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Humira - flag brought down . . Rituximab may be next Options
Rose-B
#1 Posted : Thursday, August 18, 2011 2:54:54 PM Quote
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This carries on from previous post Humir Flag flying high - the next chapter - - hopefully

Well at last my RA nurse is back from her Holiday and I have had a long discussion with her this morning.

She had been passed the letter which my GP made me send to the Consultant. (I apologised as it was not
my choice and hope she did not think badly of me)

She said 2 months of trial and with the reactions I have had were enough for her to STOP the Humira the drug not suitable.
They have to wash it out the system before re-starting and councelling . Spm Stop breath and let the treatment subside.

An alternative which she is going to send out details to me is Rituximab. I know Jackie recent experience on this but if
anyone else can input with good or bad I would be appreciated.

I am signed off till next Tuesday, need to see how I am over the w end. RA nurse says it is up to me whether I
return. I am thinking today perhapse going back next week may improve my 'mind' as I am a little depressed.


So here goes again . . . ugh I groan.

Rose ( Chocolate is calling now )

x


Kathleen_C
#2 Posted : Thursday, August 18, 2011 3:14:32 PM Quote
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Hi Rose,

Sorry the humira hasn`t worked for you - it`s so very hard when you pin your hopes on a new drug only to have them dashed again.

There are others on here who have tried/are trying Riruximab, but it`s not something I know much about myself, so no doubt someone will come along to advise.

As far as work is concerned, see how you feel over the weekend. I know what you mean about wanting something to distract you, but see how things go, and don`t rush back until you are ready.

Take care,

Kathleen C x

Tracy-Street
#3 Posted : Thursday, August 18, 2011 4:28:09 PM Quote
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Hi Rose,

Good luck, don't go back before you are ready, although easier said than done....I know.... the stress of phoning in sick is sometimes worse than the pain and other effects of this dreaded disease.

Hope your mental state picks up very soon, but 'give yourself permission' to have a bad time and embrace it. It's no good telling yourself to 'pull yourself together' it doesn't work.

Hugs coming your way

Trace xx
suzanne_p
#4 Posted : Thursday, August 18, 2011 7:08:29 PM Quote
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hi Rose,

i'm so sorry to hear Humira isn't working for you .. no wonder you're feeling a little depressed.

only you really know if you feel ready to return to work, i do see your point though.

and the thought of starting yet another drug adds to the mix doesn't it. i know i am feeling anxious about D Day next week for Humira ... i was exactly the same when i started Methotrexate. but i know it's a case of needs must for me now.

let's hope Rituximab turns out to be the one that works well for you, we have to remember that what works for one doesn't work for another with this dreaded condition.

try and keep positive and maybe give NRAS Helpline a call, they might be able to put you in touch with someone on it.

thinking of you,

Suzanne x


smith-j
#5 Posted : Thursday, August 18, 2011 7:32:45 PM Quote
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Rose

I am so sorry that the Humira has not worked for you. Please do not be put off by my experience with Rituximab. Each person is different and I think you need to decide whether you want to try another drug which may be your salvation. There are people on here who have done well on Rituximab. It is very daunting deciding on trying new things, especially as these drugs are so powerful. I will tell you that even though Rituximab was not for me I will be carrying on with other treatments as and when they are offered. I am 48 and deserve a good quality of life. I am sure that you deserve the same.

I am a great believer in keeping busy mentally which is why I am trying to keep on working. Some days it is a real struggle but I do not have time to think when I am at work and I always try to keep my mind busy at home.

I will be thinking of you.

Jackie
xx
dorat
#6 Posted : Thursday, August 18, 2011 7:40:03 PM Quote
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Hi Rose,

So sorry that the humira did not work for you, it's no wonder you feel down. I can't say I've heard about having to flush humira out of the system before starting another drug though, I'm sure people on here have gone onto other drugs from humira without that.

Lets hope you can start on the Rituximab soon and it works for you.

Love, Doreen xx

Sue10
#7 Posted : Thursday, August 18, 2011 8:24:37 PM Quote
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Hi Rose
So sorry that the Humira has not worked for you, you waited so long to start it.ThumbDown
Hope that it gets out of your system quickly and that the Rituximab is successful.
I am not surprised you are feeling down after all you have been through but be careful about going back to work too soon and causing more problems.....it is such a fine line between being good for you and overdoing it.

Wishing you a good weekend

Best Wishes
Sue
Sheila-R
#8 Posted : Thursday, August 18, 2011 10:56:08 PM Quote
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Hi Rose,
I've been reading your Humira, story for a while, so sorry you've had all the itching and bad reactions and things. I have rituximab and am going for my fourth round in September. The good side to it is that although my first round did nothing for the RA, the second round of infusions, helped slightly, and the third round gave better results still. I usually have them six monthly but some people go a year without needing another one.

I too had failed on Humira and Enbrel. I haven't had any bad reactions to the infusion other than a drop in blood pressure at the time its given and a very slight itchy throat, but that usually goes after half an hour or so. I'm a bit woosy that evening, but that's probably de to the piriton, then I'm wide awake for three days due to the steroid they put in at the same time.

I remember I had to wait 4 weeks for the Enbrel to leave my body before I could have the rituximab, but the waiting list at the day unit here is that long anyway. For me the day of the infusion is just a day to curl up in their reclining chair in the day unit, take a couple of rubbishy magazines, listen to some music, take a nice lunch, maybe meet other people who are also being infused and chat with them and generally have a lazy day with on tap tea and coffee - Much easier than jabbing yourself with that Humiria pen. Don't be put off as bad reactions to it are qute rare, and the staff are very well trained in how to deal with it, that's why they do it in hospital.

Another advantage of Rituximab is that you will now have room for food in your fridge rather than it being full of injector pens.

Good luck with it Rose and don't go back to work until you are fully better.

With best wishes
Sheila
Anne-P
#9 Posted : Friday, August 19, 2011 5:04:00 PM Quote
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Hi Rose

I think chocolate sounds an excellent move. I personally think that each failed treatment is a bit like a bereavement - as it is a loss of a means of feeling much better. That is certainly how I felt each time.

I don't know about Rituximab, although it was my next one to try if the Humira doesn't work (at the moment is doing a brilliant job.. apart from the massive bruise this time.. but that might have been my fault!).

So I really hope it works for you. The advice when having the infusion sounds a brilliant idea. I take my ipod, food, drink (as the tea is a bit sporadic) and rubbish magazines. It is actually really nice talking to others as you pick up lots of tips on how to do things.

Will be thinking of you over the next few days.

love

Anne xx
Ailsa-H
#10 Posted : Sunday, August 21, 2011 8:37:49 PM Quote
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So sorry to hear this Rose - after waiting so long to get started you must be disappointed. I had to change to Cimzia and have had no adverse effects (though little improvement either) - it is all very unsettling and I'm not surprised you are feeling low. Just wanted to let you know I'm thinking of you and hope you feel better soon xx Ailsa
ceri44
#11 Posted : Monday, August 22, 2011 7:20:50 PM Quote
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Just to say thinking of you Rose and dont rush back to work! Everything crossed for the Rituximab xx
Rose-B
#12 Posted : Monday, August 22, 2011 10:21:33 PM Quote
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Dear All

Thank you all for your good wishes, I really do appreciate them it jollies me along. Thanks

Seen Doc again he wants me to have another 10 days off, so that is from today.

Weather been beautiful in Somerset today, had my Granddaughter and went for stroll on the
beach and she had a donkey ride. Shattered now so going to bed.

Thanks all though
Rose-B
#13 Posted : Wednesday, August 31, 2011 3:29:04 PM Quote
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Hello All,

Update - signed off again for a further week. I had a bad week end where everything hurt and took max pain killers.
Also fatigue huge.

Thanks to Jackie and Sheila who both have experiences of taking the Rituximab. Surely there must be others . . . . . . . please
let me have your thoughts of good and bad thoughts.


Rose


flw93
#14 Posted : Wednesday, August 31, 2011 4:21:18 PM Quote
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Hi Rose

So sorry you have had such a bad time lately. You must be so fed up. There is nothing worse than being in pain all the time and feeling tired. I have been watching your progress with interest as my consultant has taken me off Enbrel which is not working and changed me to Humaria, I am really dreading it now having seen what you have been through, but I prefered the idea of continuing with doing my own injections rather than haveing an infusion of something else. I have been off work since November 2010 apart from a two week attempt at a phased return to work which proved unsuccessful. I have just submitted my application for ill health retirement and am sure I will feel much better when I get the results of it all, rather than being in a limbo state which I am at the moment.

I really hope that you are more successful on your infusion and that you get lots of rest.

Louise

Sad
sheila_G
#15 Posted : Wednesday, August 31, 2011 7:15:38 PM Quote
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Hi Rose

I don't know how I missed this post but did. So sorry you have failed on humira. Try not to be too disheartened, this one obviously isn't for you. Good luck with Rituximab. I am afraid I don't know anything about it so can't give any advice but I am thinking of you.

Sheila x
suzanne_p
#16 Posted : Wednesday, August 31, 2011 7:35:29 PM Quote
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hi Rose,

really sorry to hear the struggle you're going through,

i think the sooner you make the next step of going onto another TNF the better,

hope some one help with the Rituximab .. the only other suggestion comes to mind is giving the Helpline a call, they may know someone on it and be able to make contact with them for you.

hope the rest off work helps,

keep posting and let's know how you are doing,

Suzanne x

Eve_V
#17 Posted : Thursday, September 01, 2011 10:23:31 AM Quote
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hello rose
don't have any experience of anti-TNFs so no personal advice to offer only my support and hope that things improve soon
.....eve x
Julia17
#18 Posted : Thursday, September 01, 2011 12:14:31 PM Quote
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Hi Rose

The trouble with all these drugs is that what suits one may just not work for another there is no rhyme of reason LOL When I was having the infliximab infusions all the " regulars " were going great guns at the infusion clinic and psychology I thought I would be just like them and ended consequently staying on it for nine months ! I kept persevering with it ( that s what we do with RA because we usually have to ) and it was when I ended up with a CRP score of 104 and felt total rubbish which was often the case like you know.I then was offered Cimzia, and from start to finish it took me only 3 weeks to get on it - couldn t believe my luck as you can imagine, thinking of you.

I hope you can get some positive news with the ritiximab.

Julia x
LynW
#19 Posted : Friday, September 02, 2011 2:27:39 AM Quote
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Hi Rose

It's a tough call with this disease often leaving us feeling as though we're caught between the devil and the deep blue sea ThumbDown

As Julia says we're all indivividual in our disease patterns and responses to drugs and very often what works for one doesn't work for another. This is because our profiles are very different and despite research the understanding of the specifics of the autoimmune responses in RA remains limited. With time more answers are being found that will in the long term help doctors provide drugs more suited to our individual needs.

I think for now its very much a case of being optimistic about each of the drugs we try in the hope that this will be the one that helps control things. I have been considered for Rituximab but I'm holding fire for now, much like Louise really, I prefer to keep on injecting myself rather than losing that control to an infusion (although I started on Infliximab and that worked very well!). That said I'm probably not in a fit enough state to argue my point anymore so feel sure I could be following the same route as you in the near future!

According to the NRAS Biologics book about two thirds of patients respond well to Rituximab showing significant improvement in inflammation, pain and fatigue. It sounds very promising! Keep your chin up Rose, you're one step nearer to finding a solution Smile

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

jenni_b
#20 Posted : Friday, September 02, 2011 11:15:25 AM Quote
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Hey rose,

Listen, the RTX did do a belly up on me- you know that.

The thing is, the RA is as individual as the person who has it. when you think about it you have 100s of generations of exposure to plague, pestilence and diseases. Your ancestry of facing, surviving and resisting disease goes into make your immunity- let alone your own personal exposure to illness and vaccination and insect bites etc.

Everyone is different
Everyone

The chappy I was sat next to when having the last drug was on rtx. I was trembly and tearful because I have done so badly on everything and was failing the meds again. He said "nothing to worry about love- it only makes you better!"

He had NO IDEA there could be a problem on the drugs at all. Everyone he has ever sat with on the RTX has been completely fine.

That goes to show. Its passed medical trials and is generally well tollerated. I personally have a problem with the adjusted protiens used across the board in biologics.

thats is incredibly rare.

Honest it is! There was a man on here who was up walking round the great wall of china on it! It gave him his life back.

Be encouraged!

Jenni xx
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