Hi all,
I am trying to decide whether it is worth doubling my Cimzia dose or just calling it quits and pursuing another (non-surgical) option.
Basically I have been flaring for just over a year now with most of the disease in my sigmoid colon and terminal ileum. My doctor put me prednisone and that didn’t do anything for me this time around (it got me into remission for my last minor flare), so we decided to try the biologic route. I started Cimzia about 4.5 months ago and while I have seen some improvements in stool formation, usually only for a brief period of time between injections, my urgency and frequency only seems to be getting worse. On top of all that, I have been dealing with terrible bone / joint pain in my hands, elbows, and feet. The foot pain can be really bad and I have missed work just because I can’t face getting out of bed and walking.
Given that information, my doctor thinks I should double the Cimzia dose (400mg every two weeks), but I am not sure that is the way to go. I think his decision is based on my CRP results were 74 two months ago then 112 last month, and then 43 after my most recent injection. To me there is too much variation in those data to conclude Cimzia is effective. One thing that may have helped is that I switched to a vegan diet, but my doctor doesn’t seem to think diet can improve things that much. Also, a CRP reading of 43 is still very high and worth celebrating.
So I guess my question is, when is it time to try something new? I think doubling does may improve things, but I am obviously dealing with some side effects that I fear might worsen. Also, I am no convinced doubling the does will do anything for my urgency and frequency problems if the current does has done absolute nothing.
Any thoughts?
Thanks,
Dan
I am trying to decide whether it is worth doubling my Cimzia dose or just calling it quits and pursuing another (non-surgical) option.
Basically I have been flaring for just over a year now with most of the disease in my sigmoid colon and terminal ileum. My doctor put me prednisone and that didn’t do anything for me this time around (it got me into remission for my last minor flare), so we decided to try the biologic route. I started Cimzia about 4.5 months ago and while I have seen some improvements in stool formation, usually only for a brief period of time between injections, my urgency and frequency only seems to be getting worse. On top of all that, I have been dealing with terrible bone / joint pain in my hands, elbows, and feet. The foot pain can be really bad and I have missed work just because I can’t face getting out of bed and walking.
Given that information, my doctor thinks I should double the Cimzia dose (400mg every two weeks), but I am not sure that is the way to go. I think his decision is based on my CRP results were 74 two months ago then 112 last month, and then 43 after my most recent injection. To me there is too much variation in those data to conclude Cimzia is effective. One thing that may have helped is that I switched to a vegan diet, but my doctor doesn’t seem to think diet can improve things that much. Also, a CRP reading of 43 is still very high and worth celebrating.
So I guess my question is, when is it time to try something new? I think doubling does may improve things, but I am obviously dealing with some side effects that I fear might worsen. Also, I am no convinced doubling the does will do anything for my urgency and frequency problems if the current does has done absolute nothing.
Any thoughts?
Thanks,
Dan