Re: .xolair increase refused by doctor

[Guest guest]

i haven't been keeping up lately - how much xolair were you on and what were you

trying to increase too?? if its above your rec. dose for IgE, the dr is right,

medicare might reject it - but i'd think there's no harm in trying?? maybe with

the right supporting data???

i hope the extra QVAR will help you through your flares.

heather

royalashtonvp <royalashtonvp@...> wrote:

My allergist said no to my request for a xolair increase because: (1)

Medicare would probably not pay for something that is not officially

recommended by Xolair and (2) There are some unknowns about xolair

since it hasn't been used very long. He prescribed another inhaled

steroid (QVAR) to be added to my regular Pulmicort dose when I have

asthma flares. Hopefully, this will help. Anything will be better than

the prednisone.

[Guest guest]

We've been adding extra inhaled steroids to my regimen in order to try

to avoid pred as well. This is a new thing, and so far I think it's

working.

Addy

Group co-owner

My experiences only, I am not a doctor, I just play one on TV!

>

> My allergist said no to my request for a xolair increase because: (1)

> Medicare would probably not pay for something that is not officially

> recommended by Xolair and (2) There are some unknowns about xolair

> since it hasn't been used very long. He prescribed another inhaled

> steroid (QVAR) to be added to my regular Pulmicort dose when I have

> asthma flares. Hopefully, this will help. Anything will be better

than

> the prednisone.

>

[Guest guest]

personally, i'm a big fan of increasing the inhaled steroids - its saved my butt

from prednisone many times! i've heard there's only so much your body can absorb

(of the inhaled steroids) but i've surpassed that dose and still had positive

benefits - so i don't really believe that one!

heather

pred-free since july 05 !!!

pyle456 <coachmac@...> wrote:

We've been adding extra inhaled steroids to my regimen in order to try

to avoid pred as well. This is a new thing, and so far I think it's

working.

Addy

Group co-owner

My experiences only, I am not a doctor, I just play one on TV!

--- In , " royalashtonvp "

wrote:

>

> My allergist said no to my request for a xolair increase because: (1)

> Medicare would probably not pay for something that is not officially

> recommended by Xolair and (2) There are some unknowns about xolair

> since it hasn't been used very long. He prescribed another inhaled

> steroid (QVAR) to be added to my regular Pulmicort dose when I have

> asthma flares. Hopefully, this will help. Anything will be better

than

> the prednisone.

>

[Guest guest]

I have to agree with your doctor about the unknowns for the drug but it is

possible to get an approval from Genetech if your doctor is willing to contact

them. My doctors office contacted them and received approval to increase my

dose by 75mg per month.

royalashtonvp <royalashtonvp@...> wrote: My allergist said no to

my request for a xolair increase because: (1)

Medicare would probably not pay for something that is not officially

recommended by Xolair and (2) There are some unknowns about xolair

since it hasn't been used very long. He prescribed another inhaled

steroid (QVAR) to be added to my regular Pulmicort dose when I have

asthma flares. Hopefully, this will help. Anything will be better than

the prednisone.

---------------------------------

Don't pick lemons.

See all the new 2007 cars at Autos.

[Guest guest]

I am hearing that next year there will be a 75 mg vial introduced but my doctor

was not sure when it would be out. It's a shame we can't all receive our shots

the same day because right now we have to throw out 75 mg twice a month and that

could help someone. It is such a waste of possible benefit to someone else.

McLaughlin <gmclaughlin1000@...> wrote:

I have to agree with your doctor about the unknowns for the drug but it is

possible to get an approval from Genetech if your doctor is willing to contact

them. My doctors office contacted them and received approval to increase my

dose by 75mg per month.

royalashtonvp <royalashtonvp@...> wrote: My allergist said no to

my request for a xolair increase because: (1)

Medicare would probably not pay for something that is not officially

recommended by Xolair and (2) There are some unknowns about xolair

since it hasn't been used very long. He prescribed another inhaled

steroid (QVAR) to be added to my regular Pulmicort dose when I have

asthma flares. Hopefully, this will help. Anything will be better than

the prednisone.

---------------------------------

Don't pick lemons.

See all the new 2007 cars at Autos.

[Guest guest]

>

> My allergist said no to my request for a xolair increase because: (1)

> Medicare would probably not pay for something that is not officially

> recommended by Xolair and (2) There are some unknowns about xolair

> since it hasn't been used very long. He prescribed another inhaled

> steroid (QVAR) to be added to my regular Pulmicort dose when I have

> asthma flares. Hopefully, this will help. Anything will be better

than

> the prednisone.

>

Hi my name Jo Ann I work for an allergist. We currently have 67

patients on Xolair. We have been administrating this drug since 2003.

As far as I know we do have a patient that her dose based on the dose

guide is 150 mg once a month. We called her pharmacy to find out if we

could increase the dose of her Xolair due to increase asthma sx post 3

weeks of Xolair. We did get the approval and now she comes in every 2

weeks. I know MC will pay for the increase as long as your doctor

explains why he would like to increase your dose. If your dose is off

the dose guide and he just started you at 375mg then have him calculate

your dose based on the formula(.016X kg X IgE divided by 2 this will

equal your dose every two weeks. We currently have 3 patients on 600mg

every 2 weeks responding very well.MC will pay for the drug as long as

your provider buys the drug then bill MC.Good luck it worth a try.

[Guest guest]

Jo Ann: You answered my question about the doses. I didn't know anyone took

600 mg at one time! Makes my 150 once a month seem small! But it is helping.

Glad to have you on board.

Adah

joannnana <joannnana@...> wrote:

>

> My allergist said no to my request for a xolair increase because: (1)

> Medicare would probably not pay for something that is not officially

> recommended by Xolair and (2) There are some unknowns about xolair

> since it hasn't been used very long. He prescribed another inhaled

> steroid (QVAR) to be added to my regular Pulmicort dose when I have

> asthma flares. Hopefully, this will help. Anything will be better

than

> the prednisone.

>

Hi my name Jo Ann I work for an allergist. We currently have 67

patients on Xolair. We have been administrating this drug since 2003.

As far as I know we do have a patient that her dose based on the dose

guide is 150 mg once a month. We called her pharmacy to find out if we

could increase the dose of her Xolair due to increase asthma sx post 3

weeks of Xolair. We did get the approval and now she comes in every 2

weeks. I know MC will pay for the increase as long as your doctor

explains why he would like to increase your dose. If your dose is off

the dose guide and he just started you at 375mg then have him calculate

your dose based on the formula(.016X kg X IgE divided by 2 this will

equal your dose every two weeks. We currently have 3 patients on 600mg

every 2 weeks responding very well.MC will pay for the drug as long as

your provider buys the drug then bill MC.Good luck it worth a try.

---------------------------------

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