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A myRAteam Member asked a question 💭
Australia

Methotrexate causing my liver enzymes to go high. All other bloods showing good results lower ra levels too. What's the next step I wonder I'll check in with rhyummy next week he's asked me to have another blood test hoping numbers are down wonder what he will decide. . How often is humira taken. Oooh hate needles.
Thank you in advance.

September 18, 2017
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Answer Summary

Members discussed treatment options after methotrexate causes elevated liver enzymes, with many sharing their own medication journeys through... Read more

Members discussed treatment options after methotrexate causes elevated liver enzymes, with many sharing their own medication journeys through various biologics including Humira (taken every one to two weeks via pen-style injector), Xeljanz (the only pill-form biologic), Enbrel, Orencia infusions, Simponi, Leflunomide, and Plaquenil, each with varying degrees of success and side effects. Several members offered practical advice such as taking folic acid daily to prevent mouth ulcers and hair loss, bringing injectable medications to room temperature before use to reduce discomfort, and being patient as doctors work to find the right combination since everyone responds differently to treatments. A recurring theme was the importance of close monitoring with regular blood work, communicating openly with rheumatologists about side effects, and maintaining hope that the right medication exists even when multiple options must be tried before finding what works.

A myRAteam Member

Cathie, Methotrexate did help, but it sure made my liver enzymes go up and up. The next step was Leflunomide, a cousin to MTX, and it went ok until it also caused my liver enzymes problems. Next was Humira, I took the shots once a week. That after awhile, effected my intestines, so switched to Orencia and that did about 1/2 throttle. Then came Xeljanz, and I've been in love, because so far it's the only biologic that comes in pill form. I hate needles too. Talk to your Rheumy if Xeljanz could work for you. I've been on Xeljanz since Feb. 2015, and have had it stopped twice because of liver enzymes, but started again and was fine. My next lab test is in October and then we'll see. I hate to have to quit it! I was actualy on Enbrel first and that never kicked in. We're all different. Good luck to you!

September 18, 2017
A myRAteam Member

If your liver enzeymes continue to stay up they will take you off of it. Usually don't replace it with nothing. Are you taking folic acid everyday?

September 27, 2017
A myRAteam Member

Please watch what you are eating. Maybe you are already and that is wonderful! But if not, please start. Stop the sugars, dairy and gluten asap. The side effects of these pills are worth a change in diet. Just a thought - I want us all pain free or at least close to it! Hugs and blessings!

September 19, 2017
A myRAteam Member

I also was loosing my hair., My Dr. prescribed two Folic Accid and that stopped loosing hair. Back to normail hair now. Good luck

September 25, 2017
A myRAteam Member

Humira gave me zero relief. Orencia infusions are going well. I take them very 4 weeks.

September 24, 2017

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