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Sjoegren Forum • Sjögren? - Seite 3
Seite 3 von 3

Verfasst: 27.12.2012 12:37
von Stephan Gadola
Sehr geehrte Sternfieber,

Es ist auf jeden Fall positiv, dass die KK die Kosten fuer Mabthera uebernehmen wuerde. Mabthera wirkt v.a. bei Arthritis Patienten/Patientinnen mit im Blut nachweisbaren Rheumafaktoren oder anti-CCP Antikoerpern - sind diese bei Ihnen nachgewiesen worden? Falls die MTX Erhoehung nicht wirksam ist - maximale Dosis von MTX waere uebrigens 0.3mg MTX pro Woche pro Kilogramm Koerpergewicht (bei norrmalgewichtigen Personen, also z.B. 22.5mg pro Woche bei 75kg) und zwar als Spritze subcutan oder intravenoes.
Vor Mabthera wuerde ich empfehlen, dass - falls nicht schon vorher gemacht und bekannt - die Immunglobuline im Blut zu messen; diese koennen nach Mabthera manchmal stark abfallen.

mit freundlichen Gruessen und den besten Wuenschen fuer ein gesuenderes 2013