> Ray,
>
[quoted text clipped - 4 lines]
> right with me. He suggested Methotrexate combined with remicade but I
> have apprehensions about those meds.
Your doctor see reasons to put you on Methx and Remicade. That is as
strong a combo as a person can take to slow the progression of inflam.arth.
The doctor has done his job almost but did not explain well enough the
reason you need to take them because you have apprehensions. I think it
would be truefull to say that we all have them but the need to control what
we have must win out. When you can no longer drive a car,,,, like
firechief,,,,(who needs to be talking to you about AS) ,,,, you will wish
you had taken them.
Sometimes AS is very slow to do what it does to a person giving you
time to learn to live with the changes. We just try to keep you from
saying,,,, I wish I had of,,,, but we all make choices and live with them.
Harv
Perhaps I will start the enbrel
> again. Isn't an anti inflam. enough to stem the disease? Thank God
> for message boards. Thank you kindly.
>
> TLD
Charrlygrl1 - 28 Nov 2005 16:56 GMT
TLD,
No, an NSAID is NOT ENOUGH to stem AS.
I am on Enbrel, methotrexate, sulfasalazine, prednisone and a few
others for pain and sleep. Even with all of this I still do have pain,
but have so far avoided any fusions.
I try to look at it this way: the side effects from the drugs usually
go away when the drug is discontinued....the damage of AS does not go
away.
Somehow, I thought I responded to this yesterday?
It seems that most of the TNF inhibitors (Enbrel, Humira, Remicade)
work better in combination with methotrexate. I was on MTX early on for
about 2.5 months, then my rheumatologist took me off of it. Two
rheumatologists later, my doc tells me that I wasn't on it long enough
(minimum of three months) and put me back on it. It does seem to be
helping me now, whereas it did not seem to help the first time. Again,
I wasn't on it long enough....and as it turns out, I wasn't on a high
enough dosage the first time around.
I don't know enough about the surgery to comment on that part.
Good luck to you, TLD,
Charlene
thelongestday320@aol.com - 29 Nov 2005 01:34 GMT
thelongestday320@aol.com - 29 Nov 2005 01:33 GMT
Thanks Harv. Good advice indeed. Since I got through the day to day
pain and stiffness the past years I never gave it to much thought. The
last 6 months to a year has wreaked havoc on me. The pain is constant.
Take care.
Sorry for not responding earlier with my eight cents (inflation). I'm
usually running (or limping) around so much that I'm liable to come in
and see myself going out the other door.
I also have AS. I was lucky in that they found it before any fusing, and
started me on stretching for range-of-motion, NSAIDS, etc.
One thing I have found out, for myself and from reading here and
elsewhere, is that no two people respond quite the same way to either
medicines or to treatment. Also, If you're not satisfied with how your
doctor responds to your questions and concerns, look for another doctor.
Some doctors are very good, but not for some patients. I have changed
doctors several times (in several specialties) for my self and my
father. We now have very good doctors who work with us and make sure we
understand the problems and treatments and who LISTEN to what we say.
There are many aspects of medicine which can't be defined by hard and
fast rules, so doctors make educated guesses, bases on training,
education and experience, and then adapt as needed. They also have to
take into account any medicines and treatments started by another doctor
for other reasons. I've had a few times when a doctor tole me that he
would prefer to use one medicine, but it was contra-indicated by another
problem. I also make sure that my doctors talk with one another
concerning my treatments. It's easier on me, quicker and much more
accurate than if I had to ferry messages up and back.
The other thing is to read up as much as you can and ASK YOU DOCTOR to
explain anything you're not sure of.
The best doctors are the ones who treat it as a team effort with you
being an important member of the team.