Skip to Content

cherry's picture

I was recently diagnosed with Crohn's disease and have been struggling ever since. I have tried and not been responsive to Pentasa and Entocort, leaving me now on a very high dose of Prednisone and 6mp. In less than a month, I will know whether the 6mp will work for me. The doctors and I are not very hopeful. My next alternative is obviously, Remicade. I am scared with the short life of the drug as well as some not so great side effect, ie, cancer, blood disorders, lupus... I really want to hear peoples experiences good and bad to make an informed decision. Also, if anyone has taken a holistic approach and it working.

I am very grateful anyones experience.

Comment viewing options

Select your preferred way to display the comments and click "Save settings" to activate your changes.

short life of the drug?

Becky's picture

I don't really understand what you mean by that. I was on Remicade for about six months because 6mp made my WBC go really low. It was great and had no side effects on me, and got me off of steroids. My veins really suck though, and I had had quite a few IVs throughout life, so by the time I was in remission my hand and arm veins were too scarred to take an IV ever again. I would have needed a central line (which I will also need if I ever have to have an IV for any reason), and since that carries a risk of infection, and so does Remicade, my GI said that I would be safer to go off it unless I start to have bad symptoms again. Most people stay on it for maintenance, but most people have better veins than I do. The only symptoms I have now are fatigue, mouth ulcers and joint pains, plus a slightly elevated sed rate-- as good as I ever get. If you, unlike me, can tolerate 6mp, it's usually considered a good idea to stay on it when you start Remi, because it makes Remi work better and decreases your chances of getting an allergy to it.

How long have you been on 6mp? It can take up to 6 months to work fully. Also some people who don't respond to it, do respond to azathioprine, even though they are pretty much the same thing. So if you are dead set against taking Remicade unless you absolutely have to, you still have options.

I don't really know what you mean by holistic? Probiotics can be useful in tandem with your other meds. You can also keep a food/ lifestyle diary to see what sort of triggers you might have.

For more general info on Remi you can poke around on www.ccfa.org, as well as on www.remicade.com, which is biased of course but is up-to-date. For more personal stories, go to www.ibdsucks.com, register (you can use a fake name and e-mail address if that makes you more comfortable), then click on "pharmaceutical drugs." You will see a link to "Remicade survey" which is a list of people's personal stories with Remicade, and another to something like "Remicade and Humira" which is more of a discussion thread. I think there is also a Remicade yahoo group but I don't know the url and I unsubscribed after I went off it.

If you think you might need it, do whatever you can to start saving cash for the co-pays. Get a Health Savings Account or something if you possibly can. That stuff is expensive. Also take a blanket or poncho to the infusion centers, because Remi is refrigerated so you'll get cold during the infusion and you can't really put on a jacket over an IV.

oh, I see

Becky's picture

Did I experience... the hard time? Yes. We had a very hard time financially because I could not work for 2 years and was turned down for SSDI (just had a court hearing on that two weeks ago and am waiting to hear). We were maybe slightly better prepared than you because I was dx'd with IBD when I was 13 so I always knew disability could be an issue, but nothing makes it not-rough. Our credit is now dreadful and we were a terrible burden on my parents (DH is a grad student and doesn't make much money yet).

On balance, although it was expensive, Remi was well worth it to me financially, just because I am able to work again.

I see what you mean now about the short life of the drug. Well, I figured, it might have scary long-term effects that we don't know about, but we DO know that prednisone will pretty much kill you if you're on it long enough (it took a few years off my grandfather's life according to the docs).

They do use a very small needle for Remicade. So if you can take any IV at all, you should be able to manage it; otherwise you may need a central line, as will I if I ever need the stuff again. My understanding is that, with active disease, the benefits outweight the risks.

Are you having blood tests to measure liver functions, WBC, and whether the 6mp is at therapeutic levels? Some people need to take more of it than their weight would indicate. Also make sure your doctor recommends you for a flu shot.

I have also met a few people with CD who went on liquid diets (the prescription kind) or even TPN for a while as "gut rest" which can also help induce remission. You could ask about that as an option if you think you would prefer it. I tried the liquid diet thing when I had active dz and it did no good, but it has helped some people.

There are lots of us here

Becky's picture

IBD is sort of epidemic on TNH, by some weird coincidence.

Prednisone can cause mood swings so may on its own be partly responsible for the "depressive stupor."

part of the epidemic

Kerri's picture

I'd never even heard of it till I came here, got to know Becky and then bang, she transfers it to me psychically I reckon! Laughing out loud

I was diagnosed just over a year ago, but other than being quite naughty I think I'm now pretty much in remission (touch wood). There is life after prednisone I promise you. My acne has actually gone, my weight dropped back down to a perfectly normal level. My sensitive skin is reacting to it not being around though, because the joy of steroids is that they controlled my eczema. I'm still dealing with the fall-out from that, but my wonderful GI prescribed me some topical steroid cream and life got better!

I started on Asacol, but the Crohn's was actually in part of my small intestine too, and Asacol doesn't dissolve quick enough (on purpose) so I switched to Pentasa. Much the same, but without the coating, so it tends to dissolve in my mouth if I'm not careful - ick!

Can't help you with the other stuff I'm afraid, but having just pulled out of the other side of my first experience with Crohn's I'm here to tell you that life really can go back to nearly normal. The horrible thing about the steroids is that every time you think you've gotten a handle on the side-effects another one pops up. I've never known a drug with so many side-effects. It's not fun to deal with, but it really did help me, and the side-effects do almost entirely disappear. The main long-term side-effect you have to watch out for is the fact that it easts away your calcium, so you should have had a bone scan or two, and you should be taking a calcium supplement I expect.

I'm amazed at the difference Remicade has made to Becky though. At one point she could barely even walk and now she keeps telling us about her weight training!!

Good luck with your journey, because it isn't easy. In spite of everything though, I think I've changed quite a bit as a result of Crohn's. It has forced me to slow down, which in turn forced me to think about some things differently.

Kerri.

oh, right.... that....

Becky's picture

I haven't weight trained in months. Lazy.

I did figure out where the university gym was today!

Remicade

Reader's picture

I have been on Remicade infusions for about 2 years not for Crohns but for Rheumatoid Arthritis. I get an infusion every 8 weeks and the results have been great. I haven't had any serious side effects and I have had no problems with the infusions. It is scary to go on a powerful drug. I too was very worried about it and I also have to be on Methotrexate along with the Remicade as this is how they use the drug for RA..in combination. though my Rheumatologist did say that they are now testing using the Remicade w/o the methotrexate. I am also on a low dose of prednisone;5mg a day and we want to try to cut that down since I am doing so well on the Remicade so here's hoping I can do that. Hope you do as well with Remicade for Crohns as I have for RA. Good Luck

crohn's treatment options

Elise's picture

I recommend that you go on the Crohn's web site. There is a new treatment option, still investigational, but promising.

The treatment is a series of infusions of stem cells (Prochymal).

IF ( a big IF ) it works, it would be a huge therapy change in the treatment, and onset of remission, of CD.

-

IBS/Crohn's Support Group near you?

Anhata's picture

I don't know where you live, cherry or Isabella, but I'd look around and see if there is a Support Group for IBS &/or Crohn's near you. Not only will you get moral support, but they might have answers to some of your questions, including how to afford the treatments, perhaps.

When I was in college I went through a rough patch which coincided with the death of a close family friend. The University had a functional mental health program for it's students. I went to their support group and it was an enormous help. Just being in the same room with other people who have experienced what you're experiencing is good medicine. It's what popped into my mind when I read the last couple of posts.

____________________

Of all the wonders of nature, a tree in summer is perhaps the most remarkable; with the possible exception of a moose singing "Embraceable You" in spats.

-- Woody Allen

Now no more ins. coverage for 21 yr. old :(

Isabella's picture

I'm looking around to get help for my 21 yr. old daughter whom has had crohn's since she's been 9 yrs. old. Has had very great results on Remicade, with NO side affects at all.
But her age, is forcing her off her Dad's Ins. She is working but her Ins. only starts after three mths., then only pays 75%. Which is about $800.00 every six to eight weeks. Does not make near enough on present job....need help!!!

REMICADE

Guest's picture

Is it true that if you have been on Remicade, and discontinue, you may not go back on it?

.

Guest's picture

Do not use Remicade if you are under the age of 35 and male (even worse if of asian decent).

The long term studys for this popping up are scary to say the least. You have about a 5% chance of developing rare Hepatosplenic T-cell lymphoma or other subclasses of the T-cell lymphoma's.

T-cell lymphoma's are named approprietly as the source of the cancer is developed in the cells Tumor necrosis factor-Receptor TNF-R. Which sounds like a nasty thing but is actually part of the bodys immune system strategy to kill cancer cells by triggering apoptosis (cell suicide). Which is your body's own natural defense against cancer cells becoming unmanagable (cancer is a continuous process). It just so happens that Infliximab (remicade) Blocks Tumor necrosis factor-alpha or TNF-A which also is part of the inflammation response. (which is why it actually "works" for auto immune disease). Anyways, i know that the diseases infiximab can help are extremely delibilating ( i have firsthand experience) But , ask yourself if the risks are really worth it. If your a parent pushing your child to take this drug because your too lazy to research possible alternatives. Think about that when you could also be the one responsible for killing them later. Eliminating the majority of starches and garbage they feed us (non-organic) as well as applying a raw vegan diet with organic supplementation and excercize is the best long term strategy for your health. Dont mess with your DNA , It is like a fine tuned program that has been etched and compounded and refined for millenia and you want to go in and smudge around like a child playing with its master.

Thank you for your response..

cherry's picture

Thank you for your response.... what I mean by short life of the drug is that it has only been around since 1998 and has no real long term studies attached to it. I am in my forth month of 6mp and my Crohn's is still very active. My veins are shot out already from the hospitilizations and damage I have done on my own. I am just having a really hard time adjusting to all of this. I can only work part time and finacially I am swallowed with all of the copays and such. Having a hard time. Did you experience?

Yeah, my Dr is checking my bl

cherry's picture

Yeah, my Dr is checking my blood every 2 weeksand has upped my dosage of 6mp. Thank you for the advise on the flu shot, my fiance is sick with a really bad cold right now and I am starting to feel sick myself. I hate Prednisone, my face is so swollen and I have acne all over, which I have never had even as a teenager... it is awful. That is really what is pushing me towards the Remi. I really appreciate your responses. You are the first person with Crohn's I have ever talked to. Makes me feel better, even in this depressive stupor I am stuck in right now!!

I was admitted to the

Jay's picture

I was admitted to the hospital in february with severe pan colitis. They started me on prednisone very high doses with no effect. My GI told me my options were surgery or trying remicade. I obviously chose the remicade. I've been off work for nearly 3 months gradually cycling down the prednisone. Not the nicest drug in the work might I add. Haven't had acne like this since I was 16 or so. The upside is the hunger. Lost a grand total of 50 pounds so it's helping in my weight regain. Just have to be careful not to irritate bowels. I just had my 3rd infusion of remicade. Had a slight reaction but nothing severe. They just gave me benadryl and cleared up. Feeling a lot better from when I was in the hospital. Not 100% but certainly much more liveable then before. With proper diet and medication hope to be in remission in near future. As for staying on Remicade I'm hoping to get off of it when the time is right. I've discussed with my GI about the next drug and he's suggested Immuran which is another immune suppressant but not as nasty of side effects as opposed to remicade.

Husband on Remicade for 5 years

Guest's picture

My husband (24 year old student) has been on Remicade for 5 years and was in the clinical studies as a child. He was diagnosed at 13. We've struggled with him not being insured but Remistart is a program to help cover co-pays and Remicade Assistance is from the company who manufactures the drug. While he was in school and before I had insurance (that graciously covers us both AND Remicade), we used the Remicade Assistance and it paid for the drug and even the other materials needed for the infusion (needles, bags, lines etc.) We called around and found a hospital where you can claim financial hardship. One hospital we paid $100 per treatment and then petitioned the other $400 to be waived and it always was. Later we found a hospital with a sliding scale and just had to pay a $10 co-pay.

As far as side effects, we had a couple scares. He was on both Remicade and azathiaprine (sorry about spelling) when the studies came out about the lymphoma risk. He chose to drop the azathiaprine and never developed the cancer. Due to his lack of insurance he didn't receive the routine tests such as blood labs, colonoscopies and liver ultrasounds. Once he was on my insurance he has had blood work every 4 weeks. The first test had us scared. His liver enzymes were 4 times the normal amount. But the subsequent tests are better and the ultrasound shows no tumors or damage.

immune support

Guest's picture

has anyone tried using holistic support for their immune system while on remicade?

not personally, but...

Anhata's picture

Acupuncture can help complement ANY therapy. If nothing else, it relaxes you better than any massage! A good naturopath is often the best place to start for holistic support. There are some great supplements out there that they can hook you with for inflammatory issues, including fish oil (be sure you're getting enough Zinc in conjunction with fish oil), probiotics, and curcumin phytosome (theraputic doses of turmeric).

The inflammatory/auto-immune disease that we are managing is DD9's Juvenile Rheumatoid Arthritis, and one of the medicines Dr.s use for that is Remicade. We are on the Methotrexate drug protocol, though, and DD9 seems to be responding well. I'm not happy about the side effects--possible liver toxicity, suppressed immune system--but it's better than the alternative. We also see a naturopath for complementary therapies and I'm happy with that!

My grand father was on

Guest's picture

My grand father was on Remicade for nearly 2 years. It worked great for his Psoriasis and Arthritis. But this past year we unfortunately got to see the side effects of this drug first hand. After being in the hospital for nearly two months they determined that he had acquired a bacterial infection on his lungs which took nearly 30% of its ability to work. Fortunately enough it wasn't cancer but what he went through was definitely tough. If you do plan to use Remicade I highly recommend keeping up with all of the tests needed to track your progress and health. Just after what we all went through I like to give my story to let you know that the side effects do happen sometimes and you need not take them lightly. We almost waited to late to figure out what was wrong with my grand father and maybe still did. He has never fully recovered mainly because of the 30% loss of his lung function but we still have him hear today. Im not saying don't take this drug because like I said it did work when nothing else did but, like I said before, be very aware of the risks.

Post new comment

The content of this field is kept private and will not be shown publicly.
  • Lines and paragraphs break automatically.
  • You may quote other posts using [quote] tags.
  • Textual smileys will be replaced with graphical ones.

More information about formatting options

CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.