Jump to content
RemedySpot.com

Procrit

Rate this topic


Guest guest

Recommended Posts

>>As much as I hate to say this, eat MEAT!!!!!!!!! <<

To the best of my understanding, the ribavarin

induced anemia is not iron deficiency related, but

has a different cause, so assuming that iron levels

are normal then eating meat will not help.

High iron levels are a known negative for HCV, so

increasing them may not be a good thing, unless

someone already had the iron deficiency anemia

unrelated to the treatment. The other thing was there

is some preliminery evidence that vit E may slow the

onset of ribavarin induced anemia.

From: Highlights in Liver Disease: News Service

10/7/99

Anti-Oxidant Vitamins Delay Ribavirin-Related

Anemia in Patients on Combination

Therapy

Patients on combination therapy who took the

antioxidant vitamins C and E delayed

the onset of anemia. Hemolytic anemia is a serious

side effect of combination

therapy, attributable to the ribavirin component in

the combination. This complication

necessitates a reduction in the ribavirin dose for

about 15% of all patients, according

to Piken, M.D., Director of Research at

South Bay Gastroenterology in

Torrance, California.

" Patients become anemic: they feel short of breath,

become weaker, are unable to

do their normal workload, " Dr. Piken says. One

hypothesis is that ribavirin

accumulates in red blood cells. " The red cells,

because of the medications, are under

what's called an oxidative stress, and the red

cells break down at an earlier point in

their life cycle. "

To investigate a solution to this problem, Dr.

Piken enrolled 12 previously untreated

HCV patients in a study to look at the effects of

antioxidant vitamins on anemia.

Patients received 1,200 milligrams of ribavirin

daily along with 3 million units of

interferon alfa-2b three times a week. They also

took two common over the counter

vitamins daily-1000 milligrams of vitamin C and 800

IU(internatinal nits) of vitamin E.

" We chose them because they have essentially no

side effects, and many people are

already taking them, " Dr. Piken says. Results were

compared to a control group of 14

relapse patients who received combo therapy without

any antioxidants.

According to Dr. Piken, patients receiving the

antioxidants show an initial benefit

from the vitamins but that benefit declined by the

end of three months of treatment.

The antioxidants " appear to delay the onset and

severity of the anemia, and

patients receiving antioxidants do not require

(ribavirin) dose reductions, compared

to 22% of the people in the control group, " he

says.

Dr. Piken says the results merit further research.

" We plan to run a larger study and

also are currently making a decision on which type

of antioxidant to use, " he says.

" We would like to use more bio-available and

perhaps stronger antioxidants. The

forms of the vitamins, particularly C, could be

improved to a more bio-avaiable

vitamin C.

__________________________________________________

Link to comment
Share on other sites

A second or third voice on eating meat for low RBC...don't do it. The

anemia that is induced by tx is not an iron deficiency related anemia.

Claudine can explain this much better than I can....but eating a lot of

meat will do more harm then good. Iron is so bad for us and we need to

stay away from it.

Try folic acid...it helps the body produce red blood cells and has

nothing to do with iron.

Tatezi

> >>As much as I hate to say this, eat MEAT!!!!!!!!! <<

>

> To the best of my understanding, the ribavarin

> induced anemia is not iron deficiency related,

Link to comment
Share on other sites

yes it happened to me, i have been on tx for 8 wks. and I am loosing to much

weight, 20,lbs,in 8 weeks, so the DR. told me to go and eat a hamburger once

inwhile, I ALMOST PASSED OUT..lol good luck

martine

Re: Procrit

>>As much as I hate to say this, eat MEAT!!!!!!!!! <<

To the best of my understanding, the ribavarin

induced anemia is not iron deficiency related, but

has a different cause, so assuming that iron levels

are normal then eating meat will not help.

High iron levels are a known negative for HCV, so

increasing them may not be a good thing, unless

someone already had the iron deficiency anemia

unrelated to the treatment. The other thing was there

is some preliminery evidence that vit E may slow the

onset of ribavarin induced anemia.

From: Highlights in Liver Disease: News Service

10/7/99

Anti-Oxidant Vitamins Delay Ribavirin-Related

Anemia in Patients on Combination

Therapy

Patients on combination therapy who took the

antioxidant vitamins C and E delayed

the onset of anemia. Hemolytic anemia is a serious

side effect of combination

therapy, attributable to the ribavirin component in

the combination. This complication

necessitates a reduction in the ribavirin dose for

about 15% of all patients, according

to Piken, M.D., Director of Research at

South Bay Gastroenterology in

Torrance, California.

" Patients become anemic: they feel short of breath,

become weaker, are unable to

do their normal workload, " Dr. Piken says. One

hypothesis is that ribavirin

accumulates in red blood cells. " The red cells,

because of the medications, are under

what's called an oxidative stress, and the red

cells break down at an earlier point in

their life cycle. "

To investigate a solution to this problem, Dr.

Piken enrolled 12 previously untreated

HCV patients in a study to look at the effects of

antioxidant vitamins on anemia.

Patients received 1,200 milligrams of ribavirin

daily along with 3 million units of

interferon alfa-2b three times a week. They also

took two common over the counter

vitamins daily-1000 milligrams of vitamin C and 800

IU(internatinal nits) of vitamin E.

" We chose them because they have essentially no

side effects, and many people are

already taking them, " Dr. Piken says. Results were

compared to a control group of 14

relapse patients who received combo therapy without

any antioxidants.

According to Dr. Piken, patients receiving the

antioxidants show an initial benefit

from the vitamins but that benefit declined by the

end of three months of treatment.

The antioxidants " appear to delay the onset and

severity of the anemia, and

patients receiving antioxidants do not require

(ribavirin) dose reductions, compared

to 22% of the people in the control group, " he

says.

Dr. Piken says the results merit further research.

" We plan to run a larger study and

also are currently making a decision on which type

of antioxidant to use, " he says.

" We would like to use more bio-available and

perhaps stronger antioxidants. The

forms of the vitamins, particularly C, could be

improved to a more bio-avaiable

vitamin C.

__________________________________________________

Link to comment
Share on other sites

Hey Connie :)

I'm great! Will restart the high does interferon next monday ick! I keep

telling myself, it's only a month I can do it. The 3 shots a week I give

myself will be half the IV dose, the IV dose is 20mu, so surely it will be

easier then. I hope :)

I'm still miffed that the onc I'm using said he never had anyone on high

dose interferon complain of side effects. I just wanted to slap him silly. I

see him next Monday before tx. oy.

Still dealing with the itching. Allergist gave me Clarinex and a cream with

a steriod and cortisone in it. We'll see.

Will let yall know what happens! Stay warm :)

alley

Link to comment
Share on other sites

In a message dated 2/13/2002 2:00:40 PM Eastern Standard Time,

patriciajean@... writes:

> Wierd, my gastro told me not to take Vitamin E on treatment and gave me a

> prescription for folic acid. Man sometimes I wish these guys would make up

> their collective minds!

>

Okay, my doc said take the Vitamin E, and the folic acid and EAT meat.

However, I have a tendency towards iron deficiency anemia. So maybe you

shouldn't eat meat. I followed the " can I eat it and have it stay in my body

long enough to do any good " diet. grew me a garden that summer and I

ate vegetables galore. But I can say, that I felt MUCH worse when I ate no

meat. This includes energy level, too.

Also Doc may have told me that because I was losing weight so rapidly, that

he would have been happy if I'd eaten his desk.

They can't be consistent, Alley, they don't know a lot more about this

disease than we do. We are the OJT bunch. Oops.

LOL,

Anne

Link to comment
Share on other sites

--- martine <photoart@...> wrote:

> yes it happened to me, i have been on tx for 8 wks. and I am

> loosing to much weight, 20,lbs,in 8 weeks, so the DR. told me to go

> and eat a hamburger once inwhile, I ALMOST PASSED OUT..lol good

> luck

Make sure your doctor is checking your thyroid function! That can be

a cause of excessive, fast weight gain. Especially is you are eating

and eating, and STILL are loosing weight.

Good luck!

Claudine

__________________________________________________

Link to comment
Share on other sites

  • 4 years later...

Right now insurance companies will not pay for it unless your IG is

below 12. (Because your are using it for a " off-label use " ).

Dr. Shoemaker uses it to bring down C4a levels. I was supposed to

take 5 doses of 80 unit vials (if memory serves me correctly) over

two weeks (injection every third day).

You have to shop around. Walgreens had the 5 vials for $2,500.

Walmart had them for $561.00.

The other option I had here in AZ was to take a trip to Mexico. But

called a few places and they didn't carry it.

--- In , LiveSimply <quackadillian@...>

wrote:

>

> Is it true that procrit costs thousands of dollars?

>

> Does insurance pay for this?

>

Link to comment
Share on other sites

Yes - it is highway robbery. That's why you have to shop around....

Dr. Shoemaker has you do a two week one-time dosing of it. Once every

three days. So five doses total over 2 weeks....

--- In , LiveSimply <quackadillian@...>

wrote:

>

> " 5 vials for $561 - $2500 "

>

> How often do people have to take this? I hope you don't mind me

asking.

>

> Thats highway robbery...

>

Link to comment
Share on other sites

  • 1 month later...

To find out if Dr. Shoemaker's Procrit trial is registered with the

Government's Clinical Trial web site, as REQUIRED BY LAW, ask him

for the " clinical trial I.D.# " . That number always begins with the

prefix " NCT " . If he does not have an " NCT " number, then ask him for

the I.D. number that HE assigned to his trial. You can search, by

either number, on the web site. You also have to get the name of HIS

RESEARCH INSTITUTE that is conducting the trial, because clinical

trials are NOT searchable, on the government web site, under the

personal names of the researchers.

If you are afraid that he might be offended by your questions, the

only other way to find out if his trial is registered with the

government is to go to their web site, www.ClinicalTrials.gov, and

read through ALL 214 REGISTERED TRIALS. I looked at the 2 line

description of ALL 63 trials that are " still recruiting " , and did

not see anything that fit the description. But, to do a thorough

search,you would have to click on all 214 trials, to open up the 2

PAGE description of each trial, and read them carefully. REMEMBER,

the personal name of researchers(doctors) are never mentioned in the

descriptions.

Good Luck!

>

> Is anyone participating in Dr. Shoemaker's procrit trial?

>

> Theresa

>

Link to comment
Share on other sites

Theresa,

If you find Dr. Shoemakers Procrit trial listed on the " ClinicalTrials "

website, please post the trial number, so we can all look at it. It

sounds interesting. Thanks.

> >

> > To find out if Dr. Shoemaker's Procrit trial is registered with

> the

> > Government's Clinical Trial web site, as REQUIRED BY LAW, ask him

> > for the " clinical trial I.D.# " .

Link to comment
Share on other sites

I didn't find it listed but someone had called the office and they

told that person it was approved.

Has anyone taken procrit as indicated and have their c4a go down?

If so, what changes in tehir health were noted? I amw odnering what

happens if the c4a gets very hgih..

Theresa

> > >

> > > To find out if Dr. Shoemaker's Procrit trial is registered

with

> > the

> > > Government's Clinical Trial web site, as REQUIRED BY LAW, ask

him

> > > for the " clinical trial I.D.# " .

>

Link to comment
Share on other sites

I'm not telling anyone else what to do, but if I were considering

particpating in a clinical trial, I would, at least, ask the doctor

for the clinical trial number that HIS OFFICE has given to his

trial. With that number, it would be possible for me to review his

clinical trial application on the government's clinical trials

website, even BEFORE the government assigns it's own " NCT " number to

the trial.

Also, if I were a participant in a clinical trial, I would ask for a

copy of the " informed consent " form that the doctor asks me to sign,

to be a clinical trial participant. If the doctor gives me some

medicine to take, WITHOUT asking me to sign such a form, I would

RUN, NOT WALK, to the nearest exit. If I wanted to be extra-polite,

I might pause long enough to say to the doctor: " Is this a clinical

trial, or is this simply your decision to use Procrit for an OFF-

LABEL treatment? "

Under some circumstances, doctors are permitted to prescribe a drug

that is FDA approved for a specific illness or medical condition, to

persons suffering from a different medical condition. I don't know

the details of such " off-label " use decisions, by doctors, but I DO

KNOW that they usually don't tell the patient that it is an " off-

label " use of the medication. I have experienced MANY instances, of

such " off-label " prescribing, for my elderly parents, and I can't

recall a single instance of any doctor asking them to sign any

acknowledgement that they were being prescribed the medicine for

an " off-label " use.

There was one time, when a doctor suggested to my father, that he

try injections of BOTOX for the " off-label " use of treating his

headaches. Botox injections are ONLY FDA approved as a " cosmetic

treatment " to reduce wrinkles in skin. Many doctors use it for

various " off-label " treatments. In this ONE INSTANCE, the doctor sai

that my father would have to sign a consent form for the injections.

Since my father decided NOT to take the Botox injections, I have no

way of knowing if the doctor would have had my father sign the

consent form.

I ASSUME, since Procrit is ALSO an injected medicine, your doctor

might ask you to sign a consent form, since his use of Procrit, on

you, is definitely an " off-label " use, since the term " c4a " is

probably not printed on the medicines prescribing information. In a

future posting, I will post a link to the Procrit " prescribing

information " , so we can all look for the mention of " c4a " . I could

be wrong, in my assumption.

I am not a very trusting person. If YOU make your medical decisions,

based on your trust of ANY doctor, without feeling the need for the

legally required paperwork, I can only wish you the best of luck-

you'll need it.

>

> I didn't find it listed but someone had called the office and they

> told that person it was approved.

>

> Has anyone taken procrit as indicated and have their c4a go down?

> If so, what changes in tehir health were noted? I amw odnering

what

> happens if the c4a gets very hgih..

>

Link to comment
Share on other sites

ph,

The doctor is having folks sign the appropriate informed consent forms and you

are right that you won't find current literature describing how this can lower

C4A - that's the point of this trial. So, this trial follows the appropriate

processes. But, certainly, everyone needs to be conscientiously make their

decisions about participating. And, I can understanding your not being a very

trusting person - I had just about given up on doctors altogether until I

started seeing Dr. S.

Procrit is only typically used for folks that have severe anemia due to cancer

treatments, etc. However, one of the most popular " off-label " uses is by

athletes to improve their endurance and performance by improving the oxygenation

of the tissue. This was the drug that they had accused Lance of using in the

Tour De France.

My personal perspective is that those of us that have the opportunity to

participate in this trial may finally actually have the energy to get through a

normal day and actually still feel like a normal person. Of course, that also

requires that we be away from the sources of molds and any potential

contamination - I am far, far more worried about that than I am about an adverse

outcomes or even legality of the Procrit trial itself.

B.

-------------- Original message --------------

From: " joseph salowitz " <josephsalowitz@...>

I'm not telling anyone else what to do, but if I were considering

particpating in a clinical trial, I would, at least, ask the doctor

for the clinical trial number that HIS OFFICE has given to his

trial. With that number, it would be possible for me to review his

clinical trial application on the government's clinical trials

website, even BEFORE the government assigns it's own " NCT " number to

the trial.

Also, if I were a participant in a clinical trial, I would ask for a

copy of the " informed consent " form that the doctor asks me to sign,

to be a clinical trial participant. If the doctor gives me some

medicine to take, WITHOUT asking me to sign such a form, I would

RUN, NOT WALK, to the nearest exit. If I wanted to be extra-polite,

I might pause long enough to say to the doctor: " Is this a clinical

trial, or is this simply your decision to use Procrit for an OFF-

LABEL treatment? "

Under some circumstances, doctors are permitted to prescribe a drug

that is FDA approved for a specific illness or medical condition, to

persons suffering from a different medical condition. I don't know

the details of such " off-label " use decisions, by doctors, but I DO

KNOW that they usually don't tell the patient that it is an " off-

label " use of the medication. I have experienced MANY instances, of

such " off-label " prescribing, for my elderly parents, and I can't

recall a single instance of any doctor asking them to sign any

acknowledgement that they were being prescribed the medicine for

an " off-label " use.

There was one time, when a doctor suggested to my father, that he

try injections of BOTOX for the " off-label " use of treating his

headaches. Botox injections are ONLY FDA approved as a " cosmetic

treatment " to reduce wrinkles in skin. Many doctors use it for

various " off-label " treatments. In this ONE INSTANCE, the doctor sai

that my father would have to sign a consent form for the injections.

Since my father decided NOT to take the Botox injections, I have no

way of knowing if the doctor would have had my father sign the

consent form.

I ASSUME, since Procrit is ALSO an injected medicine, your doctor

might ask you to sign a consent form, since his use of Procrit, on

you, is definitely an " off-label " use, since the term " c4a " is

probably not printed on the medicines prescribing information. In a

future posting, I will post a link to the Procrit " prescribing

information " , so we can all look for the mention of " c4a " . I could

be wrong, in my assumption.

I am not a very trusting person. If YOU make your medical decisions,

based on your trust of ANY doctor, without feeling the need for the

legally required paperwork, I can only wish you the best of luck-

you'll need it.

>

> I didn't find it listed but someone had called the office and they

> told that person it was approved.

>

> Has anyone taken procrit as indicated and have their c4a go down?

> If so, what changes in tehir health were noted? I amw odnering

what

> happens if the c4a gets very hgih..

>

Link to comment
Share on other sites

Thank You so much for your comments. I am going to take them all to

ehart and follow-up....won't be for amonth or so until I see the

doctor....you sound very knowledeable in this area...

I had never heard of an off label treatment. It is very

interesting. is this what he does with the cholestyramine? It is

fda approved for cholesterol but not for chronicneurotoxins?

Theresa

> >

> > I didn't find it listed but someone had called the office and

they

> > told that person it was approved.

> >

> > Has anyone taken procrit as indicated and have their c4a go

down?

> > If so, what changes in tehir health were noted? I amw odnering

> what

> > happens if the c4a gets very hgih..

> >

>

Link to comment
Share on other sites

,

Are you participating i nthis trial? Have you started and if so do

you notice any difference?

> >

> > I didn't find it listed but someone had called the office and

they

> > told that person it was approved.

> >

> > Has anyone taken procrit as indicated and have their c4a go

down?

> > If so, what changes in tehir health were noted? I amw odnering

> what

> > happens if the c4a gets very hgih..

> >

>

>

>

>

>

Link to comment
Share on other sites

I took Procrit and improved greatly!! I had horrible fatigue which made me

stay in bed most of the day. I slept for at least 10 hrs. a night and many

times needed a nap in the afternoon .Using Procit every 5 days increased my

hemoglobin and the severe pain in my elbows also disappeared along with the

morning stiffness in all my joints!!!

Worked for me!!

Sue

Are you participating i nthis trial? Have you started and if so do

> you notice any difference?- you notice

I

Link to comment
Share on other sites

> Are you participating i nthis trial? Have you started and if so do

> you notice any difference?---

I am signed up for the trial, but can't start it until I'm out of the house that

we believe has been contributing to my ongoing illness. I'm hoping to move

within a week. At that time, I've first got to verify that the new place is

safe by going off the CSM for two weeks (after I've been there for 2 wks to

allow residual toxins to get removed). So, my plan is to move into the new

house with minimal stuff - all new (except for my kids and pets :). Although,

at this point, I'm debating whether I should move alone first and then gradually

introduce kids and pets. The kids part, though, I think I have to do all at the

same time, since they are both impacted by the toxins. We may end up with a

tent in the backyard for them to do homework since their school books and

backpacks have been in the old house. Fortunately, we live in Texas, so that's

not quite as bad as it sounds. Also, it's been recommended that I stay on the

CSM twice a day after that 2 week period since mold is so u

biqutious and I am so sensitive.

If all goes well with the move, I should start the procrit in 3-5 weeks.

B.

Link to comment
Share on other sites

Nope, not one! When I first started it was for a short period of time but I

can't remember how long. A month or two or three may be?! My mind is a blank

at times. Each time I had my HGB checked at the hospital. It didn't go up

right away but slowly it did then it leveled off and then rose a bit more. I

think the highest was about 15 and then held very steady. After a trial

period he took me off and down it went and the fatigue set in once again. SO I

went back on it taking only 0.1cc every 5 days or on Fridays and Mondays which

was easier for me to remember. It really made all the difference in the world

for me.

Sue

That's the way I am, Sue. I need about ten hours sleep and a nap.

I am always tired. Did you have any side effects?

Theresa

Link to comment
Share on other sites

That's the way I am, Sue. I need about ten hours sleep and a nap.

I am always tired. Did you have any side effects?

Theresa

>

>

>

>

> I took Procrit and improved greatly!! I had horrible fatigue

which made me

> stay in bed most of the day. I slept for at least 10 hrs. a night

and many

> times needed a nap in the afternoon .Using Procit every 5 days

increased my

> hemoglobin and the severe pain in my elbows also disappeared

along with the

> morning stiffness in all my joints!!!

> Worked for me!!

> Sue

>

> Are you participating i nthis trial? Have you started and if so

do

> > you notice any difference?- you notice

>

>

>

> I

>

>

>

>

>

Link to comment
Share on other sites

That's great. Hope you can keep getting the procrit whe needed.

Theresa

>

>

>

>

> Nope, not one! When I first started it was for a short period of

time but I

> can't remember how long. A month or two or three may be?! My mind

is a blank

> at times. Each time I had my HGB checked at the hospital. It

didn't go up

> right away but slowly it did then it leveled off and then rose a

bit more. I

> think the highest was about 15 and then held very steady. After

a trial

> period he took me off and down it went and the fatigue set in

once again. SO I

> went back on it taking only 0.1cc every 5 days or on Fridays and

Mondays which

> was easier for me to remember. It really made all the difference

in the world

> for me.

>

> Sue

>

> That's the way I am, Sue. I need about ten hours sleep and a nap.

> I am always tired. Did you have any side effects?

> Theresa

>

>

>

>

>

>

>

>

>

Link to comment
Share on other sites

Great to hear!

I tried it for a two week treatment. But since I was getting whacked

by spores at the time (and MCS), it didn't bring down my C4a level,

in fact, it went up.

I've got to get more spore free and stable before trying it again

because Dr. Shoemaker insists that C4a levels remain high and

constant until treated with Procrit. So I'll probably do another

session soon.

>

>

>

>

> I took Procrit and improved greatly!! I had horrible fatigue

which made me

> stay in bed most of the day. I slept for at least 10 hrs. a night

and many

> times needed a nap in the afternoon .Using Procit every 5 days

increased my

> hemoglobin and the severe pain in my elbows also disappeared along

with the

> morning stiffness in all my joints!!!

> Worked for me!!

> Sue

>

> Are you participating i nthis trial? Have you started and if so do

> > you notice any difference?- you notice

>

>

>

> I

>

>

>

>

>

Link to comment
Share on other sites

  • 1 year later...
Guest guest

Yes it is a treatment for anemia. It helps build red blood

cells. But it is temporary, as soon as your hemoglobin goes up you stop

it.

____________________________________________________________________________

it is for treating anemia

SeaLady

DONNA - what exactly is this

PROCRIT INJECTIONS - is it a steroid or an

immunosuppressive, like steroids or 6MP? or is it just another crohn's med?

don't remember ever hearing of it!!

Link to comment
Share on other sites

Join the conversation

You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...
×
×
  • Create New...