Crohn's Disease & Ulcerative Colitis Support Group
Crohn's disease is a systemic inflammatory bowel disease (IBD) of unknown cause, that results in chronic inflammation of the intestinal tract. It can affect the entire gastrointestinal tract from mouth to anus, and can also cause complications outside of the gastrointestinal tract. There is no known medical or surgical cure for Crohn's disease, but there are many medical...
Methotrexate, Humira and Remicade
terrifico
Hi guys, I've been away from here a long time, enjoying a non-medicated remission/denial of symptoms and trying not to think about my bowels.
Im back, sadly, because I'm flaring again. Last time I had a bad flare I discovered I could not tolerate imuran or prednisone and mesalamine was not at all helpful and made me feel worse. Furthermore, im allergic to sulpha so that knocks out a few more options. Inflammation too extensive for enemas to be effective. So, now my new GI is recommending a combo of methotrexate and Humira or methotrexate and
Remicade.
I am leaning toward Humira because I just don't see infusions being practical for my life- full time job and a kid with type 1 diabetes and five dance classes a week. Between the kid and myself I miss a lot of work already and indeed the benefits from that job so I can't miss more than necessary. Cost is not a concern, I'm Canadian plus have two private drug plans.
Anyway, anyone have any negative experiences with any of those 3? Side effects, not helping, pain with injections/infusions, etc? I tend to be the poster child for side possible side effects so any input is very welcome
Thanks for any advice!
Im back, sadly, because I'm flaring again. Last time I had a bad flare I discovered I could not tolerate imuran or prednisone and mesalamine was not at all helpful and made me feel worse. Furthermore, im allergic to sulpha so that knocks out a few more options. Inflammation too extensive for enemas to be effective. So, now my new GI is recommending a combo of methotrexate and Humira or methotrexate and
Remicade.
I am leaning toward Humira because I just don't see infusions being practical for my life- full time job and a kid with type 1 diabetes and five dance classes a week. Between the kid and myself I miss a lot of work already and indeed the benefits from that job so I can't miss more than necessary. Cost is not a concern, I'm Canadian plus have two private drug plans.
Anyway, anyone have any negative experiences with any of those 3? Side effects, not helping, pain with injections/infusions, etc? I tend to be the poster child for side possible side effects so any input is very welcome
Thanks for any advice!
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I am on Mercaptapurine and Remicade along with Apriso (a sulfa med I believe). I know you are leaning away from the Remicade infusions, but that is the one I have experience with. I have had good experience with this combination. The Mercaptapurine has caused some sleepiness, so I take it at bedtime. Be aware of that with some of your meds if you are tired during the day and try taking them at night to see if it helps. It can help with your sleep and then you are awake for the daytime!
I do not have to worry about missing work, so the infusion does not interfere with any of that. After an infusion I can have some 'off' days for 3-4, sometimes 5 days, before things 'settle' out. That is partly because with the infusions they give you a 'pre' bag of medications with a steroid (NOT prednisone) and benadryl to help prevent any side effects from the Remicade during the infusions. Thus it takes a little time for the steroid to get out of my system as well as it takes a few days for the Remicade to 'settle'.
I know that if the Remicade ever stops working for me or if the Dr decides it is just not working well enough that I will try the Humira shots. That is one good thing. If one does not work out well for you then the other might work very well for you. At least there is that chance.
One thing I know is that with Remicade the infusion is normally given every 8 weeks (2 months). I have medically resistant UC and am going every 6 weeks (not usual). I believe (do not quote me on this part) that the Humira is taken about every 2 weeks. At least I think that is how often it is for RA (arthritis). I am not certain what the frequency would be for the UC. It might work a little nicer taking it more often.
I hope that which ever one you try works out well for you. And if that one does not work out that the other does the job.
My son take Humira shots every 2 weeks. His Crohns was caught much earlier, thanks to my daughter. Humira is way more convenient , except he wont do the shot himself and he doesnt like the way I doit, so my brother in law comes over.
Both of them are different in what they can and cannot eat. Neither watch their diet as well as they should.
Neither complain about any side effects to remicade or Humira
I hope this helps
I'm pretty sure I've decided to try Humira without the methotrexate. I just have a bad feeling about methotrexate, and with my history of severe reactions, I only want to start one new drug at a time.
I have a few more steps in the process before I start. Colonoscopy tomorrow, vaccinations next week, TB test scheduled. I'm hoping to start in about two weeks.
I got on a plan for the shots that only cost $5.00 through Humira.
I also have a trip planned to visit the everglades in Florida and that is about 12 hours away. I still have to watch what foods I eat, but you will learn your triggers.
I'm currently trying Stelara. Although it's not FDA approved in the US yet for Crohn's it's done very well in the clinical trials and after fighting with my insurance I was able to get it. After the first 2 doses 4 weeks apart it's only 1x every 3 months. I've only just taken my second starter dose so I don't have anyway of knowing if it's working yet. But I thought I would throw those out there incase it might be helpful in discussion with your gastro.