rebif missed dose

My neuro took me off Rebif when I was having a reaction to medications to see if it was the Rebif. It wasn't and she started me back on full dose the following week. Confessions? I didn't take it over Christmas (I missed two) because sometimes I do get that flu like thing going. I didn't want to miss any fun.

I have been taking Rebif injections, since January 2010, and I have never missed a single one, until now. Up until January 1, 2012, I have received my Rebif injections, free of charge, due to the fact I had no health insurance. I became eligible for Medicare, on January 1, 2012, and so I have had to wait for MS Lifelines to decide whether I'm still eligible for their "free of charge" program.

Because I wasted the first low dose syringe (8.8 mcg) this would just mean that I would get to the 22 mcg dose two days sooner, not a big deal. However since I just ruined at SECOND 8.8 mcg, I'm not sure whether I can now skip to 22 mcg, having missed two 8.8 mcg shots. Kind of defeats the purpose of the titration schedule. Anyway I am waiting for a call back from the nurse to tell her about my mistake, and find out what I should do about my injection tomorrow.

Hi Linda, I had abdominal pain when I took my first dose as well. I was also vomitting for half the night. Then I remembered that I was supposed to titrate my dose. Most Neuros will tell you to take less than a full dose until your 4th shot. You didn't happen to take a full dose on the first shot did you?

Hi. I've just finished the titration stage and am now on 44 dose of Rebif using the rebismart. As the dose increased I've had really bad stinging like a bee sting when the drug starts going in. I'm starting to dread the injections already. I would be very grateful for any tips to reduce the sting as I'm a newbie to this. Many thanks, Sue.

He said that he believes in a higher dose - high frequency shot....either rebif or betaseron. His preference is betaseron....ultimately more meds being injected than Rebif, and much lower instances of injection site problems. The negative is slightly higher chance of antibodies being built up. The efficacy is about the same. So the MS specialist said Betaseron and we now have a box of the stuff sitting on our kitchen table. How did you end up with Rebif?

I am on Tecfidera 240 mg dose. It just occurred to me I missed the morning dose. I have a call into the specialty pharmacy for direction. I didn't find much on the web except "take it as soon as you remember and if close to your next dose take it then but don't double up". This is the first time I missed since starting therapy last month. I feel terrible. Is this incredibly bad?

If someone missed synthroid for 4 days, is it ok to take all the missed doses together? A friend went away and forgot their synthroid medication at home.

Do I still take the ribavirin pills since I missed the dose? After 4 weeks I was tested and no virus was showing so I am worried that this is going to be a set back. I am anemic as well. Just need to know what to do??? Hep clinic closed for weekend as is doc office and pharmacist had no clue. Anyone been through this?

And, did this sweating just start with the increase or did it start w/the lowest dose? Mine started w/the low dose. Sorry for all the questions. Just want to get an idea of how it all has transpired. I did see gradual improvements if it's any consolation. How are you feeling otherwise LollyBrown?

After a year I had another exasubation that landed me in the hospital. A few months later my Dr told me about Rebif which was new to the market at that time. Rebif is a 3 times a week shot and the shot goes into the fatty tisue just under the skin. The flu symptoms were worse at first but left almost completely after a few months. Last year I tried to return to work. I missed quite a few shots and the flu symptoms came back including this time extreme eye pain.

Just a quicdk thought here. If depression occurs on one Interferon it would be expected to occur on all Interferons at the same dose or higher. Avonex is the lowest does and my reading on this problem says that the same side effect would be expected - and possibly worse - on a higher dose. So, I don't understand the switch from Avonex to Rebif AT ALL. In order of increasing Interferon dose it goes Avonex-> Rebif -> Betaseron.

Hello, I have to try Rebif before my insurance will consider me for an oral DMD (since I've already been on Copaxone). I don't know too much about Rebif. I do know that it's an interferon and can cause flu like symptoms and I think it's intramuscular injections. Do the injections hurt? Do you do the injections or does a nurse come out and give the injections? Are the injections in your legs? How often do you have to get the injections?

Would any of you be willing to PM me and tell me your experiences once you ramped up to full dose on Rebif? I mean the UNVARNISHED truth..... what side effects did you have?....how long were you at full dose before the side effects kicked in?...how severe were they?....how long did it last - did your body get used to the dosage at some point? Friday nite was one full week at the full dose for me. Had very mild side effects previously.

I took Avonex for three years and unfortunately I was one of those that always had side effects, so I gave up. With Rebif you are taking an even higher dose of Interferon Beta 1-A than Avonex users. I have heard that Rebif users start to notice a reduction in side effects after more time on the drug. There is that chance that could happen for you. I would talk things over with your doctor.

then i was started on rebif going up gradually, week 1 on 1/4 of the full (44 microgr) dose, then increasing by 1/4 every week until full dose. the first two weeks were fine, then at the end of week 3 (3/4 dose) i started feeling sort of a bit down and flat, after the second shot with the full dose i started feeling severely depressed most of the time and also had intermittent extreme phases (1 to 2 hours) of severe suicidal thoughts i could not control anymore.

I again had problems with elevated liver function. My neuro then decided to keep me on a 1/2 dose (my specialist felt that a 1/2 dose of rebif was roughly equivalent to a full dose of copaxone), which I have been on since late 2004. They thought that the rebif was working well for me because I had no new lesions in my brain or c-spine.

I mentioned earlier today that I started on Rebif this week. Started on 8.8 mcg for 2 weeks; then 22 mcg for 5 weeks; then up to a full dosage of 44 mcg. My MS specialist did not discuss the reason for working up to 44 mcg; I just figured this was standard, and the more medicine I can get (assuming I can handle the side effects at the high dosage), the better.

Seems to me I had side effects on the lower dose when I first started taking Rebif. I still get them but to a lesser degree. I take 2 Tylenol extra strength 1/2 hour before injecting. I skip the Tylenol every so often, but usually wake up in the night with a headache and end up taking them anyway. Like Shell says, your body will adjust to the med in time.

so i missed my dose of rivoferion last night fell asleep noticed this morning that i didnt take it. so nov.11th is is my last dose,by missing this dose did i just screw up my tx.i sure hope not!!!! and this is the first x.

I was dx'd in July 2009, taking Rebif since Sept 09. I'd had years of depression & anxiety/panic attacks; treated with Paxil, Klonopin, Lexapro, Cymbalta, and finally got help with "talk" therapy. I too was terrified of the depression possibly associated with Rebif. My experience (but everybody is different): The MS diagnosis, out of the blue, really threw me for a loop. The DX itself sent me into a downward spiral, which lasted for several months.

m super -sensitive to meds too -- never moved up to the full Rebif dose.

Rebif missed dose

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