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.

One of those days

It's been one of those days. I knew it was going to be one of those days as soon as I got up this morning. It was another struggle getting up this morning, with very limited movement in my lower back. I slept with a pillow stuffed under my hips to try and get some comfort which helped a little. It's my plan to invest in one of those long body pillows, see if that will help. It was also very cold this morning. 1°C according to my car thermometer this morning. My joints don't like the cold and I was significantly stiffer than usual this morning, waddling my way to the bus this morning.

I commute to work on the bus each morning where I get off at the train station in Dundee. It's about a 10 minute to my office on the far end of campus. Occasionally (and as I get stiffer, it's becoming more often), I get the 73 bus along half way along Perth Road which reduces the 10 minute walk to a 2 minute one and a 2 minute bus trip. This morning the bus was due in 3 minutes and I was in no mood for walking. I could practically see the bus coming when my guts decided to play up.

Delivery!

I'm sorry, I thought I had posted this post, but evidently I only saved it rather than published it!

My drugs were delivered on Friday! The kind people from BUPA text me the night before saying my delivery was due by courier sometime between 8am and 10am. They were delivered fairly quickly not long after 8am. These need to be signed for and placed straight in the fridge on receipt.

I was delivered my first three lots. My first three doses are loading doses, where I'll receive double the amount of medication every two weeks (x2 200mg syringes). Each package (image on left) contains 2 syringes. After the loading doses, I'll have x1 syringe every two weeks, so each package will be a monthly supply. I received the timetable for delivery until the middle of 2016 in which my drugs will be delivered monthly on a Tuesday. I was also provided with a yellow sharps container for disposing of the used needles. BUPA will also arrange a date to collect the used needles when full, which is handy. I didn't fancy taking a trip to the tip and handing the gentleman a container of needles to dispose of!

It was a simple thing, but I can't express the joy of receiving them. It made it feel so much more real that something was finally being done, especially after the brutal week I've been having with pain. Now I just have to keep them in the fridge (and resist the urge to open them or just give it a go myself) until Monday when the BUPA nurse comes to visit and I get my first injections :)

Robyn xx