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Doctor insights on: Access One For Remicade

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On remicade (infliximab) for uc. Max dose every 5 weeks.Disease flareup after 3 weeks since infusion.Gi advises switch over to humira. Any recommendations?

On remicade (infliximab) for uc. Max dose every 5 weeks.Disease flareup after 3 weeks since infusion.Gi advises switch over to humira. Any recommendations?

Reasonable: Switching to another tnf agent may lead to better disease control so it is worth a try. It is not, however, certain that the switch will provide additional benefit. ...Read more

Dr. Jeremy Adler
128 doctors shared insights

Infliximab (Definition)

Infliximab is an ...Read more


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Psoriasis+psor. Arthritis..Methotrexate 15mg for 2 mos. Already+humira weekly..Dr say stelera no good for arthr...Says remicade (infliximab) or enbrel maybe..Ok?

Nod to others:: Humira is a tnfa antibody, and is similar to envbrel. Remicade (infliximab) is an antibody to the tnfa receptor, so it works differently. But i would have tried you on leflunomide, and oral drug, before starting biologics. ...Read more

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While searching for adjusting warfarin dose for my 62yo mom http://www.Warfarindosing.Org/ says genotyping 7 loci. Given the cost, recommended still?

While searching for adjusting warfarin dose for my 62yo mom http://www.Warfarindosing.Org/ says genotyping 7 loci. Given the cost, recommended still?

No: Not unless you're having a tough time becoming therapeutic on coumadin, (warfarin) this isn't required. Speak with your physician who really should be the one to make adjustments to Coumadin (warfarin) dose and checking the inr. ...Read more

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For medium-active Crohn's disease, is remicade (infliximab) better off as the first line of treatment than methotrexate? Azoran has been ruled out.

For medium-active Crohn's disease, is remicade (infliximab) better off as the first line of treatment than methotrexate? Azoran has been ruled out.

See details: Often the combination of both is the most effective therapy. Often Methotrexate is tried first because it is easier to administer, is much less expensive and can be effective as a single agent. However, for severe disease i would opt for Remicade (infliximab) either alone or in combination as the first choice. ...Read more

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Should we believe gastro who wants to put husband on chemo drug (mercup?) for life for crohns? No discussion of diet.

Should we believe gastro who wants to put husband on chemo drug (mercup?) for life for crohns? No discussion of diet.

Yes but: May be the right thing, but never hurts in any important decision to get a second opinion from another gastroenterologist or perhaps a colon and rectal surgeon who might have a slightly different perspective on the problem. Any good and confident physician should welcome and not be offended by you getting a second opinion. ...Read more

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Our two different radiologists disagree about Folfox vs. CapeOx for stage III-B CRC for a 30 year old female. We already know about both drugs and their doses, but we can't decide on which drug to use!

Our two different radiologists disagree about Folfox vs. CapeOx for stage III-B CRC for a 30 year old female. We already know about both drugs and their doses, but we can't decide on which drug to use!

Convenience, side fx: Capecitabine causes more diarrhea and can make hands and feet very sore, but you avoid the need for a pump at home which may allowore freedom. The efficacy is equivalent so it depends on what is more important to you. ...Read more

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What is your view of humira (adalimumab) as a treatment for hs. Antibiotics and cortisone injections had zero effect for me. Dermatologists?

What is your view of humira (adalimumab) as a treatment for hs. Antibiotics and cortisone injections had zero effect for me. Dermatologists?

See details: As a rule, tnf agents such as Humira are not very effective for small vessel vasculitis such as hs purpura. Imo, Rituxan (rituximab) would be a better choice for refractory disease. Humira is not an approved therapy for hs purpura. ...Read more

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Is the treatment different for Crohn's compared to uc? Initially diagnosed as uc, but may be crohn's. On remicade (infliximab) and sulfasalizine (3 mg /day).

Is the treatment different for Crohn's compared to uc? Initially diagnosed as uc, but may be crohn's.  On remicade (infliximab) and sulfasalizine (3 mg /day).

Not really: Both use the same medications. Uc has a higher risk of colon cancer down the road and can be helped with surgery where crohn's cannot. (also look into chinese medicine and acupuncture as adjunctive therapies. ). ...Read more

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Methotrexate injections and pills didn't work for scleritis and was wondering if remicade (infliximab) is good medicine for the scletitis?

Methotrexate injections and pills didn't work for scleritis and was wondering if remicade (infliximab) is good medicine for the scletitis?

Resistant scleritis: Initial therapy always requires systemic nsaids, glucocorticoids, or other immunosuppressives (rituximab & cyclophosphamide). Cyclosporine & mycophenolate may also work. Azathioprine or mtx may be most beneficial for maintenance. Tnf Alpha inhibitors (eg infliximab) may be effective in resistant disease. Scleritis should ideally be managed by ophthalmologist+rheumatologist experts. ...Read more

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How to maintain health for a patient who had acute leukemia before, diagnos on september2012, went for chemotherapy for 4 times, finish at march 2013.

How to maintain health for a patient who had acute leukemia before, diagnos on september2012, went for chemotherapy for 4 times, finish at march 2013.

Healthy Lifestyle: A healthy lifestyle is the best course to follow. This includes daily exercise(walking is the best but any physical activity for a minimum of 30 minutes...More is even better) and healthful diet. A healthy diet is low in fat (no animal fats, if possible) and is predominantly plant based diet with ample amount veggies and fruits with each meal. You should have ample proteins in yur diet(fish/nuts). ...Read more

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Taking enbrel (etanercept) for ra. What is your view of being off it for two weeks prior to shingles vaccine and off two more weeks after?

Taking enbrel (etanercept) for ra.  What is your view of being off it for two weeks prior to shingles vaccine and off two more weeks after?

Wait longer: Because the shingles vaccine is a attenuated virus, i would recommend staying off of your Enbrel (etanercept) the week that you get your vaccine; and, for six weeks thereafter. The six weeks allows your immune system to develop igg antibodies to the virus, the most effectivbe antibody. I recommend getting no more than 15 mg of Prednisone during the time you are off your enbrel (etanercept). ...Read more

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My mom age 50 has swelling and pain in both the foot for more than a month,her ESR is140,crp is 47,hb 8.3,cough for more than 2 months wt should we do?

My mom age 50 has swelling and pain in both the foot for more than a month,her ESR is140,crp is 47,hb 8.3,cough for more than 2 months wt should we do?

See doc: Not enough info to answer that responsibly. What did the doctor who ordered the blood tests say? If you both are not happy with the information supplied, time to see someone else, a pulmonologist or a rheumatologist are both possible choices of specialists who may be able to help. Good luck. Let us know what you find out. ...Read more

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Child has JRA on 25mg enbrel (etanercept) for 4months had some improvement but not in remission should I talk to dr about changing meds?

Child has JRA on 25mg enbrel (etanercept)  for 4months  had some improvement but not in remission should I talk to dr about changing meds?

A Personal opinion: I was involved in phase 3 studies RE: efficacy IN ADULTS of "biological" TNF agents of which Enbrel (etanercept) was the first. Impression = that TNF agents subsequently approved by FDA were more effective in reaching goals. However, there are subtypes of JRA different vs adults so Rx data not comparable. There is FDA alternative "biological" to TNF Rx; see PEDIATRIC RHEUMATOLOGIST to review if option. ...Read more

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Is there a website with all the answers about the monthly premiums for low-cost obamacare insurance, for adults and for children?

Is there a website with all the answers about the monthly premiums for low-cost obamacare insurance, for adults and for children?

States have websites: The new law creates state or federal websites (called health insurance marketplaces or exchanges) where the uninsured can go to buy health insurance. California's is called covered california, and is where people can compare and select health insurance plans offered by private companies, and go to find out if they are eligible for financial aid to help afford insurance. Marketplaces open oct 2013. ...Read more

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Kidney transplant:transplanted since 16+years and on triple immuno supression till 15years .Stopped cyclosprine for fear of using for too long.Pls adv?

Kidney transplant:transplanted since 16+years and on triple immuno supression till 15years .Stopped cyclosprine for fear of using for too long.Pls adv?

See your doc: One should never simply stop taking a prescription medication without first discussing the risks and benefits of doing so with your doctor. This is especially true for a transplant patient and immunosuppression. Talk to your nephrologist if you want to change your medication regimen. ...Read more

Dr. Robert Lowe
138 doctors shared insights

Remicade (Definition)

Remicade ...Read more