We have done 4 months of Methotrexate and over a year of naproxen on my 4 year...
Time for a biologic. Enbrel seems to be a common first try.
Is that a stronger immune suppressant?
Yes but it works quite differently than MTX. Your rheumatologist should explain to you how they work but they actually work together (MTX and a biologic) to suppress the immune system but also block the cell receptors from allowing the immune parts that have been attacking to attach.
Thanks for the info
Generally, the will add Enbrel with MTX and probably drop the NSAID.
Yep probably Enbrel with your Methotrexate as stated above. That was our next step but we never dropped the Naproxen just put it "as needed"
We had to drop the Naproxen last week anyways it was really messing her belly up!
Here is a link to a PR-COIN tool we developed to help families decide on which medications to try. The TNF-alpha drugs are usually the first choice (enbrel and humira) so you can check them out.
TNF is what she mentioned at the last visit! I just didn't know what it meant! That link was very helpful thank you
My daughter added humira with her MTX as the second step, worked wonders!
Enbrel or Humira, depending on your insurance.
What is a nsaid
Non Steroidal Anti Inflammatory
If Enbrel is prescribed, insist on the subcutaneous kit, rather than prefilled syringe, because the preservative used burns like the dickens. Super painful!
They added Enbrel today!