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Leflunomide ( Arava ) Options
Julia17
#1 Posted : Sunday, February 28, 2010 10:28:02 AM Quote
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Hi everyone

My name is Julia and a new member to the site, I have found it all very interesting and so good to know there are people there who really understand what you are going through - not just the downs up all the ups too !

I am 54, and was misdiagnosed for some months, hence being on steroids for quite a long time, well to cut it short I say my saviour ( consultant ) in early Feb, I had already been put on hydroxychloroquine early Jan and went on leflunomide beginning of Feb 20mg per day. I would be very interested to learn if anybody has thoughts on this drug. I couldn t take mtx due to an old lung condition ( still looking into that one ! )

Many thanks,

Julia x [biggrin
]
Tabbycat
#2 Posted : Sunday, February 28, 2010 11:06:30 AM Quote
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Welcome to the forum Julia!

I was put on Leflunomide (Ariva) about a year ago, after 26 + years of Methotrexate (diagnosed age 6), but was taken off due to infected hip replacement. I was warned by my Rheumatologist that the main side effect is diarrhoea! Its common to be put on 2 or more DMARD's, i.e. Leflunomide and Hydroxychloroquine plus steroids and maybe a NSAID for inflammation as well. Problem with steroids (Prednisolone) is that they can give you a false sense of wellbeing. Your Rheumy probably told you most DMARD's take a few months to kick in. Hope you feel some improvement soon.

There's a young man on here called Reddog, he's been on Leflunomide for a while, but he's a bit shy at talking to ladies ....... I'll see if I can coax him to speak to you.BigGrin
Carol
Julia17
#3 Posted : Sunday, February 28, 2010 11:24:15 AM Quote
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Hi Carol

Thanks for your reply and your thoughts, tell Reddog I am very easy going and would be nice to hear from him - I don t bite !

Sorry to hear about your hip problem, what have you been put on now ? I ve gather the steroids give you a false sense of security, my rheumy doesn t really agree with them long term but I gather they all have different schools of thoughts.

Lovely hear from you and thanks for your support.

Julia x
BigGrin
dorat
#4 Posted : Sunday, February 28, 2010 12:09:31 PM Quote
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Hi Julia,
Welcome to the forum!
I was no leflunamide a few years ago, first on its own and then with mtx.
It didn't do much for me but I know some people do very well on it. We all react differently to the drugs.
I hope it kicks in for you soon.

Love, Doreen xx
treacleglaze
#5 Posted : Sunday, February 28, 2010 12:23:46 PM Quote
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Hi Julia, I have been on Leflunomide for a year now after 5 yrs of mtx & sulpha, I could only manage 10 mgs per day because of tummy ache &diarrohea +++ & have had to stop taking it now because of other side affects ie, exstreme weakness,itching tooth abscess so that Iam about to have my tooth out.I am fairly sure it caused the tooth problem as I had no gum or tooth pain before that. Having given you the worste news first,it was OK for about 3 mths ,so it got me through another year.I hope its really good for you, we all react differently to different drugs.I have a low tolerence to most drugs so hopefully you will be a lucky one. take care &good luck Rose
Tabbycat
#6 Posted : Sunday, February 28, 2010 7:37:00 PM Quote
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Julia17 wrote:
Hi Carol

Thanks for your reply and your thoughts, tell Reddog I am very easy going and would be nice to hear from him - I don t bite !

Sorry to hear about your hip problem, what have you been put on now ? I ve gather the steroids give you a false sense of security, my rheumy doesn t really agree with them long term but I gather they all have different schools of thoughts.

Lovely hear from you and thanks for your support.

Julia x
BigGrin


Hopefully you'll hear from Reddog soon Julia, I've sent him a message to let him know you're waiting to hear ....... BigGrin

I'm back on Methotrexate, Hydroxychloroquine, Indometacin and Prednisolone after almost a year with no drugs. You're right, a lot of docs don't like steroids long term. I'm hoping to wean off in April, reduce the Hydroxy but maybe increase the MTX. My Rheumy says its going to be another year before I plateau. I'm currently on the waiting list for my other hip to be replaced.....only 8 more weeks max. to go.






Carol
Lylie
#7 Posted : Sunday, February 28, 2010 8:00:29 PM Quote
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I've been on Leflunomide for 21months now, after "failing" on MTx.,hydroxywotsit, sulphadoodah and an interesting mix of all three........must say I am better on Leflunomide than anything else. Has anyone experienced difficulty in getting it, though/ I am still waiting for the last months' supply from a 3month script, this and Cozar (for BP) are on the "pharmacists selling them to other countries" list!!
Always be aware that what you do might hurt others........and if it could, do nothing without careful consideration of the consequences
Kathleen_C
#8 Posted : Sunday, February 28, 2010 11:04:32 PM Quote
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Hello Julia, and welcome to the forum.

I was put on leflunomide after failing on sulphasalazine, MTX, and cyclosporin. The only real side effects I had from the lef were awful sweats. It was definitely the lef causing this, but I put up with it in the hopes it would control my RA. Unfortunately it had little effect, and then I had to stop it anyway as it gave me liver problems.

Hope it works for you,

Kathleen x

RedDog
#9 Posted : Monday, March 01, 2010 3:46:06 PM Quote
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Hi Julia,

....I've just been summoned to make an appearance on this forum! I've been on a combination of Methotrexate and Leflunomide for donkeys' years!! Actually 17+ years Mtx and 9+ years Leflunomide. I haven't had any side effects at all to speak of. Although I'm sure it increases my sex drive I certainly haven't had the s***s or the sweats!! LOL LOL. The MTX was working fine on its own for the first 7 years or so but then they had to bung in the Leflunomide. I think it's made a big difference. I've always been on 20mg per day. The only flea in the ointment is that my last blood test showed that my ALT level has shot up for some unexplained reason!!

If I can be of any further help, feel free to get hold of me!


Stewart.
A friend is someone who knows all about you but loves you anyway!
Joanne C
#10 Posted : Monday, March 01, 2010 3:52:20 PM Quote
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Hi Julia,

Welcome to the forum Smile

I was on leflunomide for a number of years, after being on the original trial and never had any problems, It managed to calm down my RA where a number of other drugs had failed or I'd had a reaction with and I did quite well with it. I only came off it in the end as it lost it's effectiveness with me and they moved me onto Enbrel.

I hope the leflunomide brings you relief

Best wishes

Jo.
2012 Fundraising for the National Rheumatoid Arthritis Society (NRAS) http://uk.virginmoneygiving.com/RoboJo
Julia17
#11 Posted : Monday, March 01, 2010 8:56:21 PM Quote
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RedDog wrote:
Hi Julia,

....I've just been summoned to make an appearance on this forum! I've been on a combination of Methotrexate and Leflunomide for donkeys' years!! Actually 17+ years Mtx and 9+ years Leflunomide. I haven't had any side effects at all to speak of. Although I'm sure it increases my sex drive I certainly haven't had the s***s or the sweats!! LOL LOL. The MTX was working fine on its own for the first 7 years or so but then they had to bung in the Leflunomide. I think it's made a big difference. I've always been on 20mg per day. The only flea in the ointment is that my last blood test showed that my ALT level has shot up for some unexplained reason!!

If I can be of any further help, feel free to get hold of me!


Stewart.


Evening Stewart

Many thanks for getting in touch and your helpful advice with lef..... it does seem to be quite a good one, so to speak, and hopefully it will work for me. I am feeling drained but that has been me for quite some time now, I haven t had any side effects as yet so fingers crossed.

I hope everything turns out ok with the ALT test, keep me posted on how things go.

Bye for now Julia
Julia17
#12 Posted : Monday, March 01, 2010 9:02:19 PM Quote
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Joanne C wrote:
Hi Julia,

Welcome to the forum Smile

I was on leflunomide for a number of years, after being on the original trial and never had any problems, It managed to calm down my RA where a number of other drugs had failed or I'd had a reaction with and I did quite well with it. I only came off it in the end as it lost it's effectiveness with me and they moved me onto Enbrel.

I hope the leflunomide brings you relief

Best wishes

Jo.


Hi Jo

Thank you for your thoughts with this drug, it is so helpful and invaluable in many ways, hope all stays well with the Enbrel.

All the best

Julia
LynW
#13 Posted : Monday, March 01, 2010 9:41:57 PM Quote
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Hi Julia

Welcome to the forum. Hope you will find lots of useful info on here and enjoy being a part of this lovely community Smile

I was on Leflunomide for about 6 months after just about every other drug available failed but unfortunately the side effects were horrendous for me. I then went onto Infliximab but that lost its effectiveness after 12 months and I moved to Enbrel (along with MTX, prednisolone, naproxen and 5 other bits and pieces to keep things ticking!). That was a 'miracle' at first but unfortunately I think that too has passed its 'sell by date' ! Everyone reacts differently to the combinations of drugs and some are more effective than others. Even now it's often a case of trial and error until a suitable treatment is found.

Hope you have success with Leflunomide and you feel better for it.

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

Julia17
#14 Posted : Monday, March 01, 2010 10:42:03 PM Quote
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LynW wrote:
Hi Julia

Welcome to the forum. Hope you will find lots of useful info on here and enjoy being a part of this lovely community Smile

I was on Leflunomide for about 6 months after just about every other drug available failed but unfortunately the side effects were horrendous for me. I then went onto Infliximab but that lost its effectiveness after 12 months and I moved to Enbrel (along with MTX, prednisolone, naproxen and 5 other bits and pieces to keep things ticking!). That was a 'miracle' at first but unfortunately I think that too has passed its 'sell by date' ! Everyone reacts differently to the combinations of drugs and some are more effective than others. Even now it's often a case of trial and error until a suitable treatment is found.

Hope you have success with Leflunomide and you feel better for it.

Lyn x


Hi Lyn

Thanks for getting in touch, you certainly have had a tough time, what direction are you now going with treatment. Like you say, and now I understand everyone is different, just like the condition I suppose.

Take care,

Julia x
John-H
#15 Posted : Wednesday, March 03, 2010 2:20:07 PM Quote
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Mandy has just been advised to go onto this drug. After reading side effects on http://en.wikipedia.org/wiki/Leflunomide
I am very nervous (indeed frightened for her)

Any reassurances would be welcome.
jenni_b
#16 Posted : Wednesday, March 03, 2010 2:48:53 PM Quote
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Hi John

Just to encourage her, a lot that is written about this drug is when it is used for cancer treatment which is very different to its use in RA.

Also, bearing in mind how poorly I have reacted to medication in the past, there was no ill effect from this drug WHATSOEVER (it just didnt work for me in the end) but NO NASTIES and that is saying something for me!

Jenni
how to be a velvet bulldoser
LynW
#17 Posted : Wednesday, March 03, 2010 6:54:42 PM Quote
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Hi John

Whilst Leflunomide wasn't for me it is generally a well tolerated drug with few side effects in most people. Indeed many people on this forum are currently taking the drug with a good deal of success. Drug companies, as you will appreciate, are required to list every known side effect and that is the frightening bit! In reality they are infrequent or mild. Sometimes a mild side effect, however annoying, can be tolerated more easily and is preferable to the nauseating pain and inflammation of RA.

Many of the drugs now used in RA are very toxic but a godsend for those who have moderate to severe disease. Side effects are an inevitable evil. I understand your concerns, as with any new treatment, but the drug will be given to Mandy in controlled conditions with regular blood tests and check ups. There really is no need for you to be frightened for her. Her suitability for Leflunomide will already have been considered and deemed necessary as the most appropriate drug for her condition at this time. When I took it, it was simply because it was the only drug available that I hadn't already tried, so no choice in the matter!

Good wishes to Mandy for success, hope it goes well for her,

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

LynW
#18 Posted : Wednesday, March 03, 2010 7:04:00 PM Quote
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Julia17 wrote:
Hi Lyn ...

you certainly have had a tough time, what direction are you now going with treatment...


Ha!! Direction?!!! LOL LOL LOL I don't think I actually have one of those! I take the meds and hope for the best. Enbrel, MTX and the rest at the moment but very up and down. Having had RA for 21+ years I kind of just accept and get on with it. Life's too short to worry and moan so I just take the medicine, stick the needles in, suffer necessary ops and try to remain positive!! Direction? That would be nice ThumpUp

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

Julia17
#19 Posted : Wednesday, March 03, 2010 7:22:20 PM Quote
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LynW wrote:
Julia17 wrote:
Hi Lyn ...

you certainly have had a tough time, what direction are you now going with treatment...


Ha!! Direction?!!! LOL LOL LOL I don't think I actually have one of those! I take the meds and hope for the best. Enbrel, MTX and the rest at the moment but very up and down. Having had RA for 21+ years I kind of just accept and get on with it. Life's too short to worry and moan so I just take the medicine, stick the needles in, suffer necessary ops and try to remain positive!! Direction? That would be nice ThumpUp

Lyn x


Hi Lyn

I certainly can understand your thoughts and where you are coming from, after all these years, as best I can. I will always try to remain positive and try to eleviate as much stress in my life now, had huge amount over the years so I don t need anymore . As you rightly say life is too short, I will always try to just get on with it. I know I m fotunate to have not got it later in life, now 54, and my children are independent.

Best wishes Julia x
Sharon-D
#20 Posted : Friday, March 05, 2010 9:16:12 AM Quote
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Location: West Bromwich
Julia17 wrote:
Hi everyone

My name is Julia and a new member to the site, I have found it all very interesting and so good to know there are people there who really understand what you are going through - not just the downs up all the ups too !

I am 54, and was misdiagnosed for some months, hence being on steroids for quite a long time, well to cut it short I say my saviour ( consultant ) in early Feb, I had already been put on hydroxychloroquine early Jan and went on leflunomide beginning of Feb 20mg per day. I would be very interested to learn if anybody has thoughts on this drug. I couldn t take mtx due to an old lung condition ( still looking into that one ! )

Many thanks,

Julia x [biggrin
]

Hello Julia

I have been on Lef now for 3years I take it with methrotrexate and steroids. Must say did me good and touch wood no side effects I just take it must admit I never read the leaflet for side effects. I have been offered ANTI TNF but don't know what to do at the moment.
Hope the Lef works for you XX sharon-D
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