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poppy
#1 Posted : Wednesday, January 27, 2010 11:27:38 AM Quote
Rank: Advanced Member

Groups: Registered

Joined: 12/8/2009
Posts: 43
Hi
I need some advise i'm a bit confused.I have been on humira since April as well as taking 20mg mtx.I was doing quite well to start with but since September i have not been doing so well,even though my quality of life is much improved.Last week i was supposed to see the consultant instead i saw this woman i had never seen before,who said that i had a DAS score of 6.4 and i probably need to go on infliximab.I am supposed to see the nurse next week to explain things.I thought you could still have flare ups and a few aches and pains as it is not a cure.Is this normal i don't know how i should be feeling know one has ever explained.I get told one thing by one person and different by another.
Sorry should have put this on the drugs post.
Poppyx
amanda_lewin
#2 Posted : Wednesday, January 27, 2010 2:14:34 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/3/2009
Posts: 1,582
Location: Oxfordshire

Dear Poppy,

It is no wonder you're feeling such despair- your rheumy should have discussed this thoroughly with you so that you felt confident about possibly trying a new drug and explaining why the H may not be working as well for you anymore.

If it is very hard to do this directly with rheumatology then perhaps your GP will enquire about an appointment with the rheumy you usually see. It is possible to request to be on someone's list and then wait there until they see you.

Much love and prayers,

Amanda
Kathleen_C
#3 Posted : Wednesday, January 27, 2010 4:26:24 PM Quote
Rank: Advanced Member


Groups: Registered

Joined: 12/3/2009
Posts: 1,689
Location: Durham
Hi Poppy,

I take humira too, for over 2 years now, and it has made a considerable difference to me in terms of improved mobility etc. However, in that time I have had two or three flare-ups, mostly affecting shoulder and jaw. Each time this happened, my rheumy gave me a steroid injection & in the case of my shoulder, drained it too. As my bloods were still relatively good, she was happy to keep me on humira. I have a DAS score done roughly every six months, and we have found that normally, my finger & hand joints, knees, don`t show much swelling, even though my bloods sometimes say differently, ie my ESR is always around the 40 mark, but this is actually GOOD for me. Once when my bloods were raised, my rheumy thought about stopping humira, & going onto rituximab, but when the bloods were repeated she decided it had just been a blip, & to stay on humira.

The point I`m trying to make, - in a very roundabout way, sorry, - is that you need a proper discussion with your rheumy, so that everything that`s relevant can be discussed. I think my rheumy would be doing another DAS score a bit later, to check if things had improved. Part of the trouble is, if they decide humira isn`t working, they like to get you off it as it`s such an expensive drug, but this all needs to be talked over properly with your consultant. If you are happ that humira is helping you, make that point as strongly as you can, and ask if you can wait a bit longer, then repeat bloods & DAS score.

Hope this helps - sorry it`s a bit long-winded.

Let us know how you get on, & if you have more questions feel free to pm me.

Kathleen x

poppy
#4 Posted : Thursday, January 28, 2010 11:07:17 AM Quote
Rank: Advanced Member

Groups: Registered

Joined: 12/8/2009
Posts: 43
Thanks Amanda and Kathleen this has been a great help.I just get the impression they don't seem to want to keep me on humira for some reason.But at the end of the day it's my body.It's good to talk to someone else who is taking the same drug.

Love Poppyx
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