Guest guest Posted June 5, 2004 Report Share Posted June 5, 2004 > Howdy: > > My name is Dave Francis. I am a California native (one of the few > left!!) > I recently was diagnosed as having rheumatoid arthritis .. and am > experiencing hesitancy in going on the DMARD's that the > rheumatologists are suggesting going onto, instead of the prednisone > and pain killer maintenance that I am now on. > Anyone else out there facing this same problem? > > Dave F. HI DAVE, MY NAME IS CINDI HEIN AND FORGIVE ME FOR WRITING IN ALL CAPS. IT IS SO MUCH EASIER WITH MY RA. I HAVE A FEW QUESTIONS FIRST, HOW OLD ARE YOU AND HOW LONG HAVE YOU HAD RA, AND HOW MANY REUMOTOLOGISTS HAVE YOU SEEN ? I AM BEING WEANED OFF PREDNISONE BECAUSE I HAVE BEEN ON IT OVER A YEAR, I TAKE METHOTREXATE INJECTIONS BECAUSE I GOT TOO SICK ON THE ORAL PILLS. I TAKE ULTRACET FOR PAIN AND NEURONTIN FOR NEUROPATHIC PAIN. THIS MAINTENANCE PLAN IS WORKING SOMEWHAT. I AM NEVER EVER OUT OF AT LEAST A LEVEL 7 PAIN AND I FEEL THE JOINT IN MY LEFT KNEE ERODING QUICKLY THE LAST MONTH. STILL I DO NOT WANT TO CHANGE MY WAY OF MAINTENANCE. I REALLY DON'T KNOW WHAT ELSE TO TELL YOU, WHAT KIND OF PAIN LEVELS DO YOU HAVE AND FOR HOW LONG DOES IT LAST AFTER PAIN MEDS KICK IN ? YOU CAN WRITE ME PERSONALLY AT MY E-MAIL IF YOU LIKE. I KNOW THIS WAS NOT MUCH HELP BUT I WELCOME YOU TO THE BEST GROUP IN THE WORLD. EVERYONE HERE CARES ABOUT EVERYONE AND THEY ARE ALWAYS THERE FOR YOU WHEN YOU NEED SOME HELP, ADVICE OR A BIG PICK ME UP. WELCOME, CINDI HEIN Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2004 Report Share Posted June 5, 2004 Welcome Dave to the group, sorry the reason why your here, but glad you found us. I am on the weekly injections Humira usually, didn't take it this week. I am on 10mg of Prednisone, and I take darvocet and Tramadol for pain. I am in a lot of pain right now, having a lot of flaring going on. I just feel like that you have to try the different meds until you find something that helps. I have been on different meds, they work so different on people, you just have to keep on trying with this disease to get it under control. Good luck, and hope to hear from you again, Tawny > Howdy: > > My name is Dave Francis. I am a California native (one of the few > left!!) > I recently was diagnosed as having rheumatoid arthritis .. and am > experiencing hesitancy in going on the DMARD's that the > rheumatologists are suggesting going onto, instead of the prednisone > and pain killer maintenance that I am now on. > Anyone else out there facing this same problem? > > Dave F. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2004 Report Share Posted June 5, 2004 Dave F. I was afraid of all the medications they prescribed for me too...when I was first diagnosed. I have been through a gammit of them. I do not like to take prednisone and will not take it again. I have tried it many many times and get no relief. I talked with my doctor about this and she understands. I do not take either Celebrex or Vioxx...I tried both and felt no relief. I did try Bextra and it did help. I recommend it but now the military doesn't have enough funding for me to still get this drug so I am on Mobic. I feel it is doing a good job like the Bextra did. I read extensively years ago about the DMARDS and they scare me down to my boots but I do realise that I do need an anti - imflammatory medication to combat the RA...mobic does that. I am also on methotrexate and Remicade infusions. My RA hasn't deformed any of my bones or joints yet and I feel that that is because of the Remicade. The methotrexate does help me with the achiness - my doctors just have to find the right dose. The weather this winter and spring hasn't helped any at all. I feel the pressure systems badly...remember Grandma telling you when it was going to rain - well that is how I feel... On days where the sun is out and the temperature is rising and it is dry - I tend to feel better... I know too that it isn't likely to get any better so I have to find ways to cope with the problems that I have and to correct my diet and to exercise (even though it hurts). I am here for you and gladly will be your friend. My prayers are with all my RA Support Groups friends. God bless, Althea > Howdy: > > My name is Dave Francis. I am a California native (one of the few > left!!) > I recently was diagnosed as having rheumatoid arthritis .. and am > experiencing hesitancy in going on the DMARD's that the > rheumatologists are suggesting going onto, instead of the prednisone > and pain killer maintenance that I am now on. > Anyone else out there facing this same problem? > > Dave F. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2004 Report Share Posted June 5, 2004 Dave, prednisone and pain killers will not prevent damage to your joints. You need to be on a DMARD as early as possible in order to save those precious joints. It is frightening to read about the DMARD's and the possible side effects, but your rheumy will monitor you closely for adverse effects. Prednisone probably has more bad side effects than many of the DMARD's. I urge you to listen to your rheumatologists. I have had RA just about three years. I was on methotrexate with prednisone, then Arava and now Enbrel. It is working very well for me, as I am almost symptom free. Good luck, Sue On Saturday, June 5, 2004, at 12:40 PM, solid1953 wrote: > > My name is Dave Francis. I am a California native (one of the few > left!!) > I recently was diagnosed as having rheumatoid arthritis .. and am > experiencing hesitancy in going on the DMARD's that the > rheumatologists are suggesting going onto, instead of the prednisone > and pain killer maintenance that I am now on. > Anyone else out there facing this same problem? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2004 Report Share Posted June 5, 2004 I have been taking Humira injections since January every other week. My husband gives it to me. It hurts but has helped me. Nothing else helped. Vioxx, Bextra, Celebrex helped for a short time. I took MTX for a short time and felt to sick with it. Basically I tried almost everything and that's what it took to get the Humira as far as my insurance was concerned. I am glad that I am taking it as hopefully it will slow down the progression. I didn't just want pain relief, I wanted to try to slow it down. I also do some alternatives for nutrition that have made a tremendous difference for me. Becky natesmom4@... [ ] seeking friends Howdy: My name is Dave Francis. I am a California native (one of the few left!!) I recently was diagnosed as having rheumatoid arthritis .. and am experiencing hesitancy in going on the DMARD's that the rheumatologists are suggesting going onto, instead of the prednisone and pain killer maintenance that I am now on. Anyone else out there facing this same problem? Dave F. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2004 Report Share Posted June 5, 2004 Thanx for the E .. my thots on all of the drugs, is that prednisone is the 'only' one is a natural drug, (derived from the cortex of the adrenal gland)..I looked it up when it was first prescribed to me.. I have been on methotrexate for approx. 6 mo.s or so.. I found a really complete run down on all of the drugs available in a web page www.hopkins-arthritis .. I had my suspicions about remicade (the drug the rheumatologist wanted me to go on) .. in this web page they also urge non-use of corticosteroids (prednisone) .. they do state that there is no knowledge of long term effects of the DMARDS, because of their limited time in practice .. I really don't want to be a guinea pig, but this is how the medical field is able to establish a base-line .. I realize .. I initially hesitated because of the cost to my fellow medical insurance people $2000.00 per injection (remicade) .. and when I initially tried to look for information on the mechanics of it on the net all I found was adds from the drug companies and offers from atttorneys to sue the doctors that administer it .. !! .... When reading the Hopkins page read of a more appealing DMARD {actually these are what they call TNF,tumor necrosis factor) .. called Humira .. it's sequences are entirely human origin .. versus the remicade which is partially made from mice genes .. this is all kinda 'science fiction' stuff .. genetic engineering .. Oh well .. actually the more I read the more I am concentrating on eating a more regimented diet and finding some way for the body to heal itself.. Later .. Dave F. Re: [ ] seeking friends Dave, prednisone and pain killers will not prevent damage to your joints. You need to be on a DMARD as early as possible in order to save those precious joints. It is frightening to read about the DMARD's and the possible side effects, but your rheumy will monitor you closely for adverse effects. Prednisone probably has more bad side effects than many of the DMARD's. I urge you to listen to your rheumatologists. I have had RA just about three years. I was on methotrexate with prednisone, then Arava and now Enbrel. It is working very well for me, as I am almost symptom free. Good luck, Sue On Saturday, June 5, 2004, at 12:40 PM, solid1953 wrote: > > My name is Dave Francis. I am a California native (one of the few > left!!) > I recently was diagnosed as having rheumatoid arthritis .. and am > experiencing hesitancy in going on the DMARD's that the > rheumatologists are suggesting going onto, instead of the prednisone > and pain killer maintenance that I am now on. > Anyone else out there facing this same problem? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2004 Report Share Posted June 6, 2004 I do listen .. and read .. and take into account the good intentions, lobbying effects and greed of the pharmaceutical co.s .. I just happenned to work in a portion of the medical industry .. a pharmacy, as a pharmacy technician .. From my 'very limited' knowledge of the chemistry of the differrent drugs that are being developed to try and manage this affliction, Adalimumab(Humira) is the most appealing to me, since it's genetic engineering molecule whos " genetic sequences are entirely human. " quote from the Hopkin's web page, addressed obviously to 'well learned' doctors, but contains alot of language that even people with 'limited medical knowledge', such as myself can understand. I initially reacted to the proposal of 'remicade' negatively, for several reasons.. 1)found two main thrusts of information on the net a.)promotion from big drug co.s b.)offerring of services of attorneys, to sue the doctors that prescribed it .. also @ the cost to my fellow citizens thru their medical insurance co.s of 'from what I unstood' to be the cost of the remicade injection of $2000.00 .. I know it is not common to 'not want to be a cost' to other people .. greed and selfishness invades almost all sections of humanity. Sincerely .. M. Francis Re: [ ] seeking friends Dave, prednisone and pain killers will not prevent damage to your joints. You need to be on a DMARD as early as possible in order to save those precious joints. It is frightening to read about the DMARD's and the possible side effects, but your rheumy will monitor you closely for adverse effects. Prednisone probably has more bad side effects than many of the DMARD's. I urge you to listen to your rheumatologists. I have had RA just about three years. I was on methotrexate with prednisone, then Arava and now Enbrel. It is working very well for me, as I am almost symptom free. Good luck, Sue On Saturday, June 5, 2004, at 12:40 PM, solid1953 wrote: > > My name is Dave Francis. I am a California native (one of the few > left!!) > I recently was diagnosed as having rheumatoid arthritis .. and am > experiencing hesitancy in going on the DMARD's that the > rheumatologists are suggesting going onto, instead of the prednisone > and pain killer maintenance that I am now on. > Anyone else out there facing this same problem? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2004 Report Share Posted June 6, 2004 Welcome to the group, Dave! I saw in another post of yours that you are already taking a DMARD - methotrexate. How much? Prednisone, a synthetic corticosteroid, is fine for very short-term use, but long-term use creates a lot of problems. Many of the common side effects are quite serious. Also, stay on it for too long and your adrenal glands will be impaired to the point where they won't be able to produce the natural corticosteroids they normally would, the result being that you get stuck on prednisone. All DMARDs and biologics have risks, but untreated RA also has significant risks. DMARDs, including the biologics, are the best treatments available to slow or stop the progression of the disease. I'll tell you where to go! Mayo Clinic in Rochester http://www.mayoclinic.org/rochester s Hopkins Medicine http://www.hopkinsmedicine.org [ ] seeking friends > Howdy: > > My name is Dave Francis. I am a California native (one of the few > left!!) > I recently was diagnosed as having rheumatoid arthritis .. and am > experiencing hesitancy in going on the DMARD's that the > rheumatologists are suggesting going onto, instead of the prednisone > and pain killer maintenance that I am now on. > Anyone else out there facing this same problem? > > Dave F. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2004 Report Share Posted June 6, 2004 Welcome Dave, I too am a California native (Northern) and have RA. I am lucky enough to have a Rheumy in Palo Alto at Stanford Med Center, Dr. Utz. He started me on injectible medication (DMARDS) and I was able to work for 3 more years before I was put on total disability. I can see the progression of the disease and am truly grateful for any med that can help slow or stop the progression. I am 56 now, so I am coming from these decisions in the garden years of my life. If you have questions please don't hesitate to ask. Hope this helps, Gentle hugs, Carol M. in CA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2004 Report Share Posted June 6, 2004 Thanx for the note .. I thot I read that prednisone was made from the cortex of the adrenal gland .. therefore I thought a natural product.. I thought also that I read that 5mg of pred./day is safe indefinitely .. I'm tapering back down to that now. Had a major flare up after 5mg/day for about 6 months .. both knees, both wrists, both ankles & I can't remember for sure, some other parts too!!! .. bummer sister .. I'm pretty sure you understand.. On the Hopkins web site, basically instructions for doctor's, it even states that long term effects of all of the DMARDS, including the TNF drugs, is unknown at this time.. Obiously, I would think, because of a lack of time of testing .. I was presssured pretty heavily to start Remicade, I hesitated for several reasons .. 1)when I checked it out on the net .. found two things .. promotions from big drug co.s & 2)offers from attorneys to sue doctors that had administered it .. 3)the cost to my fellow medical insured people $2000.00 .. After reading the Hopkins site thoroughly several times, for this old mind!, Humira is the TNF, that I will do, if I go there..also Humira is entirely of human genetic origin, whereas the Remicade is partially from mice .. YUCK!! Takereasy .. DaveF. [ ] seeking friends > Howdy: > > My name is Dave Francis. I am a California native (one of the few > left!!) > I recently was diagnosed as having rheumatoid arthritis .. and am > experiencing hesitancy in going on the DMARD's that the > rheumatologists are suggesting going onto, instead of the prednisone > and pain killer maintenance that I am now on. > Anyone else out there facing this same problem? > > Dave F. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2004 Report Share Posted June 6, 2004 In a message dated 06/06/2004 11:27:10 Central Standard Time, hbdave@... writes: > I know it is not common to 'not want to be a cost' to other people .. greed > and selfishness invades almost all sections of humanity. > > Sincerely .. M. Francis > Some of us use Remicade because it works for us, not because we are greedy and selfish. Cary Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2004 Report Share Posted June 6, 2004 In a message dated 06/06/2004 21:29:30 Central Standard Time, hbdave@... writes: > (the hardest workin folk @ the hospital..by far!! by gollies) I'd argue that. Staff nurse, neuroscience unit. Cary Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2004 Report Share Posted June 6, 2004 Dave, Welcome to our group. I¹ve got a website with a lot of good info on it. This page has many articles on prednisone: http://rheumatoid.arthritis.freehosting.net/drugs.html#prednisone Check out the site. I¹ve tried to make it a place to find reliable information. Early in my disease (back in the 70¹s) my doctor tried to prescribe prednisone. Thankfully in nursing school I learned about the side effects and declined to take it. In some cases there is no choice but to take steroids, but if at all possible, I feel they should be avoided. They are great to manage a flare or to prescribe while waiting for meds to be effective. Some meds take several months to work. Personally, I feel the doctors should prescribe more pain meds and less steroids. If you find a way for our body to heal itself, please share. I¹ve tried so many things in my 25+ years with this disease. Eliminating meat and dairy were beneficial to me. Wheat allergy is known to cause joint pain that mimics RA, so some have gone on a wheat free diet. It is very difficult since wheat is hidden in so many foods. Fasting has been known to alleviate RA symptoms and that is why it is thought there could be a connection between RA and food. I¹ve read so many theories, tried so many of them, but only my Enbrel has been truly helpful. I started it shortly after it was approved in 98, and am lucky to have had no problems. All the DMARDs have potential side effects and yes, they scare me. But I¹ve lost to many joints to risk loosing more. Everyone has to make the choice of what risks they are willing to take. a > Thanx for the E .. my thots on all of the drugs, is that prednisone is the > 'only' one is a natural drug, (derived from the cortex of the adrenal > gland)..I looked it up when it was first prescribed to me.. I have been on > methotrexate for approx. 6 mo.s or so.. I found a really complete run down on > all of the drugs available in a web page www.hopkins-arthritis .. I had my > suspicions about remicade (the drug the rheumatologist wanted me to go on) .. > in this web page they also urge non-use of corticosteroids (prednisone) .. > they do state that there is no knowledge of long term effects of the DMARDS, > because of their limited time in practice .. I really don't want to be a > guinea pig, but this is how the medical field is able to establish a base-line > .. I realize .. I initially hesitated because of the cost to my fellow medical > insurance people $2000.00 per injection (remicade) .. and when I initially > tried to look for information on the mechanics of it on the net all I found > was adds from the drug companies and offers from atttorneys to sue the doctors > that administer it .. !! ... When reading the Hopkins page read of a more > appealing DMARD {actually these are what they call TNF,tumor necrosis factor) > .. called Humira .. it's sequences are entirely human origin .. versus the > remicade which is partially made from mice genes .. this is all kinda 'science > fiction' stuff .. genetic engineering .. Oh well .. actually the more I read > the more I am concentrating on eating a more regimented diet and finding some > way for the body to heal itself.. > > Later .. Dave F. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2004 Report Share Posted June 6, 2004 Cool .. I had minor medical exposure as a pharmacy tech. (the hardest workin folk @ the hospital..by far!! by gollies) .. anyhow looking back & trying to figure out what changed, just before I came down with this .. unfortunately a few things changed .. so I'm not sure if any or all of them in concert had anything to do with it .. 1) I relaxed on my eating habits, which I learned from the original 'Beverly Hills Diet' .. if you get a chance to get the old issue .. now only found in used book stores .. pick it up .. excellent reading .. great author .. makes you lauph, short book and everything makes sense... all the other diets gleamed off of the information she put together .. fit for life, etc. 2) also bought into the 'sun is bad for you thang' .. I work outside and always have in the sun (Land Surveyor) .. covered up everything .. even wore baseball gloves so my hands were covered .. Then after I came down with this and started reading .. found out getting in the sun is how your body makes Vit D .. So guess what .. I'm sunnin myself again.. like I always did for 50 years!! I read that nightshades affect some people .. found out that tomatoes now wipe me out .. tried em 3 times .. all three times wrists locked up on me .. I read the same thing about wheat products .. in a gal's book about how she cured her own arthritis .. too bad .. I really like bread !!! I've done the first week of the BH diet and dropped about 7 to 8 lbs. , which is pretty normal .. I've done it many times before .. Judy Mazel (the author) says you're supposed to do the first week about once a year, even if you 'Conciously Combine' all year .. just to clean your body out good. Later .. DaveF Re: [ ] seeking friends Dave, Welcome to our group. I¹ve got a website with a lot of good info on it. This page has many articles on prednisone: http://rheumatoid.arthritis.freehosting.net/drugs.html#prednisone Check out the site. I¹ve tried to make it a place to find reliable information. Early in my disease (back in the 70¹s) my doctor tried to prescribe prednisone. Thankfully in nursing school I learned about the side effects and declined to take it. In some cases there is no choice but to take steroids, but if at all possible, I feel they should be avoided. They are great to manage a flare or to prescribe while waiting for meds to be effective. Some meds take several months to work. Personally, I feel the doctors should prescribe more pain meds and less steroids. If you find a way for our body to heal itself, please share. I¹ve tried so many things in my 25+ years with this disease. Eliminating meat and dairy were beneficial to me. Wheat allergy is known to cause joint pain that mimics RA, so some have gone on a wheat free diet. It is very difficult since wheat is hidden in so many foods. Fasting has been known to alleviate RA symptoms and that is why it is thought there could be a connection between RA and food. I¹ve read so many theories, tried so many of them, but only my Enbrel has been truly helpful. I started it shortly after it was approved in 98, and am lucky to have had no problems. All the DMARDs have potential side effects and yes, they scare me. But I¹ve lost to many joints to risk loosing more. Everyone has to make the choice of what risks they are willing to take. a > Thanx for the E .. my thots on all of the drugs, is that prednisone is the > 'only' one is a natural drug, (derived from the cortex of the adrenal > gland)..I looked it up when it was first prescribed to me.. I have been on > methotrexate for approx. 6 mo.s or so.. I found a really complete run down on > all of the drugs available in a web page www.hopkins-arthritis .. I had my > suspicions about remicade (the drug the rheumatologist wanted me to go on) ... > in this web page they also urge non-use of corticosteroids (prednisone) .. > they do state that there is no knowledge of long term effects of the DMARDS, > because of their limited time in practice .. I really don't want to be a > guinea pig, but this is how the medical field is able to establish a base-line > .. I realize .. I initially hesitated because of the cost to my fellow medical > insurance people $2000.00 per injection (remicade) .. and when I initially > tried to look for information on the mechanics of it on the net all I found > was adds from the drug companies and offers from atttorneys to sue the doctors > that administer it .. !! ... When reading the Hopkins page read of a more > appealing DMARD {actually these are what they call TNF,tumor necrosis factor) > .. called Humira .. it's sequences are entirely human origin .. versus the > remicade which is partially made from mice genes .. this is all kinda 'science > fiction' stuff .. genetic engineering .. Oh well .. actually the more I read > the more I am concentrating on eating a more regimented diet and finding some > way for the body to heal itself.. > > Later .. Dave F. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 7, 2004 Report Share Posted June 7, 2004 I would not doubt that .. I was just relaying what I experienced .. amoung those circles I worked in during my internship at a hospital, due to inoperaple arm .. radical tendonitis.. from working so very hard all of my life in the field .. but by gollies, due to me sticking to my physical therapy exercises for years, clay, rubber bands, etc .. returned to the field and land surveying .. I love my field of work .. unfortunately .. my field of work, like so many others, I'm sure, has become very non-professional .. no one cares anymore and takes pride in their work .. or at least only a few.. DaveF. Re: [ ] seeking friends In a message dated 06/06/2004 21:29:30 Central Standard Time, hbdave@... writes: > (the hardest workin folk @ the hospital..by far!! by gollies) I'd argue that. Staff nurse, neuroscience unit. Cary Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 7, 2004 Report Share Posted June 7, 2004 In a message dated 07/06/2004 08:26:05 Central Standard Time, hbdave@... writes: > returned to the field and land surveying .. I love my field of work . Hi Dave That seems like a great job when the weather is good, but I think I would hate it when the weather was bad! Cary Quote Link to comment Share on other sites More sharing options...
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