Guest guest Posted March 20, 2001 Report Share Posted March 20, 2001 Kathy, As a suggested, I would ask for the injections or, at least, ask your doc why she is prescribing the oral form of MTX. I'm a bit confused as to why she would say that any type of spondyloarthropathy is a form of RA. The spondyloarthropathies are considered to be a different group of rheumatic disease distinct from RA. Here is some information: http://www.orthop.washington.edu/arthritis/Sponathy.htm Sorry that things seem so confusing! ----- Original Message ----- From: <kringlemom@...> < > Sent: Monday, March 19, 2001 12:53 PM Subject: Re: [ ] help!!!! > i really don't know why the pills over the injections. i am so confused. i > asked her if i had ra or what? she said it's a form of ra called > spondyloarthropy. she wants me to bring back my x-rays. she said my bone scan > really didn't dring anything up about my back. i told her the x-rays were > about 2 yrs old. she said it didn't matter. so now i have to drive back > again. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2001 Report Share Posted March 20, 2001 Hi Kathy, I've been following this. I thought it strange your doc wouldn't prescribe injections, also. My doc says he won't prescribe something like injections over the oral option if it is going to affect me cost wise. He is so considerate! He worries about what I'd have to pay. I think it is good I discussed that with him, my medical insurance, so he knows how far he can go in treating me. He then knew I would be a good candidate for Remicade and he personally set that up for me. Yes, the injections are more spendy, but I don't know by how much. ~Rainy Sue ----- Original Message ----- > i don't know who was more confused, me or her!! here we are talking about the > relefan and how that puts a damper on what i can take and i let her put this > on me. she has tried it before and i said no. i guess i am just trying to get > some life back. then she tells me my employer is really looking to work with > me. work 15 min, 15 min break. that i would be off for periods of time > because of my disease. i said see, what kind of reliable full time employee > am i. i told her what the pt said about not doing any desk work and she said > that was wrong. then she mentions to send me to physical therapy again and i > reminded her the last time we did i ended up needing shots in my neck!! is > there a big price difference in the pills vs shots?? > kathy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2001 Report Share Posted March 20, 2001 One of the top in Chicago! I'm not sure what to think about that, Kathy. Hope we aren't doomed. LOL! ----- Original Message ----- From: <kringlemom@...> < > Sent: Monday, March 19, 2001 8:02 PM Subject: Re: [ ] help!!!! > i really don't know either, and when she looked at her watch.......but she > was voted one of the top dr's in chicago!! > kathy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2001 Report Share Posted March 20, 2001 Thank you, ! This is most helpful. I read it in AT also. Thank you for taking the time to share it with the group. ----- Original Message ----- From: <Mhynes123@...> < > Sent: Monday, March 19, 2001 8:17 PM Subject: Re: [ ] help!!!! > I wondered why he said no to injections, also. I thought they were supposed > to be just the thing if you couldn't tolerate the pills. Also read that the > shots were actually cheaper but have not had the opportunity to check into it > more. My reference is the March/April issue of Arthritis Today, page 74, > The " On Call " column; The question was: " I have heard that is possible to > take injectable methotrexate by mouth and that it costs less than taking oral > methotrexate. Is this correct? If so, how can my doctor determine the best > dosage of injectable methotrexate? " > Answer: " You heard right. One dose of injectable methotrexate costs about > one-third as much as the same dose of generic methotrexate tablets. This > pricing difference may be due to the fact that injectable and oral > methotrexate for arthritis are the same, so your doctor would probably switch > you to the same dose as your injection, then monitor your response as usual. > If you switch fro a tablet to an injectable form of methotrexate, you > may want to have your pharmacy draw up the correct dose into a syringe ahead > of time. When the time comes to take the medication, you would squirt it > into an eight-ounce glass of water and drink it. Alternatively, you may ask > your pharmacist about specially formulated syrup to help dilute the > medication. > Of course, you should talk to your physician about the best way to take > methotrexate. If taking the drug orally causes you stomach upset, the best > way to take injectable methotrexate is the way in which it was intended-by > injection. " > > ---- R. , PharmD > > Pharmacist > > Probably more info than was needed but I found it helpful. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 20, 2001 Report Share Posted March 20, 2001 thanks for all your help. i did call the dr's office back today, she is gonna ask the dr. but said it was easier on the stomach vs nsaids. they also rec'd 2 calls from my employer and the nurse said she called and told them they'd have to wait. kathy Quote Link to comment Share on other sites More sharing options...
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