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Re: RE: GINA AND SHARON

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Hi, Cindi. Nobody can predict who will have damage or what will work to stop

it, but DMARDs are your best bet to keep your RA in check.

Your physician is supposed to be looking for any evidence of disease. If

your RA is not well-controlled, he should consider altering your therapy.

MTX is a DMARD, and, generally, a very effective one. Some people use it as

their only DMARD. That's fine if it is controlling the disease. If it's not

working well enough, or you can't tolerate it, there are a lot of other

choices. Or you can add something to it. You don't have to add a biologic.

Have you contacted any of the manufacturers for help with the other meds?

Patient Assistance Programs for Rheumatology-related Drugs:

http://www.rheumatology.org/public/acrast.asp?aud=pat

Hospital for Special Surgery

September 8, 2003

" How Medication Decisions are Made in RA Treatment " :

http://www.hss.edu/Conditions/Rheumatoid-Arthritis/How-Decisions-Are-Made-In-Ra-\

Treatment

Hospital for Special Surgery

November 13, 2003

" New Standards of Treatment for Difficult RA - Part 1 " :

http://www.hss.edu/Professionals/Conditions/Rheumatic-Diseases---Therapeutics/Tr\

eatment-For-Difficult-Ra

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

[ ] RE: GINA AND SHARON

>

>

>

> DEAR GINA AND SHARON,

>

> I HAVE BEEN READING YOUR POSTS ON ENBREL AND PREDNISONE...MY

> QUESTION IS THIS: I AM TOO FAR ALONG NOW FOR PREDNISONE, AND I HAVE

> BEEN ON MTX FOR ABOUT A YEAR....MY DOCTOR MENTIONED THAT THE NEXT

> STEP IS A DMARD AND MTX.....IF I CAN PERSONALLY HANDLE THE PAIN I AM

> IN CAN I SAFELY STAY ON MTX OR WILL MY JOINTS DETERIORATE TO QUICKLY

> IF I JUST TAKE MTX..... THERE ALSO IS A VERY LARGE PROBLEM WITH MY

> EVEN AFFORDING ENBREL OR ANY OF THE OTHERS.

>

> THANK YOU , CINDI

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Hi, Cindi. Nobody can predict who will have damage or what will work to stop

it, but DMARDs are your best bet to keep your RA in check.

Your physician is supposed to be looking for any evidence of disease. If

your RA is not well-controlled, he should consider altering your therapy.

MTX is a DMARD, and, generally, a very effective one. Some people use it as

their only DMARD. That's fine if it is controlling the disease. If it's not

working well enough, or you can't tolerate it, there are a lot of other

choices. Or you can add something to it. You don't have to add a biologic.

Have you contacted any of the manufacturers for help with the other meds?

Patient Assistance Programs for Rheumatology-related Drugs:

http://www.rheumatology.org/public/acrast.asp?aud=pat

Hospital for Special Surgery

September 8, 2003

" How Medication Decisions are Made in RA Treatment " :

http://www.hss.edu/Conditions/Rheumatoid-Arthritis/How-Decisions-Are-Made-In-Ra-\

Treatment

Hospital for Special Surgery

November 13, 2003

" New Standards of Treatment for Difficult RA - Part 1 " :

http://www.hss.edu/Professionals/Conditions/Rheumatic-Diseases---Therapeutics/Tr\

eatment-For-Difficult-Ra

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

[ ] RE: GINA AND SHARON

>

>

>

> DEAR GINA AND SHARON,

>

> I HAVE BEEN READING YOUR POSTS ON ENBREL AND PREDNISONE...MY

> QUESTION IS THIS: I AM TOO FAR ALONG NOW FOR PREDNISONE, AND I HAVE

> BEEN ON MTX FOR ABOUT A YEAR....MY DOCTOR MENTIONED THAT THE NEXT

> STEP IS A DMARD AND MTX.....IF I CAN PERSONALLY HANDLE THE PAIN I AM

> IN CAN I SAFELY STAY ON MTX OR WILL MY JOINTS DETERIORATE TO QUICKLY

> IF I JUST TAKE MTX..... THERE ALSO IS A VERY LARGE PROBLEM WITH MY

> EVEN AFFORDING ENBREL OR ANY OF THE OTHERS.

>

> THANK YOU , CINDI

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