Doctor insights on:
Remicade And Bleeding
Had 3rd remicade (infliximab) infusion last friday for left-sided uc. Colon is still bleeding. When would I know if remicade (infliximab) is working or not?
See below.: You have essentially received the loading doses of remicade (infliximab). It may take 2 to 3 more infusions to truly settle down the uc and then hopefully bleeding will be decreased and hopefully stopped. Dosage may need to be altered to obtain better results and that will be based on your response and tolerability to the medication. ...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
It has side effects: All medicines have side effects. You have to decide if the benefit you will get from it is worth the risk. The risks are well detailed in the package insert. We can't sugarcoat it but we carefully monitor and we try to avoid the side effects. I often recommend a short three month to six-month course to see if the benefit you get is worth the risk. ...Read more
Not much: You just sit in an infusion chair for 2 hours. It is really an uneventful infusion. With subsequent infusions, these is a risk of infusion reactions. ...Read more