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Sandy, when I was doing SubQ infusions they were successful. It controlled my CIDP and I tolerated the drug being given SubQ. I just decided to go back to IVIG because I was not having vein problems or side effects from the IVIG infusions and they were needed less often. But yes, SubQ is a good alternative if you can’t tolerate the IV infusions. You get smaller amounts of the IG more often so you probably will not have as many side effects. The one downside I did not like is I had to stick 3 to 4 tiny needles into my skin in order for the amount of IG needed to be able to be administered. The tiny needles are so small they hardly hurt (feel like a pin-prick) but I still did not like it. The IG is administered in between the skin and muscle layer (subcutaneous area) so you will have pouches of the liquid in the area you administered the IG until it absorbs. (It takes a while for your body to absorb the liquid). Also I have heard that some people have site reactions where you stick the needle. Redness, swelling and itching. I did not have this. I also heard that you might end up with hard nodules in the areas you stick the needles over a long period of time as scar tissue will form. Best thing I did like is I was in control of when I did the infusions and no nurse involved. I could do it very late at night while watching TV or bring my stuff and do it at work while sitting at my desk. I do advise moving to a 10% solution of IG as I stayed on the 5% solution and I just needed too much IG in one setting making my infusions take too long. Good luck!
I did SubQ infusions for one summer. I decided to go back to IV because it was less invasive on my time. I wanted to try SubQ because I wanted to be in control of when I got my infusions. But because I did not switch from my current Gammulux 5% to a 10% solution because I did not want to rock-the-boat. I don’t get any side effects from Gammulux and was afraid I would if switch to Hirzenza (sp??). So because I was on a 5% solution I had to give myself so much that it took almost as much time as my IV infusion but I was doing it twice a week now!!! So i felt like I was always getting an infusion. I did like the fact that I was in control… I did it one day at my workplace. But I did not like how often I had to get infusions. But I do hear that if you have problems with the high and low of IV infusions because the immunoglobin is given in a high dose and then depletes over the next few weeks. Well, with SubQ you keep a more consistent amount of the immunoglogib in your blood so not so much hign and low effects. Less side effects then too. But since I do not have problems with IVIG and my veins are good (so far) I went back to IVIG as I only need the infusion once every 5 weeks instead of twice weekly. But I will go back to SubQ if ever start to have problems with IV infusions. They were not hard to do once I was trained. No nurse required after training period. Good Luck.
I get IVIG every 5 weeks now. I was at every 4 weeks for a long time and recently decided to try and push it out to 5 weeks. so far, so good. I have been at the 5 week maintenance dose for about 4 infusions and no problems in between treatment. My hopes are to try to push to 6 weeks in about 6 months to see what happens. I too tried prednisone for my first line of treatment. I was miserable and hated the side effects. I insisted I be taken off the crap and that was when I tried IVIG (6 years ago) and have been on IVIG ever since. I don’t have any symptoms of my CIDP as long as I stay on the IVIG. I go experience very mild symptoms from time-to-time, mostly related to stress. When i get stressed my buzzing feeling in my neck returns, my feet tingle and wobbly knees. But once my stress evens out the symptoms also go away.
Hi Jeff, this is Chirpybirdy. Yes, I did try prednisone as my first line of treatment while I was waiting to get approved for the IVIG. I hated it!!! I was in Florida on my vacation and the side effects were driving me crazy. I was agitated and short tempered. I also could not sleep a wink, would be up all night long. I remember calling my neurologist and telling her that I stopped all the pred. I could not take it. So she got me approved for my first infusion right after I got back from my vacation. I have been on IVIG as the only treatment for 5 years now. I have been lucky and don’t have any pain in my legs or feet so I do not need any pain medication. So far I have continued to respond really well to the IVIG. I have just pushed my monthly infusions out from every 4 weeks to every 5 weeks now and am not experiencing any problems. I hope to be able to push them out even further but am also afraid to try as I don’t want to start having problems. I am also nervous. I have been seeing a CIDP specialist at the U of MN now for many years. He just left the U so I have to start seeing a new neurologist… not happy as I really liked my current neurologist. I have met his colleague and he seems nice so hopefully it will be a good transition. I also take hight levels of B12 and D3 vitamins since being diagnosed. Was told that they can help.
Hi Jeff, I also like you was lucky enough to be diagnosed with CIDP within 3 months of the first onset of symptoms. I started IVIG right away and have been on it now for 5 years. I am currently 52. I had some pain in the beginning and over time it has subsided. My neurologist said that it could have been the initial damage that was done to my nerves and it would take some time for the nerves to heal. Now, 5 years out I am able to push my IVIG infusions out to every 5 weeks and I don’t have any major symptoms from my CIDP as long as I get my infusion. Sometimes the tingling in my hands returns or I start to drop small items, calve cramps at night and fatigue in my legs happens close to my infusion date but once I get the infusion I am good to go again. I hope for you that once you start to receive regular IVIG your nerves will start to heal and you will start to feel like your old self. I have not changed anything at all in my life. I am a mom of a teenager, I work long 10 hour days, and I am very active on the weekends. I do notice a little bit more fatigue in my legs and have to take certain things slower such as biking but it could also be just age. So relax a bit and try not to stress too much (stress makes my symptoms worse) and let your body heal. You are lucky to have started treatment so early and probably have only minor damage to your nerves. Good luck and keep us updated as to how you do.
I have good insurance. I get my infusions in the comfort of my own home. Have the same nurse now for a few years so she is really good. Since i get them at home the bill is coded under in-home nursing care and I don’t pay anything. But I do know the infusions are very expensive without insurance. My old insurance company use to bill me for the Gammunex and everything associated with my infusion separately. The bill came up to around $10,000 or higher every month. I had to pay my out-of-pocket every year and then insurance kicked in for 100%.
I was put on steroids at first too and had the same problem. I felt like i was going crazy and could not sleep. I insisted I be taken off them and put on IVIG. It has been 5 years since I was diagnosed with CIDP and have been on 35 grams every 4-5 weeks of Gammunux and doing fantastic. I have hardly any symptoms of my CIDP as long as I get my infusion within the 4-5 weeks. I have not had any further damage to my nerves either. So I would talk to your neurologist about putting you on a maintenance dose of IVIG and see it that is better. I was so miserable on the Pred that I decided I would never go back on that stuff again. Good luck to you.
I wish you luck and praying for Ceejay to get the treatment he requires to get well.
I get my infusions at home too. When I was first diagnosed and started to get IVIG I went to an infusion center. That way they could monitor me closely since it was a new drug. But I have been getting IVIG now for about 5 years and love getting it at home instead of a depressing infusion center. My supplies and Gamunex come via UPS two days before my infusion date. I get everything set up (I call my kitchen my mini hospital on infusion days). The nurse arrives and takes over. It is quicker (no travel and checking in) and cleaner (less chance of getting infection from germs). Also so much nicer relaxing on MY couch in front of MY TV. I will keep getting infusions at home as long as my insurance continues to cover in-home infusions. I think they are the way to go if you do not have problems or reactions. Good luck.
I have this symptom too from time to time. It us usually in my neck. I tell my neurologist it feels like someone is holding a tuning fork vibrating on my neck. It is annoying!! It usually happens when I am close to the time when I need my next infusion so the IVIG must be wearing off. Nothing I can due but rub my neck to try to take the vibrations away or at least ease my tense muscles and take my mind off the vibrations.