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babybloo
Regular Member


Date Joined Aug 2005
Total Posts : 289
   Posted 1/29/2007 8:50 PM (GMT -7)   
Had a bit of a let down today.  Doc says if the mtx isn't helping at the dose I am at then it probably isn't going to ever be good enough alone.  My disease is progressing still while on the meds so it is time to consider something else or in addition to.  They gave me the enbrel, remicade, and humira kits to learn about the meds as we will likely be starting one of these in the near future.  For now they are going to contact the insurance company and find out what they will cover.  The methotrexate has been increased to 25mg weekly and I turned down the pred but am going to take Relafin to see how I do.  I call next week if I still am in extreme pain to start one of the biologics.  They are also running a lupus panel again as they are still suspecting along with RA there is another autoimmune issue.  I am thinking that my insurance will likely approve Humira or Remicade and not the enbrel... but we shall see. 
 
Thanks for sticking with me through this...
 
Theresa
dx: Rheumatoid Arthritis.  Duration: 10yrs. Dx'ed 2006.  Asthma, hypertension, hypothyroid
 
Meds: Methotrexate 20mg wkly, Prednisone 20mg decreasing,  Advair 250/50, Diovan HCT 160mg/25mg QD, Synthroid .1mg QD, Women's One a Day, tylenol PRN.
 
 


yalinda
Veteran Member


Date Joined May 2006
Total Posts : 1179
   Posted 1/30/2007 4:47 AM (GMT -7)   
this is kinda a positve thing bloo.... u will feel better! i know i hate taking more meds too, but hopefully u'll be feeling great like many others and being active again..... hugs yalinda

Ducky
Veteran Member


Date Joined Mar 2005
Total Posts : 3199
   Posted 1/30/2007 3:39 PM (GMT -7)   
Good luck Theresa, I bet once you start the biologics, you'll feel like a new woman! Hang in there and keep us posted!

Duck
Moderator of Arthritis/Epilepsy Forums
Confirmed Diagnosis of - Psoriatic Arthritis/Spondylitis/Graves Disease/GERD/Scoliosis/Hiatal Hernia/Graves Disease of the Eyes/Chronic UTIs
Current Meds -  Enbrel/Prevacid/Synthroid/Nitrofurantoin
Past Meds - Inderal/PTU/Prednisone/Voltaren/Feldene/Mobic/Cortisone and Steroid Shots
Additional Supplements - Multi-Vitamin/Bromelian/Acidophilus/Green Tea
 


elcamino
Veteran Member


Date Joined Sep 2005
Total Posts : 1744
   Posted 1/31/2007 6:41 AM (GMT -7)   

Theresa,  I'm sorry you're having such a rough time right now, but I'm happy now that you're going to start one of the biologics.  Neither mtx or enbrel alone did much for me either.  I needed both.  Why would your insurance cover humira and remicade, but not enbrel?  I believe enbrel is the least expensive of the biologics.  Humira was almost twice the amount of enbrel (I started on humira), and remicade is an IV transfusion so you have to pay for hospital personnel to administer it?  Same with the two new biologics (Orencia, and something else I can't quite recall)--they're IV transfusion. 

I took enbrel for 8-9 months with only partial relief.  When I added the mtx about 3 months ago, it only took about 3-4 weeks before I gained complete relief.  And I'm only a very very low mtx dose (7.5 mg).  I really hope this is the magic elixir for you.

Elcamino


Current dx: Rheumatoid Arthritis
Suspected dx: UCTD/Early Lupus
Current Meds: Enbrel, Plaquenil, Aciphex, Ultracet, Zyrtec, Allavert-D, Zantac, Tylenol PM
Past Meds: Relafen, Vioxx, Mobic, Voltaren, Sulfasalazine, Entocort, Prednisone, Humira, Reglan


babybloo
Regular Member


Date Joined Aug 2005
Total Posts : 289
   Posted 1/31/2007 8:50 AM (GMT -7)   
I have no idea about the reasons why insurance companies do things. Of course all three need prior authorization, but was told that the remicade would likely be paid 100% while the other two are not and the humira is preferred over all three.... don't ask I have no idea.... gonna let them deal with it.

Theresa
dx: Rheumatoid Arthritis.  Duration: 10yrs. Dx'ed 2006.  Asthma, hypertension, hypothyroid
 
Meds: Methotrexate 20mg wkly, Prednisone 20mg decreasing,  Advair 250/50, Diovan HCT 160mg/25mg QD, Synthroid .1mg QD, Women's One a Day, tylenol PRN.
 
 

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