Having second (and third and fourth) thoughts about Humira

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Starburst
Starburst Member Posts: 2,546
edited 28. Apr 2014, 07:10 in Living with Arthritis archive
I'm due to have my first injection of Humira next Thursday. Prior to starting Cimzia in August, I was so unwell with my RA, that I'd have tried anything. I did have a flare up since stopping Cimzia 2 months ago but things have settled. I feel like I am coping whereas pre-anti TNF last year, I was certainly not coping.

My rheum and the nurse both feel that given my RA has caused joint erosions, it is aggressive enough for me to need to chance it and try anti TNF #2. I don't disagree.

It's probably not helped by the fact that I feel so much healthier since coming off Cimzia, I hadn't realised how much the vomiting and stomach pains were ruling my life.

I don't want to rock the boat and risk side effects. I'm so close to the end of my degree (less than 5 weeks!) and I'm job hunting. I have applied for 2 fab jobs already and I am so excited.

Maybe I'll feel differently if (when?) my RA starts hounding me again.

I keep going backwards and forwards between thinking Humira might get me into remission like Cimzia did without side effects (best possible scenario) and panicking about how bad that side effects might be. The fear of the unknown, I guess?

(Even while writing this, I've chopped and changed my mind twice!)

What do to? What to do?

Comments

  • ichabod6
    ichabod6 Member Posts: 843
    edited 30. Nov -1, 00:00
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    If you dont try it you will never know.
  • Starburst
    Starburst Member Posts: 2,546
    edited 30. Nov -1, 00:00
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    ichabod6 wrote:
    If you dont try it you will never know.

    Yes, that is true and if I do have side effects this time, I don't think I would persevere as long as I did on Cimzia.
  • dreamdaisy
    dreamdaisy Member Posts: 31,520
    edited 30. Nov -1, 00:00
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    I have one side-effect caused by humira and that is raised BP - meds sort that. The one side-effect I would really like (feeling better) has never happened but so what? I've had lovely bloods for a number of years now so have learned to be content with that.

    I am, however, not you. I am not young, I am not approaching the end of my degree (hurrah!) or facing the next few years of my life with anything resembling optimism but you could if you give it a whirl. As Ichabod so wisely pointed out, you won't know until you try. I wish I could be more helpful but that's it. Sorry. :oops: DD
    Have you got the despatches? No, I always walk like this. Eddie Braben
  • tkachev
    tkachev Member Posts: 8,332
    edited 30. Nov -1, 00:00
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    I've been on Humira since Oct 2008. I was one of the lucky ones where it worked straight away.

    I do have trouble with coughs, colds and fatigue which I think ( by process of elimination) is caused by the Humira but it has made a difference to my life. Give it a go if you can, you will be well monitored by blood tests.

    Elizabeth x
    Never be bullied into silence.
    Never allow yourself to be made a victim.
    Accept no ones definition of your life

    Define yourself........

    Harvey Fierstein
  • villier
    villier Member Posts: 4,426
    edited 30. Nov -1, 00:00
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    Sophie, as you know it is OA I have so don't know a lot about the meds you take.

    I have a very rare neurological condition and had been tried on numerous meds, infusions etc. Down the line they have made me vomit come out in rashes pass out that I knocked myself out. I kept going as I knew there would be something out there that I would eventually be able to tolerate, it was a while coming but it happened although not perfect but tolerable.

    You are a very wise and sensible young lady and I know you have been through the mill with your meds but you will work it out, you have came this far with all that you have going on in your life with uni and illness and I am sure you will make the right decision whatever and we will be behind you all the way (((())))...................Marie xx
    Smile a while and while you smile
    smile another smile and soon there
    will be miles and miles of smiles
    just because you smiled I wish your
    day is full of Smiles
  • Boomer13
    Boomer13 Member Posts: 1,931
    edited 30. Nov -1, 00:00
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    Hi Sophie;

    I can empathize with you; it's a tough decision. I'm having a terrible time with my own choices regarding meds. The current ones haven't lived up to their promised effect, and the new ones come with new expectations and potential side-effects.

    Give yourself time, that's all I have to say.

    Wish you well whatever you choose.
  • stickywicket
    stickywicket Member Posts: 27,714
    edited 30. Nov -1, 00:00
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    Not an enviable decision at all. I've never done anti-tnfs and have been very lucky with DMARDS re side-effects. I did my finals with an amanuensis but can't imagine how it would have been if I'd been throwing up at regular intervals.

    My impression – and it's only an impression – from reading these forums is that humira is tolerated better than cimzia but that's not much to go on.

    The timing is rubbish for you. I think you'll have to discuss it with the rheumatology team and see if they have any suggestions eg might they bring you up to speed with the injections then leave you to decide when to start them? Or start you but let you take a rain check if things go a belly up?

    I wish you well in your decision-making, and exams.
    If at first you don't succeed, then skydiving definitely isn't for you.
    Steven Wright
  • dibdab
    dibdab Member Posts: 1,498
    edited 30. Nov -1, 00:00
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    I've no opinions or advice to offer, just wanted to wish you well in the decision making, and wish you look with the final steps in the degree :) . It's your body and your life, and only you know how much impact the disease has on you........... a decision made now is perhaps not a decision for all time-maybe discuss the options of delaying for 6 months until exams etc are done?

    Deb x
  • barbara12
    barbara12 Member Posts: 21,281
    edited 30. Nov -1, 00:00
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    Sorry I wont be any help, but see the others have given you some good advice..I just wish you well with whatever you decide...it must be so hard..good luck with the exams not long now...xx
    Love
    Barbara
  • Starburst
    Starburst Member Posts: 2,546
    edited 30. Nov -1, 00:00
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    Thank you for the food for thought. I am lucky that I have no exams. I have on-going practical assessments, 2 written assignments and a dissertation (due early May) so now would be the best time to take the chance. It's probably best to get started before I start working. I have a support worker job lined up but I am still applying for social work jobs, so I need to be in shape to work full-time by June/July.

    I'm going to phone my rheum nurse for a chat next week. I think I will go ahead as arranged with the caveat that I will not continue for as long if I start getting unbearable side effects.

    Thank you for helping me think this through. :)
  • mike26
    mike26 Member Posts: 416
    edited 30. Nov -1, 00:00
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    Good luck starburst
    and hope it works for you.
    i started humira 6 weeks ago and so far nothing very bad.
    will let you know if it does :oops:
    best wishes mike26.
  • ichabod6
    ichabod6 Member Posts: 843
    edited 30. Nov -1, 00:00
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    Hello Starburst,

    Have you made your decision?
  • stickywicket
    stickywicket Member Posts: 27,714
    edited 30. Nov -1, 00:00
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    Starburst wrote:
    I'm going to phone my rheum nurse for a chat next week. I think I will go ahead as arranged with the caveat that I will not continue for as long if I start getting unbearable side effects.

    Yup, she has, ichabod :lol:
    If at first you don't succeed, then skydiving definitely isn't for you.
    Steven Wright
  • As5567
    As5567 Member Posts: 665
    edited 30. Nov -1, 00:00
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    Good luck if you do decide to give it a try, I cant say that I have read about many people feeling unwell on Humira. I used to take it once per week and felt fine, but again everyone is different and reacts to medications in different ways.
  • Starburst
    Starburst Member Posts: 2,546
    edited 30. Nov -1, 00:00
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    I had my first injection today. I much prefer the humira pen to the cimzia syringe! I am feeling more hopeful and cautiously optimistic.

    (RA started grumbling LOUDLY a few days ago, so it make the decision a lot easier.)

    Thank you again for the support. You are all amazing! x
  • tkachev
    tkachev Member Posts: 8,332
    edited 30. Nov -1, 00:00
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    I hope it works for you. I can remember when I took it I had gone past the caring stage as the pain was just so awful.

    Definately no harm in giving it a go, keep us posted.

    Elizabeth x
    Never be bullied into silence.
    Never allow yourself to be made a victim.
    Accept no ones definition of your life

    Define yourself........

    Harvey Fierstein
  • Mat48
    Mat48 Member Posts: 1,075
    edited 30. Nov -1, 00:00
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    Been away a while Sophie but I'm so glad you have decided to give the Humira a go. We have had visitors and one of these is a high powered doctor who has studied the biologic drugs as part of her job reasearching for the pharma industry. She raved about Humira and said if she were in my shoes this is the drug she would be aiming for. She was rather a soothing guest to have around while getting back into the swing of things with methotrexate injections I must say :)

    I really hope that side effects are minimal but excellent effects are maximum. Good luck with finishing your dissertation. My son handed his in a few weeks ago and has his final exams on Monday and Tuesday. I'm really nervous for him because he's set his sights on a first and I really don't want him to be disappointed although I'll be just as proud of him whatever.

    Take care and I'll watch out for how you are getting on with the Humira.
    Mat xx
    If you get lemons, make lemonade
  • stickywicket
    stickywicket Member Posts: 27,714
    edited 30. Nov -1, 00:00
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    Yippee! I hope things are on the up :D:D:D
    If at first you don't succeed, then skydiving definitely isn't for you.
    Steven Wright
  • dreamdaisy
    dreamdaisy Member Posts: 31,520
    edited 30. Nov -1, 00:00
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    My rheumatologist raved about humira, it's a pity that I am 'treatment resistant' as she puts it. :lol:

    Good luck with it, Sophie, I hope it does the trick for you as it has for Scorpio and a couple of others on here. DD
    Have you got the despatches? No, I always walk like this. Eddie Braben
  • ichabod6
    ichabod6 Member Posts: 843
    edited 30. Nov -1, 00:00
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    Hello Sophie,

    You made the right decision. Now get stuck into your exams etc.
    I am currently supporting my grand daughter who is rapidly
    approaching the end of the third year of her four year degree course.
    Her first exam is tomorrow.