Showing posts with label drugs. Show all posts
Showing posts with label drugs. Show all posts

Tuesday, 3 November 2015

My Lemtrada (Alemtuzumab) Infusions Experience

I survived!

In fact, by all accounts, I had a dream run, just two minor incidents, one was expected. I was bored, I was tired but I didn't seem to be having any ill effects from the Lemtrada and cocktail of other drugs that were taken as part of this treatment.

There was a fair bit to take in as I was staying in the Austin Hospital "Medi-Hotel", so I had a lot of info floating around in the old noggin. The first day the lovely receptionist walked me over to "Ambulatory Care" where they do all manner of infusions and treatments, there's about three areas where various infusions and treatments are administered. I was the only person doing the Lemtrada treatment that week (five days). It was great being at the Hospital, but not being admitted to a ward etc. so I got to go back to my room and chill. Meals were supplied and the staff were very helpful.

The First Day started off with having the cannula inserted, taking the oral pre medications, then the methyl pred intravenously, there are also saline flush outs between intravenous meds, so most of the time you're just being pumped with various fluids, sitting there twiddling your thumbs lol. The first day of infusion, just had one minor incident, I got the chills, I was shivering/shaking uncontrollably, it was a small event, only lasted about 5 minutes, the rest of the day/infusion was fine.

First Day Cannula Inserted























Everyday, before I wandered over to Ambulatory Care, I would take the Pre Medications, three main Oral Pills, plus Panadol for headaches every four hours and Temazepam to sleep, Intravenous Phenergen seemed to help on the last infusion day, I had woken with what felt like a decent dose of the flu, headaches, sore muscles and joints etc., simply it was like I had the flu, it was a slow walk over to Ambulatory Care on my last infusion day...

Loratidine (Claratyne)
Ranitidine (Zantac)
Valaciclovir (Valtrex)

Also take 
Panadol (headaches etc.)
Temazepam (sleeping pill)

Last day heebie geebies
Phenergen


The Second Day was easier, didn't need to mess with a new cannula, bonus, the infusion was uneventful, no adverse effects to report, it all went smoothly...my infusion experience was fairly boring, which I'm quite happy about lol.


Ian My Best Friend for Five Days
The Infusion machine above didn't leave my side for about eight hours a day for five days, I miss him, I called him Ian, he controlled my life, he told the nurses when to change bags, when to do their Observations, blood pressure, temperature and general check over, the checks were quite frequent, three cheers for Ian the Infusion Machine ;)

The Third Day was the last day of the pre Methyl Pred infusion before hooking up the Lemtrada. Once again the third day seemed to go fine, feeling a bit rundown, but nothing adverse happening as far as problems with the drugs etc.

Partial View from my Infusion seat
I did at least have a decent view while twiddling my thumbs, yeah I did read a few chapters of a book on my tablet, I played a few games, but honestly, I spent a lot of time looking out the windows watching the world go by, I made sure I got "my seat" everyday, I just got there early on time lol!

The Fourth Day they changed from Methylprednisolone infusion bag to Hydrocortisone from a syringe injected into the line, so my day gets a little shorter by an hour, YIPPEEE! No problems recorded or inkling tomorrow would be the worst day... Oh and had Cannula inserted into another vein, standard practice apparently, change cannula after three days


Lemtrada is light sensitive, so they cover the actual infusion bag with a Black cover
The Lemtrada drug is light sensitive so they cover the infusion bag with a black cover to keep the light out, can't watch the fluid disappearing damn it lol.

The Fifth and Final Day was the worst day of the lot for me, apparently this shitty feeling can happen on the fourth day to some people as well, maybe the lack of Methyl Pred has something to do with it, but on the last day, I felt absolutely crap, like I had the flu, so of course it aint all that bad but I think the lack of sleep doesn't help, you really are drained by the end of the week. I had a headache, flushing, some itchiness, sore muscles and joints, yep it was like Influenza, the pre meds helped alleviate the effects. I didn't feel like sitting there all day feeling the way I did, one of the Neurologists dropped into see how I was going and suggested some Phenergen to take the edge off, I was on board with that idea, after the Phenergen, nothing worried me lol.

I'm fairly sure the seat I'm sitting on here now has my arse imprinted forever...
It seems I was quite lucky, so far at least, with the Lemtrada Infusions, one nurse said your course of infusions has been one of the most uneventful out of the ones the have done, whew, everything went smoothly, no reactions to the drugs, the worst of the whole process was the utter boredom. So I'm taking it pretty easy this week especially, I'll stay close to home :)

Saturday, 19 September 2015

Lemtrada Infusions for Multiple Sclerosis

I'm no doubt "jumping the gun" a little, but as I did with my Teriflunomide (Aubagio) drug trial posts, I'll start blogging my Lemtrada infusion experiences and the whole lead up to the actual infusion. The discussions I had with my Neurologist and the lovely Belinda, one of the great nurses in the Austin Hospital NCRESS team were quite informative and of course I had heaps of questions as well, as I always do. Lemtrada (alemtuzumab) is a newish drug used for the treatment of Relapsing Remitting Multiple Sclerosis (RRMS), like most drugs these days it's also used for other disease treatments. I'll start with a bit of information about Lemtrada first off.




Genzyme's - Lemtrada Home Page
Lemtrada main home page

Alemtuzumab on Wikipedia
Alemtuzumab Page on Wikipedia

Lemtrada Efficacy
New study supports the long-term efficacy of Lemtrada

The first Lemtrada Personal Blog I found

It's interesting to note from the link above on efficacy
"By following up these patients over time, the authors reported that 60% of patients receiving Lemtrada showed an overall stabilisation of their illness following treatment. This included 49% of patients who showed overall reductions in disability levels compared to their baseline level. An additional 10% of patients had their illness stabilised and showed no further change in disability levels after treatment. In general, higher relapse rates at the beginning of the study were associated with poorer long-term disability outcomes."
When you read about the side effects of Lemtrada on face value you  might think "no way would I agree to have this drug administered to me" but I'm the youngest in my family, I am single and live alone, so I really need to think about the future if my MS progresses, I don't have any family close by and as I don't live with anyone else, it's best I give myself the best chance at independence for as long as I can, something I've already somewhat lost to Multiple Sclerosis, I can still walk albeit with a slight limp, I can still look after myself, I don't want that to change in  the future, so I'm going to take the risk...and it is indeed a risk, but eh, so is crossing the road. Ninety nine percent of the MS medications have a possibility of some nasty side effects lol, so I'm happy to see how Lemtrada performs for me!

The early happenings in the lead up to the infusion
Flu Vaccine
Pneumococcal vaccine

The vaccine injections will take place after the Aubagio "washout", which is meant to be just so wonderful, it should be quite the shitty experience apparently...

There will be drugs that you have to take as well on top of the actual infusion drug, which I'll add later, because well I'm not exactly sure what they are right now lol.

I have to watch what I eat, I need to be careful of contracting Listeria, damn I'm going to have to wash my hands more regularly lol,..there are quite a few things I will need to be careful with, they gave me quite a bit of literature on Lemtrada and the side effects and what you need to be careful with.

I posted this in the first Lemtrada post but will do so here as well

LEMTRADA can cause serious side effects including autoimmune conditions and serious infections.
  • Thyroid disorders
  • A condition called Immune Thrombocytopenic Purpura [ITP]
  • Certain types of kidney diseases
I'll publish this now, I'll no doubt add a little more to this post, but it's late and I should be in bed...

Lemtrada Information Video



Image taken from a Lemtrada information pdf from the Australian MS Society