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Medical Forum / Diseases and Disorders / Arthritis / March 2006

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Leflunomide(Arava)

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baino - 14 Mar 2006 13:25 GMT
Here's an update on my condition,after a 5 week admission in november and
december I was put on infliximab infusion treatment, I had a further
admission in january for a further infusion treatment and am just home from
hospital after another 9 day admission. Well I knew pretty much that this
anti-tnf drug wasn't workng as I was still inflammed, swollen stiff and sore
in nearly all my joints.My blood tests and das or daz score was worse than
when I started on the treatment. Now thats been the 3rd anti-tnf drug thats
failed after unsucessfully trying adalimulab and enbrel. I now need surgery
to replace the knackered elbow joints and right ankle joint and have been
placed on the waiting list, not sure how long that is but been on it now
since december and no update on when it could happen or how long list is but
remain a patient,patient.

I've been put on leflunomide as a stopgap treatment at the moment and have
had the 3 x 100mg loading dose's and am now on a 20mg maintenance dose
daily, I'm being re-admitted to hospital sometime in may for review and to
start on a new research drug called ritiximab as they have to get
authorisation to prescribe it and to be accepted. I was wondering firstly if
anybody within the group has had success whilst on leflunomide and secondly
has anybody within the group been accepted for ritiximab. I'm proving to be
a bit of a nightmare for the rheumatologists at hospital because whatever
they have tried so far has failed, they say due to my bodies resistance to
the drugs and told me still to remain positive as they will eventually find
the correct combination that will work, meanwhile I'm still suffering. I
have the greatest faith in the doctors and still do remain positive but it
gets hard when the newest treatments fail to work. Anyway was just wondering
about these new drugs and to update on my condition. Still on lots and lots
of medication although they have stopped my folic acid and methotrexate
which meant 4 less pills a week but in fact its increased again by the daily
dose of leflunomide, I'm taking over 30 pills a day and some days 40 to try
and get some respite, all within the consultants advice and drug guidelines
of course..

Robert
no@emails.thx - 14 Mar 2006 16:27 GMT
>I was wondering firstly if anybody within the group has had success whilst
>on leflunomide

Hi Robert

I have PA and have been on a combination of lefunomide (20mg/day) and
Methotrexate (10mg/week) for a year or so and it seems to be working
pretty well. I had asked to be put on anti-tnf but my rheumy told me
to try the lefunomide first and I think it was a good decision.

Best wishes,
Chris R.
Harvey R. Stone - 15 Mar 2006 05:50 GMT
Hi Robert,,,  I was on Arava for about a year and it was a good year after a
couple of years of Methx failing me.   It has many of the same kinds of side
effects as Methx and you need to still take the folic acid (which is good
for you anyway).   Some people can not get 10 feet away from a bathroom
while taking Arava but it did not bother me that way.
   If you start with the Ritiximab, please post how it goes for you and I
will watch for it with interest.  I may live in the US but what we have is
the same.
Harv
> Here's an update on my condition,after a 5 week admission in november and
> december I was put on infliximab infusion treatment, I had a further
[quoted text clipped - 30 lines]
>
> Robert
baino - 16 Mar 2006 01:48 GMT
Thanks everyone for your views it seems it works in some and not with
others, heres hoping it works for me, although its still early days and no
respite so far. I'm being closely monitored with blood tests and blood
pressures taken on a fortnightly basis as there has been a tendency in the
past for my liver function to go very high as was the case on methotrexate.
Yes, Harvey I will post and update the group with how I get on in the future
with regard to the leflunomide and the ritiximab when prescribed. I tried
not to look up the internet for information on the ritiximab for fear again
of the side effects these drugs carry, scary stuff sometimes although I know
that it may not happen to me its just I guess the fear of the unknown again
I guess.

Robert

> Hi Robert,,,  I was on Arava for about a year and it was a good year after
> a couple of years of Methx failing me.   It has many of the same kinds of
[quoted text clipped - 5 lines]
> the same.
> Harv
jude - 15 Mar 2006 18:27 GMT
Hi

I've had Reactive Rheumatoid Arthritis for 10 years and have been on
Leflunomide for over 4 years (after trying most things that were around
at the time). I was on 10mg daily with no other drugs (except
occasionally when I had a flair up) for 3 years and then the flair ups
became more regular so they increased it to 20mg for a year which not
only gave me a very vocal stomach but increased my chlorestoral!  So
the Rheumie took me off everthing which only lasted about 3 months then
I was terrible!   I've been back on 10mg since October and I'm doing
well.  Overall, I would recomend leflunomide to anyone who can take it.
I work full time, even go for long walks in the country and have good
mobility.  Without it, I couldn't raise my arms to brush my hair or
walk up stairs without pain.  Make sure you always go for your monthly
blood tests and read up about bloods and about chlorestoral.  Keeping
positive is hard but rewarding.  Good luck and I hope my experiences
help.
diclidophora@yahoo.co.uk - 15 Mar 2006 19:18 GMT
Hi Jude
If you have reactive arthritis, can't they get rid of the trigger ? If
it is some sort of organism there ought to be a method destroying it.

See
http://www.arthritis.ca/types%20of%20arthritis/reactive%20arthritis/default.asp?s=1

Peter
 
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