How long does an Ocrevus infusion take? (2024)

Medically reviewed by Carmen Pope, BPharm. Last updated on Dec 11, 2023.

How long does an Ocrevus infusion take? (1)

Official answer

by Drugs.com

The first two times you have Ocrevus, the infusion will take at least 2.5 hours. If you develop a reaction to Ocrevus during your infusion, the infusion rate will be slowed down and the infusion will take longer.

Your whole infusion appointment will take around 5 to 6 hours, because there is a pre-infusion check-up, during which you will receive medications that reduce infusion reactions, and you will need to wait for at least an hour post-infusion so your health care team can monitor you for any side effects or infusion reactions.

The third and subsequent infusions may be infused over 2 hours for those people who did not experience any serious infusion reactions (IRs) with the first two doses. If you have experienced a serious reaction previously, Ocrevus will be infused over at least 3.5 hours, depending on how you tolerate it.

Ocrevus (ocrelizumab) is a treatment for multiple sclerosis (MS) that works by targeting a specific protein, called CD20 that exists on the surface of immature and mature B-lymphocytes.

Ocrevus is given by intravenous infusion (slowly, directly into a vein) once every six months (twice a year). The first dose of Ocrevus will be split into two infusions. On your first day of treatment, you will receive 300mg of Ocrevus diluted into an infusion bag containing 0.9% sodium chloride and given directly into a vein over at least 2.5 hours. This is followed two weeks later by a second 300mg infusion, again given over at least 2.5 hours.

Six months later, you will receive your next dose. This will be given as a single 600mg infusion which will be infused over at least 2 hours provided you haven't experienced any serious infusion reactions in the past.

Why does my Ocrevus infusion appointment take so long?

Before each infusion, you will have a pre-infusion check-up. This allows your health care team to:

  • Check for any signs of active infection
  • Check your vital signs (which includes your heart rate, blood pressure, temperature, and respiratory rate
  • Administer medications to reduce your risk of an infusion reaction, which will include a corticosteroid 30 minutes before the infusion, an antihistamine 30 to 60 minutes before the infusion, and possibly a fever-reducing medication.

This will take around 30 to 60 minutes.

After your pre-infusion check-up, it will time for your infusion. You will be seated in a comfortable chair along with your reading materials, snacks, and music. An IV infusion needle will be placed in your arm and connected to an infusion pump. The infusion will last at least 2.5 hours but may last longer if you develop an infusion reaction and your health care team needs to slow or stop your infusion.

After your infusion has finished, you will need to stay at the infusion center for at least an hour so that your health care team can monitor you for any side effects or post-infusion reactions. You are at risk of infusion reactions for up to 24 hours following your infusion. Contact your health care provider if you develop any signs or symptoms of an infusion reaction which may include:

  • A rash, hives, or itchy skin
  • Coughing, wheezing, or difficulty breathing
  • Dizziness, tiredness, or feeling faint
  • A fast heartbeat
  • Fever or flushing
  • Headache
  • Nausea
  • Throat swelling, tightness, irritation, or pain.

An infusion reaction is MOST likely to occur during your first dose of Ocrevus.

Your complete Ocrevus infusion appointment will take 5 to 6 hours.

Related questions

  • What are monoclonal antibodies?
  • Is Kesimpta better than Ocrevus?
  • How much does an Ocrevus infusion cost?
References
  • Ocrevus (ocrelizumab) 05/2020 Genentech, Inc. https://www.drugs.com/pro/ocrevus.html
  • Ocrevus. Dosing and Infusion Day Details. Ocrevus.com 2020 https://www.ocrevus.com/patient/taking-ocrevus/infusion-experience.html
  • FDA Approves Genentech’s Ocrevus (ocrelizumab) Shorter 2-Hour Infusion for Relapsing and Primary Progressive Multiple Sclerosis Dec 14 2020. https://www.drugs.com/newdrugs/fda-approves-genentech-s-ocrevus-ocrelizumab-shorter-2-hour-infusion-relapsing-primary-progressive-5404.html

Read next

Ocrevus has some effect at reducing disability progression within about 12 weeks; however, it may take at least 6 months or possibly longer for the full effects to be seen. Continue reading

Ocrevus is not chemotherapy, it is a type of targeted treatment that works by binding to a protein called CD20 that is present on the surface of B-lymphocytes. Ocrevus may be used to reduce inflammation, reduce the risk of relapse, and delay the rate of disease progression in people with multiple sclerosis.

Continue reading

Ocrevus works in MS by targeting a specific protein, called CD20 that exists on the surface of immature and mature B-lymphocytes. B lymphocytes are a type of white blood cell which are thought to contribute to the development of MS in several different ways, including secreting antibodies during an MS attack that cause inflammation which damages the myelin coating around nerve cells in the brain and spinal cord. When Ocrevus binds to CD20, it causes B-cells to self-destruct or disintegrate, which reduces the number of MS relapse and the rate of disability progression. Continue reading

Related medical questions

  • What types of MS does Ocrevus treat?
  • What are the new drugs used for multiple sclerosis (MS)?
  • Ocrevus vs Aubagio: How do they compare for MS?
  • How long can you live with multiple sclerosis?
  • What are the early warning signs of Multiple Sclerosis?
  • How do you test for multiple sclerosis?
  • What are the early signs of multiple sclerosis?
  • Prednisone: What are 12 Things You Should Know?
  • Prednisone vs Prednisolone - What's the difference?
  • What are 8 key Kesimpta side effects to watch out for?
  • Who is the actress in the Kesimpta commercial?
  • What are 8 key Mavenclad side effects to watch out for?
  • Is Tecfidera an immunosuppressant?
  • How do Vumerity and Tecfidera compare for multiple sclerosis (MS)?
  • Can I stop taking Tecfidera? What happens if I do?
  • How long does it take for Kesimpta to work?
  • How long can Kesimpta be out of the fridge?
  • What causes flushing with Tecfidera?
  • Can you drink alcohol while taking Tecfidera?
  • Where and how should Copaxone be injected?
  • Does Tysabri suppress the immune system?
  • How effective is Mavenclad for MS?
  • How long can you take Tysabri for?
  • Where and how is Kesimpta injected?
  • Gilenya vs Tecfidera. How do they compare?
  • How long can you take Tecfidera?
  • What happens when you stop taking Gilenya?
  • How quickly does Mavenclad work?
  • Does Aubagio suppress the immune system?
  • Is Mavenclad a chemotherapy drug?

Drug information

  • Ocrevus
  • Ocrelizumab

Related support groups

  • Ocrevus(12 questions, 12 members)
  • Ocrelizumab(7 questions, 3 members)
  • Multiple Sclerosis(93 questions, 550 members)

Medical Disclaimer

How long does an Ocrevus infusion take? (2024)
Top Articles
Latest Posts
Article information

Author: Merrill Bechtelar CPA

Last Updated:

Views: 6534

Rating: 5 / 5 (50 voted)

Reviews: 81% of readers found this page helpful

Author information

Name: Merrill Bechtelar CPA

Birthday: 1996-05-19

Address: Apt. 114 873 White Lodge, Libbyfurt, CA 93006

Phone: +5983010455207

Job: Legacy Representative

Hobby: Blacksmithing, Urban exploration, Sudoku, Slacklining, Creative writing, Community, Letterboxing

Introduction: My name is Merrill Bechtelar CPA, I am a clean, agreeable, glorious, magnificent, witty, enchanting, comfortable person who loves writing and wants to share my knowledge and understanding with you.