG every 4-5 weeks, it will be interesting see how the disease and recovery now progress.

    I can tell you that going without IVIG for 3 months definitely made me feel run down, fatigued, and of course the numbness and motor control issues came back with a vengeance.

    April 27, 2017 at 1:16 pm

    Buckeye,

    In the meantime, has the doctor given you anything else? Some people respond to prednisone and Jim linked to these possible treatments: “immunosuppressive drugs such as cyclophosphamide, cyclosporin, tacrolimus, mycophenolate mofetil, azathioprine and type 1 interferon (INF-1?) and IFN-beta can be used to limit corticosteroid and immunoglobulin use”

    This might help you in the meantime.

    April 27, 2017 at 10:40 am

    Hi Buckeye55

    I received my first IVIG treatment in early January when I was in rather sad shape. It helped immensely and I thought I was on my way to “full recovery”. My Dr at the time said prednisone would keep the CIDP at bay and no further IVIG were needed unless I had a drastic flair up.

    By late February I thought I was starting to feel rundown, but he insisted I was fine.

    By late March, I was extremely fatigued and started to have extreme weakness from the knees on down and had to pull out the cane again.

    Finally he sent me for another round of IVIG from April 2-7.

    It did lift the fatigue and rundown feeling and returned some strength, but….

    I haven’t returned to my early February peak.

    From the knees on down, I still feel semi numb and my feet hurt after a few hours at work. And I definitely have some minor motor control issues with walking. My knees feel weak and my right foot likes to catch in things causing me to stumble.

    Additionally, my arms are semi numb from the elbows through my fingers and my dexterity in my hands is like 20% off.

    I found a new doctor in the meantime. He is having me go through another 5 day round of IVIG next week and then a maintenance round every 5 weeks thereafter.

    He said I had regressed pretty far when I had my IVIg treatment in April, but he seemed confident that next week’s round and subsequent maintenance treatments should bring me back to 90% of my former self.

    I hope so. While I appreciate the increased strength and energy, the numbness and motor control issues make work an 8 hour ordeal.

    Good luck and I’d be on the phone with your insurance demanding to know why your health suffers because of a clerical mistake.

    April 13, 2017 at 2:31 pm

    One other thing. I thought I reacted proactively to most most recent decline. Yet, I would say I fell back to 30% of my normal self.

    It’s going to take weeks to get back to my peak of 75%.

    From now on, I’m going to react sooner. It’s just too much stress to have to deal with all the weakness and motor control issues over and over.

    So my new rule is the a week of 10% decline means take action.

    And at a certain point, the CIDP symptoms seem to acclerlate in severity at some point. I waited too long and as a result went quickly downhill.

    I hope that observation pushes people to reach out to their doctor sooner than later.

    April 13, 2017 at 2:23 pm

    Prednisone is a pretty much accepted first line treatment for CIPD.

    The problem I had is that it has failed twice for me and the side effects are mounting. My original doctor ignored its failures and the side effects, including high blood sugar and swollen ankles and feet

    The new neurologist had me tested for blood sugar, bone density and acknowledge prednisone doesn’t seem to be suppressing my immune system as it should.

    So over the next several months he wants to taper down the doses.

    I think I respond well to IVIg and look forward to seeing if 4-6 week treatments are the answer.

    All I know is that this last relapse set me back and I don’t want to repeat that cycle again

    As to results from last week’s infusions, today it feels like it finally kicked in! My legs feel a bit stronger and work is only semi-killing me :). So good 7 days to feel the effects….

    April 12, 2017 at 3:21 pm

    Buckeye55@

    Your symptoms sound pretty close to what how I felt at my worst. And I understand about work. I have to keep insurance, pay bills, but it exhausts me. I also understand about driving. I still have to concentrate extra when I drive.

    So first question. When was your first treatment with IVIg? Are you taking anything else like prednisone or another immune system suppressant?

    My first round of IVIg was on Jan 3 of this year. It helped a great deal and I peaked at about 75% of my old self. About March 1 I kept thinking to myself I’m slipping and last week I got another 5 day round of IVIg.—-Which let me say has wiped me out. I think I had let myself really regress and I’m recovering from a pretty deep hole.

    Which lead me to get a second opinion yesterday. The new Doc thinks part of my problem is the prednisone weakening some muscles and creating other issues which make me feel ill.

    The other thing he was genuinely upset with was the application of IVIg by the other doctor. He blames my current relapse on not having a maintenance regime of IVIg.

    For instance, he said I should have received a monthly round of infusions after my initial IVIg treatment in January as its effects only last so long.

    So as to your initial question, in January, after treatments with IVIg, I saw immediate and progressive improvement over a month. It wasn’t linear, but the trend was always positive. That lasted to about March 1st.

    After last week’s treatments, which ended Friday, I have been wiped out physically. My legs feel weak from the knees on down and feel like they are going to buckle at work. And lifting, is killing me.

    My new doctor said IVIg can have delayed effects. Give it until Friday, and if I still feel weak, call him on Monday and he will come up wth other options.

    I know this is long winded, but I just wanted to let you know that I understand your symptoms and hopefully my IVIg experiences are of use.

    Bryan

    April 5, 2017 at 11:41 am

    Sandra

    As Tom pointed out, CIDP affects each of us differently. It really depends upon how long you had it before it was caught and if it ate into the nerve proper.

    First, are you being treated with anything to suppress your immune system? For instance I’ve been on prednisone since December. There are other medicines as well. If you aren’t, you need to have a conversation with your Dr.

    In January I lost the ability to walk. IVIg was a miracle and I returned to near 75% of my former self by the end of that month.

    Unfornately, about two weeks ago I felt myself regressing.

    As I type, I’m getting an IVIg infusion. (I started on Monday and will finish Friday).

    I already feel stronger. So give it a chance as it depends on your starting point.

    I’m also seeking a second opinion this Tuesday. I do not think the prednisone is suppressing the immune system and its side effects are mounting, including painfully swollen feet and increased blood sugar.

    Also, I concur with Tom on a number of things. Recovery from CIDP is not linear. It is like a rollercoaster. Ups and downs and progress as a result seems slow.

    Also, if you exert yourself too much, I find I pay for it for days. Pace yourself. I know it is hard to do.

    I wish you the best of luck and feel free to ask any questions and please update us on your results.

    April 2, 2017 at 11:18 pm

    Thanks Jim,

    I’ll read the links during my treatment tomorrow. I ran into a doctor I had done work for in the past and when I related my CIDP story to her today, she offered to refer me to her colleague who is knowledgeable in CIDP. So, once set up, I’m going to see him for a second opinion and maybe some different treatment options.

    Sometimes life works in your favor!

    April 1, 2017 at 7:43 pm

    Here is the order for myself:

    1) Numbness in the fingertips (both hands but right hand worse) and then numbness in my left foot (right foot has zero problems).

    2) Problems walking up stairs and getting up from chair, bed etc

    3) Loss of strength in my hands (again right hand much worse than left)

    Funny how CIDP presents itself.

    Numbness in my fingertips is distributed evenly in both hands.

    But in my legs, my right calf hurts more and is weaker than my left. And, only my right ankle is weak. I have no such weakness in my left ankle.

    And yup, I’m taking the stairs one at time again up and down.