Post Edited (junerainbow) : 7/29/2010 4:38:10 PM (GMT-6)
Gary Lichtenstein, M.D., of the University of Pennsylvania in Philadelphia, commented that the findings were no surprise. Earlier studies in his own lab and elsewhere had suggested that combinations of drugs do not add benefit to individual biologic therapies in Crohn's disease, he said. "In most patients you don't need to add anything. These biologic agents are wonderful drugs by themselves. By adding drugs such as methotrexate or steroids you are just increasing the risk of serious adverse events," he said."
DDW: Methotrexate Adds No Benefit to Infliximab (Remicade) in Crohn's Disease http://www.medpagetoday.com/MeetingCoverage/DDW/9598
Post Edited (njmom) : 7/28/2010 4:07:42 PM (GMT-6)
Many doctors prescribe HUMIRA to patients with moderate to severe RA who are already taking methotrexate. In clinical trials, patients taking HUMIRA and methotrexate saw better results than those taking methotrexate alone. In a study of patients with early, moderate to severe RA (diagnosed for less than 3 years, not previously treated with methotrexate), combining HUMIRA and methotrexate showed:
Medications used to treat RA can have serious side effects. Make sure to tell your doctor about all the medications you're taking
Yet, in the crohn's section, not a drop of info about methotrexate...
This is the problem when Joe Blow Schmo (insurance)attempts to make medical decision s
I get this with disability ..they don't have 2 clues what's going on..
Post Edited (njmom) : 7/29/2010 7:18:18 AM (GMT-6)
From past experience, the insuranace companies don't really seem to care what your doctor says unless you just continue and continue to fight them. They intentionally deny things because a lot of people just give in then and the insurance company gets out of paying. I can't understand why they would require you to take 2 meds, when it would cost them a lot more, and it does seem like they are going more off of arthritis guidelines than Crohn's. I know I've had to fight them on several occasions and it took a long time and a lot of doctor's justification. Even then, their panel of "doctors" tried to say whatever my GI said was not correct. We eventually won out, but it took a lot of paperwork and time.
I don't remember the mtx costing much even at full price when I was taking it. Can you not buy it on your own without going through insurance?
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