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Doctor insights on: Shingles Orencia Infusions

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Mult.Myeloma relapsed after treatment with velcade (bortezomib), (bortezomib) melphalan&dexamethasone. Melphalan stopped in dec, velcade (bortezomib) in april. Now takes carfilzomib& dexamethasone fever39.5. No infections.What causes fever?

Mult.Myeloma relapsed  after treatment with velcade (bortezomib), (bortezomib) melphalan&dexamethasone. Melphalan stopped in dec, velcade (bortezomib) in april. Now takes carfilzomib& dexamethasone fever39.5. No infections.What causes fever?

Fever could be side : Effects of the chemotherapeutic agents and steroids considering there's no blood infection. Tylenol (acetaminophen) should help control the fever. Follow up with your oncologist. God bless you! http://www.Livestrong.Com/article/36171-herbs-cancer/. ...Read more

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Infusion (Definition)

An infusion implies a substance administered via IV 2 a person, such as blood (transfusion), antibiotics and pain meds or other meds. Some can be ...Read more


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What is cimzia (certolizumab pegol) injections used for?

What is cimzia (certolizumab pegol) injections used for?

Cimzia (certolizumab pegol): Certolizumab, a biological drug, very expensive, used to treat some auto-immune diseases in selected cases ...Read more

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What medicine is better remicade (infliximab) infusions or humira?

What medicine is better remicade (infliximab) infusions or humira?

It depends: Medication is not working for everyone. Your doctor will decide which one is appropriated for your condition. It depends on your insurance formulary status, side effect , efficacy and drug-drug interaction with other medication, etc. ...Read more

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Is cytoxan (cyclophosphamide) used for lupus?

Is cytoxan (cyclophosphamide) used for lupus?

Yes: Cytoxan (cyclophosphamide) is used to treat some of the manifestations of lupus. Most commonly this can be involvement of organs such as the brain, kidneys etc. ...Read more

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Should methotrexate patients get shingles vaccine?

Should methotrexate patients get shingles vaccine?

Dose dependent: This judgement has to be made by the provider. Technically low dose Methotrexate is not considered a contraindication to receiving the shingles vaccine. But only your provider will have a full picture of your immune status. Shingles vaccine is a live vaccine and not given to those with significant immunosuppression. ...Read more

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On arava (leflunomide) 20mg, enbrel 50mg weekly, methotrexate 25mg. Any other rheumatologist prescribed this for psoriasis/psor. Arthitis?I'm worried about my liver.

On arava (leflunomide) 20mg, enbrel 50mg weekly, methotrexate 25mg. Any other rheumatologist prescribed this for psoriasis/psor. Arthitis?I'm worried about my liver.

Follow laboratory: You are correct that liver problems are risk with this regimen. Your physician needs to be certain that you are followed closely and correctly. Your own responsibility is to refrain from alcohol, and be certain no additional medicines you take do not worsen this risk. If you are concerned you need to discuss this with your physician. There are other therapy choices available. ...Read more

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Getting remicade (infliximab) infusions; what were your side effects?

Getting remicade (infliximab) infusions; what were your side effects?

Various: Remicade (infliximab) is an anti-tumor necrosis factor monoclonal antibody. It can interfer with the activity of rheumatoid arthritis and crohn's and help patients. It does suppress the immune protection of the body and there are a long list of side effects: the most common is infusion reactions and increased risk of infections. We monitor you for these and others. ...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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What are some injection site reactions using humira (adalimumab) for rheumatoid arthritis?

Varied: The most common is local pain or burning on injection. Some people do get a little black and blue mark and some get a little local hive reaction that may last for up to 24 hours. Anything more widespread or longer lasting may indicate an allergic reaction top the medication. ...Read more

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What is cimzia (certolizumab pegol) injection 2x200 mg used for?

What is cimzia (certolizumab pegol) injection 2x200 mg used for?

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 more

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What's more effective for pustular psoriasis, methotrexate or enbrel (etanercept)?

What's more effective for pustular psoriasis, methotrexate or enbrel (etanercept)?

Both: Both can be effective, personally i feel Enbrel (etanercept) is safer. There are other options. Talk it over with your dermatologist. ...Read more

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Does intravenous immunoglobulin (ivig) infusions benefit someone with IgG defiency?

Does intravenous immunoglobulin (ivig) infusions benefit someone with IgG defiency?

Possibly: If you are deficient and symptomatic (recurrent infections), they can possibly help your body fight infections better. Just because you have an igg deficiency does not mean your are immune deficient, however. Many people with low numbers have normal function and really are asymptomatic. ...Read more

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Can flu vaccine be given while patient is taking revlimid (lenalidomide)?

Can flu vaccine be given while patient is taking revlimid (lenalidomide)?

Only shot form flu: Patients on Revlimid (lenalidomide) cannot receive the nasal spray form of flu vaccine because this is a "live" attenuated form of the flu. They can receive the shot form of flu vaccine because it contains only a particle of the actual flu virus and cannot, therefore, give them the illness. They would be wise, in fact, to get the flu shot since influenza can make them very, very sick. ...Read more

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Methotrexate vs humira (adalimumab), rheumatoid arthritis question?

MTX vs Humira (adalimumab): These drugs fight RA in completely different fashions. Mtx is the consensus first round choice of drugs to treat ra, both by the acr and eular (european version). Most, if not all, insurances require treatment failure with mtx before you start humira, (adalimumab) a much more expensive drug. In most cases, even if Humira (adalimumab) is started, patients will remain on mtx. ...Read more

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Cimzia (certolizumab pegol) 200 ? Uguale a humira?

Similar medications: Cimzia (certolizumab pegol) and Humira both work by blocking tnf alpha. They are similar medications but not the same. They should not be used together. They both increase the risk of infection. They both increase the risk from tuberculosis. ...Read more

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What tests (beside TB test) and vaccinations are needed before starting first time remicade (infliximab) fusion for left-sided ulcerative colitis? Mmr vaccine?

What tests (beside TB test) and vaccinations are needed before starting first time remicade (infliximab) fusion for left-sided ulcerative colitis? Mmr vaccine?

Check hepatitis B: The risk of reactivation of tuberculosis and hepatitis b when taking Remicade (infliximab) obligates pre-treatment testing. Live vaccines can not be accepted while on the drug. Your doctor will no doubt be candid when discussing all the risks of "biologic treatment"--please discuss these with him before initiating this very efficacious and generally well-tolerated drug class. ...Read more

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Shingles (Herpes Zoster) (Definition)

A painful blistering skin rash caused by the chickenpox virus (varicella zoster), occurring in people who have had chicken pox some time in their past. ...Read more


Dr. Heidi Fowler
828 doctors shared insights

Herpes Zoster (Definition)

Shingles (herpes zoster) is a painful, blistering skin rash due to the varicella-zoster virus, the ...Read more