A 28-year-old female asked:
Disclaimer

6y/o has jra/jia and on 22.5 methotrexate injections for 3 months and lil improvement but rheumo won't add or change meds. what do i do?

2 doctor answers
Dr. Ronald Krauser
51 years experience Rheumatology
Get another opinion: Obtaining a 2nd opinion never hurts.
Answered on Jul 19, 2013
Dr. Robert Lowe
16 years experience Pediatric Rheumatology
Ask why not: Is your child's rheumatologist an adult or pediatric rheumatologist?Adult rheumatologists often are less aggressive with using tnf-inhibitors (enbrel/humira/remicade)because adults do get more infections with more aggressive treatment--almost all kids do not have this problem.Our group is very aggressive and we get great results-if rheum doc not willing to try Enbrel (etanercept) or humira, look for a new doc.
Answered on Jun 11, 2017
2
2 thanks

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month

Related questions:

A 27-year-old female asked:
Dr. Ronald Krauser
51 years experience Rheumatology
See details: If you have a good response to Methotrexate it can remain effective indefinitely. I will add a tnf like Enbrel (etanercept) if Methotrexate is not eff ... Read More
A 27-year-old female asked:
Dr. Tracy Lovell
20 years experience Rheumatology
See your doctor: You need to speak to your child's doctor about her current state. He or she may want to change her regimen or the dose of her medication.
A 6-year-old female asked:
Dr. Tracy Lovell
20 years experience Rheumatology
See below: Your doctor could try increasing the Methotrexate to 25, but they may considering adding a biologic such as Enbrel or Orencia (abatacept) next.
1
1 thank
A 27-year-old female asked:
Dr. Brandon Maples
A Verified Doctor answered
A US doctor answered Learn more
Ask her doctor: Her doctor can draw a folate (folic acid) blood level and determine if her Folic Acid is low and/or how much she needs. I wouldn't just start her on ... Read More
2
2 thanks

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month