Doctor insights on:
Remicade Allergy In Children
Infliximab allergy: In the true since of the word, it is better to say infliximab reaction. The "allergic type" reactions can occur because a large amount of protein is being given IV in a short period. Patients may experience shortness of breath, itching, wheezing, and a rash. In rare cases patients may experience a decrease in blood pressure. Most rheumatologist give medications before given the infusion to help mitigate the side effects. ...Read more
Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more
Why do you need it: This really depends on the medical condition being treated. Remicade (infliximab) may have no symptoms. It can have side effects like infection and if you are on it you need careful monitoring. ...Read more
Probably Not: There is not many data supporting the safety of Remicade (infliximab) use during pregnancy. There are concerns about immunosupression and possibly congenital malformations of the baby. Fortunately some autoimmune diseases such as RA become less active during pregnancy and often do not require medications during pregnancy. Please discuss with your doctor. ...Read more
What is the most common side effect of remicade, (infliximab) and is cancer common while taking it?
Infection, allergy: Remicade (infliximab) increases infections, including sinus/respiratory infections and severe infections (fungus or tuberculosis.) Allergic reaction during infusion is a common side effect. It also increases risk for cancer, particularly lymphomas (3-4x increased risk). Head and neck cancers are increased in people with copd. Really ask your doctor about this so you can balance your risks and benefits. ...Read more
On remicade (infliximab) for crohn's, would chinese herbal immune boosting medicine, be contraindicated?
Yes: Because the purity and exact ingredients are unknown, I would urge that you do not take this supplement while on Remicade (infliximab) or similar meds. ...Read more
What are the chances of cancer when on remicade for Crohns disease? Does the risk increase the longer you take it?
Risk of CA:
Very small but not zero.
Yes the longer the better or the worse the risk. ...Read more
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
When is the patent run out on remicade (infliximab) @ $28, 000 for 6 infusions is obsene. Is there a way to get it pro-bono from the maker?
POSSIBLY YES: Centocor which makes Remicade (infliximab) does have an assistance program. Please see the Remicade (infliximab) website. Also, there are organizations such as patient advocate association which offer grants to patients that are in need of assitance. Talk with your rheumatologist's office. ...Read more
My child has JRA and failed merhotrexate alone, Enbrel and now highest remicade (infliximab) isn't controlling it anymore so what are orher possible meds?
Child on remicade (infliximab) and methotrexate what can I do to help her from getting sick when school starts back? Worried I can't keep her from sick kids
Several things: Make sure your immunizations are up to date. Wash your hands frequently with soap and water after touching people or school things. You can carry a small bottle of hand sanitizer when soap not convenient. Keep your hands away from your face, eyes and head. Be careful not to get near those with colds, coughing and sneezing. Let the school nurse about your arthritis and medications. ...Read more
I'm told I need to take remicade, (infliximab) im worried about what the most common side effect is and is cancer somthing I should be concerned about getting?
Possibly: Remicade (infliximab) increases infections, including sinus/respiratory infections and severe infections (fungus or tuberculosis.) allergic reaction during infusion is a common side effect. It also increases risk for cancer, particularly lymphomas (3-4x increased risk). Head and neck cancers are increased in people with copd. Really ask your doctor about this so you can balance your risks and benefits. ...Read more
How important is a colonoscopy within 5 years of previous one... I'm a Crohn's patient on remicade (infliximab) and I'm not flared up. Seems unnecessary and expensiv?
The risk for...: Colorectal cancer in chron's increases with duration of illness and starts to rise 8-10 years into the disease. Further, the extent of bowel affected is directly related to the risk for colorectal cancer. The highest risk is for those with the entire bowel affected and least with just rectal involvement. Not knowing your specifics details this is the best I can do. Best of luck to you! ...Read more
Is remicade (infliximab) chemo if given at high does like methotrexate is? Nurse said remicade (infliximab) is in chemo family but not chemo. Unsure what she meant please expla
My son (11 yo) has Crohn's and will probably go on remicade (infliximab). What dhould I watch out for if he does? Is an immunosuppresant recommended with remicade (infliximab)?
Yes: I would highly recommend concominant Remicade (infliximab) and an immunosuppresant such as 6mp or immuran. At one year, consideration to stop the 6mp should be made. I would just watch for signs of active infection. ...Read more
Flare of arthritis: If you stop your remicade, (infliximab) you will be at significant risk for a bad flare of your arthritis. You should only stop arthritis medication on the explicit advice of your rheumatologist. Sometimes in the case of an active infection or prior to surgery you may need to stop your Remicade (infliximab) for a short while but this should only be done after discussing with your rheumatologist. ...Read more
Equal to other a-TNF: Overall, all a-tnf drugs are equal, but for some patients, one may work better than another, and for some conditions, such as uveitis, Remicade (infliximab) may work better, Remicade (infliximab) helps about 75% of patients, and has the advantage of being able to vary the dose, if a higher dose or more frequent dose is needed. Higher doses do have a higher infection risk. ...Read more