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Ailsa-H
#1 Posted : Monday, February 28, 2011 7:06:08 PM Quote
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Any advice appreciated here. I had my 5th Enbrel jab on Friday, having been fine with the other 4. By Sunday, not only did I have a sore, swollen red and itchy patch from Friday's jab, the site of jab 4 came out in the same way! They have continued to itch/hurt/drive me demented all day and are now about 3" across. I think I could probably fry an egg on them Sad

I meant to come home via the pharmacy but didn't get away in time. Trying to decide whether to make a trip to Boots which is open till ten, but I'm sooo sleepy I don't know if I can bear to go out again. Anyone else had this after it all seeming to be ok? Sorry for moaning - I know it is nothing serious, but it really is driving me mad! XX Ailsa
dorat
#2 Posted : Monday, February 28, 2011 8:02:43 PM Quote
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Hi Ailsa,

I think you should ring your rheumy nurse tomorrow. Definitely don't have any more until you've spoken to her.
It may be just a slight reaction but as it's getting worse I wouldn't take any chances.
Might be worth that trip to Boots to get something for the itching!

Love, Doreen xx
LynW
#3 Posted : Monday, February 28, 2011 9:01:44 PM Quote
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Hi Ailsa

I agree with Doreen you really do need to speak to the rheum. nurse. The Wyeth patient leaflet for Enbrel seems to suggest that it could be an allergic response (severe rash, itching or hives). Definitely worth hot footing to Boots to get something for the itching!
Good luck

Lyn x
My son, Ian, completed the BUPA Great North Run on 15th September running for the National Rheumatoid Arthritis Society (NRAS). You can read his story at http://www.justgiving.com/ianlukewilson

Rose-B
#4 Posted : Monday, February 28, 2011 10:10:16 PM Quote
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Hello Ailsa


Sorry that things are not good on the injection site. Must be most uncomfortable.
Agree with the others girls and speak with rhummy nurse.

Fingers crossed let us know what is said.

Rose x
suzanne_p
#5 Posted : Tuesday, March 01, 2011 11:52:48 AM Quote
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hi Alisa,

hope things have improved for you re soreness,

i would definately inform your Rheumy Nurse though .. let's know how you are doing,

Suzanne x
Alison-RH
#6 Posted : Tuesday, March 01, 2011 12:25:26 PM Quote
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Hi Ailsa, I get these reactions from humira (soon to be moving onto enbrel) and I fully sympathise with you!!! I get them every time I inject and I've now learned a few tricks to help! Straight after injecting I put a big swab on cotton wool soaked in witch hazel on the site and tape it on with micropore tape. Then the next day I put some hydrocortizone cream on the site to help with the itching - twice a day until it goes down. I agree, it drives you mad but I've managed to at least control it a little by doing this. You do need to let your rheumie nurse know that you're having site reactions though as it needs to be put on your notes. Hope this helps.....love & hugs, Allison x
Ailsa-H
#7 Posted : Thursday, March 17, 2011 5:32:53 PM Quote
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Thanks for the advice. The witch hazel worked a little but this week the area affected was huge - virtually encircling my whole leg and over 5inches deep (got my daughter to measure it!)

I rang the rheumy nurse and she told me to take photos and see her today. When I showed her the pics she was horrified and said I can't have any more as the next one could be a very serious reaction. She will speak to the rheumy on Monday about what to do next, but I have to have 4 weeks before starting something new to get it out of my system.

I'm feeling so fed up... It was beginning to work. My DAS was down to 6.2 and knees are better already. How do you cope with all the setbacks and stopping and starting? Sad Sorry for being glum xx Ailsa
flw93
#8 Posted : Thursday, March 17, 2011 8:40:35 PM Quote
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Hi Ailsa

Sorry you are having such a rough time. I am on Enbrel like you. I intected for the first four weeks with no problems at all, but had a similar reaction to you on my fifth injection. I was the same on my sixth injection but then after that I have had no reaction at all.

Hope this helps.

Louise
Rose-B
#9 Posted : Thursday, March 17, 2011 9:12:30 PM Quote
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ThumpUp

Hello Ailsa

Oh Lord sounds horible and if itchy - uck. Oh Ailsa I so understand as if you feeling
better it seems such a same to have to stop. Yes and have to start the process all over
again.ThumbDown

I also have been feeling very down so I do really understand what this means to you
I still not started TNF's due to infection and it has not got me feeling very down.

I keep telling myself there are worse people sufferring than me. As you
know though it does not make it any easier for you.

Chin Up

RoseThumpUp

suzanne_p
#10 Posted : Friday, March 18, 2011 3:16:05 PM Quote
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hi Alisa,

really sorry to hear you've had this set back,

especially as you were beginning to think it was working.

must admit i'm feeling down as well ... wondering when my Humira will start, will it work and so on.

hard to keep trucking along with day to day things.

let's know what Rheumy suggests next,

Suzanne x
Damned76
#11 Posted : Friday, March 18, 2011 6:33:58 PM Quote
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What a disappointment Ailsa. I'm so glad you got the reaction checked out though. I hope you don't go downhill too quickly in the next 4 weeks. Take care.

Julie
LynW
#12 Posted : Friday, March 18, 2011 9:33:33 PM Quote
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Ailsa-H wrote:
... the area affected was huge - virtually encircling my whole leg and over 5inches deep ...


Ailsa, so sorry to hear this. But you weren't injecting into your leg were you? Enbrel are subcutaneous injections (not intramuscular) and are easier done into a bit of flesh on the stomach. Injecting into the thigh you have to be specially careful you don't hit muscle. Just a thought!

Anyway, it's a shame you've had such a bad reaction as Enbrel has proved so good for many, including me. It's a real let down when things go wrong and you have to wonder what lies ahead. Hope something is soon sorted for you, perhaps they will suggest Infliximab, that means hospital infusions, but would be a safer choice.
Thinking of you,

Lyn x
My son, Ian, completed the BUPA Great North Run on 15th September running for the National Rheumatoid Arthritis Society (NRAS). You can read his story at http://www.justgiving.com/ianlukewilson

Ailsa-H
#13 Posted : Saturday, March 19, 2011 7:49:26 PM Quote
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That's really odd Lyn - the nurse from Healthcare at Home told me to sit down and inject the front of my thigh, which she did for me on the first occasion. She said I could also try my tummy area but she thought it was easier to pull the skin taut on a leg than a tum. I've made sure I only jab the front of my thigh.

Mine was definitely a reaction to the meds rather than the mechanics of being jabbed though. Oh well, off to read through Cimzia and Humira to see which I prefer!!

So sorry to hear you are still not free of infection Rose. You must be fed up xx

Hope you can get started soon Suzanne and feel better xx

Ailsa

Anne-P
#14 Posted : Saturday, March 19, 2011 8:35:10 PM Quote
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I just double checked my humira and that is definitely subcutaneous, I also looked up Enbrel online and that is subcutaneous as well - not intramuscular. The healthcare at home nurses told me the difference and that if I decided to use my thigh I needed to pinch the fat - and make sure I injected into the fatty bit, not the muscle. That's why I picked the stomach - as I've lots more fat there!!! Much easier to do.
I wonder if there has been a bit of confusion from the nurses - might be good to double check.

I've felt much better initially on humira but not been so well this week - so hoping next week will be better. Sounds like a lot of us are trying out the new drugs all at the same time! Second injection hurt more, but I think I hadn't left it out the fridge for long enough so it was still rather cold!!

Hope things improve.

Anne x
jenni_b
#15 Posted : Saturday, March 19, 2011 8:49:58 PM Quote
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Hi

I had this when I took enbrel, i saw a dermatologist in the end and they gave me piriton and some special cream to lessen the lump of redness. I went onto have a serious prob with the lumps, emergency surgery etc not good.
Stopped the enbrel altogther for a while, went back on it and I never did have a site reaction again. Isnt that strange.

Cimzia is a good one as people who did well on enbrel did well on cimzia so Im told on the trials (thats what my consultant said)

Jenni xx
how to be a velvet bulldoser
dorat
#16 Posted : Saturday, March 19, 2011 9:22:09 PM Quote
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Humira is subcutaneous and I rotate sites....R and L thigh, R and L tummy, so that I'm not injecting the same area each time. The needle on the humira pen is definitely not long enough to give it intramuscularly and I suspect it's the same with the enbrel, no danger of giving it IM with the short needle.
The info on humira suggests using tummy or thigh.

Doreen xx
jenni_b
#17 Posted : Saturday, March 19, 2011 9:25:22 PM Quote
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enbrel is sub cut
how to be a velvet bulldoser
Ailsa-H
#18 Posted : Sunday, March 20, 2011 9:29:35 AM Quote
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The nurse told me that with a syringe you pinch and inject, with the pen you stretch the skin. But there is no way you could get into a muscle with the ebrel pen either. There was a distinct difference between the sore red lump from the injection and the huge spread of itchy red skin, so I don't think it was because I was doing it wrongly. I will double check with the H at H nurses tomorrow but I don't think the rheumy nurse will change her mind. She looked at the photos and said definitely never again.

The nurse mentioned that the Rheumy may suggest infusions instead. She said she will let me know tomorrow. Another wait and see time .....ThumbDown xx Ailsa

LynW
#19 Posted : Sunday, March 20, 2011 10:32:17 AM Quote
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Hi Ailsa

It's a real bummer all this hanging about waiting ... I know exactly where you are coming from! I do hope they sort something very soon so you can start to get some relief from the problems.

We all have different ways of doing things that suit us best and I'm sure your method had nothing to do with the reaction you experienced which would clearly seem to be an allergic response. I am using Enbrel by syringe and needle (started before the pens were introduced and didn't want to change!) and I do prefer the better control given by this method. I also opted to stay on twice weekly injections which contain less preservative (I have known people react to that!). I didn't have anyone show me how to use the equipment, I got a leaflet instead! RollEyes But, the Enbrel needles are long enough to reach thigh muscles (well mine anyway ... but I have very muscular thighs due to much sporting activity!!) so, I have always avoided the area, just in case. I had enough bruised thigh problems when I was on gold injections!! I wipe the area I'm going to use, left side of tummy, move the needle lightly over the area and when I find a spot that doesn't respond I stick the needle in slowly. Been using the same four square inches for 7 years now and no problem! Guess I'm very lucky in that respect so it will be a shame if I have to come off it Sad

Anyway, good luck Ailsa, try and stay calm. Thinking of you,

Lyn x
My son, Ian, completed the BUPA Great North Run on 15th September running for the National Rheumatoid Arthritis Society (NRAS). You can read his story at http://www.justgiving.com/ianlukewilson

ceri44
#20 Posted : Sunday, March 20, 2011 11:11:36 AM Quote
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HI Ailsa
Hope things go well for you tomorrow and you dont have to wait too long.. Im starting infusions on Friday (pinning all my hopes on this) so will let you know how I get on. Take care love Ceri xx
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