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Need help for elderly mother with RA

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My mother was diagnosed with RA last summer at the age of 88.

So far she has not tolerated any meds:

1) Plaquinal - bright red rash head to toe with all her skin sloughing off

2) Methotrexate - GI problems plus mental status changes

3) Mycophenolate - Initially she was on 1gm per day and doing well, then her

doctor increased the dose to 2gm per day and she didn't tolerate it (same

problems as with MTX); he didn't want to go back to 1gm because he didn't think

she had benefited much - (although she felt pretty decent)

4) Imuran - elevated liver function tests plus a flare up - which is where we

are right now.

Prednisone 15-20 seems to be the least we can go.

Now the doctor is talking about trying the biologic Remicade.

HELP - I need input and advice! At 89, I just want her to be the best she can

be for the few remaining years she has. We are not looking for a miracle.....

Thanks in advance for your comments/advice.

Betsy

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  • 3 weeks later...

Hi,

If your mother feels better on 1gm of anything as opposed to 2gm, just impress on the Dr. that's the amount she wants. Why keep "shopping around", if she has found a drug that works. I'd rather find a new doctor who listens.

Just my opinion....Maureen

From: betsyroseanne <betsyroseanne@...>Subject: Need help for elderly mother with RARheumatoid Arthritis Date: Thursday, August 26, 2010, 12:38 PM

My mother was diagnosed with RA last summer at the age of 88. So far she has not tolerated any meds:1) Plaquinal - bright red rash head to toe with all her skin sloughing off2) Methotrexate - GI problems plus mental status changes3) Mycophenolate - Initially she was on 1gm per day and doing well, then her doctor increased the dose to 2gm per day and she didn't tolerate it (same problems as with MTX); he didn't want to go back to 1gm because he didn't think she had benefited much - (although she felt pretty decent)4) Imuran - elevated liver function tests plus a flare up - which is where we are right now.Prednisone 15-20 seems to be the least we can go.Now the doctor is talking about trying the biologic Remicade. HELP - I need input and advice! At 89, I just want her to be the best she can be for the few remaining years she has. We are not looking for a miracle.....Thanks in

advance for your comments/advice.Betsy

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