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Once-monthly dosing

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I've been looking over the Xolair dosing charts, and if my IgE level is

still 192 like it was a year ago, I would only be getting 300 mg once a

month. Is anyone here on once-monthly dosing? If so, have your

symptoms improved? Does the medication seem to last the entire month

before your next dose? It seems like so many people here report that

their symptoms start returning even before their next dose in 2 weeks,

let alone 4 weeks!

It's very likely that my IgE level will be higher now since I was on 60

mg of prednisone last time it was taken. If so, I would fall in the

225 mg/twice monthly dosing range. I definitely can't afford 4 vials a

month out-of-pocket, so I hope that my IgE is under 200 so I would only

need 2 vials (or I can lose 10 pounds instead!) At the same time, I am

afraid that once-monthly dosing won't be as effective.

I'd love to hear your opinions!

Thanks!

, 32, Louisville

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,

You can probably choose to take a lower dose if you need to. Ask

your doc or specialty pharmacy about it.

Monthly dosing will probably take a little longer for you to see

full effect of Xolair than if you are going every 2 weeks. Many of

us experience a " set back " of some kind just before our next dose is

due, especially in the first year of taking Xolair.

Addy

--- In , " " <justinlouisville@...>

wrote:

>

> I've been looking over the Xolair dosing charts, and if my IgE

level is

> still 192 like it was a year ago, I would only be getting 300 mg

once a

> month. Is anyone here on once-monthly dosing? If so, have your

> symptoms improved? Does the medication seem to last the entire

month

> before your next dose? It seems like so many people here report

that

> their symptoms start returning even before their next dose in 2

weeks,

> let alone 4 weeks!

>

> It's very likely that my IgE level will be higher now since I was

on 60

> mg of prednisone last time it was taken. If so, I would fall in

the

> 225 mg/twice monthly dosing range. I definitely can't afford 4

vials a

> month out-of-pocket, so I hope that my IgE is under 200 so I would

only

> need 2 vials (or I can lose 10 pounds instead!) At the same time,

I am

> afraid that once-monthly dosing won't be as effective.

>

> I'd love to hear your opinions!

>

> Thanks!

> , 32, Louisville

>

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Addy,

Thanks for the input. I'm sure I'll have to take the lower dose if I

can't get insurance coverage or get into a study. Either way, $1,000

out-of-pocket is nothing to sneeze at! I'm sure I'll have to sell my

car to help fund the Xolair shots...but it would be worth it if I could

start living like a semi-normal person again.

Thanks,

, 32, Louisville

>

> ,

>

> You can probably choose to take a lower dose if you need to. Ask

> your doc or specialty pharmacy about it.

>

> Monthly dosing will probably take a little longer for you to see

> full effect of Xolair than if you are going every 2 weeks. Many of

> us experience a " set back " of some kind just before our next dose is

> due, especially in the first year of taking Xolair.

>

> Addy

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