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Re: Joyce/Cytoxan

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Joyce,

I'd like to weigh in here and just like Babs this is how it has

worked for me. My 1st hospitalization was in April 1996 (I once

wrote it was '95 but I'm numerically challenged) the month and year

my first grandchild was born. I was 47. Since that time I have

never been off prednisone, I only take 10/day now. I have used

Imuran twice, once for 3 months and later 6 or 7 months. I tried

interferon gamma b, twice. I also tried cytoxan after 6 weeks I had

to stop. All of the preceding made me sick in varying degrees, the

side effects of all are many and they are serious. In addition I am

taking bosetan (Tracleer) and have not experienced any serious side

effects. I've been taking it for about 5 years but still have to

have liver function checked every month. But I tried everything at

least once because we know so little about about our disease. There

are so many different dxs, some of us have autoimmune disorders, some

of us have mctd. I think one of the reasons there is no cure is

because there so many different " kinds " . It is like trying to find

one cure for all " cancers " .

I had my biopsy done in May '96 and they didn't know what I had even

then and they continued to test that sample for at least 2 years

until it was all gone. About a year ago I was given the NSIP dx but

as I have said before, it is only because I have managed to survive

this long.

Joyce, I know it has been a long road for you, too. To be honest,

Cytoxan was the worst of all the medications I have taken, but that

is just my experience. I wouldn't take it again. But if there was

some other drug out there that my doc wanted me to try, I would,

despite the side effects. If it made me miserable I would stop. I

don't feel at this stage that I have many options left.

You are in my heart and in my prayers,

Kathie WA NSIP 96, etc...

> > > >

> > > > Just back from little trip to Alabama last week. Travel is

> > > certainly

> > > > not as easy as it used to be.

> > > > I had visit with my pulmo doc on Monday. He is considering

cytoxan

> > > > treatments if I don't stabilize by March. Also he sent me to

my

> > > > internist who added something new to my list of ailments -

unstable

> > > > Type II diabetes. We are trying 1000 mg of Metformin twice a

day

> > > with

> > > > Glipizide but that will change to insulin if that does not

> > > stabilize

> > > > within a month.

> > > >

> > > > So what is cytoxan like? It looks nasty.

> > > >

> > > > Yet again, normal is not what it was yesterday.

> > > >

> > > > S, Lubbock, TX

> > > > NSIP w/PF, Celiac & Type II diabetes

> > > >

> > >

> >

>

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Kathie and Babs,

Thank you both for your input. I have been thinking a lot about what I am going to agree to do. The docs are discussing it among themselves and I will talk to the doc on the 4th. I also took Methotrexate and Imuran and could not tolerate it. I didn't take Interferon. I used Cellcept for 9 years. I have refused up to this point using Cytoxan. I can not find any positive results or anyone that had success in using it. It always makes people so sick.

I think my Rheumatologist will push for Retuxan.

But you want to know what my self diagnosis is? My swift slide downhill these last 4-5 months? I believe that I have developed PH. My regular pulmo does not think so but the new doc thinks it is worth looking at again. I just got the HRCT report and the nurse read it to me on the phone....it said enlarged pulmonary arteries both sides...um hum.....just did an echo, so we should know soon. I also have Coronary Artery Disease....so, who knows?

I just think if my distress is being caused by the onset of PH, then why not just treat that and skip all the immunosuppressants? I am hoping that I don't even have to make the decision. As sick as I am, I will get knocked flat by Cytoxan and his friends.

I'm so thankful that we have this group. The information that we share is priceless!

Hugs, Joyce D.PULMONARY FIBROSIS/LUPUS 1997 BRONCHIECTASIS 2004 INDIANA 2 COR. 12:10 ....when I am weak, then I am strong> > > > >> > > > > Just back from little trip to Alabama last week. Travel is> > > > certainly> > > > > not as easy as it used to be.> > > > > I had visit with my pulmo doc on Monday. He is considering > cytoxan> > > > > treatments if I don't stabilize by March. Also he sent me to > my> > > > > internist who added something new to my list of ailments - > unstable> > > > > Type II diabetes. We are trying 1000 mg of Metformin twice a > day> > > > with> > > > > Glipizide but that will change to insulin if that does not> > > > stabilize> > > > > within a month.> > > > >> > > > > So what is cytoxan like? It looks nasty.> > > > >> > > > > Yet again, normal is not what it was yesterday.> > > > >> > > > > S, Lubbock, TX> > > > > NSIP w/PF, Celiac & Type II diabetes> > > > >> > > >> > >> >>

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A lot of logic to what you say. Then it starts sounding like one

choice is Revatio, which is approved for PH and still in testing for

PF but has been used long enough by men as Viagra that its side

effects are well known and generally not so great. Or there is

Tracleer, which many are taking with minimal side effects although

Tina just started and is having some. However, she may be fine after

first few days.

> > > > > >

> > > > > > Just back from little trip to Alabama last week. Travel is

> > > > > certainly

> > > > > > not as easy as it used to be.

> > > > > > I had visit with my pulmo doc on Monday. He is considering

> > cytoxan

> > > > > > treatments if I don't stabilize by March. Also he sent me

to

> > my

> > > > > > internist who added something new to my list of ailments -

> > unstable

> > > > > > Type II diabetes. We are trying 1000 mg of Metformin

twice a

> > day

> > > > > with

> > > > > > Glipizide but that will change to insulin if that does not

> > > > > stabilize

> > > > > > within a month.

> > > > > >

> > > > > > So what is cytoxan like? It looks nasty.

> > > > > >

> > > > > > Yet again, normal is not what it was yesterday.

> > > > > >

> > > > > > S, Lubbock, TX

> > > > > > NSIP w/PF, Celiac & Type II diabetes

> > > > > >

> > > > >

> > > >

> > >

> >

>

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Joyce, your diagnosis makes sense. Once you have the echo results

you'll know much more. Enlarged pulmonary arteries sounds like

SOMETHING, right?

If you couldn't tolerate the Imuran then I would say the Cytoxan would

really knock your body for a loop. It really is a nasty drug Joyce,

and I would ask the Docs to seriously consider other means of

treatment before they prescribe that demon.

Are you confident in your doctors? It makes such a huge difference to

feel that your Doc's are putting your best interests before their own

agenda...whether that be supporting a certain drug or just being

lazy, they need to consider ALL of your health issues before

prescribing a new drug.

I will be right here, waiting to hear what is going on. You are in my

prayers, and I will support you in whatever you decide to do...

Big Hugs from Texas!

Babs

> > > > > >

> > > > > > Just back from little trip to Alabama last week. Travel is

> > > > > certainly

> > > > > > not as easy as it used to be.

> > > > > > I had visit with my pulmo doc on Monday. He is considering

> > cytoxan

> > > > > > treatments if I don't stabilize by March. Also he sent me to

> > my

> > > > > > internist who added something new to my list of ailments -

> > unstable

> > > > > > Type II diabetes. We are trying 1000 mg of Metformin twice a

> > day

> > > > > with

> > > > > > Glipizide but that will change to insulin if that does not

> > > > > stabilize

> > > > > > within a month.

> > > > > >

> > > > > > So what is cytoxan like? It looks nasty.

> > > > > >

> > > > > > Yet again, normal is not what it was yesterday.

> > > > > >

> > > > > > S, Lubbock, TX

> > > > > > NSIP w/PF, Celiac & Type II diabetes

> > > > > >

> > > > >

> > > >

> > >

> >

>

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