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Effectiveness Loss?

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In the middle of May, my 78-year-old Mother added Enbrel to her regimen

of MTX and Medrol to treat her RA. Until about 3 weeks ago, it was

working wonderfully. She was mercifully free of pain. About a month

ago, she was able to begin a water exercise program and had, most

importantly, been able to lower her dose of Medrol to 2 mg/day. She

has been on Medrol for a year at varying doses. Sadly, within the past

3 weeks, she has begun to have joint pain - two days of intense joint

pain, then reduction of pain for a couple of days, and then another 2-3-

day flair. I wonder if perhaps Enbrel is losing its effectiveness for

her. Another oddity, she had not had any injection site reactions

until two weeks ago, and has now had them with both of her last two

injections. Does this scenario sound familiar to anyone else, and, if

so, what's the next step?

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