I’ve finally decided to start TNF-α biologic injections and got the first shot on 21st of Aug. It’s Imraldi (adalimumab).
I wonder how you can tell whether it’s working, and how long it took you to see improvements.
For example, even if it works for you, do you still struggle with morning stiffness in your hands?
My doctor told me that I need to use it every two weeks for a year, and if everything goes well perhaps we can extend it to every three weeks; afterwards, maybe to once a month. But it all depends on how my body reacts to it and whether it will work. For now, my doctor says I should continue with the injectable medications. After three months we will check how it’s going, and she might stop me from taking Plaquenil, and then reduce sulfasalazine; afterwards, maybe stop etoricoxib. But I plan to continue using methotrexate, always by injection.
More details:
I’m 32 years old and was diagnosed 9 years ago. I don’t consume alcohol, smoke, or use any substances. I avoid consuming flour-based products, salt, and sugar.
Currently, I’m taking 4x sulfasalazine daily, 1x etoricoxib, 1x plaquenil, and on Mondays, 6x methotrexate, followed by 1x folic acid on Tuesdays and Wednesdays.
I also used to take prednisolone for about 2–3 years, but I stopped 6 years ago and don’t want to take it again. It didn’t help much, and I gained a lot of weight because of it (I went from 60 kg to 86 kg). It took me years to lose that weight, and my weight has been stable for the past 4–5 years.
Every morning I struggle to even open my hands, though things improve a bit after 1–2 hours. I have difficulty lifting anything heavier than 5 kg with my hands. Two of my fingers are always swollen and sometimes painful. I walk at least 6 km daily. My hands often feel stiff. Sometimes, despite eating the same foods, I experience flare-ups without any clear reason. During these periods, I have severe pain in my shoulders, wrists, fingers, and feet, but it usually lasts a few weeks and then goes away.
My last check-up was in April, test results were normal and CRP was 2.5, but my doctor says that sometimes inflammation doesn’t show up in the tests even when people are experiencing acute pain. I had blood tests done yesterday, but the results are not out yet.