Why is Humira prescribed instead of Remicade

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JAB
Regular Member


Date Joined Nov 2003
Total Posts : 351
   Posted 11/14/2009 7:26 PM (GMT -7)   
Hi All-
So I was just approved for Humira and going to start it this coming week. I wondered why the doctor advised me to take Humira over Remicade.

It seems alot more people are on Remicade and from what I've read here seem to have less problems with it. Is it because it serves a different purpose depending on where the Crohns is located? Mine is in the terminal ileum.

Just wondered why the doctor would recommend one over the other since Remicade, I believe, has been around longer and more widely used.

Thanks for any insight.

JB

pimfram
Veteran Member


Date Joined May 2009
Total Posts : 506
   Posted 11/14/2009 7:50 PM (GMT -7)   
Most docs will recommend treatments they're more familiar with, or which they think provides the best outcome. If you would be more comfortable getting Remicade than Humira, I wouldn't hesitate asking why your doc prescribed Humira.
Diagnosed with CD July 2007
Currently on Remicade, Imuran, probiotics, folic acid, multivitamin.

Amor fati - Nietzsche


lilcrohnieUK
Regular Member


Date Joined Dec 2007
Total Posts : 414
   Posted 11/15/2009 6:14 AM (GMT -7)   
What I've found in the UK is that they are now prescribing Humira over Remicade/infliximab as its more cost effective, not only is it cheaper but it doesn't require you to spend x amount of time in hospital receiving the infusion so its seen as more convenient for both the patient and prescribing hospital.
 
In fact last time I went to my doctor they said they can't prescribe remicade anymore without begging the budget department and proving its the best way to go for the patient, so new patients to these drugs will automatically go on Humira first. They've even changed a lot of patients from remicade to Humira (I had several specialists at the hospital trying to convince me to do this, I refused point blank, if it ain't broke don't fix it, I'm 'saving' Humira for if and when remicade stops working for me) He said that hopefully the next time I have a flare it shouldn't be too much of a problem getting me my remicade as I have a long history with the drug and so far a lot of proof it works for me.
 
But from what I understand they have had great success in treating patients on Humira too, I'd just rather stick with what is familiar to me and what I know works for me. These are big drugs and ultimately it should be your decision over which you put in your body, just my opinion, but if you'd be more comfortable trying remicade theres no harm in asking and seeing what explanation they give.
 
 


Rider Fan
Veteran Member


Date Joined May 2008
Total Posts : 1445
   Posted 11/15/2009 9:53 AM (GMT -7)   
There is less chance of severe allergic reaction with Humira because it doesn't have purine (Mouse) proteins in it. Also, Humira is more convenient since the patient can administer it.
33 y/o male. Dx'ed in 1999. No surgeries.

Current meds: Humira 2/27/09. Proferrin iron pills.

Tried SCD, didn't work, now avoiding gluten and dairy.


Go Saskatchewan Roughriders!


j_web
Regular Member


Date Joined Nov 2009
Total Posts : 205
   Posted 11/15/2009 10:10 AM (GMT -7)   
I think that if Humira works for you, it's much more convenient seeing as you can give yourself a shot every few weeks as opposed to Remicade for which you have to go sit in an infusion center for 3+ hours every 6 weeks.
 
I chose to try Humira first because of this.  Maybe your doc was thinking along those lines too.
CD since July 2007
DM T1 since January 2008


pdmhol
Regular Member


Date Joined Apr 2007
Total Posts : 40
   Posted 11/17/2009 8:25 AM (GMT -7)   
My gi said they were having a lot more success with humira.
Crohns dx in 2002. ilieum and colon resection 2002. Ilieum resection 2007.
Started Humira dec, 08

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