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Medical Forum / Diseases and Disorders / Arthritis / December 2004

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Bextra....Insurance

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ShenMei9 - 03 Dec 2004 15:21 GMT
Thanks Gwen for reminding me

Is there anyone who has a percription for Bextra who isn;t getting it paid for
through insurance?

m
judy - 04 Dec 2004 16:06 GMT
Yes. We changed insurance in September. In August, the first company wanted
a new pre-auth. I had enough sanples to cover and I didn't want the doc to
have to do it twice. The new insurance denied the Bextra. The rheumatologist
told them that I could not tolerate anything else due to GI problems. Funny
thing is they also denied the Prevacid. The doctor who gives me the samples
(a personal friend) said he didn't feel comfortable prescribing it anymore
due to inevitable problems a la Vioxx. He gave me some Celebrex samples. I'm
back to nothing, because the celebrex upsets my stomach. I'll see the
rheumatologist next week and see where we go now.
Judy

> Thanks Gwen for reminding me
>
[quoted text clipped - 3 lines]
>
> m
Docs Girl - 05 Dec 2004 23:28 GMT
You'll have to go through the pre-auth again for the new ins.
If you're over 65 most ins will pay no prob.
I would be careful of Bexta though. My Rhumy feels it's a lot like Vioxx.
I've been battleing PA for a few yrs now and I find that ibprophen does just
as well. (Not much really)

> Yes. We changed insurance in September. In August, the first company wanted
> a new pre-auth. I had enough sanples to cover and I didn't want the doc to
[quoted text clipped - 14 lines]
> >
> > m
firechief - 06 Dec 2004 00:38 GMT
> I would be careful of Bexta though. My Rhumy feels it's a lot like
> Vioxx.   I've been battleing PA for a few yrs now and I find that
> ibprophen does just as well. (Not much really)

Here is a note from the spondy association:

Position Statement from SAA's Medical and Scientific Advisory
Board on the COX-2 Inhibitors
11/23/2004

Vioxx belongs to a class of drugs known as the COXIBS. Other
examples include Celebrex, Arcoxia, and Bextra. Until more
information becomes available, all COXIBs should be regarded
as having the potential to increase the risk of adverse
cardiovascular events. Patients with past and/or current heart
disease, and those at serious risk of heart disease (e.g.
diabetics), should check with their physician before
continuing to take any of these medications.
Nann Bell - 06 Dec 2004 06:16 GMT
>> I would be careful of Bexta though. My Rhumy feels it's a lot like
>> Vioxx.   I've been battleing PA for a few yrs now and I find that
>> ibprophen does just as well. (Not much really)

in my experience, ibuprofen actually helps the pain a bit more than most
other NSAIDs for me.  The problem is it only lasts 4-6 hours so I have to
take it often, I have that nasty period when one dose is wearing off and the
next hasn't kicked in yet and I'm really in bad shape after sleeping 6-8
hours.  Bextra and Feldene are the only ones that have actually lasted me 24
hours (including the other supposedly 24 hour meds.)  If I need to stop
Bextra, I think i'll ask to try Fledene again.

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Nann
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Simply the thing I am shall make me live --- William Shakespeare

firechief - 06 Dec 2004 07:33 GMT
> in my experience, ibuprofen actually helps the pain a
> bit more than most other NSAIDs for me.  The problem
> is it only lasts 4-6 hours so I have to take it often,

Nann, is that OTC ibuprofen, or prescription (Indocin)?

From 1977 to 2000 I was taking Indocin 50mg 3x daily
and it never faded between doses.
Nann Bell - 07 Dec 2004 06:05 GMT
>> in my experience, ibuprofen actually helps the pain a
>> bit more than most other NSAIDs for me.  The problem
[quoted text clipped - 4 lines]
>  From 1977 to 2000 I was taking Indocin 50mg 3x daily
>  and it never faded between doses.

Ibuprofen.  The message that preceeded mine was from someone who likes it
best of the NSAIDs for their PA.  I would too, if it lasted longer for me.  
More of the same old story about what works for one, may not work for
another.  Indocin faded on me, too, when I took it.  Apparently my system
clears most drugs quickly.  I used to be able to recite the whole list of
NSAIDs we went through learning this, but I've replaced it with more
important knowledge in my brain - like how to blay bubbels  :)

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Nann
remove the Gator cheer to email me
Simply the thing I am shall make me live --- William Shakespeare

firechief - 07 Dec 2004 16:17 GMT
> I used to be able to recite the whole list of NSAIDs we went
> through learning this, but I've replaced it with more important
> knowledge in my brain - like how to blay bubbels  :)

We have prioritize.   <g>
 
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