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Re: Increase in dose

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It is a big increase if your IgE levels were low when you started. If they were

already fairly high >500, then that is maybe where you should have been from the

start.

>

> I have lingered on this site for quite some time now, but have never posted.

I am 29 years old and have been getting sick every month for the past three

years. I started xolair about 7 months ago and it is helping but I am still

getting sick, I am still on albuteral, advair, the home nebulizer, singulair,

and steriods which is common with us, I suppose. Last month i was in the

hospital for a few days with pneumonia and have not fully recovered yet. I was

on 150 mg of xolair once a month, my doctor thinks the reason I still get sick

every month is because I need a stronger dosage, so he told me he would bring me

up to 300 mg. (I figured 300 mg a month) I spoke with the pharmacy that sends

out my injection and they said that he sent in the script for 300 mg every two

weeks I am 115 pounds and that just seems like a really big increase from 150 mg

to 600mg in a month ... Has this happened with anyone else? Or what are your

opinions regarding this?

>

> Thank you,

>

> Diane

>

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>

> I have lingered on this site for quite some time now, but have never posted.

I am 29 years old and have been getting sick every month for the past three

years. I started xolair about 7 months ago and it is helping but I am still

getting sick, I am still on albuteral, advair, the home nebulizer, singulair,

and steriods which is common with us, I suppose. Last month i was in the

hospital for a few days with pneumonia and have not fully recovered yet. I was

on 150 mg of xolair once a month, my doctor thinks the reason I still get sick

every month is because I need a stronger dosage, so he told me he would bring me

up to 300 mg. (I figured 300 mg a month) I spoke with the pharmacy that sends

out my injection and they said that he sent in the script for 300 mg every two

weeks I am 115 pounds and that just seems like a really big increase from 150 mg

to 600mg in a month ... Has this happened with anyone else? Or what are your

opinions regarding this?

>

> Thank you,

>

It takes some people up to a year to see any results and some only a shot of

two. It took me about a year. Give it some time and trust your doctor's

judgment.

Let us know how you do :)

Doug

> Diane

>

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Hi Diane:

My name is Kathy and I've been on Xolair 375mg twice a month for 5 years  I

think your doctor would know if the 300mg is too much for you, ask him/her.

I was sick all the time too.  My doctors (pulmonary, allergy) said my antibodies

were low, they sent me to a immunologist and sure enough the antibodies that

protects us from colds, pneumonia was low.  Every 6 months they test my

antibodies and if there low they give me a pneumonia shot.   Yes, I know you're

suppose to only get the shot every five yrs.  The pulmonary/allergy doctors

questioned the immunologist (who happens to be one of the best in the country)

and he said it would be fine.  I've been getting this shot for three years now,

I got this shot last week but, I had not needed it (blood tests) since last

year.

I have not been as sick twice in three years, and this time I did not have to

take any prednisone (this is a first), just the antibiotic.

Good Luck,

Kathy

________________________________

From: giavanna01 <giavanna01@...>

Sent: Wednesday, March 4, 2009 9:27:34 AM

Subject: [ ] Increase in dose

I have lingered on this site for quite some time now, but have never posted. I

am 29 years old and have been getting sick every month for the past three years.

I started xolair about 7 months ago and it is helping but I am still getting

sick, I am still on albuteral, advair, the home nebulizer, singulair, and

steriods which is common with us, I suppose. Last month i was in the hospital

for a few days with pneumonia and have not fully recovered yet. I was on 150 mg

of xolair once a month, my doctor thinks the reason I still get sick every month

is because I need a stronger dosage, so he told me he would bring me up to 300

mg. (I figured 300 mg a month) I spoke with the pharmacy that sends out my

injection and they said that he sent in the script for 300 mg every two weeks I

am 115 pounds and that just seems like a really big increase from 150 mg to

600mg in a month ... Has this happened with anyone else? Or what are your

opinions regarding this?

Thank you,

Diane

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wait, it sounds as if you may need some ivig. usually they give you the

pneumovax to see if you mount a response to it. did they check your levels pre

and post injection to the the various strep/pneumonias? is this perhaps what

the immunologist was looking at? i would think he would have explained this to

you.

________________________________

From: kathy eisen <kathyh1942@...>

Sent: Wednesday, March 4, 2009 4:29:22 PM

Subject: Re: [ ] Increase in dose

Hi Diane:

My name is Kathy and I've been on Xolair 375mg twice a month for 5 years I

think your doctor would know if the 300mg is too much for you, ask him/her.

I was sick all the time too. My doctors (pulmonary, allergy) said my antibodies

were low, they sent me to a immunologist and sure enough the antibodies that

protects us from colds, pneumonia was low. Every 6 months they test my

antibodies and if there low they give me a pneumonia shot. Yes, I know you're

suppose to only get the shot every five yrs. The pulmonary/allergy doctors

questioned the immunologist (who happens to be one of the best in the country)

and he said it would be fine. I've been getting this shot for three years now,

I got this shot last week but, I had not needed it (blood tests) since last

year.

I have not been as sick twice in three years, and this time I did not have to

take any prednisone (this is a first), just the antibiotic.

Good Luck,

Kathy

____________ _________ _________ __

From: giavanna01 <giavanna01 (DOT) com>

Sent: Wednesday, March 4, 2009 9:27:34 AM

Subject: [ ] Increase in dose

I have lingered on this site for quite some time now, but have never posted. I

am 29 years old and have been getting sick every month for the past three years.

I started xolair about 7 months ago and it is helping but I am still getting

sick, I am still on albuteral, advair, the home nebulizer, singulair, and

steriods which is common with us, I suppose. Last month i was in the hospital

for a few days with pneumonia and have not fully recovered yet. I was on 150 mg

of xolair once a month, my doctor thinks the reason I still get sick every month

is because I need a stronger dosage, so he told me he would bring me up to 300

mg. (I figured 300 mg a month) I spoke with the pharmacy that sends out my

injection and they said that he sent in the script for 300 mg every two weeks I

am 115 pounds and that just seems like a really big increase from 150 mg to

600mg in a month ... Has this happened with anyone else? Or what are your

opinions regarding this?

Thank you,

Diane

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Having become a " practiced patient " , I would maybe suggest that you call your

doctor's office and have his P.A. or nusre to ASK him if this is the intended

dosage change. From personal experience, I have found that the occasional error

is made in doctor's notes--i.e. he could have written twice monthly and meant

once a month or the P.A./nurse/clerk could have been in a rush and there was a

miscommunication. An error could also be made at the pharmacy. I usually try

to be diplomatic about it and say, " Ummm Dr. X said for me to take such and such

but the script says something different? Would you be so kind as to confirm it

with him? " All of these people have a ton of paper work nowadays after all.

________________________________

From: uca79iii <uca79iii@...>

Sent: Wednesday, March 4, 2009 4:12:48 PM

Subject: [ ] Re: Increase in dose

>

> I have lingered on this site for quite some time now, but have never posted.

I am 29 years old and have been getting sick every month for the past three

years. I started xolair about 7 months ago and it is helping but I am still

getting sick, I am still on albuteral, advair, the home nebulizer, singulair,

and steriods which is common with us, I suppose. Last month i was in the

hospital for a few days with pneumonia and have not fully recovered yet. I was

on 150 mg of xolair once a month, my doctor thinks the reason I still get sick

every month is because I need a stronger dosage, so he told me he would bring me

up to 300 mg. (I figured 300 mg a month) I spoke with the pharmacy that sends

out my injection and they said that he sent in the script for 300 mg every two

weeks I am 115 pounds and that just seems like a really big increase from 150 mg

to 600mg in a month ... Has this happened with anyone else? Or what are your

opinions regarding this?

>

> Thank you,

>

It takes some people up to a year to see any results and some only a shot of

two. It took me about a year. Give it some time and trust your doctor's

judgment.

Let us know how you do :)

Doug

> Diane

>

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I didn't notice any improvement on Xolair until it was kicked up to 375 mgs

every two weeks (originally 300 every two weeks). Actually, due to my high

weight and IgE together (IgE was 409) I'm in the do-not-treat zone too according

to what I've read. However, it eventually did help. I'm not sure that there is

so much of a " too high " dosage with Xolair as there is with other meds. I think

(and this is strictly a personal non-medical theory) that's it's more to do with

only exposing you to what you need as it's still very new in the big scheme of

things. As far as the injections went, I didn't really notice any difference in

the way I felt with the increase with the possible exception of the first 1 or 2

times when I felt somewhat " disconnected " for the first few minutes. However,

there was nothing serious like anaphylactic shock at all. In the long run there

was some relief.

>

> I have lingered on this site for quite some time now, but have never posted.

I am 29 years old and have been getting sick every month for the past three

years. I started xolair about 7 months ago and it is helping but I am still

getting sick, I am still on albuteral, advair, the home nebulizer, singulair,

and steriods which is common with us, I suppose. Last month i was in the

hospital for a few days with pneumonia and have not fully recovered yet. I was

on 150 mg of xolair once a month, my doctor thinks the reason I still get sick

every month is because I need a stronger dosage, so he told me he would bring me

up to 300 mg. (I figured 300 mg a month) I spoke with the pharmacy that sends

out my injection and they said that he sent in the script for 300 mg every two

weeks I am 115 pounds and that just seems like a really big increase from 150 mg

to 600mg in a month ... Has this happened with anyone else? Or what are your

opinions regarding this?

>

> Thank you,

>

> Diane

>

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