Remicade Advice

[Ricky_V]

My daughter is on Remicade/6MP and has tested with no immunity to chickenpox. She had the vaccine as a child. She needs the chickenpox booster vaccine to continue in nursing school which she can not have while on Remicade. We are discussing with her GI the possibility of suspending Remicade for 4 months. Plan would be to wait 12 weeks since last infusion then get vaccine, then wait 8 weeks and go back on Remicade. Would use budesonide to control or prevent a flare while off Remicade. Would like the forum's advice on this approach. Would we risk her building antibodies to Remicade in this short amount of time? Other risks???

 

[ronroush7]

I am not sure. Tagging Clash.

 

[Ricky_V]

Update: We discussed this issue with ID doctor and CDC. The approach is to wait 3 months since last Remicade infusion then have the 2 shot chickenpox vaccine then wait 1 month before restarting Remicade. Renee can remain on 6MP and we can start a maintenance dose of Budeside (<20mg/day) to help prevent a flare. Since she has been on 6MP/Remicade combination since Feb16, hopefully this will prevent any Remicade antibodies.

Opinions??

 

[ronroush7]

I am glad your doctor could help.