Rituxan, Orencia, Arava, which one is better????

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all4relief
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Date Joined Feb 2009
Total Posts : 11
   Posted 2/17/2009 11:30 AM (GMT -7)   
Hello, this is my first time posting here although, I've been reading the site for a couple months.  Currently I'm on Enbrel and it's not working as well.  My Dr wants me to try something new and has suggested the 3 options listed above.  I've tried to read up on them but mostly only find what the drug companies have to say.  Does anyone here have any info or experience you can share with me?  I will be seeing my Dr in March.  Thank you and I look forward to reading what each of you might have to say.  By the way I have RA and have had it at least sine 2001.  I've recently sold my business as I was not able to be at work enough, because of many medical appointments and issues with health.  Again thanks.

CaMama
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Date Joined Mar 2005
Total Posts : 1884
   Posted 2/17/2009 7:21 PM (GMT -7)   
Hey there, All4 and Welcome!....In my experience, people react differently to different meds. Even when they have the same form of arthritis. So it is hard to really say which one you'll get the most benefit out. In my honest opinion, someone who really understands the various medicines out there may get some clue to point you in the right direction by knowing that Enbrel is not helping you. I know with some (maybe all?) of the biologicals they say that combining it with something like methotrexate maximizes the benefits. You might want to ask about trying to add that with the Enbrel (or maybe someone here can pipe in that Enbrel does not work better with it) if you are getting some relief from it already.
 
Someone on another thread mentioned Rituxan (an IV drug) has less allergic side-effects than the other biologicals and is so far happier with it.
 
I have taken Arava but have recently stopped. It worked well, but in my case, I'm highly sensitve to these immuno-suppressing drugs and can't take them very long before my body has a severe reaction to them. While I was on it (to boost plaquenil) it helped immensely.
 
Good luck. Keep us posted.
***
 


all4relief
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Date Joined Feb 2009
Total Posts : 11
   Posted 2/17/2009 7:24 PM (GMT -7)   
Actually I do take methotrexate.  Sorry I forgot to mention that too.

CaMama
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Date Joined Mar 2005
Total Posts : 1884
   Posted 2/17/2009 11:37 PM (GMT -7)   

LOL - yeah, it's hard to keep track of medicines! tongue

Well, hopefully some others can pipe in their opinion and help you make a proper decision with your doctor.


 


golitho
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Date Joined Sep 2008
Total Posts : 1670
   Posted 2/19/2009 4:07 PM (GMT -7)   
Has your rheumy thought of increasing your mtx dose? That worked for me for a while! I found arava worked too but it wiped out my white blood cells after being on it for 6 months!. Ca mama is right unfortunately its try one and see what works and what you can tolerate!
Low doses of prednisone worked for me too but thats no good long term. Let us know your descision, I'm basically in the same situation but on humira and mtx instead.

CaMama
Veteran Member


Date Joined Mar 2005
Total Posts : 1884
   Posted 2/19/2009 5:55 PM (GMT -7)   
Hey, golitho, the methotrexate isn't what wiped out your WBC count?

 


golitho
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Date Joined Sep 2008
Total Posts : 1670
   Posted 2/22/2009 7:20 PM (GMT -7)   
Hi CaMama, No my rheumy first took me off arava to see if my bood cell count would return to normal and 1 week later it jumped back to the normal range. So it was definately arava, I'm still on mtx 6 months later and my white cells have stayed normal. So there you go!

CaMama
Veteran Member


Date Joined Mar 2005
Total Posts : 1884
   Posted 2/23/2009 2:19 AM (GMT -7)   
No kidding! That just goes to show how we all react differently to the same meds!

 

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