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Methotrexate and Enbrel

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At 02:53 AM 7/14/03 +0000, you wrote:

>Hi everyone. I am new to PA and this message board. I have PA along

>with other morbidities but my Question to anyone who will answer

>me.. I am going to have Roux-en Y gastric bypass surgery in sept. My

>reumatologist (spelling?) says I have to go off of methotrexate

>FOREVER. I will not be able to go on anything that goes through the

>liver, which methotrexate does, so there is not another drug that

>will help me as methotrexate does. I have to make a decission to

>stay on it or go off it and take the chance that Enbrel will not be

>enough. I understand that bottom line it is my decission but I would

>like oppinions....Please HELP!

I hate to ask this, but are you positive you want this gastric bypass? For

one thing, on the PA front I would hate to eliminate one of my medication

options, particularly if it was something that was working for me. I don't

know how bad your PA has been, but for me I know the pain was so bad before

MTX that I just can't ever, ever imagine eliminating MTX as an option.

Secondly, on the weight front, I'm sure you're well aware of the risks, and

I'm sure you've tried other diets. But gastric bypass is not proven to keep

the weight off, and with the risks... I just wanted to suggest that you

consider trying a low-carb approach to losing weight, if you have not

already done so. No other diet ever worked for me, but with low-carbing I

lost 125 lbs. I understand the pain of being obese, and I understand the

frustration of diets not seeming to work. But if you find the *right* diet

for you, you can lose the weight in a much safer manner, and one which will

not affect the rest of your life so drastically as a gastric bypass will.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Visit my personal web site at

http://members.shaw.ca/tljohnson/

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> hello do you lose your hair if your are taking methotrexatrate?

Hi ! I suppose it is like everything else with this wacky

disease and the various attempts to control it -- depends on the

individual. But I lost most of my hair on mtx. Funny, years ago

when I was a newlywed I heard that eventually I would start to look

like my husband. But I thought I'd get tall ;)

When I went off mtx and began Enbrel I used Rogaine for women (it was

quite a ritual, with my husband gamely applying it twice daily -- to

me, that is). But I eventually gave that up and the hair still came

in -- but kinky rather than the stick-straight hair I've had all my

life.

No problems with the Enbrel. I really like having hair and not being

sick. Good luck!

Gentle hugs,

Donna

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Why don't you try Enbrel first. If it appears to work, taper off MTX and see.

If the Enbrel is as good/better than MTX, you might be able to have the surgery.

claire

Re: [ ] Methotrexate and Enbrel

At 02:53 AM 7/14/03 +0000, you wrote:

>Hi everyone. I am new to PA and this message board. I have PA along

>with other morbidities but my Question to anyone who will answer

>me.. I am going to have Roux-en Y gastric bypass surgery in sept. My

>reumatologist (spelling?) says I have to go off of methotrexate

>FOREVER. I will not be able to go on anything that goes through the

>liver, which methotrexate does, so there is not another drug that

>will help me as methotrexate does. I have to make a decission to

>stay on it or go off it and take the chance that Enbrel will not be

>enough. I understand that bottom line it is my decission but I would

>like oppinions....Please HELP!

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In a message dated 7/15/03 10:00:30 AM Eastern Daylight Time,

monka825@... writes:

> thank alot christine , do you take enbrel i might be starting it soon , so

> i would to know your experance about it . how fast did it help.

> thank for help every one god bless . monica

>

>

,

I began Remicade in Nov. of last year and then started the Enbrel in Jan. It

helped very quickly and have been very pleased with the results. Good luck!

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,

At first I lost a lot of hair with MTX, but I was also on a lot of other

drugs, including 6 week course of Vancomycin continuously thru an IV pic line.

I

lost a lot, so I cut it all off, it grew back without the gaps from the drugs.

So there is hope.

Carol M.

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  • 2 years later...

Hello

I just turned 40 and I have had various symptoms for several years. The one that

caught my eye was your knee problem. I too had synovial chondromitosis and had

the synovial membrane removed several years ago. It definitely is related to PA

and was one of the first problems that I had. My tendonitis has occured in bicep

muscle at both ends, left thumb, left foot at the achilles and the plantar

fascia (bottom tendon). I am on Mobic for anti-inflammatory and Meth at 20mg/wk.

My foot is great providing I don't miss the Mobic. Since being on Meth the

inflammation of my thumb and ring finger has greatly subsided but definitely not

the way it used to be. Get on the meds as soon as possible because permanent

irreversible damage can take place very quickly. It will undoubtedly be under

control with the meds so not to worry..just don't put it off.

Dave

[ ] Methotrexate and Enbrel

Hello All,

I am a new member of the Psoriatic Arthritis family as of yesterday

and i welcome any

advice you have for me. I am a 48 year old stay at home dad, with a

14 month old son. I

have had psoriasis since the mid 1980's, but it wasn't until i had

knee surgery 2 months

ago and asked the surgeon if psoriasis could be a contributing factor

in my knee problem

(it turned out to be an excess of sinovial tissue) that anyone

finally put a link to joint

problems i have had to my psoriasis. He sent me to a rheumatologist.

What another doctor

had told me was tendinitis in my elbow and that i had gotten physical

therapy on a couple

times, now turns out to be psoriatic arthritis. So i will have a

series of xrays and blood

tests and he gave me some ideas about treatment to think about. I

will meet with my

rheumatologist again in a couple of weeks to formulate a treatment

plan.

His initial recomendation yesterday was to start with methotrexate

and then add enbrel to

it. Has anyone tried this combination? He also mentioned Remicade as

a possibility. I want

to be aggressive in treating my PA since it wasn't caught as early as

it might have been

and I want to be able to play catch with my son when he grows older.

Thanks for any help,

[Editor's Note: , the combination of MTX and Enbrel is one of the most

frequently prescribed treatments - and one of the most successful. Kathy F.]

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dear peter it was with sadness i read your e mail, my 13 yr old daughter has

just been diagnosed with pa we see our rhuemotoligist next week so i am hoping

for answers there she does not have the rash and considering you do i find it

disturbing you had to get this far without dianosis take care kate

prvsundogg <prvsundogg@...> wrote:Hello All,

I am a new member of the Psoriatic Arthritis family as of yesterday

and i welcome any

advice you have for me. I am a 48 year old stay at home dad, with a

14 month old son. I

have had psoriasis since the mid 1980's, but it wasn't until i had

knee surgery 2 months

ago and asked the surgeon if psoriasis could be a contributing factor

in my knee problem

(it turned out to be an excess of sinovial tissue) that anyone

finally put a link to joint

problems i have had to my psoriasis. He sent me to a rheumatologist.

What another doctor

had told me was tendinitis in my elbow and that i had gotten physical

therapy on a couple

times, now turns out to be psoriatic arthritis. So i will have a

series of xrays and blood

tests and he gave me some ideas about treatment to think about. I

will meet with my

rheumatologist again in a couple of weeks to formulate a treatment

plan.

His initial recomendation yesterday was to start with methotrexate

and then add enbrel to

it. Has anyone tried this combination? He also mentioned Remicade as

a possibility. I want

to be aggressive in treating my PA since it wasn't caught as early as

it might have been

and I want to be able to play catch with my son when he grows older.

Thanks for any help,

[Editor's Note: , the combination of MTX and Enbrel is one of the most

frequently prescribed treatments - and one of the most successful. Kathy F.]

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