Most days recently have been good and the scale has definitely been tipped towards wellness. Today. however, illness is besting wellness.
My doctor has asked me to try spacing my Humira shots to once every three weeks. We're trying this because I kept having pretty bad reactions when I would take my shot every fortnight. The worst side effects were acute and chronic restlessness that made me jittery and unable to sit or lie still. This, inevitably, led to two or more sleepless nights every two weeks in the days following my injection. The working hypothesis is that I need a little longer between shots to get all of the Humira out of my system.
This morning was day 19 since my last injection and I felt absolutely crappy. I had a bad night's sleep despite being so tired last night I could hardly talk thanks to a wonderfully exhilarating and exhausting yoga class followed by a somewhat less exhilarating but equally exhausting board meeting. I woke around 3:00am and felt achy and stiff but not in the yoga-induced places. It was incredibly stormy outside and on finally getting up I noticed that a screen on the deck was falling over so I went to retie the tethers only to find my fingers were entirely uncooperative. With all these symptoms I decided to give myself the Humira shot a couple of days ahead of my new three week schedule.
This is the first time I've noticed an appreciable worsening of my symptoms before taking my Humira injection. It's too soon to know if I'll be having any weird restlessness and I will probably take an Ambien tonight so I will sleep through any tougher side effects. I think my doctor might be on to something with the interval between medications. I used to long for my Enbrel a day or two before I was due for it but that hasn't ever happened with Humira. So maybe he's right. Maybe 18 days is the magic number. 19 days between shots felt like it was a day too long.
And now, for your viewing pleasure, a headstand performed rather well by a kitten!