Setbacks



Unfortunately there has been a few setbacks this weekend. I’ve been feeling unwell since I started taking the cimzia; nausea, headaches, migraines, fatigued. On Thursday night I experienced a new pain. Normally I’m not too worried about pain, but this was something I hadn’t experienced before. It wasn’t a pain I was used to from my arthritis/ankylosing spondylitis or any of the other issues and I’m pretty certain it was a direct result of the medication rather than anything else.

I lost a lot of feeling in my right leg, it was tingly and numb, kind of like pins and needles down from my bum to the foot. There was also a burning sensations in my joints (lower back, hip, knee and ankle). It would be okay then it would feel like a hot stabbing burning pain in the joint – particularly in the knee which wasn’t pleasant to put any pressure on to walk. Having read the manual that came with the drugs, there are quite a number of side effects. Unfortunately for me ‘tingling, numbness, muscle weakness and burning sensations’ all came under the ‘SEEK MEDICAL ATTENTION IMMEDIATELY’ category. But at 11pm on a Thursday night, I wasn’t really up for A&E so decided to leave it and see what it did.

Friday was much of the same feeling. Even for the feeling to be slightly worrying. I attempted to phone my rheumatology nurse on the number she gave me in case I needed to contact her for an emergency…..to which she wasn’t there. I don’t mind people having holidays or days off, but if it’s an emergency number, I at least expect someone who knows where they’re talking about to look after the line until the other nurse comes back. The receptionist then gave me the number to the nurses helpline, so ringing that I got an automated message to leave my name, number, issues I was having and they’d phone me back……..in one to two days’ time. I could be dead in two days’ time!

It could be nothing, just a common side effect but since it’s something I’m not used to, I made an emergency appointment with a GP, since it is on the ‘SEEK MEDICAL ATTENTION IMMEDIATELY’ list. He was very helpful, despite having never heard of the medication I was on (which I had pre-empted and brought the information book along with me). I did the right thing since it’s painful and something I haven’t experienced before. The outcome is that he’s going to phone my consultant rheumatologist and see what the story is basically – is this common side effect? Is this something to worry about? Is my leg going to fall off? My next set of injections are due on Tuesday, he said to hold off taking them until I hear back.

Since speaking to the GP on Friday and today waiting for him to phone back, the loss of feeling and burning pain in my leg comes and goes. I’m also experiencing a loss of feeling in my right arm. When lying down, I seem to lose feeling in my arm in about a minute. Not even lying on my arm. No matter what position or how I angle it, it begins to go numb, which is also something new and very unpleasant. 

So the current state of play is waiting for the GP to phone me back after he’s spoke to my consultant and I can see whether I can take the next set of injections or if I need to make an appointment to get checked out. In the meantime this afternoon I have bloods and various function tests to have done to see if the cimzia is starting to do anything.

Robyn x

Side effects




I want to apologise for not updating sooner, this has always been my problem with blogs. I never seem to find the time (despite doing very little other than work) to update. I also haven’t been feeling particularly unwell this past week and have wanted to do little beyond lying down and going to sleep. There is a possibility it may be entirely unrelated to starting cimzia, but I highly doubt it.

The nurse said I may suffer some side effects after initial taking the drug. I thought was doing alright during the evening but the later it got, the worse and worse I began to feel. Around 9/10pm, I began to suffer a horrendous migraine. I had already emailed my boss to explain the potential side effects. I can't stress how understanding my work has been with my condition and I can imagine how much stressful this process could be if someone had employment where you couldn't regularly go for appointments, work from home or phone in sick short notice.

First Injections :)



So Monday (30th) was the day that I finally began my cimzia treatment. I was mixture of nervous and excited. Even though the treatment is due to take 3 months to start taking any effect, it was good to know that it was finally starting and there would eventually be a point 3 months down the line where I can hope to feel some relief by (if the drug works).

I met with the nurse from BUPA on Monday. I had took the packet (containing 2 syringes) from the fridge 45 minutes before the appointment. This was to bring the liquid inside to room temperature. The liquid is very thick and gloopy and it is difficult to push the plunger regularly, impossible if the fluid is nearly frozen. 

The nurse was lovely and talked me through the treatment from the beginning. We also went over the usual questionnaire about feeling well, taking medication, are you pregnant, do you have a pacemaker, etc. The nurse had her own set of example syringes for practicing injections and a model to practice injecting on. There are two sites of injection recommended for this drug: the thigh and the stomach. The injections are intramuscular so you don’t have to worry about finding a vein. The needles are not long enough to cause any damage to underlying nerves and blood vessels in these areas. I decided to inject myself the first time in the stomach, which I was a little nervous about.