Before I went in for my first Remicade infusion, I was searching the Internet for individual experiences with Remicade. It seems they are few and far between. So, I thought I'd tell my experience here.
First off, everyone's experience varies--as evidenced by the many methods of dosing and delivering Remicade I found on the Internet. Some doctors require their patients to take benadryl before an infusion. Others do not. Some put benadryl in the infusion with the Remicade. My doctor, it turns out, does not give any benadryl unless you've had an allergic reaction in the past.
Nervous and now, freaked out...
The nurse who checked me in turned out to be Perky Nurse Who Can't Hit My Veins To Save Her Life (Perky Nurse, for short). So, I'm freaking out because, if she comes at me with a needle, I swear I will scream bloody murder. She took my vitals (blood pressure abnormally high for me--go figure) and led me to the infusion room. Thankfully, the infusion nurse was there and saw the look of horror on my face. After Perky Nurse left, she assured me that she would be doing the infusion. I'm thinking Perky Nurse instills fear into the hearts of some of the patients.
Eat before you go
My husband came with me to the doctor after hearing the experiences of a co-worker who takes Remicade for Crohn's. I didn't eat beforehand, and the nurse told me that I had to eat (because in her experience, some people have reactions if they don't eat). Okay, so my husband went to get us some breakfast. The doctor came and saw me (and thankfully avoided mashing on my joints since he had seen me 2 weeks prior), told the nurse how many vials to use (2), and then returned to his office. I ate my breakfast, then the nurse put in the IV. Remarkably, it wasn't that bad--she got my vein on the first try. Granted, she went into a vein in my hand, not my arm, but I much prefer one stick to several.
Wear warm clothes
Once the IV started, I was freezing. The already cold room felt like a freezer once the cold IV fluids started going. The nurse piled lots of blankets on me, and I was finally able to get reasonably comfortable. I read my book, talked to the other patients, and played a game or two on my Blackberry. All in all, it took about 4.5 hours--check in to vitals check.
You're getting sleepy
On the way home from the infusion, I felt fine, but gradually I got more and more sleepy. Fatigue is more appropriate. We got home, and I dragged myself up the stairs to bed where I slept for about 3 hours.
The waiting game
And now, I wait. I wait for some sign that the drug is working. The nurse and other patients told me how wonderful Remicade is. How some patients respond immediately. How the day after their first infusion they went roller skating.
As usual, I can't really tell that much of a difference. My swelling has gone down (I can see the bones in my feet!), but the pain still lingers. My hip isn't grinding as much, but it still happens. I hope that I will respond better over time, but I am cautious in that hope.
The day after the infusion, I was able to go out for lunch, go to the mall, and still feel well enough to clean house and watch movies. But today, 2 days past infusion, I feel exhausted and weak, and I'm in pain. My brain feels like mush, and I've already broken down in tears several times today. I can only hope that things get better.