Rheumatoid arthritis treatment involves medications that suppress the immune system by targeting specific proteins. Trial and error determines the effectiveness of biologics, while traditional drugs like methotrexate affect the immune system more generally. This risk-reward approach, dating back to mathematician Daniel Bernoulli, applies to modern medications, with patients weighing relief against potential risks.
When we have RA, our bodies fail to produce the additional cortisol we need to combat inflammation..
Rituxan shouldn’t be used if you are planning a pregnancy. Orencia has no black box warning.
Next line in the treatment of RA TNF inhibitors/TNF blockers are a group of biologic medicines that suppress the body’s response to TNF. TNF (Tumor Necrosis Factor) is a complex protein produced by the white blood cells in response to inflammatory events in the body. Those who have rheumatoid arthritis may be given a TNF inhibitor as part of their therapy. This is the third article in a series about the treatment options for rheumatoid arthritis. You can download the articles or you can read them on Marysarthritis.com. Many insurance plans may require that you start your therapy with a nonbiologic such as methotrexate (MTX). As troublesome as the side effects are in the beginning, methotrexate has a good success rate. When MTX isn’t enough the doctor may order a combination of methotrexate with sulfasalazine and/or leflunomide. A TNF inhibitor may be the added to the methotrexate. Although the TNF inhibitors are basically similar, they do have differentproperties. If one doesn’t work for you, another might. Your doctor will order a TB test and will …
My eight years with RA has been a rocky road. I am now on Orencia and it again is helpful. Orencia suppresses the T cells in the immune system.00
This article is second in the series on rheumatoid arthritis drugs. The four common DMARDs: methotrexate, hydroxychloroquine, sulfasalazine, leflunomide.
This is the first few pages of the nutrition section in my up coming book Self-Managing Rheumatoid Arthritis. Surviving Food, Nutrition and RA We all know that good nutrition is an important part of staying healthy. Most of us have limited knowledge on what constitutes eating well. Our problems are many when we try to figure this out. What is good nutrition? How does it fit into our family style? How do we manage when we have pain and fatigue? How do we manage when our budgets are limited? To complicate matters, each of us is unique both in body make-up and in our responses to our environment. We need diets or food plans that work for us individually. It is a given that a good diet will help you manage your RA. Good food will help. You might already realize your particular dietary needs. Some will do better on a vegetarian diet. Some will do better without dairy. Many will thrive on a Mediterranean diet or an anti-inflammatory diet. Some are gluten intolerant. Some …
I stopped taking Actemra. I had only two doses this time. Last week I stopped taking methotrexate. I had been on it since 2013. All this was at a suggestion from my oncologist who was helping me battle a severe breast infection. The infection started in October 2019. I went to a wound clinic for a month. I had surgery to debride necrotic, radiated breast tissue 13 December. Then the infection returned. Perhaps it had never left. I also developed a severe cellulitis. The cellulitis covered my entire breast or what was left of it. Now the cellulitis is down to a couple of inches. The whole thing was caused by the radiation treatment that I had for breast cancer in 2013. The radiated tissue became necrotic and infected. It is not uncommon. I wonder what part my RA drugs played in this long standing dilemma. This infection has gone on for three months. I do know that methotrexate should be stopped while a person is on an antibiotic. Methotrexate should not be used at …
I have Rheumatoid Arthritis in New Mexico. Are there advantages to living in New Mexico with RA? Sure there are. The climate is high desert and very dry. Humidity is tough for many situations. It is frequently hard on the joints. Less humidity is a good thing. Another one. New Mexico is sunny. Our brains love light. Light helps to keep us happy. RAers need happy help. Sunflowers are like happy pills. They make us smile. New Mexico is a good place to have RA.
One of the big pleasures I have is watching the full moon make its way up and over the mountain. I see it from my patio doors as I am making dinner. Lately, it not only is a big, full moon but also a beautiful, warm yellow. When I first see it, the moon is just peering over the top edge of the mountain. Then it seems to sit on the edge of the mountain top just before continuing its journey up into the night sky. A moment in time. I was thinking of good things to distract from the pain I have in my joints and the nagging fear in the back of my mind that I am becoming more disabled with each passing day. My RA was diagnosed seven years ago in January. Since then, I have had three cancers and a hip replacement. Most of that time I have been on methotrexate, mostly injectable. It has slowed the progress of the RA. It could be worse. I’ve been on almost all the …
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