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Doctor insights on: Switching From Humira To Enbrel For Rheumatoid Arthritis Naturopathy

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How is enbrel (etanercept) used for treating rheumatoid arthritis?

How is enbrel (etanercept) used for treating rheumatoid arthritis?

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 more

Dr. Thomas Namey
2,422 Doctors shared insights

Arthritis (Definition)

A condition where there is progressive degeneration of one or more joints. Symptoms may include joint pain, swelling, decreased motion, and stiffness. The two most common types of arthritis are osteoarthritis, which is associated first with articular cartilage breakdown with a component of inflammation, and rheumatoid arthritis, which is a systemic autoimmune disorder that affects joint linings first and secondarily ...Read more


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How good is enbrel (etanercept) for treating rheumatoid arthritis?

How good is enbrel (etanercept) for treating rheumatoid arthritis?

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

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Anyone tried enbrel (etanercept) for treating rheumatoid arthritis?

Anyone tried enbrel (etanercept) for treating rheumatoid arthritis?

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 more

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My mom has been using Enbrel and have diagnosed with Parkinson. Is that kind of Rheumatoid Arthritis biologic treatment dangerous for Parkinson or not?

My mom has been using Enbrel and have diagnosed with Parkinson. Is that kind of Rheumatoid Arthritis biologic treatment dangerous for Parkinson or not?

Enbrel: And its use in the presence of a neurologic disease as Parkinson or in an elderly patient? A question of risk/benefit ratio, some biologicals need to be used with caution above age 65, enbrel is one of them, also in patients with demyelinating disease, Parkinson isn't, so this delicate and complex question need to be answered in a clinical context, the best to do so is the treating doctor/team, ...Read more

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Dx of rheumatoid arthritis. Taking Enbrel and occasionally prednisone burst pack. Chronic debilitating pain, not EVEN touched by OTC meds, or ensaids. Please help!!!!!!

Dx of rheumatoid arthritis. Taking Enbrel and occasionally prednisone burst pack. Chronic debilitating pain, not EVEN touched by OTC meds, or ensaids. Please help!!!!!!

Sound like: You need to have a frank discussion with your Rheumatologist1 the treatment of RA has advanced greatly over the past decade. Biological therapy and combination of various medications usually result in control of pain and joint damage! SPEAK OUT!!

Hope this helps and BE WELL!
Dr Z ...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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Good idea to be taking humira (adalimumab) for treatment rheumatoid arthritis?

Good idea to be taking humira (adalimumab) for treatment rheumatoid arthritis?

Yes: Tnf agents such as Humira (adalimumab) are extremely effective in controlling RA and preventing joint damage and deformities. ...Read more

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Anyone taking humira (adalimumab) for rheumatoid arthritis?

Anyone taking humira (adalimumab) for rheumatoid arthritis?

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

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Methotrexate vs humira (adalimumab), rheumatoid arthritis?

Methotrexate: Is a first line drug for rheumatoid arthritis, used frequently with hydroxchoroquine and sulfasalazine. Humira is an expensive biologic for those who have failed traditional first line regimens!

Humira works well for RA, but it is second line! ...Read more

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Methotrexate vs humira (adalimumab), rheumatoid arthritis question?

MTX vs Humira (adalimumab): These drugs fight RA in completely different fashions. Mtx is the consensus first round choice of drugs to treat ra, both by the acr and eular (european version). Most, if not all, insurances require treatment failure with mtx before you start humira, (adalimumab) a much more expensive drug. In most cases, even if Humira (adalimumab) is started, patients will remain on mtx. ...Read more

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Is methotrexate or humira (adalimumab) better for rheumatoid arthritis?

Is methotrexate or humira (adalimumab) better for rheumatoid arthritis?

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 more

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Is taking humira (adalimumab) a common treatment for rheumatoid arthritis?

Is taking humira (adalimumab) a common treatment for rheumatoid arthritis?

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

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What are some injection site reactions using humira (adalimumab) for rheumatoid arthritis?

Varied: The most common is local pain or burning on injection. Some people do get a little black and blue mark and some get a little local hive reaction that may last for up to 24 hours. Anything more widespread or longer lasting may indicate an allergic reaction top the medication. ...Read more

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Could Humira (adalimumab) cause drug-induced lupus on the head? Some small lesions on the head. (Rheumatoid arthritis)

Rare side effect: Demyelination CNS disease and drug induced lupus are rare side effects of humira (adalimumab). Best to consult with your prescribing Doctor sooner than later. Best wishes ...Read more

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I have rheumatoid arthritis and take methotrexate and humira (adalimumab) injections. I want to get look better by getting filler for my face. Please let me know which ones are not in conflict with my medications. Thanks?

Filler options: You need to avoid sculptra with RA as you may be at increased risk for nodule and granuloma formation. Ha fillers like juvederm or Restylane (dermal fillers) should be safe but last only a year or so. Fat transfer is a good long term option but has more down time. Consult with a local experienced facial plastic surgeon. ...Read more

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Is there a drug that's less expensive and can be used as a alternative to humira (adalimumab) for rheumatoid arthritis?

YES: There are multiple drugs for arthritis cheaper than humira. Pills like methotrexate, sulfasalaxine, Plaquenil (hydroxychloroquine) and Leflunomide can be used alone or in combination. There is also an injectable form of Methotrexate that can sometimes be more effective. Prednisone can also be taken. Non-steroidal anti-inflammatories can be used. Depending on your insurance, another biologic may be cheaper than humira. ...Read more

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I am taking humira (adalimumab) for rheumatoid arthritis. Now I have rashes on both of my arms. What could have caused that?

I am taking humira (adalimumab) for rheumatoid arthritis. Now I have rashes on both of my arms. What could have caused that?

Possibilities numero: Because Humira (adalimumab) suppresses immunity, the rash can be from numerous causes. See your doctor and let him/her decide in a dermatology consult is needed. ...Read more

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My mother have rheumatoid arthritis and her doctor prescribed methotrexate & adalimumab (sub-q), did this combination too heavy for health or normal?

No: This is appropriate combination therapy for uncontrolled ra. The benefits of these meds in preventing joint damage and disability far outweighs the risks. ...Read more

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Rheumatoid arthritis steam room?

Ok: If the question is whether a steam room can be used if you have rheumatoid artjhritis the answer is yes. Generally the joints do feel better with the application of moist heat. Sitting in a steam room can be therapeutic as long as it is not too hot and other factors or illnesses preclude using it. ...Read more

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How do you treat rheumatoid arthritis?

Mechanics and anti: Assure mechanical challenges are address, joint protection, appropriate exercises and then progress through anti-inflammatory regimens. ...Read more

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Can rheumatoid arthritis be hereditary?

Can rheumatoid arthritis be hereditary?

No: Rheumatoid arthritis (RA) is not herititary, in that you do not inherit it directly. However certain genes can increase ones chance of developing it. It is most likely that RA develops in genetically susceptible people who are exposed to some enviromental trigger which sets off the disease process. ...Read more

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Is rheumatoid arthritis worse in summer?

Is rheumatoid arthritis worse in summer?

Not well studied: To my knowledge, I've not read that rheumatoid arthritis (RA) symptoms are better or worse in any season. There have been some recent studies suggesting that the change in barometric pressure may effect some types of arthritic symptoms. However this is not specific to RA. ...Read more

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How do you diagnose rheumatoid arthritis?

How do you diagnose rheumatoid arthritis?

See answer: History, physical examination and some lab tests are usually all that is needed to make the diagnosis for someone with extensive experience with rheumatoid arthritis. There are diagnostic criteria to aid in the decision making process but they are not hard and fast rules. ...Read more

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Do you know if you have rheumatoid arthritis?

Do you know if you have rheumatoid arthritis?

Joint pain swelling: If you have joint pain, joint swelling. These are a start but other things can also occur. Your evaluation will help clarify the diagnosis. ...Read more

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How do I know if I have rheumatoid arthritis?

How do I know if I have rheumatoid arthritis?

Swelling in joints: There are a lot things you can have but not all are specific for RA alone. These can be swollen joints painful joints, morning stiffness to name some things. Your physician can help make the diagnosis. ...Read more

Dr. Ana Adelstein
40 Doctors shared insights

Rheumatism (Definition)

"rheumatism" is an older term, not used much today. Most people are referring to pain and swelling in the joints when they use this term. People may mean something different when they use this term in contrast to when they refer ...Read more


Dr. Robert Lowe
1,555 Doctors shared insights

Painful Joints (Definition)

That term is not really a specific diagnosis, but rather somewhat of a general term. The medical term is arthralgias, which implies pain in multiple joint possibly coming from a single cause. Don't hesitate to be seen and evaluated for ...Read more