Doctor insights on:
Switching From Humira To Enbrel For Rheumatoid Arthritis Naturopathy
It's u as much as Rx: Again, this is a question for the treating specialist, most likely a rheumatologist. When treating a disorder like ra, there are a variety of medications that have been effective; as with everything else in medicine, no one size fits all, and the right drug or combo for each must be assessed over time by a specialist. ...Read moreSee 1 more doctor answer
Very effective!: Good drug for severe RA!Get a more detailed answer ›
Very effective.: But frequently unecessary in most of my RA patients. Combinations inclduing mtx with sulfasalazine, hydroxychlorquine, perhaps doxycycline, or Leflunomide should be tried before starting enbrel, (etanercept) unless you have overwhelming inflammatory disease. Noenthless, Enbrel (etanercept) with mtx is better than either alone! ...Read more
Many patients: Rheumatoid arthritis can often be controlled with some of the newer medications including enbrel (etanercept). Many patients are saved from irreversible crippling of the joints. The key is to get early diagnosis and effective treatment to prevent worsening. Enbrel (etanercept) is a biologic response modifier meaning that the drug is made by a biological system. The drug can be very effective. Untreated RA has huge risks. ...Read moreSee 2 more doctor answers
Many patients!: Results are very good, particulary when used alone and better with methotrexate. The dirrence with Remicade (infliximab) is that it binds to tnf-a rendering ineffecftive. It is completely human in origin. A good choice for those who do prefer home sc injection, every two weeks. It is my favorite tnf-a class drug. ...Read more
Yes, but.....: Humira (adalimumab) is quite effective. It is also quite expensive. It should not be considered a first-line therapy, as drug companies want us to believe. Other first line dmards like plaquenyl, methotrexate, leflunomide, and sulfasalazine work quite well. I occasionally will give Humira (adalimumab) injections for several visits until other drugs kick in. ...Read more
Second line.: While Enbrel (etanercept) can be used alone, it works better in tandem with methotrexate. It is given by subcutaneous injection once per week, the dose being dependent on body size. It is also indicated for psoriatic arthritis and spondylitis. Most insurers want the patient to have been on lesser drugs. These would include incomplete response to mtx, sfz, and ho-q. It binds to tnf-alpha, which caues inflamm. ...Read moreSee 1 more doctor answer
See details: Both are often very effective.Get a more detailed answer ›
Many patients!: Results are very good, particulary when used alone and better with methotrexate. The dirrence with Remicade (infliximab) is that it blocks the tnf-a receptor, rather than binding tnf-a itself, but it accomplishes the same thing. It's infusion intervals are longer, because the turnover of recptors is slower than the production of tnf-a itself. A good choice for those who do not want to inject themselves sc. ...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
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
Yes: Indocin is a non steroidal anti-inflammatory drug (NSAID) like Motrin. It can help the pain and stiffness but does slow down joint damage. (disease progression) Asulfadine is a diseases modifying medication (DMARD). This class of drugs can help pain and stiffness and also help slow down disease progression. Other commonly used DMARDS include: methotrexate, Arava, (leflunomide) and plaquenil. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
See details: The two major DMARDs for treating psoriatic arthritis are Methotrexate and the biologics such as Remicade, (infliximab) Enbrel and Humira among others. All are extremely effective, especially the biologics. All have potential side effects such as infection risk, reduced blood counts and liver disease. ...Read more
Good experience: Rituxan (rituximab) has been used in rheumatoid arthritis and it has demonsrated good response-in my experience. Jus like anything else, there are some possible side effects from Rituxan (rituximab) but majority are very tolerable. You need to be screened for hepatitis b - prior to Rituxan (rituximab) administration.-as Rituxan (rituximab) can cause hep b exacerbation. ...Read more
- Talk to a doctor live online for free
- Switching from humira to enbrel for juvenile rheumatoid arthritis treatment
- Switching from humira to enbrel for arthritis treatment
- Enbrel humira
- Ask a doctor a question free online
- Which is better humira or enbrel
- Is enbrel or humira a narcotic drug?
- Alternatives to humira enbrel
- With other tnf inhibitors such as humira and enbrel are there
- Talk to a pharmacologist online for free