What are the alternatives to plaquenil for psoriatic arthritis? I have been on 2 x 200 mg for almost ten years, and the eye doctor has concerns that is has started to damage my eyes. I also take an injection of methotrexate once weekly (.9 ml I think).
Psoriatic Arthritis Q & A
Developed Trigger Thumb (locked extended) treated with cortisone shot, told to see rheumatologist since they feel I have PA not RA like I was told 35 yrs ago. Have in past used, Indocid, then Entrophen, then ASA as I felt need if I had a flare. this last flare lasted 3-4 months and was worse than any I’ve had for many years(just went away a week ago and now i feel good), but unsure if this trigger thumb requires further treatment, ie surgery, since I’m told this cortisone shot will wear off before long (had it May 4th). What more help can a rheumotologist do for me? What should I ask surgeon about thumb…since one surgeon said too many risks to do surgery on me, and second surgeon said, definitely need surgery, I’m 53, excellent health 9except for RA or PA, no meds, appropriate weight. Want proper use of thumb with no possible recurrences. Gladys
Enbrel and Humira causing extreme fatigue. A couple of years ago I started on Enbrel weekly after my first psoriatic athritis flare-up. I found that, while it did dramatically reduce pain and inflammation I experienced overwhelming fatigue and weakness.(Without it/prior to Enbrel I would suffer a 7-8/10 on the pain scale, even after taking the max daily dose of Tylenol and Celebrex.) If there were an equivalent of the pain scale for fatigue, I would place myself at (9-10)/10 for the first 48 hours. (E.g. Found it difficult to sit up, breathing was somewhat labored; I was essentially incapacitated.) The weakness would start roughly 8 hrs after the injection and very gradually subside over the course of 5 days. During this time the pain gradually returned (to peak at 8/10 on the 7th day just prior to my next shot), with the net effect that I was essentially dehabilitated for the entire week. Early this year, at my urging, my doctor switched me to Humira (1 injection every 2 wks). Initially, I was relieved that I had less fatigue, but after 5 mo. I have found that Humira follows essentially the same pattern, except that it has a much milder impact (i.e. milder fatigue just after the shot, but also much less pain and inflammation reduction). TNF-alpha blockers are ideally supposed to increase energy; why would they dramatically reduce it? Thank you.
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 a week or switching to Humira. He believes that my overweight condition is not allowing the Enbrel to be successful. Any recomendations between Enbrel and Humira?
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 possibility of other diseases through testing. One of the symptoms that is most pronounced on me is oedema above and below all my major joints (knees especially). He has said that this is enthesopathy – inflammation at the point where ligaments and tendons attach to bone. Although I am greatful that I do not eroded or swollen joints, this inflammation of the tendons and ligaments is no less painful. The joints themselves do ache at times, but are not red or swollen. My concern now is that these attachment points could begin to erode the bone and cause deformity. My question is: Is this enthesopathy a symptom of AS? Should I be concerned about ankylosing joints – is this the beginning of the ankylosing process? My hips and shoulders have already lost some range of motion, is my spine next? I can already hearing the “popping” noise in my spine upon movement, that I usually in hear in my other joints. Is this noise actually the inflamed tendon sheaths? And is that what is causing the soft tissue swelling around the joints? And finally, what can be done to slow this process (over the short term to reduce the swelling and over the long term to prevent deformity)?
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 – is being treated topically – I have also had an outbreak of the guttate kind all over the front of my body from below neck to below breasts and allover my back to bottom of spine. I have had two flareups of joint pain and swelling and also urinary infections. I think the guttate kind has finally stopped breaking out. It reached my wrists and stopped. ( also covers arms starting at top and working down. Should I be treated for this joint pain or ignore it and it will go away. I do not have nail involvement or bent joints.
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 pain and was immediately put on 40 mg. of prednisone. Since, i was told i had TMJ (by an ENT and my dentist) and that was causing my temple pain. I have also had some vison problems that I was told was coming from the Prednisone. Although the biopsy is still an option, everyone immediately states that I am too young for temporal arteritis, and say that the TMJ is causing most of the symptoms. Has there ever been a case of a young person with this? Because the biopsy is not 100% proof, I’m concerned about having it done but obviously concerned that it could be overlooked because of my age.
Any clinical overview on the role of leflunomide in psoriatic arthritis?
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 “cold turkey?” i.e. immediately or should I take steps of some sort?
I am a 70 year old female with a history of minor guttate type psoriasis. Father had it and fingers were slightly clubby looking. I developed around 55 years. Last year I developed shingles. Immediately, psoriasis plaques and severe guttate over upper half of body. When they disappeared arthritis started in joints. I went to a rheumatolgist and was given bextra, asulfazine and finally methotrexate. Methotrexate caused pale stools when upped to 25 mgm 1x weekly. Also, had blurry vision while taking it. Stopped going to Dr. because would not explain anything to me about progress or opposite/ Went to pain center had median block. Swelling in legs and feet which was severe disappeared for 1 mo. Pain continued in back. Swelling now again. Lost one tonail and the others were opaque. What can help me? I cannot shop for food and stay home most of time due to pain caused by walking.