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Newly Diagnosed..saying Hello to all. Male Aged 45..life hi-jacked!! Options
dlakhia
#21 Posted : Friday, May 06, 2011 3:57:54 PM Quote
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Thanks again to all of you..I won't mention all your names here but I do recall reading about Julie (JulieM) and LornaA' articles in the quarterly magazines I have read and frankly was speechless and numb with what I was reading regards your experiences. Well there's one more well wisher here for you.

A lot of you are on MTX and I was wondering whether there is a concensus average dose levels that works. 15mg, 20mg? By works I mean can it reduce symptoms drastically say 80% better? At 10mg I feel that my fingers, elbows, wrists are better but still no where near normal.

Also what about the side effect with liver in blood test results - anyone been taken off MTX? My GP said the risk is seen more at 25mg or more?

Darshin
Eve_V
#22 Posted : Friday, May 06, 2011 4:00:03 PM Quote
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Location: aberdeen
hello darshin
hi-jacked yes, that's a good description. I am sorry you have been thrown into this world of ours but with your quick referral and diagnosis you have been given the best chance to deal with this disease. I am eve 58, diagnosed in august last year and currently taking 20mgs MTX per week, plus folic acid, omeprazole and occasional diclofenac. One thing I wished I had done early on would have been to make notes of how I felt around about the time of diagnosis, aches and pains etc as you sometimes forget how far you have come. I wish you all the best with your treatment and look forward to hearing how you are getting along.
.....eve
sheila_G
#23 Posted : Friday, May 06, 2011 4:20:28 PM Quote
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Smile Hi Darshin

I have been on mxt for 9 years now and it has been increased gradually over that time. I find it to be very beneficial pain wise and the only side effect I have found is hair thinning. I did have a lft (liver function test) very raised one time and rheumatology rang me up the following morning and told me stop taking mxt immediately and wait for next blood test. Next blood test was ok so could re-start it. Mxt stays in your system for around 6 weeks so a couple of weeks doesn't matter. As time goes on you will probably need to up it or change to another drug or have a combination of drugs. Everyone is different and your body is unique in its relationship with the medication. I am afraid that only time will tell.

I know that when I first joined the forum, which was only a few weeks ago, I had hundreds of qustions to ask and I thought everyone would be sick of me. Not so, everyone is great and no question is left unaddressed even if it is just to say sorry I can't help but I know someone who can. You will have so many questions to ask and you must ask them. That is how we all learn about this condition. I love questions on the forum as it makes me feel better if I can help someone so keep them coming.

Love Sheila x
smith-j
#24 Posted : Friday, May 06, 2011 4:21:48 PM Quote
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Hello Darshin

Welcome to the forum but sorry you had to have RA to join us. Yes you are right, this forum is a god send. I was diagnosed two years ago and without this forum I would not have been able to find the wealth of information, advice, comfort and laughs that I have during that time. Yes your diagnosis will take the wind out of your sails and you will go through a period of uncertainty and mourning for your old life. BUT there is life after RA, you just have to learn to live it differently and pace yourself, get good medication and support from your RA team.

Keep posting as there are not many males on this forum.

Take care

Jackie
Julia17
#25 Posted : Friday, May 06, 2011 6:26:45 PM Quote
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Location: farningham kent
Hi Darshin

Welcome to the forum, like so many have said it is a life line at times and provides valuable info that you can not always find anywhere else !

Pleased to hear you had an early diagnosis, and looks like the mtx is working well already.

Hope all continues to go well for you, and keep posting so we know how you are getting on.

Best wishes Julia
Sue10
#26 Posted : Friday, May 06, 2011 6:38:43 PM Quote
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Location: Herne Bay Kent
Hi Darshin

Welcome to the forum where you will get so much support and advice. If you have any questions someone will always come up with some answers and good advice. I am Sue and have been diagnosed for 5 years. Happily married with 3 grown up children and 5 grandchildren
I am currently on Methotrexate 20mg Sulphasalazine and started Enbrel 4 months ago which has really given me a new lease of life.
It sound like you managed to get help very quickly which is good and I am pleased that the drugs seem to be making a difference.
Best Wishes

Sue
Smile
posie
#27 Posted : Friday, May 06, 2011 8:32:36 PM Quote
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Location: northern ireland
Hi Darshin sorry to hear you have R.A i was diagonsed 2 years ago
was started on sulphasalazine but it didnt help; at all was then started on metx 5mgs now on 20 mgs it helped a lot but would still have pain now not just as bad as it was at the start hope you get some relief soon
Dorothy-W
#28 Posted : Saturday, May 07, 2011 9:34:26 AM Quote
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Location: east anglia
hi, when i was put on mtx all i got told by r/nurse was that it can effect my liver,i have been on 25mg from the start, that alone gave me a panick attack as i did like a small drink(now stopped), since then i have learned so much on here and its all from peoples own experience ,best answers you can have,i now have a new r/nurse who has given me so much more support,now i am much more positive, not everyone has the same results, personnally i still have my mane of hair but that could change as i now inject mtx but i can get about so hair not an issue.think positive it takes alot to get the head round it all, if you cant do something dont get it later it can take twice as long now to do what took 5min,i had to learn the pace myself thing, it can drive you nuts.hope you have a good r/a team on your side.

the team will work with you till the dose is right for you,i still have iffy days but heh ho on i go,keep up with the blood test very important,we all need a different level of meds keep working on it.
chockers
#29 Posted : Saturday, May 07, 2011 10:23:34 AM Quote
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hi Darshin
don,t give up .MTX will kick in at 12 weeks and you will feel better each week from then and you might do well on it .

chris
The chocolate eating housewife ...The washer woman .....naughty lady
chockers
#30 Posted : Saturday, May 07, 2011 10:24:43 AM Quote
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Location: in a house
dlakhia wrote:
Thanks again to all of you..I won't mention all your names here but I do recall reading about Julie (JulieM) and LornaA' articles in the quarterly magazines I have read and frankly was speechless and numb with what I was reading regards your experiences. Well there's one more well wisher here for you.

A lot of you are on MTX and I was wondering whether there is a concensus average dose levels that works. 15mg, 20mg? By works I mean can it reduce symptoms drastically say 80% better? At 10mg I feel that my fingers, elbows, wrists are better but still no where near normal.

Also what about the side effect with liver in blood test results - anyone been taken off MTX? My GP said the risk is seen more at 25mg or more?

Darshin

yes me i have to come off it sometimes
The chocolate eating housewife ...The washer woman .....naughty lady
sheila_G
#31 Posted : Saturday, May 07, 2011 11:17:29 AM Quote
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Joined: 3/28/2011
Posts: 956
Location: North Preston
Hi Dorothy

I have had RA for 9 years now and have not been depressed or suffered any major side effects until now. If anyone had said to me that my hair may start to come out I would have said the same as you. As long as I can move, hair not an issue. It is a different matter when it happens. I hope you never have to eat your words

Love Sheila x
helixhelix
#32 Posted : Sunday, May 08, 2011 8:49:18 AM Quote
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Joined: 2/7/2011
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Location: London
Hi Darshin.

Another woman I'm afraid (I think it's 3:1 female:male and also I'd read that RA was less likely in people with asian background - so you're incredibly unlucky). I'm nearly a year into this horrid disease and the biggest bit of advice I have is learn to pace yourself. I found that it did really help as what I was doing was running around like a maniac on good days pretending I was "normal", and then collapsing in a heap for 2 or 3 days afterwards. I now take a calmer approach to life and sometimes things just don't get done, but my energy levels are more stable and I can plan life much better rather than having to back out of things at last minute because I'm shattered. On MTX, my Doc said that her strategy was to slowly increase the weekly amount until the inflammation was under control, leave it at that level for a while and then try to reduce the amount if all remains stable. So I've gone from a starter dose of 10mg up to 17.5mg which we're hoping will now hold things in check without additional steroids etc etc (she will go up to 25mg if we have to, but if I get to that level and still not holding it then we'll try different drug regime). If MTX does hold it in check then plan is that I'll stay on this level for 6 months - year and then try to reduce a bit. It seems that so far I'm lucky in that I'm responding well to the drugs. But whatever happens I'd suggest that you need to make sure that your inflammation is controlled as soon as possible so you don't get long term joint damage, so go for the drug regime your body needs to do this. You'll probably also face the complete lack of understanding of RA from friends and colleagues (my aunt has arthritis in her thumb, are you better now, you look healthy etc) so do encourage them to read the NRAS information.

Polly
Anthea1948
#33 Posted : Sunday, May 08, 2011 6:28:00 PM Quote
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Hi Darshin, and welcome to the forum. I'm sorry that you had to get RA to find us but, as you're already finding, it's great to have the support network of other people who have some idea what you're going through. I've been on Sulfazalasine since 2004, with MTX added to the mix three years ago. I found that 10mg of mtx on top of the Sulfa made me feel nauseous most of the time so I'm now taking only 7.5 mg, a balance I can live with.
Good that you've been diagnosed quickly, it means that you're already on drugs that will hopefully slow down the progress of this awful disease.

Anthea
dlakhia
#34 Posted : Sunday, May 08, 2011 10:21:09 PM Quote
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Well apart from tender wrists, and a water build up on right knee I do feel that MTX even at 10mg is working a little. I am so hoping so anyway..as it'd be great to see something happening at this lower dose level, I think. HCO Plaquenil hasn't done anything yet I don't think.

I have had two steriod injections since mid March and the first one wore off at 2.5 weeks. Now the 2nd one has been 3.5 weeks now so assumeits wore off and I'm hoping its the MTX helping.

Bye for now..
Darshin
sheila_G
#35 Posted : Monday, May 09, 2011 8:32:27 AM Quote
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Hi Darshin

The steroid injs can be hit and miss too. I have had many of them in different places, some repeated several times. I did have a bad problem with elbows, very painful. I had steroid injs in both of them. This was 4 years ago and they have been fine since. It's just the luck of the draw I am afraid but be positive.

Love Sheila x
Lorna-A
#36 Posted : Monday, May 09, 2011 10:32:39 AM Quote
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Hi Darshin,

I am on 15mg MTX and this has worked extremely well for me, along with 200mg of Hydrox. I did not get better right away but each month made a difference, now I keep very well. Keep positive and focused you will get there.

Take care Lorna Smile
Dorothy-W
#37 Posted : Monday, May 09, 2011 12:35:28 PM Quote
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SORRY sheila.g, i am trying to accept things that could happen i didnt mean to offend anyone,i have suffered some side effects so far but try to keep positive,i do worry alot as now on mtx injections that i will no doubt eat my words and more,i also have an underactive thyroid but so far ok,i know it can cause all sorts as well,but did get it reduced now on thyroxine 125mg daily so fingers crossed
sheila_G
#38 Posted : Monday, May 09, 2011 3:52:07 PM Quote
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Hi Dorothy

I am not offended I just wanted to say that no matter how unimportant something seems to someone else if it makes you depressed it is extremely important. It very often isn't the thing you are upset about that has lead to it but that is just what tips the balance. It goes far deeper than that.

One of the problems with emails and texts is that there is no intonation so you can't tell how a person feels.

No offence taken.

Love Sheila x
dlakhia
#39 Posted : Monday, May 09, 2011 9:54:32 PM Quote
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Posts: 79
Thanks again to all and Lorna especially; It seems we are on similar drug profiles (you take 3rd DMARD as well?) - I am taking heart from you suggesting each month gets slowly better with these. Also that you so far seem to one who is doing well on DMARDS without needing to move on to biologics. Best wishes.

Darshin
Lorna-A
#40 Posted : Tuesday, May 10, 2011 3:49:47 PM Quote
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Hi Darshin,

I was on the triple therapy, up here in Scotland everyone starts on this. I was on Sulphasalazine too, the aim being to attack RA aggressively and knock it into remission. Which in my case it did, they stopped the Sulph about 2.5 years after starting it. I feel very fortunate to have responded so well to the drugs, others I know do not and my heart goes out to them. I am very positive about most things and always find a way to overcome difficulties and I truly believe it helps RA, a positive mind is as good as any drugs. ( Along side of course ) Smile Do keep focused and try to be positive even when things are difficult, you WILL get there.

Thinking about you take care,

Lorna Smile
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