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Medical Forum / Diseases and Disorders / Arthritis / September 2006Enbrel and hip replacements
Has anybody had any infection trouble with their thr while using enbrel ? I saw a comment on Remedyfind today by a woman who blamed it for her hip infection. I think that if you have a hip replacement you always have to be careful about infections, but how much more of a risk is it with enbrel and other ant-tnf? Peter Peter wrote and asked: > Has anybody had any infection trouble with their thr while using enbrel ? > I saw a comment on Remedyfind today by a woman who blamed it for her > hip infection. > I think that if you have a hip replacement you always have to be > careful about infections, but how much more of a risk is it with enbrel > and other ant-tnf? I've been taking Embrel for 9 months and have had no problem with my 6-year-old THR. ... Copy a:\mom.dna + b:\dad.dna C:\baby.exe > Has anybody had any infection trouble with their thr while using enbrel > ? Yes,,,, the most of them have been dealing with a persons sinuses but anytime with any DEMARD,,, the chances of infection go up which is the reason most DMARDs are stopped when a person is going to have an operation. > I saw a comment on Remedyfind today by a woman who blamed it for her > hip infection. [quoted text clipped - 3 lines] > > Peter hhhhmmm, thats a good question.... My guess is it would not make any difference which one. Harv Ps,,,,, just a thought,,, Enbrel or any other anti-tnf did not cause the infection but may slow your ability to fight it. I agree with Harv here.. I have a nasty sinus infection. I am on enbrel and MTX. I do feel that with Enbrel I have got less infections only one in 6 mos compared to Remicade I was always sick. I do not know anything about hip infections though. >> Has anybody had any infection trouble with their thr while using enbrel >> ? [quoted text clipped - 17 lines] > Ps,,,,, just a thought,,, Enbrel or any other anti-tnf did not cause the > infection but may slow your ability to fight it. I know that GPs get concerned when a patient with an infected wound has an artificial hip and they try to treat the infection asap to avoid the risk of it getting infected. If this is the case with a person NOT taking serious DMARDs like MTX or anti tnfs like enbrel one might reason that such people were at an even greater risk. I have never seen any figures on this and that is why I asked the question. Basically it is - Is the incidence of infected hips in people with a thr greater in those taking anti tnf drugs than those who are not taking these of similar drugs which in some way depress the immune response? Peter > I agree with Harv here.. I have a nasty sinus infection. I am on enbrel and > MTX. I do feel that with Enbrel I have got less infections only one in 6 mos [quoted text clipped - 22 lines] > > Ps,,,,, just a thought,,, Enbrel or any other anti-tnf did not cause the > > infection but may slow your ability to fight it. I know that GPs get concerned when a patient with an infected wound has an artificial hip and they try to treat the infection asap to avoid the risk of it getting infected. If this is the case with a person NOT taking serious DMARDs like MTX or anti tnfs like enbrel one might reason that such people were at an even greater risk. I have never seen any figures on this and that is why I asked the question. Basically it is - Is the incidence of infected hips in people with a thr greater in those taking anti tnf drugs than those who are not taking these of similar drugs which in some way depress the immune response? Peter i don't think there is any data on that, peter. but i suspect that the half-life of anti-tnfs and dmards and immune system recovery time are factored into the equation for the length of time reccommended that surgical patients stay off these drugs prior to surgery. in which case, these drugs would not be a factor in the infections at all. kate RhondaM wrote: > I agree with Harv here.. I have a nasty sinus infection. I am on enbrel > and [quoted text clipped - 27 lines] > > the > > infection but may slow your ability to fight it. Hi Kate. I wasn't so much thinking of infection at the time of surgery, but after recovery. Those people who are some months or years down the road from surgery can get hip infections from eg skine abrasions etc which become serious and it was this sort of infection which interests me. Peter > I know that GPs get concerned when a patient with an infected wound has > an artificial hip and they try to treat the infection asap to avoid the [quoted text clipped - 50 lines] > > > the > > > infection but may slow your ability to fight it. Hi Kate. I wasn't so much thinking of infection at the time of surgery, but after recovery. Those people who are some months or years down the road from surgery can get hip infections from eg skine abrasions etc which become serious and it was this sort of infection which interests me. Peter well, peter-- and this is simply my opinion-- i would think, that after a *complete* recovery from hip surgery, infection risks would be considered the same as if you hadn't had surgery. i suggest it would be reckless and irresponsible of a doctor to put anyone back on immuno-suppressants if the doctor thought/knew a hip replacement was at risk, or that a hip replacement made that person more vulnerable to infection, in that thr site, after it had healed. (even a normally healthy hip, without a replacement, can become infected by an invasive bug, in normally healthy people.) however, since this is all based upon my opinion and my reasoning, i think it is imparative that you discuss this issue with your surgeon and your rd to put your mind at ease. kate d'huit wrote: > <diclidophora@yahoo.co.uk> wrote in message > news:1158857923.593544.289400@i3g2000cwc.googlegroups.com... [quoted text clipped - 56 lines] > > > the > > > infection but may slow your ability to fight it. Actually infection is always of concern with a hip/knee replacement, for this reason the surgeons recommend antibiotics prior to dental appointments,invasive procedures and for any general infections. I carry a card from my surgeon to that effect. However a am not knowledgeable about the biological medications. Sincerely Lorrie F > Hi Kate. > [quoted text clipped - 80 lines] > > > > the > > > > infection but may slow your ability to fight it. > for this reason the surgeons recommend antibiotics prior > to dental appointments,invasive procedures and ..... Never thought of that angle, but it explains why I had to take a "pill" in the morning, then a shot in the rump before my two prostate biopsies. ... (A)bort (R)etry (T)ake an ax to it? Because of my hip replacement, I have to take 2,000 mg of Amoxicillen one hour before I go to the dentist. I'm also very careful about going to the doctor any time I have any type of infection, Gwen > Hi Kate. > [quoted text clipped - 85 lines] >> > > the >> > > infection but may slow your ability to fight it. |
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