Doctor insights on:
Watch for infections: Orencia (abatacept) is approved to treat moderate to severe rheumatoid arthritis. Typically it is prescribed when disease modifying anti rheumatic drugs (DMARDS) are not effective. The most common DMARD is methotrexate. Orencia (abatacept) is usually prescribed in combination with methotrexate but sometimes is given alone. Orencia (abatacept) is quite effective for many but not all people. It's main side effect: infections. ...Read more
Depends: Each patient is an individual...Care has to matched to each case. No generalizations are appropriate without knowing the case. ...Read more
The nurse is preparing to administer abatacept (orencia) to a patient with severe rheumatoid arthritis. What will this drug do?
Probably: Remit RA activity! Works differently than Enbrel and Humira! ...Read more
No: Orencia, or abatacept, is a medication that blocks t cells, which are part of your immune system. Orencia is used to treat rheumatoid arthritis and is given intravenously. It can depress your immune system, but it is not the same as chemotherapy. I would call it an immunomodulatory drug. ...Read more
Gave myself 1st orencia (abatacept) shot yesterday & woke up this morning with terrible diarrhea, that doesn't seem to want to stop, should I be concerned?
See details: Both are often very effective.Get a more detailed answer ›
Your doctor: Your doctor will let you know.Get a more detailed answer ›
I want to have fluer de lys adbominoplasty to remove excess skin. I receive orencia (abatacept) and mtx, what about stopping for awhile before surgery.?
For sure: Any immune modulating medications may interfere with wound healing and increase risk of infections. Moreover, a fleur de lis abdominoplasty is a significant procedure and a very careful and accurate preparation is mandatory to limit postoperative complications. Discuss all meds with your surgeons. ...Read more
Had orencia (abatacept) injection above my belly button last night. I was wondering if its okay? Usually we do it on da sides of my tummy. It hurt really bad time: (
See below: Avoid that site to inject the next time. If it happens again at a different site, let your rheumatologist know. ...Read more
Best person to ans--: Wer this for you, would be your PCP or the Rheumatologist. Check with them. ...Read more
I am on orencia, (abatacept) 20mg methotrexate, 75mg fentanyl patch, 200mg celebrex, 250mg tramadol, 75 lyrica my pain is still severe? Where can I go from here?
Some continuous neuropathic pains are also maintained by the sympathetic nervous system and are designated as sympathetically maintained pain (smp). Sympathetic blockade can be accomplished using either regional anesthesia (e.g. Stellate ganglion block) or systemic intravenous infusion with phentolamine.
Rec.: see an interventional pain management specialist. ...Read more
Penny has RA and is on Orencia (abatacept) and methotrexate. Recent increase in joint pain along with low energy. Blood work says high WBC and high SED rate of 50?
Rheumatoid Arthritis: Can sometimes be a tough condition to treat. Methotrexate is an excellent medication for RA but sometimes may need dose adjustments or adjunct treatment. Increasing joint pain and low energy are possible signs that the rheumatoid is not under control. A visit to the rheumatologist or treating physician is needed. ...Read more
I take methotrexate and Orencia (abatacept) my RA. I have a cold (mucus, dry cough, sore throat). What over the counter meds can I take? Dayquil? Any others? .
Wrong doctor: You should be asking your own doctor and not someone over the internet who is not involved in your care. ...Read more
I had a cancer test 6 months ago out of curiosity (i was 2wk pregnant)ca72-4 came up 8.2, I had it retested and now 13.4. I read it is oncofetal? Help!
See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, there is no definitive cancer test and any of the test touted as cancer tests have too many false positives. I would recommend seeing your doctor and following her/his advice. It is not a do it yourself issue. ...Read more
Cann oncofetal antigens be found in the mothers blood serum when she is pregnant? Then returning to normal after?
Yes: The oncofetal antigens are so named because they are normally produced during embryonic development and decrease soon after birth. ...Read more
There are none...: Even the strongest opiates only "take the edge off" for people in chronic pain. Meds are only one part of dealing with the pain. A useful tool, but pain is so necessary for survival that we are not "allowed" to monkey with it much. In acute pain, the transition from miserable to less miserable can be great. In chronic pain, it's just part of the plan. ...Read more
Sometimes: Sometimes they are. For the most part, expired drugs simply lose potency once past their expiration date. There are, however, some drugs that actually become harmful if taken after they expire. As such, it is best to throw out any medications you have after a year. ...Read more
ASPRIN: Actually no one has decided on 'safest'. Asprin has been around since before you were born and unless you take too much (yes, too much of anything isn't good) most people are okay with it. If the pain it too severe for asprin you need to know what causes it. Good diagnosis is called for. See the dr. ...Read more
Applies to skin: Topical just refers to how a medication is applied. In this case to the skin and is meant to treat local skin problems. Some meds are applied to the skin but are meant to be absorbed into the body in which case we use the term "transdermal" since it is meant to pass through the skin to affect the whole body. ...Read more
Why R you depressed?: If your depression is affecting your life and/or those around you and you have trouble dealing with it or not knowing how to etc. It is very reasonable to seek help, either from a therapist, your physician/nurse, or both. Psychotherapy may be adequate for some, others may need both meds (many choices, depending on your symptoms/needs) and therapy. Consult doc. Good luck. ...Read more