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Re: Cindi - drug holidays

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I have to second this. We have to keep in mind that cartilage erosion is

invisible. We don't realize it is going on until there is no more cartilage

and thus no more padding between bones. Bone on bone pain is excruciating.

Stopping meds that are preventing erosion isn't a great idea unless there is

no choice. I've heard of people stopping meds and when they go back on

them, they aren't as effective. You can also go into a flare from stopping

them. I'm going through that right now since I had to stop enbrel because

of having a cold. Although enbrel scares me, whenever I've had to stop due

to being sick, it lets me know how well it was working.

a

> Cindi,

>

> I'm not sure why your physician wasn't aware that you were no longer on

> prednisone, but discontinuation of meds or taking " drug holidays "

> without your rheumatologist's knowledge is something I can't endorse.

>

> In order for your rheumatologist to help you most effectively, honest

> communication is essential. Full disclosure is a must!

>

>

>

>

> I'll tell you where to go!

>

> Mayo Clinic in Rochester

> http://www.mayoclinic.org/rochester

>

> s Hopkins Medicine

> http://www.hopkinsmedicine.org

>

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I have to second this. We have to keep in mind that cartilage erosion is

invisible. We don't realize it is going on until there is no more cartilage

and thus no more padding between bones. Bone on bone pain is excruciating.

Stopping meds that are preventing erosion isn't a great idea unless there is

no choice. I've heard of people stopping meds and when they go back on

them, they aren't as effective. You can also go into a flare from stopping

them. I'm going through that right now since I had to stop enbrel because

of having a cold. Although enbrel scares me, whenever I've had to stop due

to being sick, it lets me know how well it was working.

a

> Cindi,

>

> I'm not sure why your physician wasn't aware that you were no longer on

> prednisone, but discontinuation of meds or taking " drug holidays "

> without your rheumatologist's knowledge is something I can't endorse.

>

> In order for your rheumatologist to help you most effectively, honest

> communication is essential. Full disclosure is a must!

>

>

>

>

> I'll tell you where to go!

>

> Mayo Clinic in Rochester

> http://www.mayoclinic.org/rochester

>

> s Hopkins Medicine

> http://www.hopkinsmedicine.org

>

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