Doctor insights on:
I have Crohn's disease & take cimzia (certolizumab pegol) injectables. It isnt taking care of all my symptoms. Is there another class of drug I can add with the cimzia (certolizumab pegol)?
6MP , MTX: The medications that can be used with Cimzia (certolizumab pegol) most commonly include 6mp - azathiorine or Methotrexate (in addition to Mesalamine / steroids). Natalizumab is an other biologic that can be used in those where anti-tnfs (like cimzia) fail, but they are not used together. ...Read more
Cimzia (certolizumab pegol): Certolizumab, a biological drug, very expensive, used to treat some auto-immune diseases in selected cases ...Read more
Http://www.cimzia.com/: CIMZIA (certolizumab pegol) is a TNF-blocker used in adult patients to: 1) Lessen signs & symptoms of moderately to severely active Crohn’s disease; 2) Treat moderately to severely active rheumatoid arthritis; 3) Treat active psoriatic arthritis; 4) Treat active ankylosing spondylitis. For more info, see full prescribing information, as found at: http://www.cimzia.com/ ...Read moreSee 1 more doctor answer
Rule: A good rule of thumb is to avoid live vaccinations such the nasal flu vaccine while taking a biologic response modifier (cimzia, enbrel, etc.). The flu shot is not a live vaccine. Another good rule would be to try to have all vaccines up to date before starting a biologic drug. ...Read moreSee 1 more doctor answer
My wife takes 2 Cimzia injections Once a month for RA. her doctor just changed it to Actemra injection which is one injection Once a week. her last injection of cimzia was 18 days ago.should she wait 30 days before she takes her new injection or no?
I had well controlled GERD w/Dexilant and Zantac until 1 month ago. Wondering if my biologic change to loading doses of Cimzia might be the problem?
I have Crohn's disease. I'm on Methotrexate and Cimzia (certolizumab pegol). My CRP and Sed Rate are still high. Does that mean they are not working?
Much less so than...: Enbrel, humira, and remicade. Studies of women in great britain show that pegylated cimzia, (certolizumab pegol) with a much larger molecule, is a fraction of the others found in the cord blood of infants born to mothers on the other drugs! I do not know of published studies on breast milk, but i would think the same data would hold true! ...Read moreSee 1 more doctor answer
I have chrons disease, which hasn't gone into remission yet, taking 400mg of cymzia every 4 weeks, should I avoid taking vitamin C ? Everybody around me seems to be getting sick, just curious if vitamin C is bad for my intestines. From what i understand,
Vitamin C OK: There are no known interactions between vit. C and cymzia. Vitamin c is unlikely to irritate your intestines unless you take a very high amount. It is safe to take 1000 mg at a time a few times a day. Some people sensitive to the Ascorbic Acid form will do better with buffered vit. C. The best-absorbed form of c is lypsospheric c- see http://www.Livonlabs.Com also consider supplemental zinc. ...Read more
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more
So call your doc: This is the HT public information site.We are thousands of volunteer docs based primarily in the US who answer medical questions.We do not offer treatments. State medical boards require a physician/patient relationship,a retrievable record,recent exam with vital signs for prescribing.Failure to do so can lead to loss or restriction of license. It may seem minor to you but it is not. ...Read moreSee 1 more doctor answer
Sometimes: Sometimes they are. For the most part, expired drugs simply lose potency once past their expiration date. There are, however, some drugs that actually become harmful if taken after they expire. As such, it is best to throw out any medications you have after a year. ...Read more
ASPRIN: Actually no one has decided on 'safest'. Asprin has been around since before you were born and unless you take too much (yes, too much of anything isnt good) most people are okay with it. If the pain it too severe for asprin you need to know what causes it. Good diagnosis is called for. See the dr. ...Read more
Applies to skin: Topical just refers to how a medication is applied. In this case to the skin and is meant to treat local skin problems. Some meds are applied to the skin but are meant to be absorbed into the body in which case we use the term "transdermal" since it is meant to pass through the skin to affect the whole body. ...Read more