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Anti-TNF's - your experiences Options
smith-j
#1 Posted : Tuesday, January 19, 2010 7:04:07 PM Quote
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Hello everyone

Today I saw my new Rheumatologist on the NHS. I have been seeing a Consultant Rheumatologist privately (thank god for my work's private insurance scheme) since my diagnosis but everything he has prescribed for me has not worked. He said "time for the big guns and unfortunately I cannot help you with Anti-TNF's unless you have £17,000 per cycle handyThumbDown " Suffice to say I asked him to refer me on the NHS. I was lucky to be seen today after only a three month wait.

My new Rhematologist is lovely and after much discussion and examination, he agrees that my health has deteriorated in the last twelve months and he says I am eligible for Anti-TNF's. I was then passed over to the Rheumatology Nurse who scored me and I passed with flying colours. Luckily today is a very bad day. She will score me again on 19th Feb and then, if I am the same or worse, they will apply for the funding.

What is confusing me, and which I am hoping some of you can help me with is, I have been given the option of two drugs to think about and go away and investigate. These are Etanercept (Enbrel) or Adalimumab (Humira). I have been advised to do some research on the internet and speak to people about these two drugs. When I go back in February I need to tell them which one I have decided to try. Seems a bit bizarre to me and I will be talking to my GP about this later this week, but I am hoping that I can get some advice from people who have actually used these drugs and experienced the side effects. I have also been given the option of injecting myself with either a needle or pen. Again any experiences and advice?

I am very relieved that finally I may be able to have something that will give me back some quality of life but obviously scared about the possible side effects of these drugs. However, I would appreciate anyone replying being upfront with me as forewarned is forearmed.

Love
Jackie
Joy
#2 Posted : Tuesday, January 19, 2010 10:03:21 PM Quote
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Hi Jackie

I started anti-tnf last March. My consultant decided which one I would be given. I am on Enbrel and it has been a great help. At the start I got a reaction at the injection site which was red inflamed and itchy but after about 8-10 weeks this began to ease. If this happens your GP can give you something to control it, but you may have no problems at all.

Hope which ever one you decide on works well for you.

Joy
merryberry
#3 Posted : Tuesday, January 19, 2010 10:11:27 PM Quote
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i'm bloggin about humira here at wordpress
wonderful drug
i chose it above others on offer because i also have some kind of immune gut/coeliac/chrohns type thing going on, and humira is helping, as promised, with that.
merryberry
#4 Posted : Tuesday, January 19, 2010 10:12:33 PM Quote
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doh sorry, your actual concerns: no side effects whatsover so far to Humira. I use the pen. Easy peasy. Actual drug content stings a bit. Forget it all 3 minutes later.
amanda_lewin
#5 Posted : Tuesday, January 19, 2010 10:15:22 PM Quote
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Dear Jackie,

I am so very pleased to see you have met your new rheumy and that they were kind and helpful.

You are in my prayers always,

Amanda
barbara-o
#6 Posted : Tuesday, January 19, 2010 10:22:01 PM Quote
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Hi Jackie,

I am in a similar boat to you and will be seeing my rheumy tomorrow and hopefully started Anti-TNF treatment soon. I'm also interested in hearing from other people's experience and have posted in the drugs section as I was keen to know about the drugs effects on the liver.

Love,

Barbara
XXXXX
dorat
#7 Posted : Tuesday, January 19, 2010 10:22:50 PM Quote
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Hi Jackie,
So pleased for you that you are starting anti-tnfs.
I've been on humira for 7 months now and have had no side effects at all so far.
I started with the syringes and somehow got changed to pens. I actually preferred the syringe because I feel to have more control but the pens are fine.
It does sting but as Frankie says 3 minutes later and it's forgotten!
Good luck with it.

Doreen xx

joeyvt
#8 Posted : Wednesday, January 20, 2010 12:30:02 PM Quote
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Hi Jackie,

I was using the Humira pens for about eighteen months and found them easy to use. The company that supplies them are really really helpful and deliver four at a time (eight weeks' supply) and will deliver to a work or home address. I'll agree that it does sting a little but if it's doing the job, you won't mind too much :)

Good luck with it!

Joanna
Damned76
#9 Posted : Wednesday, January 20, 2010 3:47:30 PM Quote
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Glad things are moving forward for you Jackie - despite being back on the NHS. I'm sure you will get some good advice.

Barbara - good luck to you with your appointment tomorrow - will be thinking of you.

Julie
Kathleen_C
#10 Posted : Wednesday, January 20, 2010 4:42:45 PM Quote
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Hi Jackie,

I`d been tried on various DMARDs and combinations of DMARDs until finally I got the go-ahead for anti-TNF therapy. My consultant decided to choose the one she thought would suit me best, so in July 2007 I begam humira, and it has made a huge difference to my quality of life. I`ve always used the epi-pen, and although, as others have said, it stings momentarily, it is worth it.

If you want to discuss it with your GP, be prepared to hear that he/she doesn`t know a lot about anti-TNF treatment - in our practice ( which is a small one ) I was the first patient to be on this drug, though there are others now, but my GP didn`t know a lot about it at the time. Funnily enough, I was told not to look it up on the internet - there is so much stuff on there, but I was given a booklet and a DVD to watch before I started taking it.

Good luck, and I hope it works for you.

Kathleen x

lyn2
#11 Posted : Thursday, January 21, 2010 4:16:59 PM Quote
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Hi Jackie

I started with humira about 4 years ago, but it didn't help me much, so I went onto enbrel. This has really helped. I have had no side effects with either drug, not that I'm aware of anyway.

I'm sure there must be long-term side effects with most of the drugs that we have to take, but I feel quality of life is more important than quantity for me.

Lyn
mel1
#12 Posted : Friday, January 22, 2010 11:35:21 AM Quote
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Hi Jackie
Hope that i can be of some help, I take Humira which has helped considerably, although it took some time and
I had to begin to take metx again. I have had no side effects. The reasoon that I chose this one was because
you use an injection pen rather then a needle. I have found that it is also easy to administer.

Take care and good luck with the anti TNF
Love Melanie
smith-j
#13 Posted : Friday, January 22, 2010 2:39:53 PM Quote
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Dear All

Thank you for all your advice and good luck messages. I went to see my GP today to discuss this further. As Kathleen advised my GP knew nothing about these drugs. Apparantly out of 10,600 patients in his practice, I am only the second to be treated for RA. He did look up the two drugs on his computer and told me how much they cost which was quite scary in itself. We decided after looking at the side effect information that I should go with Humira as this has the least side effects. I just need to keep my fingers crossed that I feel as ill as I normally do on my second scoring on 19th Feb and then wait for the o.k. on funding which I expect may take a while.

Hope you all have a good weekend.

Jackie
xx
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