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About to start Enbrel - help please! Options
mylo
#1 Posted : Sunday, June 19, 2011 11:42:04 AM Quote
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Hi, I'm ashamed to say I haven't been on the forum for ages. I was diagnosed with seronegative arthritis in 2008, spent 18 months on Methotrexate, then Sulfasalazine and finally now Leflunomide. The Methotrexate and sulfasalazine were stopped because of neutropenia. Earlier this year I had a bad flare, and have "passed" the assessment for Enbrel, which I'm due to start in 10 days time. I've spent the last three years in denial about the arthritis (I'm not even sure if I should call it RA, as I'm seronegative!), but I feel as though I'm having to face up to the diagnosis now as I qualify for anti TNF. I've heard such good reports about the anti TNF drugs but I'm feeling so down - I keep waking up in tears. Any reassuring and encouraging words for me please??

I hope this makes sense, the brain fog seems to be permanent - if I start to write about all of my concerns and fears, the post would be far too long! Mylo x
smith-j
#2 Posted : Sunday, June 19, 2011 11:52:03 AM Quote
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Mylo

My heart goes out to you. Being diagnosed with such a horrible disease is very hard. Accepting it is even harder. You have every right to say you have RA. Just because you are sero-negative does not mean that you are suffering any less than the rest of us.

I truly believe that the only way you are going to accept this is to talk it over with someone. You can either do it on here or ask your GP to put you forward for some counselling. We have all been in that dark place BUT there is life after RA and you have just got to find the right path for you. It is good that you have now qualified for Enbrel. This could be your life saver and make you feel so much better. Yes they are horrible drugs that we have to take but you have to find the right one for you and unfortunately this is just through trial and error.

Please, please find some way of talking about this. You are not alone.

Take care

Jackie
xx
jenni_b
#3 Posted : Sunday, June 19, 2011 1:28:02 PM Quote
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hello Mylo!

welcome to NRAS again- Enbrel is a good treatment for so many and in all honesty it was the best one I ever had for the RA.
I wonder off from time to time from the forum, mainly because Im rather conscious that my experience is heavy reading for many.
The weepy feelings might improve with the treatment but there is a strong link between RA and depression. Depression is due to a chemical imbalance in the brain and it can be triggered by all sorts of circumstances and nothing in particular.
DO NOT PUT UP WITH IT! get some treatment, there are really good ones that can make the world of difference. CBT and talking therapies can also help greatly.
Finally. I have something called fibromyalgia along with the RA and other things. it can cause something called fibro fog. www.fibrohugs.com
please ask the rheumatologist about it if you think its a possible issue in you.

With kindest support

Jenni
how to be a velvet bulldoser
Kathleen_C
#4 Posted : Sunday, June 19, 2011 3:00:12 PM Quote
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Hi Mylo,

I think all of us feel the same when we are put onto the anti-TNF drugs - somehow they seem so much more worrying than the DMARDs, which have been around a lot longer. I was scared stiff when I first started, but also desperate, as none of the other drug combinations had worked, and my quality of life was seriously compromised.

Feeling down is a major part of RA, but one which is underestimated by the rheumys I think. If you have a good GP it would be worth mentioning how low you are feeling - my GP keeps a very handy box of tissues on his desk : right within my reach!

I`ve been on humira now for almost 4 years, and while it hasn`t given me my life back, as some folks claim, it has certainly improved it considerably. I`m not by nature an optimist, but I have learned since diagnosis to try to make the most of the good things rather than dwell on the bad - not easy, but I try.

Have a chat with your GP - many of us have taken anti-depressents for a while to help us turn the tide.

Take care,

Kathleen C x

dorat
#5 Posted : Sunday, June 19, 2011 3:12:26 PM Quote
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Hi Mylo,

Welcome back to the forum!
I agree with Kathleen and Jenni....RA and depression often go hand in hand, so tell your GP how you are feeling.
Also, keep posting on here, where you can tell it exactly like it is! We all know what you are going through and it's not good to go it alone. You could also ring the NRAS helpline, it mught help for you to have a one to one chat with someone who has been where you are now.
Good luck with the enbrel, I hope it works really well for you.

Love, Doreen xx

dlakhia
#6 Posted : Sunday, June 19, 2011 6:52:27 PM Quote
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I hope Enbrel works for you.

One question about acceptance of RA I would ask is have you had repeat blood tests for Rheumatoid factor or the anti-CCP test? The former I read is often negative in early RA and turns positive for the majority over time. The latter is supposed to be most specific for RA. It (anti-ccp) was done in my case as the RF test was negative so I was/am sero-negative as well I am told. Once anti-ccp was positive and combined with my symptoms this confirmed RA without doubt in the consultants mind.

Frankly when we feel the way we do I don't understand anyone being in denial about RA disease and we have to try and get on with the drugs as we've no choice.

Good luck with the jabs and I hope you do well on them.

- Darshin
mylo
#7 Posted : Sunday, June 19, 2011 7:07:53 PM Quote
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Thanks for all your comments - they all help - I'm sorry to sound so negative. I have been referred to a counsellor via my GP, so hopefully that will help.

Darshin - I haven't had the anti CCP test, but a recent RF test was negative. Maybe I should ask for the anti CCP.

About being in denial - I feel that if I accept that RA is here (and qualifying for anti TNF has forced me to accept it) then I have nothing to fight against. I picture myself as a toddler having a tantrum, saying "I don't want it, I don't like it". How's that for immaturity in my 50's? I'd like to have your approach, but at the moment I feel so worn down by it all.

Mylo
dorat
#8 Posted : Sunday, June 19, 2011 9:13:15 PM Quote
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Don't worry Mylo, you are not alone in not wanting to accept the diagnosis.
I was diagnosed 10 years ago and still think, well I've had this for 10 years now, it's time I was better, I don't want it anymore !
Yes, we know we have a long term disease, but that doesn't mean we have to sit down and let it get the better of us!
Carry on with the fighting spirit!

Doreen xx


sheila_G
#9 Posted : Sunday, June 19, 2011 11:35:41 PM Quote
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Hi Mylo

Sorry you are so down. I know how it feels. I think we have all been there so you are not alone. I know that doesn't help you right now but at least you have empathy on the forum.. I am sure that when you start enbrel you will feel much better. I would feel scared too so just try and be positive and come on the forum as often as you can if only to get things off your chest. Good luck. Let us know how you go on with enbrel.

Sheila x
Anne-P
#10 Posted : Monday, June 20, 2011 10:29:03 AM Quote
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Hi Mylo

My heart goes out to you too. Do you have a good friend around you could talk to? I have a mum-like figure who I have spent a lot of time with over the last year (since diagnosis), who can cope with all my tears, anger, frustrations etc. She has been an absolute rock and helped me to attempt to come to terms with the changes it has made to my life. (I've had to stop working). Sometimes I just text, other times we meet for coffee. Other times we sit in the car looking out at the Isle of Wight with a cup of tea. If you don't have someone, this forum is great too .. you can ask questions, say how you are feeling and know that there are always many others on here who have felt the same.

One thing I will say to encourage you, is that My consultant said that when I started Humira (a different anti-TNF), she reckoned it would lift my mood (my GP wasn't so sure!)... but I have to say, within 1 week of taking it, my mood had completely changed. I still have some off days, but overall it must have helped the inflammation levels that cause much of the depression... it also lifted me in such a way as to feel 'on top of the RA' rather than it sinking me down all the time. I now get out and do what I can, and don't feel guilty about what I can't. Hubby now cooks tea nearly every day... although today I'm going to have a go!

Keep going Mylo... it is a grieving process of what we've lost... but there is light at the end of the tunnel.

lots of love
Anne xx

ceri44
#11 Posted : Monday, June 20, 2011 10:43:54 AM Quote
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Hi Mylo
Just to say welcome back and sorry that your feeling really down, its only to be expected though as the others have said depression and RA do go hand in hand..Ive been on anti depressants since Jan and they definitely help, I am sero negative too and was diagnosed 2 years ago currently on mtx inj 20mg and started anti tnf infliximab in March but its not helping yet and I have been off work for 7 weeks so far, It is hard to accept (I havent yet) but please keep posting on here it is so supportive! Good luck with the Enbrel Love Ceri xx
suzanne_p
#12 Posted : Monday, June 20, 2011 12:10:06 PM Quote
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hi Mylo,

totally understand about feeling down and tearful amnd anxious about starting a new drug,

i am currenly waiting for the go ahead to start Humira afer failing on two DMARDS. and to say i'm anxious is an under statement.

over a year on and not under control i have just about come to terms that i have RA now.

also don't be ashamed if you feel an Anti Depressant might help get you through this period, i would go and talk to your GP.

do let us know how you are getting on,

Suzanne x
suzanne_p
#13 Posted : Monday, June 20, 2011 12:10:13 PM Quote
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hi Mylo,

totally understand about feeling down and tearful amnd anxious about starting a new drug,

i am currenly waiting for the go ahead to start Humira afer failing on two DMARDS. and to say i'm anxious is an under statement.

over a year on and not under control i have just about come to terms that i have RA now.

also don't be ashamed if you feel an Anti Depressant might help get you through this period, i would go and talk to your GP.

do let us know how you are getting on,

Suzanne x
suzanne_p
#14 Posted : Monday, June 20, 2011 12:10:14 PM Quote
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hi Mylo,

totally understand about feeling down and tearful amnd anxious about starting a new drug,

i am currenly waiting for the go ahead to start Humira afer failing on two DMARDS. and to say i'm anxious is an under statement.

over a year on and not under control i have just about come to terms that i have RA now.

also don't be ashamed if you feel an Anti Depressant might help get you through this period, i would go and talk to your GP.

do let us know how you are getting on,

Suzanne x

no idea why this posted twice Sad
Vicky13
#15 Posted : Monday, June 20, 2011 3:18:34 PM Quote
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Hello Mylo,

This really is a great place for letting off steam and telling it how it is, so welcome back to the forum and I"m sorry you're having such a horrible time at the moment.

I'm also sero-negative but that doesn't seem to stop me having a whole range of symptoms - I'd never have believed a year ago that I would now, at the age of 34, need a walking stick Confused I've now had RA nearly a year but haven't found meds that work and am very much out of control.

I was on sulfasalazine which really disagreed with me - I felt sick all the time and was very tearful, I stopped it in February, and afterwards realised it had made me quite depressed and also paranoid. I'd had 'suspicions' that thankfully I'd dismissed as being ridiculous but with hindsight realise it was the drugs. I've found that amitriptyline (10mg in the early evening) and prednisolone have helped enormously with my mood and general feelings ThumpUp , although not so much with my physical symptoms ThumbDown

Could sulfasalazine have contributed to your negative feelings?

I really hope you get the right meds and that some counselling helps too.

Vicky xx
mylo
#16 Posted : Monday, June 20, 2011 3:36:40 PM Quote
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Hi everyone, thanks to you all for the replies, you're all helping so much with your comments and support. I'll meet Enbrel next Tuesday, 28th, and am feeling a rather strange mixture of almost looking forward to it, but not wanting it to happen. Thanks again for all the good wishes.
Mylo x
jenni_b
#17 Posted : Monday, June 20, 2011 6:17:19 PM Quote
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Lol suzanne REALLY DOES understandWink 3 times overLaugh !!!

Bless!
one more thing to say, there is no holy grail of "acceptance" when it comes to RA. there is a degree of accepting that you have a disease that isnt going away but in all honesty there isnt an "acceptance" you suddenly get when you reach this or that stage. fOR me, the acceptance is nothing of the sort- its hanging on and then howling like a miserable howling thing whenever I have to surrender the next bit to crappy RA. Then I go through another day and feel a bit less weepy. Then I grit my teeth, get angry and think "right! what else is there for me to do!"

Its a long grief and loving life inbetween.

Jenni xx
how to be a velvet bulldoser
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