An update on my tocilizumab experience. - PMRGCAuk

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An update on my tocilizumab experience.

LemonZest11 profile image
19 Replies

Hello Everyone, from Downunder,

I have now had my 12th jab of tocilizumab and my inflammatory markers have reduced to “normal” levels. I feel strong, full of energy and mentally positive for the first time in some months. My pred is down to 6.5mgs, Rheumatologist thinks I could reduce more rapidly, but I am trying to be cautious given my previous flares, and she is being patient and supportive. I have an unrelated shoulder injury and have had two cortisone injections in six weeks, I know I will not be able to have any more so trying really hard to protect my shoulder and follow my physiotherapist son’s exercises. Thing is, when you feel well, you don’t think you need to do the rehab. I said to my hubby this morning, “what happens when all of this ends?”, and he replied, “just enjoy this time”. He’s correct, I have to really make the most of now because I know it will not always be like this. Thanks for support and advice, I am continuing to learn so much and the biggest part of that is to take nothing for granted and from experience, expect things to change at any moment. For now I will continue a slow taper and cross my fingers that adrenals kick in at some point and just wait.

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19 Replies
DorsetLady profile image
DorsetLadyPMRGCAuk volunteer

good so far - and take every day]y as it comes - that's all we can ever do!

LemonZest11 profile image
LemonZest11 in reply to DorsetLady

Thank you DorsetLady, you have helped me so much. Some how I think I might be asking for that again. X

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to LemonZest11

that's what we are here for 😊

Tamtan2 profile image
Tamtan2 in reply to DorsetLady

Hi Dorset lady hope your well. At last a phone call from Rhuemy nurse at hospital he said the bone nurse at my practice been on and wants to start a intravenous injection for a year ? Could this be tcz as he didn’t say anything I to,d him I need to know more as I could not tolerate AA or mtx and am scarred out of my wits as I know I couldn’t go through that again. Still awaiting dexa scan. For bones but been asked to ask nurse next Friday when I get blood done To add calcium and vit d Onto test. Thank you once again. Your a ⭐️ 🙏🏽

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to Tamtan2

Me good thanks.most people on TCZ seem to cope with it, it might be worth asking the question with a new post or searching for either Actemra, Tocilizumab or TCZ.

Bit of info -

webmd.com/drugs/2/drug-1535...

Tamtan2 profile image
Tamtan2 in reply to DorsetLady

Hi here a question for you how did you know you were in remission and that your Pmr and Gca had settled itself no one mentions how you know I Know the obvious signs I think pain free, inflammatory marker normal. What did you notice first. 🙏🏽

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to Tamtan2

I had GCA only, no PMR.

My journey through Pred was really good (despite usual side effects), but virtually pain free and certainly no flare.This I attributed to slow tapering, and never being hassled by doctor.

The only issue I had was when I reached 6mg and continued down to 3mg - when adrenals were really taking their time to spark again. This period lasted for about 9 months and comprised of random attacks of fatigue - nothing else.

A few months later when I’d got down to 1mg I woke up one morning and felt different, as if a ton weight had been lifted from my shoulders. I’m afraid I can’t explain it any better than that (wish I could) - but I knew I felt different.

Hoping it was remission, but not really knowing I continued reducing slowly to zero, and - nothing, no symptoms, no raised markers.

Timeframe - 1.5 years undiagnosed

Time on Pred - 4.5 years - but probably only 4 years necessary if I did go into remission when I think I did.

Total length of GCA 5.5years definitely- 6 years if you count last 6 months (debatable).

Tamtan2 profile image
Tamtan2 in reply to DorsetLady

Thanks for that Going to see dr In north east who is studying Gca. In a few weeks so hopefully I will get Some answers. Bone sCan results came back perfectly normal so I must still have pmr . gca bloods don’t show any inflammation Monthly results the same For the last 3 months now But still have lumps on scalp but not much pain in temples. No jaw, face, head pain. My fingers are crossed 🤞🏼Thanks again.

PMRpro profile image
PMRproAmbassador

Good!!!!

LemonZest11 profile image
LemonZest11 in reply to PMRpro

You're one of the best! X

SheffieldJane profile image
SheffieldJane

Hello down under! What an encouraging and hope filled post. I have given myself subcutaneous injection number 1 (Tocilizumab) and I really needed to hear that.

Sounds like your Adrenals are working, possibly not to full capacity, that might take another year. I expect now is the time to work towards fitness and ditch the elasticated waists - eek! 🌺

LemonZest11 profile image
LemonZest11 in reply to SheffieldJane

All the best Jane, I hope you will be feeling strong and well soon. You really deserve it. Xx

Jackoh profile image
Jackoh in reply to SheffieldJane

Well done that you’ve started - let us know how you get on.

LemonZest11 profile image
LemonZest11

Thank you, it's certainly making a difference for now. 🤞

Tamtan2 profile image
Tamtan2

Good luck stay healthy and happy. 🙏🏽

LemonZest11 profile image
LemonZest11 in reply to Tamtan2

Thank you, it’s all we can do. You too. xx

Jackoh profile image
Jackoh

Yes you can only take one day at a time. Good to take your husband’s advice and enjoy this time.

Dunkel profile image
Dunkel

stay positive,

Telian profile image
Telian

That is good news, just don’t overdo it now.

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