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PA and TNF inhibitors
Hi Ed, By \"PA\", do you mean psoriatic arthritis or polyarthritis? We are always happy to see new patients. You can call 410-550-8089, Penny Athanasiou, for an appointment....
Psoriatic arthritis and osteoarthritis
Great question, Linda. Even we rheumatologists often have trouble distinguishing the two. Osteoarthritis is thought of as a wearing away of cartilage with aging, which in the long terms can result ......
Cancer, psoriatic arthritis, and anti-TNF drugs (Enbrel, Humira, Remicade, etc)
HI Virgil, Several hundreds of thousand of patients with various inflammatory types of arthritis have not taken one or more of the anti-TNF drugs (humira, enbrel, remicade). We feel fairly certain based ......
Psoriatic arthritis and TNF inhibitor drugs
It is impossible to assess the risks and benefits of TNF inhibitors for you without seeing you. But here are some general principles. You likely need to be on some type ......
Psoriatic Arthritis Treatment
Methotrexate is certainly used in treating psoriatic arthritis. As is the caase in rheumatoid arthritis doses ranging up to 20-25 mg/week may be required and it may take a couple of ......
Psoriatic Arthritis Treatment, Nail Disease, and Natural Remedies
There is now an extensive literature and clinical experience to show that psoriatic arthritis may be responsive to many different medications. Many physicians will start with methotrexate as used for rheumatoid ......
Psoriasis and Psoriatic Arthritis Symptoms
Severe skin psoriasis often requires higher doses of TNF inhibitors than the joint symptoms of psoriatic arthritis do. Also, the TNF inhibitors work better in combination with methotrexate for both psoriasis ......
Stopping Methotrexate
There is no problem with stopping methotrexate abruptly, with the exception that you might flare if you indeed have active ongoing RA. Talk to your rheumatologist...
Are pneumonia vaccinations recommended for patients on biologics?
Yes, Pneumonia vaccination is definitely recommended. Although, the official recommendation about frequency of vaccination (need for repeat) is unclear, for patients on biologics, many rheumatologists vaccinate every 5 years....
Proper subcutaneous injection technique
I am not aware of any studies, but make sure the injections are going into the subcutaneous tissue (see our website section on injection technique)....
Leg and knee pain from Osteoarthritis?
We highly recommend you see a rheumatologist for this issue....
Is there an increased risk to knee replacement in psoriatic arthritis and peripheral neuropathy?
I am not aware of any studies on peripheral neuropathy and psoriatic arthritis. In general, peripheral neuropathy is not a contraindication to joint replacement except in advanced cases when there might ......
Alternative treatment options of Psoriatic Arthritis
All three of the TNF inhibitors- Enbrel, Remicade and Humira have been approved for the treatment of psoriatic arthritis. Talk to your rheumatologist....
Psoriatic Arthritis or Rheumatoid Arthritis
Heed your doctor's advice and see the rheumatologist. There are many therapies for rheumatoid arthritis and psoriatic arthritis but therapy should be based on your specific situation....
Can Enbrel and Humira cause extreme fatigue?
In my experience, your symptoms are very unusual. I also cannot come up with a mechansim by which Enbrel or Humira would cause this extreme fatigue. ...
Any recomendations between Enbrel and Humira in regards to weight?
I have been taking Enbrel for several years (50mg every week) but recently has stopped being effective to address my psoriatic arthritis. My doctor recommended increasing the dose to 100mg ......
enthesopathy in ankylosing spondylitis
I have suffered for the last 5 years from some unknown spondyloarthropathy - possibly ankylosing spondylitis. I've never received a definitive diagnosis from my rheumatologist; he's just slowly eliminated the ......
psoriatic arthritis
6 or 7 weeks ago I became ill with shingles. From that the dermatologist said I developed plaque psoriasis under my breast. Since that outbreak which I still have - ......
Temporal Arteritis at 37 years old????
I am 37 years old female. Have been recently diagnosed with arthritis associated with my Soriasis (diagnosed 6 months ago) but have been having pain at my temple. Excrutiating jaw ......
psoriatic arthritis
Any clinical overview on the role of leflunomide in psoriatic arthritis? Although being used, there has not been a lot of published studies on leflunomide in psoriatic arthritis. ......
methotrexate
I have psoriatic arthritus. I take an injection weekly of methotrexate. I have done this for several years now. I want to quit taking it. Can I safely quit it ......
Psoriatic Arthritis
I am a 70 year old female with a history of minor guttate typepsoriasis. Father had it and fingers were slightly clubby looking. I developed around 55 years. Last year ......
Psoriatic Arthritis
I am concerned, my husband is 35 and experiencing pain and swelling in his joints.After his joints become inflammed and swollen he can longer straighten them.He also has alot of ......
Enbrel Vs. Remicade
I recently moved to Israel, and am having difficulty in getting my Enbrel prescription continued here. They just recently approved Enbrel for Psoriatic arthritis, but they want me to try ......
Can Methotreate cause nerve pain/neuropathy?
I have been taking methotreate (10 mg a week) for 13 years for psoriatic arthritis. I have developed very servere nerve pain in my feet and ankles. The EMG and ......
Psoriatic Arthritis long term prognosis w/o Tx
I am a 49 year old woman, Dx'd with psoriatic arthritis which had gone undiagnoised and untreated for probably 5 years or more, which is in the spine, Just three ......
psorotiac arthritis and spondylitis
My 18 year old daughter was recently diagnosed with these 2 types of arthritis. I am really concerned about her medication that she was prescribed. Methotrexate 2.5 mg Aethopterine especially ......
Migratory reactive tendonitis
I am waiting to see a Rheumatologist, as appointments in my area are booked up over two months in advance. For 2 months, in the evening I have acute tendon ......
Combining biologics to fight flares
I have advanced psoriatic spondylitis. Enbrel has kept it under control for the past three years but I still have debilitating flares a few times a year. I can't take ......
Mother with severe psoriatic arthritis
Dr., My mother is a 57 yr. old who was diagnosed some 14-15 years ago with psoriatic arthritis. She has been thru literally every treatment available. Light treatments, cyclosporine, celebrex, ......
Remicaid therapy
I am 37 years old. I have been diagnosed with gout and psoriatic arthritis. The doctor said I should start remicaid therapy. Will I have to take it always, is ......
Psoriatic arthritis and Remicade
My brother has psoriatic arthritis ( and so do I). I am currently on Remicade and it is working great.My brother on the other hand is getting worse and worse. ......
Isolated enthesopathy in a patient with psoriasis
Are symptoms of upper extremity enthesopathy (exercise-induced forearm pain and local tenderness at tendinous insertion points) consistent with psoriatic enthesopathy in a patient with subtle manifestations of cutaneous psoriasis or ......
humira and breast implants
I have been taking humira for psoriatic arthritis for a couple of years now. I am young and will be on the medication for many years. I am considering having ......
Rash from Enbrel
In Nov. 2006, I changed from using the 2 25Mg. kits weekly to the 50 mg. autoinjector weekly. I have noticed a significant increase in a rash and isolated bumpy, ......
Psoriatic Arthritis and fatigue
Can you please comment on the relationship between fatigue and psoriatic arthritis? What causes the fatigue? Do any of the drug treatments help to reduce fatigue? Fatigue is ......
