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-   -   I'm starting Cell Cept (https://www.neurotalk.org/myasthenia-gravis/92752-im-starting-cell-cept.html)

Tbarney 07-08-2009 10:11 PM

I'm starting Cell Cept
 
My neuro is starting me on 500 mg of CellCept 2 times a day. He didn't mention having my blood checked regularly, but my pharmacist said I should have it monitored. Do any of you have your blood tested because of CellCept use? My neuro said if I was taking Imuran he would have to monitor me for changes to my bone marrow. Thank God I have good insurance. I only have to pay $20 for a months worth of pills that are valued at $500.

I'm kind of scared because of all of the things I read it could cause including lymphoma. Apparently it also must make you more likely to get sunburned because many of the warnings talk about wearing sunscreen.

I was already taking 90 mg Mestinon every 4 hours. My neuro wants me to decrease that. I do not take Prednisone which I think many people who post on here do take.

I saw my neuro today, the last time I saw him was 2 months ago. I told him I wanted to see how things went while I wasn't teaching. I told him I wasn't any worse and he replied he was not happy with that. It has been 11 months since my thymectomy and he believes I should be in remission and not experiencing any problems. My eye droops once in awhile. When walking up steps I am short of breath and it is hard to breathe. This week I went on a 4 mile bike ride with my kids. I was exhausted afterwards, but was not worn out from it the next day.

I am supposed to try the CellCept for one month then check back in before I start back to school in the fall.

neutro 07-09-2009 10:19 AM

Hi Tbarney,
I'm too on Cellcept, 1.5 g/day since almost two years (+Mestinon and Pred)
I've never heard of blood checks necessary for Cellcept although my neuro made several remarks when reading my results about the fact that Cellcept did not seem to act, but she also added that an other mechanism (release of cells from the artery walls…?) could mask that indication…
One other thing, Cellcept onset of action could take 1 to 12 months…so a one month trial could be short…I noticed a real change in my status about 5 months after the start of my treatment , but which medication was effective? I did'nt have any thymectomy, but since I'm now on only 6 mg/d Pred and still tapering (and still feeling better…) I would assume that Cellcept is working…
Maurice.

GI6607 07-09-2009 12:52 PM

CellCept
 
I have taken 1000 mg twice a day for about six months now. I have experienced no new side effects. But, I have just acquired a purple, quarter-sized splotch on my forearm that almost looks like a burn that I will have checked out as I was out in the sun for a few hours this past weekend mowing, etc. Mestinon is the one that upsets me. Eyes twitch, nose runs, stomach growls and churns. Two and a half years on that one now.

erinhermes 07-09-2009 01:25 PM

Hi Tbarney!
 
Hey sweetie!:hug: I, too am on Cellcept again - love the stuff! I DO have to have my blood work done every 2 weeks - per my neuro, but that MAY be b/c I have wonky blood.....:(

I was really scared when I read about all of the side effects, but decided that going into remission is well worth it - plus, if you read a bottle of TYLENOL you'll see tons of side effects!

When I was on Cellcept b/4, I was able to go down to 15 mgs of pred daily - it was AMAZING!

Hang in there, sweetie! It will get better!

Love,
Erin:D










Quote:

Originally Posted by Tbarney (Post 534779)
My neuro is starting me on 500 mg of CellCept 2 times a day. He didn't mention having my blood checked regularly, but my pharmacist said I should have it monitored. Do any of you have your blood tested because of CellCept use? My neuro said if I was taking Imuran he would have to monitor me for changes to my bone marrow. Thank God I have good insurance. I only have to pay $20 for a months worth of pills that are valued at $500.

I'm kind of scared because of all of the things I read it could cause including lymphoma. Apparently it also must make you more likely to get sunburned because many of the warnings talk about wearing sunscreen.

I was already taking 90 mg Mestinon every 4 hours. My neuro wants me to decrease that. I do not take Prednisone which I think many people who post on here do take.

I saw my neuro today, the last time I saw him was 2 months ago. I told him I wanted to see how things went while I wasn't teaching. I told him I wasn't any worse and he replied he was not happy with that. It has been 11 months since my thymectomy and he believes I should be in remission and not experiencing any problems. My eye droops once in awhile. When walking up steps I am short of breath and it is hard to breathe. This week I went on a 4 mile bike ride with my kids. I was exhausted afterwards, but was not worn out from it the next day.

I am supposed to try the CellCept for one month then check back in before I start back to school in the fall.


Pat 110 07-10-2009 11:39 AM

Hi Tbarney,

I don't take cell cept so I can't comment on that. What I am surprised at though, is that your neuro believes you should be in remission and not having problems only 11 months after your Thymectomy. It took 3 years for me to see the full benefits of my thymectomy and was told it could take even 4. I thought, and I may be wrong, that most neuros believe it can take 1 to 4 years. Good luck with the cell cept, it certainly helps many in the group. ;)

Take care,
Pat

neutro 07-11-2009 03:28 AM

HiTbarney,
I just read the information leaflet about Cellcept and it is effectively indicated that blood checks for white and red cell counts, glycemy and cholesterol are recommended...!
Maurice.

redtail 07-11-2009 11:51 PM

I'm on cellcept and have bloodtests every 6 weeks, recommended by my GP and my neuro

Tbarney 07-12-2009 03:32 PM

Thanks for all of the replies. I did read somewhere that it could take up to 6 months to see any benefits from cellcept. I have been on it for 4 days and I have not seen any positive or negative changes.

Although I have recently physically overdone myself so I am paying for that now. We have a 12 mile round trip bike trail on our town. Last Mon. I did a 4 mile loop with the kids and handled it fine, no hills. On Friday, we did the whole thing and the rest of it has some small hills, I did walk a little. My quadriceps feel as if they have no muscles working to get me up the small hills.We had to ride to and from the trail too, so our total ride was almost 14 miles.

We came home and sat a few minutes. Then I had to help the kids with their paper route. I walked down the front steps and nearly fell down them face first, my legs gave me no support. They felt like jello. I had never felt that wobbliness before. Then I worked an 11 hour shift on my feet at our Chicken Hatchery. I help my BIL out there. This was the last night of the season.

So I overdid it, but I have not done anything strenuous the last 2 days and I have slept 8 - 10 hours each night.

xmas 25 07-12-2009 08:09 PM

But sometimes we have no choice but to overdo on a ggod day-hope you feel as ok as you can by now!

Maxwell'sMom 07-13-2009 12:13 PM

Hi, After reading this post, I find myself feeling very sad at the sloppiness of the neuro who is caring for you.

When on Cellcept, or any Immuno Suppressant, one should always have blood work done. At first, they usually do it every couple of weeks, and then on average, monthly.
I was on cellcept for about 4 months, and was absolutely thrilled with it, as with in just weeks, I could feel the difference. However, it started to shut down my kidneys, so I had to go off of it. I had to have labs every two weeks at first, and then monthly after that.

Sometimes doing this may help. At least I'm really hoping it does for you. Do and indepth search on what your concerns are with your symptoms. If you can, do it on the MGA sight, and then print out key points, and take them into your doctor, and ask him about it. Say something like, I was curious about this....., and I found this on the MGA web-site, what do you think? Or, say, According to the Myasthenia Gravis Association they say it's very prudent to have this done...etc.. And for my peace of mind, could we please do this test...etc.

If this Neuro has your best interest in mind, and not his ego, he'll do these tests. If he doesn't, then, ask him for a referral. Or wait until you get home, and call the office, and say, I'd like to have a referral to this doctor..etc... for another opinion.

Best of Wishes for you.
Love Lizzie


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