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Dear Sherrie,

I am on rebif. Have been since Oct 25th. I have not noticed hair loss... hope that is not one of the nasty side effects! I do have quite a severe burning during and after injections a lot of the time. I also feel quite like a truck hit me for about 16 hours afterwards!

How long have you been using rebif? What side effects are you experiencing?

Martha

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Sherrie & Martha,

I've been on Avonex for three years. My reason for replying to your question. Rebif and Avonex are practically, if not the exact, same formulation. I always keep handy, my trusted copy of "The Pillbook". I posed the questione of hair loss, that I've experienced, to my Avonex nurse (I don't remember which one, I get calls from two.. one the Avonex Alliance, the other from McKeeson, the supplier). I've been told by whichever one I asked about it, that no, hair loss isn't a side-effect. LOL.. WRONG..

My trusty handy dandy pillbook tells me, that hair loss is a less common side-effect of interferon beta-1a, but it is still a side-effect. Oh, and 75% of people who take interferon beta are likely to develop flu-like symptoms. So I guess we didn't fall into the 25% who don't feel like a mack truck hit them after the injections.

Reading a bit further.. I KNOW that one of our group is pregnant, due any day, but for the life of me (though I know I know who you are) I can't remember who right this minute... It's not known if interferon beta passes into breast milk... And it advises that nursing mothers should consider bottle feeding, if you need to take interferon beta.

There's a bunch more info in this book, if anybody's interested let me know, and I'll post it.

|)onna

Re anyone taking rebif?

Dear Sherrie,

I am on rebif. Have been since Oct 25th. I have not noticed hair loss... hope that is not one of the nasty side effects! I do have quite a severe burning during and after injections a lot of the time. I also feel quite like a truck hit me for about 16 hours afterwards!

How long have you been using rebif? What side effects are you experiencing?

Martha

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It is me that is pregnant! I am not sure whether I will breast or bottle feed, but I absolutely will not take any medication if I decide to breast feed! They say they are not sure, but I figure it is best to be safe! I think it would be ok for me to wait a few more months to start treatment if I do decide to breast feed. Part of me would love to breastfeed forever if it would get me out of the shots! I am not looking forward to that!

Tori

Re: Re anyone taking rebif?

Sherrie & Martha,

I've been on Avonex for three years. My reason for replying to your question. Rebif and Avonex are practically, if not the exact, same formulation. I always keep handy, my trusted copy of "The Pillbook". I posed the questione of hair loss, that I've experienced, to my Avonex nurse (I don't remember which one, I get calls from two.. one the Avonex Alliance, the other from McKeeson, the supplier). I've been told by whichever one I asked about it, that no, hair loss isn't a side-effect. LOL.. WRONG..

My trusty handy dandy pillbook tells me, that hair loss is a less common side-effect of interferon beta-1a, but it is still a side-effect. Oh, and 75% of people who take interferon beta are likely to develop flu-like symptoms. So I guess we didn't fall into the 25% who don't feel like a mack truck hit them after the injections.

Reading a bit further.. I KNOW that one of our group is pregnant, due any day, but for the life of me (though I know I know who you are) I can't remember who right this minute... It's not known if interferon beta passes into breast milk... And it advises that nursing mothers should consider bottle feeding, if you need to take interferon beta.

There's a bunch more info in this book, if anybody's interested let me know, and I'll post it.

|)onna

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Andreia,

It's going to be a long one.............. LOL

Interferon Beta (in-ter-FEER-on BAY-tuh)

Brand Names: Avonex - Interferon Beta-1a (Rebif would go here if the book

were up to date)

Betaseron - Interferon Beta-1b

Type of Drug: Multiple sclerosis (MS) therapy

Prescribed for: MS

General Information:

MS is an inflammatory disease in which protective myelin sheaths of the

central nervous system are broken down by immune-system abnormalities. This

leads to gradual and progressive loss of muscle tone and function,

progressive weakness, and paralysis. Exacerbations - episodes of MS in which

the disease worsens - develop slowly and may not reacede for weeks or

months. Interferon beta drugs are used to treat the replasing-remitting form

of the disease - about 66% of MS sufferers have it - in which stable periods

are followed by periods of worsening. Until now, MS treatment has been aimed

at controlling symptoms. Interferon beta can help reduce the number and

severity of MS flare-ups.

Interferon beta is also being studied for acquired immunodeficiency

syndrome (AIDS), AIDS-related Kaposi's sarcoma, cancer, herpes and

hepatitis.

Cautions and Warnings:

Do not take interferon beta if you are allergic to it or human albumin.

The safety and benefit of interferon beta in chronic progressive MS is

unproven.

People taking interferon beta in studies had potentially severe

depression and suicidal tendencies, but the drug was judged not to be the

cause.

People with seizure disorders may be more likely to develop a seizure

while taking interferon beta.

Up to 75% of people who take interferon beta are likely to develop

flu-like symptoms including fever, chills, muscle aches, sweating, and

feeling unwell. These symptoms may prove stressful to people with heart

disease.

Interferon beta may cause increased sensitivity to the sun. Wear

protective clothing and use sunscreen.

Possible Side Effects

In general, interferon beta-1a (Avonex) has fewer side effects than

interferon beta-1b (Betaseron)

Most common:

respiratory infections, sinusitis, headache, fever, weakness,

chills, dizziness, muscle aches, abdominal pain, flu-like symptoms, painful

menstruation, diarrhea, nausea, upset stomach, and sleeping difficulties

Less common:

swelling, pelvic pain, cyst, thyroid goiter, heart palpitations,

bleeding, laryngitis, breathing difficulties, joint pain, stiffness,

tiredness, speech problems, convulsions, uncontrolled movements, hair loss,

urinary urgency, and cystitis, Pain, burning or stinging at the injection

site may also occur.

Rare:

Rare side effects can occur in almost any part of the body. Contact

your doctor if you experience any side effects not listed above.

Possible Side Effects - Interferon beta-1b

Most Common:

pain, burning, or stinging at the injection site, sinusitis,

headache, migraine, fever, weakness, chills, muscle aches, abdominal pain,

flu-like symptoms, menstrual disorders, painful menstruation, constipation,

vomiting, liver inflammation, sweating, and reduced white blood cell count.

Less common:

itching, swelling, pelvic pain, cyst, thyroid goiter, heart

palpitations, high blood pressure, rapid heartbeat, bleeding, laryngitis,

breathing difficulties, muscle weakness, stiffness, tiredness, speech

problems, convulsions, uncontrolled movements, visual disturbances, or

conjuctivits (pinkeye), urinary urgency, cystitis, breast pain, cystic

breast disease, breast cancer, and weight changes.

Rare:

Rare side effects can occur in almost any part of the body. Contact

your doctor if you experience any side effect not listed above.

Food and Drug Interactions:

None known.

Usual Dose:

Interferon Beta-1a 30 mcg once a week, by intramuscular injection.

Interferon Beta-1b 8 million units (250 mcg) every other day by

subcutaneous injection.

Overdoseage:

Little is known about the effects of interferon beta overdose. Symptoms

may include exaggerated side effects. Call your local poison control cneter

or a hospital emergency room for more information. If you seek treatment,

ALWAYS bring the prescription bottle or container.

Special Information:

Interferon beta-1a and interferon beta-1b may be associated with severe

depression. Mood swings or changes, lack of interest in daily activites,

excessive sleep, and other possible signs of depression should be reported

to your dotor at once.

If you forget to administer a dose, do so as soon as you remember. If it

is almost time for your next dose, skip the one your forgot and continue

with your regular schedule. Do not take a double dose.

Special Populations:

Pregnancy/Breast-feeding

Animal studies show that interferon beta may cause abortion. Women

who are or might be pregnant should not use this drug.

It is not known if interferon beta passes into breast milk. Nursing

mothers who must take it should consider bottle-feeding.

Seniors:

Seniors may use this drug without special restriction.

The Pillbook - Bantam - 10th revised edition - May 2002

I do like this book.. it's good reference material..

|)onna

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