Remicade:

Dr. Stokes' office now provides Remicade infusion therapy. Remicade may be indicated for patients with Crohn's Disease or Rheumatoid Arthritis (see below). While Dr. Stokes treats only Crohn's Disease, his office is happy to provide this therapy to any patient whose physician orders Remicade for any condition. Receiving Remicade from Dr. Stokes' office is very safe and can also be extremely cost-effective for the patient. All patients receiving this infusion are continually monitored by a Registered Nurse, who has over a year's experience administering Remicade in the physician's office setting. Our fees are very reasonable, and our collections staff is always willing to work with our patients on payment arrangements that best meet their needs (though for many insurance plans, physician office visit copays do apply). If after reviewing the information provided below you feel Remicade may be right for you, or for more information on this therapy, please feel free to call our office at (337) 364-3301, extension 106.


Remicade for Crohn's Disease

Remicade is a new type of drug that was approved by the FDA in May of 1998 for treatment of Crohn's disease in people who have failed to adequately control their disease with conventional therapy like prednisone, Pentasa, Asacol, Imuran, etc.

Crohn's disease is an inflammatory process that affects the digestive tract by overproducing a substance known as Tumor Necrosis Factor (TNF). It is believed that TNF plays a vital role in causing inflammation and damage of the intestinal wall. Remicade is an antibody that blocks Tumor Necrosis Factor (TNF). It helps control the symptoms of Crohn's by binding to the TNF and neutralizing its action which may allow patients to experience a reduction in their signs and symptoms of Crohn's.

A singe dose of Remicade has been shown to provide benefits for 8-12 weeks. Remicade is also indicated for the treatment of fistulizing Crohn's disease. When given as a three course of therapy, it can reduce the number of draining fistulas.

It is impossible to predict in advance how you may respond to Remicade or how long the benefits of Remicade will last. Because Remicade is a fairly new drug, the efficacy and safety of Remicade beyond the recommended duration has not been established. It is imperative that you discuss all treatment options with your physician before deciding on any treatment.


Remicade for Rheumatoid Arthritis

Released in May of 1998, Remicade is a drug that is now indicated for the treatment of rheumatoid arthritis (RA) in addition to the treatment of Crohn's disease.

Rheumatoid arthritis is an inflammatory process where the joints of the body become inflamed and painful and eventually permanently damaged. In combination with methotrexate, Remicade has been proven to significantly reduce symptoms and inhibit the progression of joint damage in those with moderately to severely active rheumatoid arthritis.

It is believed that rheumatoid arthritis patients have an excess of TNF in their joints. Remicade is an antibody that blocks Tumor Necrosis Factor (TNF). Remicade helps control the symptoms of rheumatoid arthritis by binding to the TNF and neutralizing its action, which may allow patients to experience improvement in their joints for sustained periods of time.

Remicade often provides relief of symptoms within 2 weeks of the initial dose. After three initial doses, treatment is required once every 8 weeks.

It is impossible to predict in advance how you many respond to Remicade or how long the benefits of Remicade will last. Because Remicade is a fairly new drug, the efficacy and safety of Remicade beyond the recommended duration has not been established. It is imperative that you discuss all treatment options with your physician before deciding on any treatment.


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