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Does Remicade Cause High BP?

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Posted on Thu, 28 Jan 2016
Question: I have Ankylosing Spondylitis and Psoriatic Arthritis at the first of the month we upped my dose of Remicade to 1200mg, two weeks following infusion my blood pressure is running high 182/102 is this caused by the Remicade my BP usually runs 140/87
doctor
Answered by Dr. Panagiotis Zografakis (3 hours later)
Brief Answer:
it could cause hypertension

Detailed Answer:
Hello,

although not the most common side effect, both hypotension and hypertension can be caused by remicade. Before attributing this effect on remicade though, your doctor should make sure that other potential cause have been eliminated, including any of the following:
- increased salt consumption
- increased body weight
- feeling pain (pain and other kinds of discomfort may cause a rise in blood pressure)
- corticosteroids: many patients with autoimmune conditions use corticosteroids, so if you'd started using any of them, keep in mind that hypertension is a very common side effect.

So in conclusion, although remicade can be implicated in blood pressure rises, other causes have to be eliminated first.

I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (48 hours later)
Along with the increased BP i am now having weakness and shaking in my legs and arms. I had spinal surgery two years ago that caused spacisity in my arms and legs due to a bruised cord at C5/C6 it feels like that i feel better laying down sitting up i feel shaky all over and have less control of my hands and legs what could be going on
doctor
Answered by Dr. Panagiotis Zografakis (46 minutes later)
Brief Answer:
they could be side effects

Detailed Answer:
The symptoms you've mentioned could be side effects of remicade. Remicade may cause various neurological problems. The best course of action would be to visit your doctor for a neurological (clinical) assessment. If needed the doctor may order tests for the nerves (depending on the clinical findings) both functional and radiological.

Other potential causes may include electrolyte disorders, anemia, hypoglycemia, hypotension (even if you do have hypertension, the drugs may lower the blood pressure too much at some time during the day), etc.
Blood tests can detect most of the aforementioned disorders.

Best wishes!
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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Does Remicade Cause High BP?

Brief Answer: it could cause hypertension Detailed Answer: Hello, although not the most common side effect, both hypotension and hypertension can be caused by remicade. Before attributing this effect on remicade though, your doctor should make sure that other potential cause have been eliminated, including any of the following: - increased salt consumption - increased body weight - feeling pain (pain and other kinds of discomfort may cause a rise in blood pressure) - corticosteroids: many patients with autoimmune conditions use corticosteroids, so if you'd started using any of them, keep in mind that hypertension is a very common side effect. So in conclusion, although remicade can be implicated in blood pressure rises, other causes have to be eliminated first. I hope you find my comments helpful! You can contact me again, if you'd like any clarification or further information. Kind Regards!