Doctor insights on:
Early Ra. AntiCCP + 17. Other blood negative.
Doc1: MTX 7.5mg, Plaquenil 400mg, Celebrex (celecoxib).
Doc2: Plaquenil 200mg, Pred 5mg, Celebrex (celecoxib) .
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 moreSee 1 more doctor answer
I have been diagnosis w/rheum and psoriatic arthritis, as well as fibromyalgia. I'm 37 will i always need meds never been in remission since diagnosis 4 yrs ago?
Severe RA. dr. prescribed Actemra (tocilizumab) inj. plaqunil. methotrexate.Sulfasalazine. norco.folic acid.What 2 watch out for? Any concerns from theses drugs?
ANA+ (1:160 homologous), all other titers NEG (Lupus, RA, vasculitis, etc) Rheum thinks seroneg RA. Morning stiffness, joint/spine/SI pain. Possible?
+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?
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 moreSee 2 more doctor answers
Tried numerous meds for fibro like lyrica, cymbalta, gabapentin, savella (milnacipran). None work, not fibromyalgia?
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
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
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
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
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 + 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?
Autoimmune symptoms (fatigue, joint/muscle pain, headaches, gastro issues, etc.)Tested for lupus. RNP was 2.5. No lupus. Rheum said restest. Thoughts?
Up back pain , thinning hair , cold hands. Ana+ spec patrn. 1;640. Cbc ok. Metabolic ok. Serum protein ok. Lupus panel negative. Rheum drs dismissed it.
ANA: Get a 2nd opinion. Maybe the doctor wasn't listening to your problem list. ...Read more
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