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  • 4 years later...
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Well I was on MTX first. It didn't help and caused me terrible side effects.

Then on to Plaquenil. That helped for a few years but not as much anymore. Now

on Arava with the Plaquenil and not getting enough relief. Have visible swelling

and a lot of pain. My doc said we will be on to Enbrel now. So I will be getting

on it in a few months. Would be sooner but that was my choice since I will be

out of town for a while. If you are unsure about your doc and his/her decisions

then I would definitly go for a second opinion.

Best of luck to you. I have had this almost 4 years and have never been pain

free but have heard of people who have.

>

> hi group.

>

> I just want to know when is it time start biologics? I know you have to

fail two dmards..But what do they consider failer? concrete evidence like x ray

damage or worsening of lab work..or..My opionion that I am not getting enough

relief??

>

> I have rheumatoid factor positive RA.started treatment may 2008.I have been

on a rollar coaster..I have been on oral mtx.than plaquanil and arava. arava was

causing side effects..so, I went back to injectable mtx with the plaquanil..I am

still having considarble amount of flares..when I start to notice some

improvement than a flare comes on like every other month..but now I have been on

the injectable mtx for 12 weeks and flare for 4 to 6 weeks.I just dont feel good

and in pAIN..AND THE LAST TIME HE SAW ME HE SAID MY RA WAS MANGEABLE. than why

havent I been painfree within this last year but only a few weeks..

>

> Any thoughts would greatly be appreciated.

>

> diane in ohio

>

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Hi Diane:

I am sorry to read you are hurting so bad, and that you are having many

flares.

I have had RA for 6 years, and finally got the right " cocktail " of meds.

I am pain free most of the time, and my flares are farther apart, and

don't last long. I take MTX in inject. form, Sulfasalazine, Placquenil,

and Prednisone. I have been on the Pred. from day one, and will never

be off it. I have tried many times to get off the Pred., but the pain

and swelling return and I end up almost in a wheelchair. So for me,

these meds are perfect, and I have my life back.

My worst complaint is the tiredness, so I give in to it. I rest a lot,

and lie down each afternoon to either have a nap or just rest. My

Rheumy insisted this for me.

I hope you find the right meds. that work for you so you can get some

much needed relief from your pain and suffering.

Wishing you pain free days ahead.

Hugs,

Barbara

>

> Well I was on MTX first. It didn't help and caused me terrible side

effects. Then on to Plaquenil. That helped for a few years but not as

much anymore. Now on Arava with the Plaquenil and not getting enough

relief. Have visible swelling and a lot of pain. My doc said we will be

on to Enbrel now. So I will be getting on it in a few months. Would be

sooner but that was my choice since I will be out of town for a while.

If you are unsure about your doc and his/her decisions then I would

definitly go for a second opinion.

>

> Best of luck to you. I have had this almost 4 years and have never

been pain free but have heard of people who have.

>

>

>

>

> --- In , " diane crawford " nuttynurse25@

wrote:

> >

> > hi group.

> >

> > I just want to know when is it time start biologics? I know you have

to fail two dmards..But what do they consider failer? concrete evidence

like x ray damage or worsening of lab work..or..My opionion that I am

not getting enough relief??

> >

> > I have rheumatoid factor positive RA.started treatment may 2008.I

have been on a rollar coaster..I have been on oral mtx.than plaquanil

and arava. arava was causing side effects..so, I went back to injectable

mtx with the plaquanil..I am still having considarble amount of

flares..when I start to notice some improvement than a flare comes on

like every other month..but now I have been on the injectable mtx for 12

weeks and flare for 4 to 6 weeks.I just dont feel good and in pAIN..AND

THE LAST TIME HE SAW ME HE SAID MY RA WAS MANGEABLE. than why havent I

been painfree within this last year but only a few weeks..

> >

> > Any thoughts would greatly be appreciated.

> >

> > diane in ohio

> >

>

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thanks katie and barbara..

I just dont know how many meds I need to try and how much time I can tolerate

this. I have actually been suffering two years but diagnosed until last may..

katie...good luck when you start you enbral and have a great vacation..

barbara..good luck on your knee surgery..

diane in ohio

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In my case, it was when MTX and Arava caused my white blood cell to

get too low. I was glad to fail at those two, so that I could get to

the good stuff, Enbrel.

Sue

On Apr 17, 2009, at 6:14 PM, diane crawford wrote:

> hi group.

>

> I just want to know when is it time start biologics? I know you

> have to fail two dmards..But what do they consider failer? concrete

> evidence like x ray damage or worsening of lab work..or..My opionion

> that I am not getting enough relief??

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Guest guest

Your insurance company is better than mine, then. It's some insurance

companies that require failure at two DMARD's before approving a

biologic. They don't want to pay the big bucks.

Sue

On Apr 17, 2009, at 8:53 PM, McNally wrote:

> Diane,

>

> I did not have to fail two dmards to start biologics, I was offered

> them from the first day however I chose at that time mtx only.

>

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Guest guest

Hi Diane:

I was sorry to read how much pain and suffering you are having. I

suggest that you search for a new Rheumy and get a second opinion. Your

current Dr. doesn't seem to care about you, or how bad you are suffering

or willing to get you the right meds.

You owe it to yourself to find a better dr. That is what you deserve.

A lot of people here have had to do that. Once you find the right

Rheumy, and get the right " cocktail " of meds. for your RA, you will

start to feel better. I have said many times pain is very wearing on

us, and hard to function each day with it.

Wishing you great success in your search. I am also praying for you to

have many pain free days ahead.

There is always hope to be pain free. I am except for the bad knee that

I will have replaced this Tuesday. Since I found my " cocktail " of the

right meds. for me, my flares are shorter in duration, and much longer

in between. I wish the same for you.

Take care, and rest when you can.

Hugs,

Barbara

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