sr5599 said...
I was still terribly sick a week after my third infusion (2 month, 1 week). I went to my old GI (prescribing doc was on vacation) and begged for help. He gave me budesonide suppsotories (as he has in the past) and Xifaxan. Within one week I was stable to really good, depending upon the day. Before those two meds, I had fevers, pain, bleeding, night sweats and 15-26 bathroom trips per day. The biggest difference I noticed was a slight (slight) drop in pain and the vomiting I had been experiencing prior to Tysabri was lessened.
So, I have to wonder in myself -- is it the Tysabri? Did it just suddenly and coincidentally kick in? Or, was it the budesonide and Xifaxan??? I know it could be an additive effect, but I have to figure out. So, my plan is to take a short break to see if I get worse when I stop the Tysabri, but stay on the suppositories and Xifaxan.
I am a single mom to a 10 (almost 11!) year old girl. That factors greatly with regard to the PML. It terrifies me that I am risking something so great when I need to be around for the most confusing years of my daughter's life. I cannot stand that I am risking that...
My prescribing doctor does not feel I should be concerned of the PML risk. Points out that we may never see another case. He also suggests that the overall risks of the TNF alpha blockers are greater on a daily basis and aside from the PML. There is, he says, less risk of infection with Tysabri than with TNF therapy.
Interesting that the suppositories and Xifaxan came about
at the same time you got better...hopefully those were the trick so you can stay off Tysabri.
It's odd, I've been thinking about
the risks and potential benefits for the past couple days, and I go back and forth on it a lot. I'm 18, a sophomore in college, and have a lot of time ahead of me. That makes me want to take it, just for the chance that I'll get some relief out of it, but at the same time, the fact that there is even a small chance of getting a pretty much fatal brain infection is darn scary. I'm still going to do the infusions because I know that the risk of me getting PML has been lessened a great deal because I don't take any immunosuppressants anymore, and all of that. But, it still hangs over my head.
FinalMacGyver said...
I am slatted to have my 7th infusion in the next month and I am looking at stopping for a couple reasons. On one hand I have had great results with tysabri, the difference is night and day. But The PML worries me, the recent FDA watch for possible skim melanoma, the possible liver damage,the cost, and the fact i feel like a ginnea pig. Now my insurances covers it all the cost asosciated with the tysabri after I meet my out of pocket but my insurance has a life time max of 2million. At my present rate I will be 40 with no health insurance. I told the doctor I want to stop but at the same time Im not sure. Humira did not work but I never tried remicade. Im still undecided but thinking of talking to my doctor about remicade.
I definitely hear you with the insurance worries! I'm currently on my mom's plan, but it has a max of 1 million. As of now, I've already burned through around $90,000 from various medications and a cyst removal surgery. It's crazy to think about
how expensive all of this stuff is.
Remicade worked great for me for about
a year, then it lost effectiveness, just like everything else I've tried. But, lots of people get years and years out of it, so I'd suggest giving it a try.