Top
20
Doctor insights on: Rheum Meds

Share
1

1
Early Ra. AntiCCP + 17. Other blood negative. Doc1: MTX 7.5mg, Plaquenil 400mg, Celebrex (celecoxib). Doc2: Plaquenil 200mg, Pred 5mg, Celebrex (celecoxib) . Confused. ?

Early Ra. AntiCCP + 17. Other blood negative. 

Doc1: MTX 7.5mg, Plaquenil 400mg, Celebrex (celecoxib). 

Doc2: Plaquenil 200mg, Pred 5mg, Celebrex (celecoxib) . 

Confused. ?

Reasonable: You have the opportunity to do very well. Early RA responds better to any of the treatments compared to late RA (disease > 2 years). If you still have pain, stiffness, fatigue on this regimen, talk to your Rheumatologist about adding a biologic medication such as Enbrel, Humira or Remicade (infliximab). There are several others, but I usually start with one of these. Would help get rid of the prednisone. ...Read more

See 1 more doctor answer
5

5
+ana1:640terrible flares >4yrs of fatigue, arthr/myalgia, pleuritic pain, photosen rashes, sicca.Exten rheum work up all neg even during flares.Rheum tried methotrexate which stoped sx! diagnosis w/neg work up?

+ana1:640terrible flares >4yrs of fatigue, arthr/myalgia, pleuritic pain, photosen rashes, sicca.Exten rheum work up all neg even during flares.Rheum tried methotrexate which stoped sx! diagnosis w/neg work up?

How is it neg?: ANA strongly positive, with multiple symptoms that are consistent with autoimmune disease (likely lupus based on info provided); response to meds used to rx autoimmune disease. Sounds like autoimmune disease. ...Read more

See 1 more doctor answer
6

6
Hashimotos. Ana + anti-ssa/ro. Stiff, painful, swollen joints + raynauds. Doc says it's "lupoid arthritis". Is this lupus? He gave me plaquenil (hydroxychloroquine) 200mg

Hashimotos. Ana + anti-ssa/ro. Stiff, painful, swollen joints + raynauds. Doc says it's "lupoid arthritis". Is this lupus? He gave me plaquenil (hydroxychloroquine) 200mg

Sounds consistent: The joint complaints and positive lab markers are consistent with lupus. The fact that raynaud's is present and you have an autoimmune thyroid condition help cinch the diagnosis of an autoimmune arthritis. In addition to standard treatments like Plaquenil (hydroxychloroquine) there are other interventions like diet and supplements to help decrease the dose of rx meds. A practitioner of integrative medicine can help. ...Read more

See 2 more doctor answers
7

7
Tried numerous meds for fibro like lyrica, cymbalta, gabapentin, savella (milnacipran). None work, not fibromyalgia?

Tried numerous meds for fibro like lyrica, cymbalta, gabapentin, savella (milnacipran). None work, not fibromyalgia?

Fibromyalgia: Certainly the diagnosis may not be correct. Make sure you have had a Rheumatology work -up. Also it may be that the meds are just not working on you. ...Read more

8

8
Psa have tried mtx w /remicade& w/ humara no help methotrexate caused blood issues but worked better. Now embrel/leflunomide.No relief frustrated help?

Psa have tried mtx w /remicade& w/ humara no help methotrexate caused blood issues but worked better. Now embrel/leflunomide.No relief frustrated help?

MTX sc ?: Mtx causes less liver issues given sc versus oral. Also mtx has more potent metabolites that take 10 weeks to develop. You did not specify what tests where abnormal. But you suggest that mtx was given alone. Was it? Mtx and Humira (adalimumab) are a good combo for psoriatic arthritis. ...Read more

9

9
My lupus rheumMD has me working w/endocrineMD 2help w/prednisone taper below 5mg even tho adrenal fxn is normal.Foggy,achy,stiff. Endo or rheum issue?

Lupus? osteoporosis?: Steroids can cause severe calcium demineralization of the bones hence if you are able to tolerate the steroid taper it is good. You should be taking calcium with Vit D supplements I assume, prescribed by ur PCP/Rheumatologist. Achiness and stiffness though could be from Lupus, pl. see whether calcium supplemets if you are not on so far, are helping you in the future. Get your Vit D level checked . ...Read more

10

10
RA + psoriasis. MTX allergy. Enbrel (etanercept) non effective. Humira semi-effective but Vectra score 30 with extreme fatigue. MD wants to try Xeljanz?

RA + psoriasis. MTX allergy. Enbrel (etanercept) non effective. Humira semi-effective but Vectra score 30 with extreme fatigue. MD wants to try Xeljanz?

RA + psoriasis: There are a number of newer medications that could help you. Xeljanz works by disrupting cytokine and growth factor signaling pathways. A trial of the medication is useful to see whether it helps you. Other medications that might help include Remicade (infliximab) and Apremilast ...Read more

11

11
My psych meds don't work ?

Work with your psych: Talk to your doctor. Tell him or her what you are experiencing, and what you expect from the medication. Sometimes medication takes time to work, sometimes what we are looking for requires more than just medicine. Sometimes several approaches must be tried before the right one is found.
An alliance with the doctor increases the chance that you will get the results you need. ...Read more

See 2 more doctor answers
12

12
Ana 1:640x10yrs, other labs neg. Flares of rashes, fatigue, arthralgia, myalgia, dizziness.Crp & sed normal during flares!tx: plaquenil (hydroxychloroquine) & low doses pred prn. Dx?

Ana 1:640x10yrs, other labs neg. Flares of rashes, fatigue, arthralgia, myalgia, dizziness.Crp & sed normal during flares!tx: plaquenil (hydroxychloroquine) & low doses pred prn. Dx?

Fibromyalgia : This all could be related to your fibromyalgia. The positive ANA could due to something else. Most people with a positive ANA do not have lupus or any other inflammatory joint disease. ...Read more

See 1 more doctor answer
13

13
No meds work for hashimotos. Why?

No meds work for hashimotos.   Why?

Just need thyroid : You just need to treat to treat the thyroid whether it is overactive or underactive. You will not need other medications unless something else is happening ...Read more

14

14
Ana + spec pattern titer 1:640. All labs ok. Lupus panel neg. Elevated sed rate. 2 rheum drs dismissed it. Anything else I should do? Cancer?

Ana + spec pattern titer 1:640. All labs ok. Lupus panel neg. Elevated sed rate. 2 rheum drs dismissed it. Anything else I should do? Cancer?

Watch it: You cannot treat a lab result, have it checked periodically, in the absence of symptoms, one cannot make a diagnosis based on a test result. ...Read more

See 1 more doctor answer
16

16
Autoimmune symptoms (fatigue, joint/muscle pain, headaches, gastro issues, etc.)Tested for lupus. RNP was 2.5. No lupus. Rheum said restest. Thoughts?

Autoimmune symptoms (fatigue, joint/muscle pain, headaches, gastro issues, etc.)Tested for lupus. RNP was 2.5. No lupus. Rheum said restest. Thoughts?

These are not: specific to autoimmune disease. Lupus would have specific and fairly severe and quite noticeable symptoms. http://www.lupus.org/answers/entry/what-is-lupus ...Read more

19

19
Spouse has IBS & UC. Doc ordered Prometheus panel. Expensive. Worth it?Lialda & Canasa current Meds

Spouse has IBS & UC. Doc ordered Prometheus panel. Expensive. Worth it?Lialda & Canasa current Meds

Yes: Another cause of similar symptoms to to irritable bowel and ulcerative colitis can be celiac disease or gluten sensitivity. The test is very accurate to rule gluten sensitivity in or out. It would be nice to know that since gluten intolerance is very treatable by dietary avoidance of gluten. ...Read more