We've had posters using both Remicade and also Humira have success, so I believe they are both good choices.
A nurse initially shows you how to administer your humira, afterwards, you can do it yourself. It's a subcutaneous (just below the skin) injections given with the humira pen or a syringe at home. During maintenance phase, every-other-week or weekly injections are common. Humira pens can be kept in a cooler/refrigerator and your can travel with them. Everyone is given the same initial dosage of humira, regardless of body-weight, and frequency is adjusted if needed. Humira is simpler billing and slightly cheaper than Remicade, as Humira is medication-only without a need for a nurse's time on an ongoing basis, and it isn't hospital-outpatient which can incur additional copays and deductibles with your health insurance. Some say the Humira shot stings briefly, but icing the spot beforehand can help.Remicade
Medication given via IV at an infusion center, as hospital out-patient, and sometimes at a gasteroenteroligist office in a procedure that takes 2.5-3.0 hours. During maintenance phase, every 8-week injections are common. Remicade is weight-based drug, they weigh you every time you go in before mixing your meds. As Remicade is given as hospital outpatient in most cases, and you are billed for IV infusion and nurse's time it can be slightly more expensive than Humira. There's no sensation, other than a small needle-prick, when the remicade is given.Thoughts
Are you okay with using a humira pen to give yourself?
How close is the nearest hospital or infusion center?
Regardless of which medication you choose, make sure to sign up for the manufacturer's copay/deductable assistance program. As these medications can cost thousands of dollars for a 60-day supply, and the cards can knock down your out-of-pocket costs to as little as $5. I use Remicade and Remistart patient assistance program and it saves me $150 an infusion, and took care of my annual deductable (a few thousand at the start of each year) which meant other procedures needed (like a colonoscopy) didn't incur that deductible as it was met and paid for by remicade/remistart. The programs are medication-assistance only, so they will not pay for the nurse's time to administer the med.
Moderator Ulcerative Colitis
John, 40, UC Proctosigmoiditis
Rx: Remicade @5mgs/kg/6wks; daily 75mgs 6MP, 4.8g generic-Lialda, and rowasaThere are two certainties in life: paying taxes and prednisone side effects...