Doctor insights on:
Enbrel And Surgery
My mom has RA will undergo in this two weeks hip replacment surgery..so she should stop taking adalimumab(humira) and methotrexate for surgery ?
Probably yes: The operating surgeon will direct you in the correct answer. These medicines may change immune system or risk of bleeding, but only the surgeon has the experience to direct your mom for best outcome. When to stoop and restart is crucial to allow the meds to continue controlling the underlying disease. ...Read more
I have RA and taking mtx and enbrel (etanercept) .can I do a plastic surgery for my breasts and is there a side effect?
Currently taking humira (adalimumab) for crohns. diagnosed with dvt after foot fracture and prescribed xarelto. aren't there bleeding risks with humira (adalimumab) injections?
My child has JRA and failed merhotrexate alone, Enbrel and now highest remicade (infliximab) isn't controlling it anymore so what are orher possible meds?
See details: That question needs to be directed to the child's rheumatologist and not someone over the internet who has no history and cannot examine the child. ...Read more
Methotrexate injections and pills didn't work for scleritis and was wondering if remicade (infliximab) is good medicine for the scletitis?
Resistant scleritis: Initial therapy always requires systemic nsaids, glucocorticoids, or other immunosuppressives (rituximab & cyclophosphamide). Cyclosporine & mycophenolate may also work. Azathioprine or mtx may be most beneficial for maintenance. Tnf Alpha inhibitors (eg infliximab) may be effective in resistant disease. Scleritis should ideally be managed by ophthalmologist+rheumatologist experts. ...Read moreSee 1 more doctor answer
When would a doctor use remicade (infliximab) when treating jra ? Currently on methotrexate , enbrel, indocin , and now. 3 weeks of steroids
Is it safe for me to have botox facial injections whilst on infliximab, methotrexate and asacol (mesalamine) treatment for ulcerative colitis?
No: If everything is healed there would be no additional risks. ...Read more
Better to be on methotrexate and hydroxychloroquine or methotrexate and a biologic when treating jra? Methotrexate only doesn't help
Depends on severity: Since you have already been on Methotrexate and its not helping you get complete relief from symptoms, further addition of therapies will depend on severity of your current symptoms. Hydroxychloroquine is milder in efficacy as compared to biologics & both have different side effect profiles. Talk to a rheumatologist who can assess your clinical course & treatment needs & then advise accordingly. ...Read moreSee 1 more doctor answer
Spinal fusion 9 weeks ago, RA 13yrs, on mtx, plaquinil & arava, (leflunomide) still not under control. Would biologics interefere with bone growth? Have bone stimulat
Humira losing its effectiveness with RA. Unable to tolerate MTX or Plaquenil. Any Rheumotologists think Remicade (infliximab) would be a good option?
Can't hurt to try: I'm a family doctor, not a rheumatologist, but I do have RA patients who are on Remicaid who are responding very well with it. I don't know what that's worth to you, but I thought I would share. I think it's being used a lot more and does have FDA indication for RA. ...Read moreSee 1 more doctor answer
Is the treatment different for Crohn's compared to uc? Initially diagnosed as uc, but may be crohn's. On remicade (infliximab) and sulfasalizine (3 mg /day).
What is your view of humira (adalimumab) as a treatment for hs. Antibiotics and cortisone injections had zero effect for me. Dermatologists?
What are the contraindications of hep c treatment if I have RA and taking enbrel (etanercept)? Debating treatment for hep c
Hep C/RA: Treating chronic hepatitis c infection is a complex process. Specialists would need to know the genotype (to determine duration of treatment, 24 vs 48 weeks and the agents to use). Standard of treatment involved 2 drugs (pegasys (peginterferon alfa 2a) and ribavirin). However, with genotype 1, third agent will increase chance of success. Many side effects. New agents are coming out. You should discuss with your gi. ...Read more
Recently diagnosed with psoriatic arthritis & prescribed enbrel (etanercept). How effective, in the long term, are these injections? Any downsides? Thank you!
Extremely effective: Tnf agents are extremely effective in the treatment of psoriatic arthritis. It is surprising that the side effects were not reviewed with you prior to starting the med. The major risk is infection with other possible side effects being reduced blood counts, liver inflammation, neurologic disorders and a possible increased risk of lymphoma. ...Read moreSee 1 more doctor answer