That's why I wrote 'for ME patients.' Since many think that ME is a result of chronic infection, the long-term effects may quite different from those it has in cancer and RA patients.
I am so glad you posted, Rebecca2z. I've been carefully watching the old thread in "Introduce Yourself", waiting for an update. My wife just asked me yesterday if I had seen anything further regarding your condition, and I told her I was feeling that it wasn't good, because it had been so long, and in your last post you seemed to be coming down off the steroids. I'm very happy I was wrong and you are doing well. Please be careful and don't over do it, tempting as it may be. Also, please let us know from time to time how things progress.
So incredibly happy for you!!!! I was worried when we hadn't heard from you in a it so this is a relief. I would love to be able to get Rituxan someday but in Canada it's only approved for severe cases of Rheumatoid Arthritis, cancers etc. , otherwise it's thousands $$ per infusion. Crazy! Please keep posting, good or bad, it's so very helpful to all of us. Yippee Hooray for Rebecca!!!
So, it looks as though the good effects kicked in at about 2 1/2 months from @Rebecca2z's first rituximab infusion. That seems to be inline with the timing for the earliest responders in the Norwegian trials, if I understand correctly. (@deleder2k?)
That delayed response makes me think the depleted B-cells are being replaced with cells from bone marrow before you feel improvement. This is at least consistent with the idea that those cells may be infected, and stem cells in bone marrow are not. This would lead to a prediction: Rituximab therapy would be most effective in people who have had onset in the last few years, but would not be effective if cells in bone marrow have been infected, as happens in some long-term diseases.
If her immune system has been fighting itself, yet succeeded in preventing infection of stem cells in bone marrow, this would be a reasonable outcome, even in a long-term patient. Unfortunately, we don't know what is going on in detail, and we can't measure much of anything except time since onset of symptoms or clinical signs. We are dealing with statistical correlations rather than causes at this stage of ignorance. You can't do much statistical reasoning with a sample of one.I get the rationale behind your prediction, anciendaze, but my recollection is that Rebecca2z had been very sick for a very long time. Her response, so far, to Rituximab doesn't seem to square with your prediction. I always enjoy your posts...have any further thoughts?
Hi @Gingergrrl , Thank you ! Oh yes I am WAY BETTER .
I have never had any doctor mention this mast cell, I don't really know anything about it.
Be interesting to know what others think.
Hi Rebecca, thank you so much for sharing your story and your success. It gives us old timers hope! Can I ask, how did you get the rituxan ? Who is your doctor? Many thanks JillYes I was dx with CEBV by UCLA in 1980 (something) have struggled with being bed ridden from it right from the start.
I then had about a 10 year period of not being so bed ridden, but still struggled everyday with fatigue, headaches and weakness.
When I became sick in the 80's I lost 25 pounds, ran a fever of 102 for 2 years, then that became a sub-temp of 96.8 - where it currently remains. Severe severe sore throats. Had 4 very large lymph nodes removed and had severe candida - which remains with me to this day. I could not even get in the shower I was so weak and fatigued. My mental clarity was gone, got extremely mixed up with going to normal places, lots of confusion. The fatigue has been the most debilitating aspect of my problems.
Jump ahead to now..Only in the last 5 years have other auto-immune diseases appeared. I have two siblings with auto-immune diseases (different from mine)
So yes the Rituxan has changed my life and I have been very ill for a very very long time.
I just want to keep it real because I want those people who have been suffering for years to not give up hope.
It is hard to say what and why in my case the Rituxan has worked. But time does not seem to be a factor in my situation.
My fatigue, weakness and mental clarity are noticeably better.
Having the fatigue gone is so life changing. You know you go so long like this you wonder is this in my head, I need to push harder, get out bed. You wonder is this depression? It really messes with your head.
But it doesn't work like that, I am not depressed and never have been, I can see clearly now, ( ♪ ♫ ♩)
my body was doing this to me not my head!
yesIs Rituxan the same drug as Rituximab?
i'm a little confused...i remember reading that rebecca improved a lot on rituxan but then crashed again? is this a new improvement with continued use of the drug? sorry my memory is non existent
thanks