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Hi Lori:
Glad to hear your are doing well and that you are tolerating the rituxin. Today I just had my third bi-monthly rituxin infusion. Everything for me went well. I started my infusions in Dec 2011. I am still pretty active but my function with my hands has not improved and my energy level is still low. I asked the nurse today how much rituxin was going into me and she said 855 Mg. On an earlier post I commented on the amount of your treatment. I guess I must have been thinking grams and not miligrams. Best of Luck, DaveLori
The infusion rate starts at a reduced pace and then as you tolerate the Rituxan then they speed it up in increments. I reveiwed my billing and it had indicated 100mg of Rituxan and 50mg of Benadryl. I do believe they mix the Rituxan in solution so in total they give you more. 1000mg seems like a lot. In addition to web research you should try and review posts by Allaug and Norb. They have a lot of good info. They have discussed anti-Mag vs MGUS. There is a difference. It’s technical and confusing. I am an accountant and I believe researching neurology issues is like reading the tax code. It seems that the standard protocol is a loading dosage (for me once a week for 4 weeks) and then maintenance (for me that is – wait 5 months for the next infusion and then one every two months thereafter). So I had another infusion just last week. I would plan not to go to work. I have had only IVIG and the Rituxan. I was premedicated with claritin and tylenol. I had no headaches.
good luck again. DaveHi Lori:
I have CIDP (Lewis Summner Variant). I have Monoclonal Gammopathy (MGUS). Blood produces an excessive amount of the IgM anitbody. I have been through IVIG treatment (in 2010) with little change. The Nero ended treatment mostly all though 2011 except when I saw him in Oct 2011 and complained that I felt I was getting worst. He updated my NCS & EMG which indicated I was losing Axon. The oncology/Hematologist I then met with suggested Rituxan therapy. (He had already ruled out blood cancer). I had 4 infusions in Jan 2012 – one per week. The most significant thing I can tell you is that your body’s first reaction to or experience with Rituxan is key. The Dr told me if I didn’t react adversely to the medication right away I would be home free. However, my first infusion I had no problem during the 4 hour infusion, but when I got home I felt I had a reaction to the stuff. I got a fever and felt flu like symptoms and my skin was on fire. I called the Dr and he said “your ok”. I took some tylenlol and went to bed. Woke the next morning feeling ok. Now, the next 3 infusions went without a hitch – absolutely no negative reaction . The only reaction seemed to be with the Benedryl. Makes you feel pretty woosy. At this point I can not say it has done anything for me. What I have heard is that if it is going to help it may take 6 months. So I am being patient. I wish you great success. Dave
I hope this is helpful. Good luckHi bny806,
As I noted the other time I posted – I don’t post very often. But your symptom is very curious. I was diag’d 10 years ago with CIDP Lewis Summner variant. There have been many times that I have experienced the same sensation. Most always on my upper legs. Usually when its hot and I have exerted myself . Its a strange feeling but you describe it pretty well. For me its a kinda cold sharp prickly feeling. I never told my nero because I was afraid he would send me to a shrink. LOL
Two rounds of IVIG now on Rituxan.Hi Billt
Thanks for the welcome mat. Most of 2009 I saw Dr Shea at UCLA. He is a partner with Dr. Graves. I did not feel particularly good with Dr Shea. I know that they are good but they seem to focus more on teaching interns than treating patients. There is a Dr with Encino Nureo Group in the San Fernando Valley who I have heard is very good. I tried to see him but the staff would not let me because I had already seen another nureo in the group. I’m currently seeing a oncology/hematologist in Valencia Ca. who I think is great. He ordered Rituxan for me and in 2 weeks it was approved. If you need some specific info let me know.
Happy HolidaysI am 61 years old. Diagnosed with CIDP about 10 years ago. Have been suffering basically as silent as possible. I am an accountant and my ability to work is closing in on me. I have to admit that I have been reading info from this club for years and never posted. Certain long time members have had great smart things to say in this forum. I have benefited from and have appreciated all the great info. I like a lot of us have been thur many neuros, many NC studies, spinal tap, two sets of IVIG in 2002 & 2010 (not much help). I have monoclonal gammopathy (MGUS). I have also been diagnosed with Lewis Summner variant (from a UCLA Nero in 2009). One reason I have not posted before is that I have been able to function pretty well. I am sadden my those in the club who have suffered more than I. I will try to post more substantive info in the future but I just wanted to get started (probably the two glasses of wine). Next week I start an infusion of Rituxan. Will talk soon. Thanks