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Thread: Anyone using rituxin as maintenance?

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  1. #1
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    I have lung involvement-- specifically, alveolar hemorrhage-- which has been refractory to a number of treatments through the years. I've been on rtx for 5 years, which is the first drug to have gotten the Wegs under control.

    For the first 3 years we did 4 infusions in a month, 6-12 months apart. It was brutal for me, as I have an uncommon bad reaction to rtx (each infusion causes extreme weakness lasting about a week, and the adverse effects of each weekly infusion were cumulative. A month of treatment took me 6-9 weeks to recover). The once-a-year treatment only kept the Wegs in check for about 7 months. Between the long recovery time and the 5 months of poor disease control, I had only a few weeks a year that were halfway decent.

    Last year we started following a new maintenance protocol whereby I get one infusion at half-dose every 4 months. (The protocol is actually every 6 months but that was too long for me between treatments.) The Wegs specialists are all using this protocol for people who have severe involvement and require something more powerful to stay in remission than mtx or imuran.

    So far so good. The single infusion only knocks me down for a few days.

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    Quote Originally Posted by Sangye View Post
    I have lung involvement-- specifically, alveolar hemorrhage-- which has been refractory to a number of treatments through the years. I've been on rtx for 5 years, which is the first drug to have gotten the Wegs under control.

    For the first 3 years we did 4 infusions in a month, 6-12 months apart. It was brutal for me, as I have an uncommon bad reaction to rtx (each infusion causes extreme weakness lasting about a week, and the adverse effects of each weekly infusion were cumulative. A month of treatment took me 6-9 weeks to recover). The once-a-year treatment only kept the Wegs in check for about 7 months. Between the long recovery time and the 5 months of poor disease control, I had only a few weeks a year that were halfway decent.

    Last year we started following a new maintenance protocol whereby I get one infusion at half-dose every 4 months. (The protocol is actually every 6 months but that was too long for me between treatments.) The Wegs specialists are all using this protocol for people who have severe involvement and require something more powerful to stay in remission than mtx or imuran.

    So far so good. The single infusion only knocks me down for a few days.
    That is great to finally find some thing to help shorten your down time. Hope things are going better for you these days.
    Knowledge is power! Wisdom is using it to make good decisions!

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    Well after six good years...I relapse ! I was on 2000MG of Cellcept and between 1MG-5MG of Prednisone for almost 3 years, the last 2 years 1mg of pred. Last month I spent 2 weeks in Europe and wallah the occasional joint pains I started having 4 months ago and in greater frequency was the sign when on August 8th, I had occult blood in the urine +1 and today had blood in my sputum.

    Well now today September 22nd I have to submit an approval from my insurance carrier for RTX infusion starting in October. While I wait, my doc increased my pred to 20MG and my cellcept to 3000MG but he is concerned since my CRP, ANCA and SED rate all went up.

    I guess if my face will swell...at least Halloween is around the corner so don't be surprised if you see my face painted orange!

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    Aww Richard, I'm so sorry. You've had a really good run of it for 6 years and I'm glad for that. I hope the rtx sings the Wegs dog a lullaby that gets him back to sleep easily.

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    It is great to have had that long remission but it also confirms the need for on going monitoring since who knows when the wicked Granny will awake again and harass one further. Best wishes for a quick return to state of remission.

    Curious as to why the need for a wait for the RTX. I would probably want to start tomorrow or some time this week, why not?
    Knowledge is power! Wisdom is using it to make good decisions!

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    6 years is a nice long time remission--hearing your experience definitely gives me hope!

    I'm so sorry that you're experiencing a relapse. Fingers crossed that RTX quickly sends you back into remission (and on to lower doses of pred!).
    "Drink your tea slowly and reverently, as if it is the axis on which the whole earth revolves—slowly, evenly, without rushing toward the future. Live the actual moment. Only this actual moment is life." -Thich Nhat Hanh

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    We'll today my numbers started going down in fact no more blood...insurance is wanting more lab with increased cell crept to see if I go back in remission. Weird huh! Right I am scheduled to start Oct 6.
    Quote Originally Posted by drz View Post
    It is great to have had that long remission but it also confirms the need for on going monitoring since who knows when the wicked Granny will awake again and harass one further. Best wishes for a quick return to state of remission.

    Curious as to why the need for a wait for the RTX. I would probably want to start tomorrow or some time this week, why not?

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    Richard that's a good thing, another set of labs will be essential. Best wishes to you and what ever tx that it will take, to make the dog sleep again.
    Jana


    Do not fear anything, just do it afraid!
    It does not matter how slowly you go, as long as you do not stop!


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    I will keep you informed I believe my infusion will start October 6....
    Quote Originally Posted by Sangye View Post
    Aww Richard, I'm so sorry. You've had a really good run of it for 6 years and I'm glad for that. I hope the rtx sings the Wegs dog a lullaby that gets him back to sleep easily.

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    Happy Halloween Richard...I guess. Sorry you've relapsed, but you know the procedure. Best to you on this round!
    Knowing how to think empowers you far beyond those who only know what to think. -NdT


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