Doctor insights on:
Dx:ra. Enbrel (etanercept) not effective after 6 mo. Humira 2x mo prescribed. Liver can not tolerate mtx. What medication can replace mtx to make humira work best?
What do you think of the combination of celebrex (celecoxib) and sulfasalazine to treat RA beside taking other medications such as methotrexate and Enbrel ? Instead of Norco or motrin or tramadol
Depends on severity: It depends on the severity and activity of your RA. Enbrel and Methotrexate are great drugs if you have active. If it is not active Celebrex (celecoxib) and sulfasalazine are alternatives. We discourage people to use narcotic painkillers for non cancer pain for the long term since it is very addictive and people become tolerant for the doses and expect increasing doses ...Read moreSee 2 more doctor answers
Why does it take so long for certain insurances to approve drugs like Enbrel (etanercept)? Do they enjoy making patients suffer while we're at their mercy?
See details: You have asked a very important question that continually frustrates patients and doctors. My cynical explanation is that it is always about money. ...Read more
Very few OTC drugs!: There are few otc weight loss drugs that work for any duration without tolerance, and rapid weight gain ocurring with cessation. Good nutritional support is your best bet, combined with exercise. That having been said, ephedrine, guarance, phenylpropanolamine, caffeine, provided you do not od on these, can be taken with enbrel (etanercept). ...Read more
Child has injection site reactions on enbrel and vomits after getting shot even with Zofran (ondansetron) what would be a good alternative drug for JRA?
Other biologic.: The details of your child's history and past treatments are unknown, of course, but one could consider an alternative biologic. Each one is designed differently than others. I urge to set up a follow up with your child's pediatric rheumatologist to discuss further. Good luck and hope they feel better. ...Read more
Would any rheumatologist ever suggest enbrel (etanercept) to a patient who doesn't have rheumatoid arthritis, anspon, juvenile or psoriatic arthritis? Serious drug
Rheumatoid arthritis for 7 yrs. On methotrexate & prednisone. Tried so many drugs (orencia, enbrel, (etanercept) humira...). Feeling defeated. What else can I try?
Other choices: Some older drugs such as Plaquenil may help, especially with fatigue. There are also newer drugs that act via different mechanisms such as actemra (tocilizumab). I assume the diagnosis of RA is definite. If not, retest other possibilities. An exercise program may be very beneficial, especially if you start slowly and build up with hurting yourself. Don't give up hope. You can get better. ...Read moreSee 1 more doctor answer
Well tolerated excep: Despite the fda requiring the package insert to warn one of the development of cancer with the drug, there has been many studies refuting the increased propensity to develop cancer; either lymph, skin or other "solid tumors." the one big risk is infectious complications. The drug does not cause infections; but, it makes it difficult to fight off tuberculosis, fungal infections and viruses. ...Read moreSee 1 more doctor answer
Few days to 3-4 week: Some people have a dramatic response, while others may take up to 3 months or more. Depending on how your joints are doing will aid your physician in telling about your response. It also depends on your diagnosis of the reason you are taking it: ra, psoriasis or psoriatic arthritis, ankylosing spondylitis or jia. ...Read moreSee 1 more doctor answer
Yes: Borrow from your doc a pdr. (physician's desk reference). ...Read more
Enbrel (etanercept): There are many potential dangers to taking enbrel, (etanercept) which should be discussed with your physician. Enbrel (etanercept) suppresses your immune system, which can increase the risk of many forms of infections, including upper respiratory infections, tb, hepatitis b reactivation, and opportunistic fungal infections. Immune suppression can also increase the risk of developing cancer such as lymphoma and leukemia. ...Read moreSee 1 more doctor answer