Redrose, I'm glad you're finding relief with the humira. However, you do need to be careful with it. I took humira for 4 weeks. It didn't honestly do a lot for my joint pains, if anything at all, and I also became very very pale, tired, and washed-out. Bloodwork revealed lowered blood counts, which evidently Humira was responsible for. I was switched to Enbrel, and have not had any similar problems. For some reason, Humira affected my blood counts more--it does work in a slightly different way than enbrel.
Definitely mention this to your rheumy. Humira has been known to cause serious blood problems. Even if you have to stop taking Humira, keep in mind there are several different tnf-inhibitors available and everyone reacts differently to all of them. What doesn't work for some, works for others, etc... Enbrel, which is also an injectable, may be just fine for you if Humira doesn't work out.
Let us know what your rheumy says.
Ducky, I tried to reply but something weird happened and my post wouldn't go through. I don't know if my nails could get pitting as they are so thin and peel. They bend and rip if I try to grow them out and often get white spots/lines/swirls. My back is most painful from the mid-shoulder area to the bottom of the rib cage area, then in the way low back, and some in the neck. My feet and hands swell and are painful. I have arthritis in all the small joints, knees, hips, elbows, even jaw. Pretty much my shoulders seem to be the only area with little to no swelling that is obvious. When the swelling is pronounced the joints affected are red and warm to hot. My skin psoriasis cleared completely during my second shot and the dermetologist who diagnoised it said it was VERY BAD and she gave me topical steroids yet they were no doing much. My rheumy said we will have to wait and see by the type of bone/joint damage we see over time if this is psoriatic arthritis, RA, or both. She just knows that it looks like one of the two because the cartilidge is being eaten away from my joints.
Redrose, you mentioned that you had already tried everything else before trying the Humira. Have you been on enbrel already? What about remicade, or even the new tnf-inhibitors that have just been approved ( I forget the names)? I understand about the mtx, but I got the impression that Humira is the only tnf-inhibitor that you've tried so far? We're very fortunate in that two new drugs in addition to the original tnf-inhibitors (enbrel, remicade, humira) have recently been fda approved for RA (orencia and something else?). I don't know what's been approved for psoriatic arthritis, but I think the drugs for RA and PA are pretty similar.
Enbrel has been proven the most effective against PA... Then Humira, Remicade, Orencia and Kineret (sp?).. Since my rheumy diagnosed me with PA, he wanted to start me on Enbrel first. I haven't taken any other biologic other than that, I have also never take methotrexate or plaquinel. He said that if I didn't tolerate the Enbrel, that he would try me on the Humira, but it wouldn't be as effective as the Enbrel. Luckily I have tolerated the Enbrel just fine... I have however, taken just about every NSAID out there.
In addition to regular arthritis symptoms, there are also 5 different types of Psoriatic Arthritis... Check out this website.. it outlines it rather well... It helped me to understand that a lot of my problems were actually the arthritis, instead of a bunch of separate issues...
Good luck to you and let us know how you are doing... Duck