shellbones

Your Replies

  • February 10, 2012 at 1:13 pm

    Hi there! I have been thinking about you often during the forum blackout period! I had such a similar experience- The challenge with cidp is it is literally like trying to shoot a moving target- only when the inflammation/ demylenation is blocked can your nerves start to heal and many things affect the balance of healing/ damage. I myself am recovering from a cold and my usual 10 day interval of ivig does not seem to be relieving my symptoms as much as usual. I was told by Dr Dyck at the Mayo that getting things under control and relapse free is essential before backing off of dose of ivig- I was on weekly ivig for about one year and then added an immunosupressant ( Azothioprene or Imuran in my case) to try to allow for extending interval between IVIG. So far it has worked but I definitely have times when I am stronger and less paresthesias/ fasciculations. I would advise you see if you can get a more frequent IVIG if you can swing it as you are still not stabilized. My neurologist has always taken the approach of getting me to normal or as near normal function as possible – your current symptom burden is really not an acceptable outcome esp when you are not on optimal treatment yet. Good luck and hope you are feeling better soon!!

    January 6, 2012 at 7:59 am

    I am so glad you are moving forward to regain your health and function again! Your experience is so similar to mine! In terms of IVIG I receive 20 grams every 10 days but dose is usually based on weight with 0.4 grams/kilogram of body weight being fairly standard ( to convert weight from lbs to kg just divide weight in lbs by 2.2) – the frequency is very variable and this is where the art of treatment comes in. My local neurologist as well as the mayo clinic favored more frequent treatment to promote healing and when feeling as good as possible to try to back off then but must be balanced with ability to tolerate treatment schedule. My advice is try 3 week schedule but would push for more frequent treatment if you are not consistently improving. You are young and now is the best time to be aggressive to prevent permanent damage. Just remember to keep rate low and slow during infusion and pre meds may help. When is your next treatment?

    January 6, 2012 at 7:51 am

    I am sorry to hear of your troubles! I had been on once weekly ivig for abut one year, and due to continued relapses started Imuran daily – I have been able to go to every 10 day IVIG but not past that. I share your feelings about being so dependent but the flip side is that it is helping to control my symptoms and I am grateful for that. I tried cellcept , but was unable to tolerate due to side effects. Hope you feel better soon.

    January 3, 2012 at 6:33 pm

    I also have increased paresthesias with exercise. In my experience, they calm down after I rest and sometimes this takes longer than others. I also do not know if it is harmful nor do I have an explanation other than exercise increases “demand” on the nerves so that may account for flare of symptoms that are less when less demand on nerves. I have been encouraged to stay as active as possible. My problem is with too much activity, I actually get weakness, muscle spasms and twitching .

    December 26, 2011 at 11:38 am

    I am glad you are home! Rest up and hope you get answers soon!

    December 22, 2011 at 7:35 am

    Thank you so much for posting your detailed experience- I actually go for infusion today with the usual mixed feeling of happy to get some energy and strength back mixed with dread of headache/ joint pains/ chills/ nausea and fatigue that I will suffer all day. I too have a port. I am petite 5 feet tall and 105 lbs so I worry about where I will put the fluid – I currently receive about 20 grams per week in 200 ccs of fluid in the form of Gammunex. I will definitely revisit this with my neurologist as I think it would be a quality of life improvement and I understand it is cheaper for insurance so I do not think that that would be an issue. Thanks again! Off to IVIG….

    December 21, 2011 at 6:30 pm

    Wow – that sounds great! I am rather new to posting to the forum although I have been dx with CIDP for 3 years. I am currently on every 10 day IVIG infusions and have the same side effects that you have. I feel like I am tethered to the infusion center and definitely feel best the few days after my infusion with a slow decline until my next infusion. My concern with SQ infusion is skin issues but is sounds as if you are tolerating it well and you are spending about 2.5 per week infusing is that right? does it matter which days of the week you are doing it or is there some flexibility ? For example, if you have plans on a sq infusion day/night can you easily move to the next day? can you do 2 days in a row or is this difficult for skin? How often do you have to rotate sites? sorry for the barrage of questions! This is so appealing and so far my local neurologist and the Mayo have not recommended it. Thanks so much for letting us know how you are doing and putting up with my questions!

    December 21, 2011 at 6:17 pm

    So glad today finds you feeling better- hang in there . Dont know mechanism for why in persons with migraine are more prone to headache/ meningitis side effect of ivig but it is well reported and my neurologist here at home ( Rochester NY ) and at the mayo clinic have also told me this. I am thinking of you and hoping for healing and getting out of the hospital for x mas –

    December 20, 2011 at 6:42 pm

    Hi Bny806- I hope that when you read this you will be feeling better- I am sorry to hear about your troubles but agree wholeheartedly with replies to your most recent post. I to had clinical aseptic meningitis ( they did not repeat the LP) and am able to receive IVIG safely every week to 10 days. I also agree with waiting until your studies are all in . Do you by any chance suffer from migraine headaches? If so, your risk of headaches with IVIG is much higher and slow rate is more important. Persons with migraine can also have small lesions on MRI. I hope you feel better and get the answers you need to move on to an effective and tolerable treatment!

    December 19, 2011 at 8:42 am

    Hello there- glad you are seeing some improvement with IVIG – I cannot go above a rate of 60 max for my infusions- also learned by trial and error- I as you know also had normal testing but clear response to ivig- if you do respond to immune modulation ( with ivig) it helps them know that you have an autoimmune polyneuropathy of some sort even if they cannot specifically characterize it – I did not get more definitive dx until I had the nerve root studies since my area of demylenation and conduction block was so high up in the peripheral nerve ( at the nerve root )- I also had the numbness and tingling . If you respond to the loading dose as I did I improved for 7 -8 weeks was about 80% recovered before I relapsed again after which they switched me from dx GBS to possible CIDP. It sounds as if you have a good team in place and you have a great attitude- Keep us posted and here to help!

    December 18, 2011 at 3:37 pm

    I am so glad you are getting help! Sorry that you had to get worse though- Same thing happened to me- I started loading dose as well and I got weaker until second or third loading dose then things started to turn around quick. How are you tolerating the IVIG? Slow rate helps alot if you are having side effects. Wishing you a speedy recovery

    December 16, 2011 at 5:27 pm

    Thanks for your reply- good luck and dont forget that you are the only one who can know what your own body feels like so don’t be afraid to trust your instincts and advocate for yourself- Nobody can do it better than you . Keeping a symptom diary can help too with possible triggers and things that make you feel worse or better- keep us posted and wishing you the best

    December 15, 2011 at 1:58 pm

    I am so sorry for your suffering- if you are declining and getting worse I would get on the phone to see if they want to do a trial of ivig – It will not change results of biopsy or other tests so should not affect your diagnositic process-when I was first hosptalized it was friday pm on a holiday weekend but I got the treatment I needed. I am very concerned about your shortness of breath and chest symptoms and would get those checked out for sure- I would think that that alone might merit a visit to the doctor or emergency room to rule out pneumonia, pleurisy ( which can be autoimmune) or respiratory muscle weakness from neurologic cause- these can all be treated but if untreated can lead to a real emergency- do you have good support at home with family members and or friends?

    December 14, 2011 at 2:56 pm

    So glad they got your biopsy moved up! In answer to your question, the rhematologist feels I have Lupus or Mixed connective tissue disease or some overlap of the two. You have a great and positive attitude which will take you far as you go forward! With autoimmune disease everyone is unique so not uncommon to be “atypical” ( I prefer special !” ) –

    December 13, 2011 at 1:20 pm

    Ah the plot thickens! When I was first diagnosed with CIDP my ANA was negative although I had other autoimmune issues. Now my ANA is highly positive 1:2000 range. I also have raynauds and some joint pains, fatigue, etc. Lupus ( one cause of many that can cause positive ANA) can cause a peripheral neuropathy in itself or it can be simply an associated condition. People that get autoimmune stuff are at higher risk of getting other autoimmune stuff. There are other more specific antibody tests they can run to help sort things out. If you have not yet seen a rheumatologist , I recommend you do so. It is good to coordinate care. I know how scary all of this is especially as you are working toward a diagnosis just keep in mind that autoimmune conditions including CIDP are considered treatable and most patients are living their lives and doing well.