Doctor insights on:
What Lab Work Is Needful Before Starting Remicade Injections
On remicade, (infliximab) lab tests show low pneumonia, diphtheria, and tetanus antibodies? Should I do anything or be concerned?
Observation: Remicade (infliximab) can have some immune suppressing properties and your physicians might have a lower threshold for treating infections. Let them know of any symptoms that might be due to infection so they can initiate antibiotic treatment appropriately. ...Read moreSee 1 more doctor answer
When is it time to start Humira or Remicade (infliximab) for RA. Been on MTX & plaquinil for 14 yrs, pred on & off. Labs slightly off, but pain & swelling intense.
Last labs showed high iron saturation at 55%, normal total iron, and normal iron binding capacity. Low wbc. Should I be concerned about these? Currently on plaquenil, sulfasalazine, and Remicade (infliximab) infusions for Lupus/RA.
How low?: It depends on how low the WBC is and whether this has been a persistent finding. You will need to find out the cause for the low WBC which may be the result of a drug reaction or just part of the Lupus/RA. The major risk is increased susceptibility to infections when the WBC is very low. Talk to your rheumatologist. ...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 moreSee 1 more doctor answer
Probably: You are at an increased risk of infection overall while on remicade (infliximab). Using a strict sterile technique and wearing a surgical mask as a doctor can decrease this risk substantially but it will not be 0. Talk to your pain physician about it. ...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
I'm in over 11 different medication including remicade (infliximab) and I'm trying everything to lose weight and nothing works. Can be the medication??
Usual medical food: Advice (LFHC) drives fat storage, not loss: Study: all links in my answer: https://www.healthtap.com/#user_questions/6795867, go LCHF, weigh daily, 1st thing after arising & toilet, nothing on, with scale resolving to 0.1 lb & record daily. Immediately after weight. Mentally review what & how much was eaten the previous day; you are seeing the result, day by day, to learn what works vs. does not. ...Read moreSee 1 more doctor answer
If a child on methotrexate and remicade (infliximab) gets an abcescss/MRSA do they need to be admitted or in some cases will oral antibiotics work?
Depends. : Depends on the examining doctor who is taking care of his medications. As u may have been explained Remicade (infliximab) may allow infections to become life threatening. If IV antibiotics are contemplated they can be administered at home with an indwelling peripheral vein catheter and nurse home visits. Sometimes just drainage of abscess is all that may be required. Close follow up is key. ...Read more
Type 1 blood sugar, how high does it go, before I can't get my remicade (infliximab) injection? Patient has been drinking a lot of water, eat small beef stick to bring it down, her suger level.
If : If you have type 1 diabetes, why not take a dose of fast acting insulin? Humalog, apidra, (insulin glulisine) and NovoLog work within 15 minutes to start lowering the sugar. I do not know of any clear glucose level at which you could not get remicade. Makes little sense why there would be since glucose can vary with Insulin and over hours. Your rheumatologist may not be comfortable dosing your Remicade though if your sugar is high. Contrary to popular belief, drinking water will not lower your sugar. And beef sticks sure don't. ...Read more
How long does it take remicade (infliximab) to work on scleritis. I been on prednisone 20mg since jan.When I go to 15mg eye flares up. Will i ever get off steroid?
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
For what: Remicade (infliximab) is good therapy. Plus is that it is givne in hte office andthen you don't have to self inject another TNF inhibitor. Is thsi for Rheuamtoid Arthritis, Crohn's disease, psoriasis There are many things it cna be used for. The risks are side effects like infection, infusion reaction, etc. You need to discuss with your physician. ...Read more
Switch.: Remicade (infliximab) blocks the tnf-a receptor. Drugs like Humira an Enbrel are antibodies to tnf-a. I recommend switching to one of these (I favour humira), since they work differently. Humira is the only one of the 3 that is fully human. ...Read more
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 moreSee 1 more doctor answer
Usually not: Patients do not go into Remicade (infliximab) withdrawal. However, if a dose is missed the patient could flare. It depends on the severity and type of disease the Remicade (infliximab) is being used to treat. ...Read more
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