Do you routinely check Infliximab levels on day 3 with patients admitted with acute severe ulcerative colitis?
Do check Infliximab levels on day 3 with patients admitted with acute severe ulcerative colitis?
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The question implies that the patient has received the first induction dose of IFX just three days earlier. If that is the case, day 3 seems too soon to check a level. Normally, we might check a trough level just before the second dose in two weeks. If the level is low, we would increase the second ...
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Conceptually, while this is an important concept, from a practical standpoint, most hospitals do not have a point-of-care IFX assay that can provide levels right away. Most IFX levels in the real world take around a week to come back, which makes that not impactful from a clinical standpoint in acut...
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I am going to assume, as Dr. @Dr. First Last mentioned, that the patient received an infusion of 5 mg/kg while an inpatient 3 days ago. If the patient has had a clinical response (significant decrease in the number of bowel movements, bleeding) and the CRP has dropped as well, then it is unclear tha...
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