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-   -   Ivig (https://www.neurotalk.org/peripheral-neuropathy/176674-ivig.html)

Nervous1 10-21-2012 08:26 PM

Quote:

Originally Posted by hopeful (Post 915576)
Hi Everyone,
I haven't been on in the past few months. I started IVIG is the spring. I started with 1 treatment a month. I think it helped, I was sick for 3-4 days after but then had a pain level of 3-4 for about a week to 10 days which is great for me. They just recently increased the treatments to twice a month. They wanted to start me on another drug too but I refused.
I am wondering if anyone else here is getting IVIG. It would be wonderful to have a connection to someone who is. I see alot of people on the MG site who get it but I have not been dx'd with that.

Actually, as some of you now, I have had a positive nerve biopsy for small fiber neuropathy. Then went to Hopkins and they said possible sjogrens. I think I have had every blood test and catscan imagineable to no avail. I have seen neuro and rheum and I am considering immunologist or genetic testing. Does anyone know of someone who is good at diagnosing. I think this is all a guessing game for them. I was just going along with the "we may never know" answer from doctors but I think I really need to know. Any suggestions?

I have begun to feel weakness in my muscles but they told me it was because I did 20 minutes on the eliptical and treadmill instead of 15 mins each. I think that answer is nuts. By the way I went to the gym because I feel like I am really losing strength in my legs. I continue to work full time but don't know how I can keep it up.

Well sorry for the long note. Just looking for some support and someone who understands.
Thanks,
hopeful:(

Hi Hopeful,

I will be starting IVIG next week due to a positive hit on paraneoplastic panel and review of my case by a neuro at the Mayo clinic who specializes in Immunology. I will let you know how it goes.

R182 11-25-2012 12:17 AM

Quote:

Originally Posted by Checkmate (Post 918652)
I am receiving IVIG treatments every 3 weeks for CIDP. Which is a demyelinating polyneuropathy. The major issue for me is the relentless tireness I feel at doing the smallest of chores. It seems to help some. I've had this for 3 years before just recently being diagnosed with it. They thought I had CRPS or RSD but my EMG showed slow nerve conduction. I have an appointment with the Mayo clinic. I don't know if this sounds anything like you have or not.

Wish you the best of luck

I haven't been on here for quite a while. Originally thought I had only PN but since diagnosed with CIDP. Prednisone initially was encouraging but every time I tried to wean off it I regressed. Starting IVIG on Monday. I hope I respond favorably to it. I will let everyone know how it goes.

hopeful 11-25-2012 06:59 PM

Quote:

Originally Posted by R182 (Post 934324)
I haven't been on here for quite a while. Originally thought I had only PN but since diagnosed with CIDP. Prednisone initially was encouraging but every time I tried to wean off it I regressed. Starting IVIG on Monday. I hope I respond favorably to it. I will let everyone know how it goes.

Hi R182,
Good luck on Monday. I hope it goes well for you. Keep me posted. I pray it helps you. Can you tell me how you where diagnosed with CIDP?
hopeful:)

Nervous1 11-25-2012 09:46 PM

Hi Hopeful,

I am having a lot of trouble getting IVIG approved by the insurance due to incompetent office staff. Hopefully I will start IVIG this week or next week.
As soon as I know something I will let you know.

--nervous1

R182 11-26-2012 12:02 AM

CIDP diagnosis
 
Quote:

Originally Posted by hopeful (Post 934466)
Hi R182,
Good luck on Monday. I hope it goes well for you. Keep me posted. I pray it helps you. Can you tell me how you where diagnosed with CIDP?
hopeful:)

My GP and Neurologist, after basic initial blood testing, thought it was PN. After about 8 months I noticed a loss of strength in my lower legs. Since I ride both road bikes and mountain bikes, I am very aware of my fitness level and how fast I ride up hills, etc. Long story, shortened, after my GP and Neurologist were a little stumped, and I requested further testing, I went to another specialist who did an EMG, thorough manual strength test in all muscle groups, spinal tap, and more specific blood tests. I also had an MRI on my lower back.

Results came back with an elevated protein level in CSF, and along with the strength tests (being more weak in certain areas and lacking reflexes) the doctor was pretty sure it was CIDP. I say pretty sure because, as you probably know, these things can be very tricky to diagnose. There are a lot more autoimmune conditions than I realized, which doesn't make me feel very good nor do I wish on anyone.

So, since I can't stay on a high dose of prednisone (60mg daily) we are trying the IVIG. We will evaluate and go from there. I did listen to a doctor from John Hopkins and he diagnosed in exactly the same way as my specialist. Apparently, there also is a doctor at California Pacific Medical Center in SF that has done quite a bit of research on CIDP and similar autoimmune conditions so that is a place you might look into. I can probably get his name if you are interested.

Rich

hopeful 11-27-2012 07:10 PM

Quote:

Originally Posted by R182 (Post 934532)
My GP and Neurologist, after basic initial blood testing, thought it was PN. After about 8 months I noticed a loss of strength in my lower legs. Since I ride both road bikes and mountain bikes, I am very aware of my fitness level and how fast I ride up hills, etc. Long story, shortened, after my GP and Neurologist were a little stumped, and I requested further testing, I went to another specialist who did an EMG, thorough manual strength test in all muscle groups, spinal tap, and more specific blood tests. I also had an MRI on my lower back.

Results came back with an elevated protein level in CSF, and along with the strength tests (being more weak in certain areas and lacking reflexes) the doctor was pretty sure it was CIDP. I say pretty sure because, as you probably know, these things can be very tricky to diagnose. There are a lot more autoimmune conditions than I realized, which doesn't make me feel very good nor do I wish on anyone.

So, since I can't stay on a high dose of prednisone (60mg daily) we are trying the IVIG. We will evaluate and go from there. I did listen to a doctor from John Hopkins and he diagnosed in exactly the same way as my specialist. Apparently, there also is a doctor at California Pacific Medical Center in SF that has done quite a bit of research on CIDP and similar autoimmune conditions so that is a place you might look into. I can probably get his name if you are interested.

Rich

Hi Rich, I live in PA so I really couldn't afford to go out to California. I did look up CIDP and said to my husband the symptoms really do seem to be what I have. My neuro has told me several times though that my reflects are somewhat hyper. I don't know if that would rule out CIDP. What type of specialist gave you the dx?
I agree with you I would not wish this on anyone. I also was shock to learn how many autoimmune disease there actually are.
Thanks,
Kim:)

hopeful 11-27-2012 07:14 PM

Quote:

Originally Posted by Nervous1 (Post 934504)
Hi Hopeful,

I am having a lot of trouble getting IVIG approved by the insurance due to incompetent office staff. Hopefully I will start IVIG this week or next week.
As soon as I know something I will let you know.

--nervous1

Hi,
I had to try for almost two years to get it approved. Be sure to request that your doctor call the insurance company and speak with them directly if they deny it again. From what I understand it depends on what they put down as a diagnose. Your doctor can fight them to get it for you. Good Luck!
hopeful

R182 12-06-2012 01:17 AM

Quote:

Originally Posted by hopeful (Post 935009)
Hi Rich, I live in PA so I really couldn't afford to go out to California. I did look up CIDP and said to my husband the symptoms really do seem to be what I have. My neuro has told me several times though that my reflects are somewhat hyper. I don't know if that would rule out CIDP. What type of specialist gave you the dx?
I agree with you I would not wish this on anyone. I also was shock to learn how many autoimmune disease there actually are.
Thanks,
Kim:)

Hi Kim:
My doctor is a neurologist who specializes in these types of disorders. It has been 9 days since my first of 4 IVIG treatments, which were 4 days in a row. I was told that it could take 1 or 2 weeks to notice a difference. So far, I am not really feeling a difference, but I know that it takes time for the nerves to regenerate if, in fact, my system is not still attacking itself.

I don't know if the fact that your reflexes are good, it would rule out CIDP or not. I don't think these autoimmune disorders are cookie-cutter type dx's. There are just too many unknowns and individual variations. We kind of become experiments to see what medications might work as it relates to our individual symptoms. I will continue to seek alternatives which might be beneficial but not knowing a root cause makes it very difficult. Well, we all have our issues and hopefully one day we will have more answers!

029anser 12-06-2012 01:45 PM

don't expect ivig to "kick in" within 1-2 weeks after 1st infusion....it may take longer to "notice" any difference, so be patient even though that's hard to do...I know, I've been there...if ivig will "work" for you, you should be able to tell within 120 days

had my 200gm loading dose (50gm daily x 4 days) in April 2012

50gm "maintenance dose" 3 weeks later....another 50gm 3 weeks after that

it was only AFTER my 6th dose (and 6 weeks after 1st) that I noticed any significant difference

now 15 infusions total later, my sensory "numbness" has decreased by about 50% (subjective) and my grip strength as measured by a hand dynamometer has improved (objective)

I have the CIDP/Madsam variant...aka lewis-sumner syndrome....affects my hands more than my legs...knocking on wood that I will continue to improve

prayers to all who have recently started on ivig (or will be) that it will work for you as well

hopeful 12-07-2012 07:42 PM

Hi, I wonder why some people get a loading dose of IVIG. I did not. I started with 1/month. I agree that we become experiments. (Not to down doctors most do the best they can) It is really difficult to find alternative treatments when you don't know the underlying cause of you SFN.


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