Top
20
Doctor insights on: Enbrel And Surgery

Share
1

1
My mom has RA will undergo in this two weeks hip replacment surgery..so she should stop taking adalimumab(humira) and methotrexate for 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

Dr. Robert Lowe
124 doctors shared insights

Etanercept (Definition)

Etanercept is an immune system suppressor which is a kind of ...Read more


2

2
I have RA and taking mtx and enbrel (etanercept) .can I do a plastic surgery for my breasts and is there a side effect?

I have RA and taking mtx and enbrel (etanercept) .can I do a plastic surgery for my breasts and is there a side effect?

Possible..: The chronic inflammation from RA may slow down the healing process. Also these medications lower the immune system. Therefore, your risk for infection may be higher than am average person. Check with your doctors before planning things. ...Read more

3

3
Currently taking humira (adalimumab) for crohns. diagnosed with dvt after foot fracture and prescribed xarelto. aren't there bleeding risks with humira (adalimumab) injections?

Currently taking humira (adalimumab) for crohns. diagnosed with dvt after foot fracture and prescribed xarelto. aren't there bleeding risks with humira (adalimumab) injections?

Localized: Bleeding at injection site aka bruising may occur. It may ooze at the injection site. Benefits of anticoagulation clearly out weighs any risk. Any bleeding at the injection site would be minimal. ...Read more

4

4
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?

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

5

5
Methotrexate injections and pills didn't work for scleritis and was wondering if remicade (infliximab) is good medicine for the scletitis?

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 more

See 1 more doctor answer
6

6
When would a doctor use remicade (infliximab) when treating jra ? Currently on methotrexate , enbrel, indocin , and now. 3 weeks of steroids

When would a doctor use remicade (infliximab) when treating jra ? Currently on methotrexate , enbrel, indocin , and now. 3 weeks of steroids

Any time: It is always an option if your current meds are no longer effective. Sometimes changing from Enbrel to Remicade (infliximab) yields a better response as one can adjust the Remicade (infliximab) dose to a particular situation. ...Read more

7

7
Is it safe for me to have botox facial injections whilst on infliximab, methotrexate and asacol (mesalamine) treatment for ulcerative colitis?

It is safe: Botox does not interact with these and almost all other medications. I have several patients with colitis on these drugs and have injected Botox for their chronic migraines without any side effects. ...Read more

See 1 more doctor answer
8

8
Daughter on methotrexate and enbrel and indocin for JRA but hates getting shots every week. Could remicade (infliximab) be a better choice?

An alternative: It is an alternative. However, it still requires being stuck for an IV every 4-8 weeks and sitting in an infusion chair for 2 hours. ...Read more

See 1 more doctor answer
10

10
Better to be on methotrexate and hydroxychloroquine or methotrexate and a biologic when treating jra? Methotrexate only doesn't help

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 more

See 1 more doctor answer
11

11
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

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

Perhaps: Several medications used to treat RA can interfere with bone growth. You should talk to both your rheumatologist and to your surgeon about what you are taking and whether it should be stopped or changed while your bones are fusing. ...Read more

See 1 more doctor answer
12

12
Humira losing its effectiveness with RA. Unable to tolerate MTX or Plaquenil. Any Rheumotologists think Remicade (infliximab) would be a good option?

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 more

See 1 more doctor answer
13

13
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).

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).

Not really: Both use the same medications. Uc has a higher risk of colon cancer down the road and can be helped with surgery where crohn's cannot. (also look into chinese medicine and acupuncture as adjunctive therapies. ). ...Read more

14

14
What is your view of humira (adalimumab) as a treatment for hs. Antibiotics and cortisone injections had zero effect for me. Dermatologists?

What is your view of humira (adalimumab) as a treatment for hs. Antibiotics and cortisone injections had zero effect for me. Dermatologists?

See details: As a rule, tnf agents such as Humira are not very effective for small vessel vasculitis such as hs purpura. Imo, Rituxan (rituximab) would be a better choice for refractory disease. Humira is not an approved therapy for hs purpura. ...Read more

15

15
What are the contraindications of hep c treatment if I have RA and taking enbrel (etanercept)? Debating treatment for hep c

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

17

17
Recently diagnosed with psoriatic arthritis & prescribed enbrel (etanercept). How effective, in the long term, are these injections? Any downsides? Thank you!

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 more

See 1 more doctor answer
20

20
Had midfoot fusion surgery in june w/ complications. Should this be considered in my options of lupron (leuprolide) vs surgery for possible endometriosis.?

Had midfoot fusion surgery in june w/ complications. Should this be considered in my options of lupron (leuprolide) vs surgery for possible endometriosis.?

Your question makes-: -no sense. Lupron (leuprolide) is used 2 Rx endometriosis. What does a hind foot fusion have 2 do with the rest of your question? One is orthopedic & the other is GYNECOLOGY. I see no relationship between them. Please try again. ...Read more

Dr. Robert Lowe
142 doctors shared insights

Enbrel (Definition)

Enbrel is an immune system suppressor which is a kind of ...Read more