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Doctor insights on: Orencia Stopped Working

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What is the definition or description of: orencia (abatacept)?

What is the definition or description of: orencia (abatacept)?

Orencia (abatacept): It is a immunomodulatory fusion protein designed to help RA patients who have failed anti-tnfa therapy. Abatacept prevents antigen-presenting cells (apcs) from delivering the co-stimulatory signal to t cells to fully activate them. ...Read more

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Boil on butt while on orencia (abatacept)?

Boil on butt while on orencia (abatacept)?

What is the question: What is your question? If you have an infection, hold the Orencia (abatacept) and contact your doctor. ...Read more

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Is orencia (abatacept) a type of chemotherapy?

Is orencia (abatacept) a type of chemotherapy?

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

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Side effects and effectiveness of orencia (abatacept) mediCation?

Side effects and effectiveness of orencia (abatacept) mediCation?

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

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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?

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?

It may be due to ore: It may be related to the injection of orencia you can take immodium ad or call your doctor and get a prescription for Lomotil (diphenoxylat and atropine) and drink plenty of clear liquids to prevent dehydration. ...Read more

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When treating someone who has CHF with the drug orencia (abatacept) are any diuretics be given?

When treating someone who has CHF with the drug orencia (abatacept) are any diuretics be given?

Depends: Each patient is an individual...Care has to matched to each case. No generalizations are appropriate without knowing the case. ...Read more

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The nurse is preparing to administer abatacept (orencia) to a patient with severe rheumatoid arthritis. What will this drug do?

The nurse is preparing to administer abatacept (orencia) to a patient with severe rheumatoid arthritis. What will this drug do?

A lot: Orencia (abatacept) is one of the newer biologics used to treat Rheumatoid arthritis. It affects the T cells a little lower in the inflammatory chain, so it does more than just affect tumor necrosis factor. Recent reports show that Orencia (abatacept) has induced remission in rheumatoid arthritis that is drug free for caring periods of time. It,s a good drug. ...Read more

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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. ?

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.
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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

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What is the difference between orencia (abatacept) and remicade for rheumatoid arthritis?

What is the difference between orencia (abatacept) and remicade for rheumatoid arthritis?

Best person to ans--: wer this for you, would be your PCP or the Rheumatologist. Check with them. ...Read more

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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?

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?

Sympathetic Blockade: 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

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Rheumatoid arthritis for 7 yrs. On methotrexate & prednisone. Tried so many drugs (orencia, enbrel, (etanercept) humira...). Feeling defeated. What else can I try?

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 more

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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?

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

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My ortho k lens stopped working, what should I do?

My ortho k lens stopped working, what should I do?

Needs more correctio: Ortho k can improve small amounts of myopia although it is a trade off of wearing a lens during the day for a "keeper" lens at night. It does not work for higher degrees of myopia nor does it stop progression. You may be in either of these categories. Check in with a regular ophthalmologist, rather than an optometrist, to evaluate this. ...Read more

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After I stopped taking oxytetracycline for two weeks after 6-months of use, will they begin working again if I begin taking them again?

Depends: It is impossible to know why you were taking this and the purpose for discontinuing and restarting. If you provide more history it might be possible to provide a better answer. ...Read more