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Real members of myRAteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
July 27
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A myRAteam Member

I have taken Orencia for over three years. I was doing the weekly injections until insurance decided that they didn’t want to pay for it. So now I’m getting the infusions at the rheumatologist’s office. I have not noticed any side effects but my bone density test has decreased. RA has ruined my feet and hands. So it’s hard to tell what RA causes or RA meds

July 27
A myRAteam Member

I also did self injections weekly and switched to infusions in January! I can definitely tell a difference but my infusion is 2 hours. The only downside for me is I have had a lot of UTIs that are multi drug resistant so I've had to miss the last three infusions and now my body is angry and feels like I am in a full body flare but I definitely recommend the infusion as opposed to weekly in

July 29
A myRAteam Member

Right!!?? The short infusion time is such a huge plus. But, did it help and for how long?

July 28
A myRAteam Member

Loved my time on Orencia. Short infusion time.

July 28
myRAteam

Switching from Remicade to Orencia is a path some people with RA take, and it's completely understandable to want to know what to expect. Orencia works differently from Remicade — instead of targeting an inflammatory protein, it blocks a specific interaction between immune cells (called costimulation) to reduce inflammation Show Full Answer

Switching from Remicade to Orencia is a path some people with RA take, and it's completely understandable to want to know what to expect. Orencia works differently from Remicade — instead of targeting an inflammatory protein, it blocks a specific interaction between immune cells (called costimulation) to reduce inflammation at its source.

Here are some key things myRAteam members and others have noted about Orencia:

- Patience is key — improvements may take up to 3 months or more to notice, so don't be discouraged if results aren't immediate
- Initial dosing is more frequent — doses are typically given at the start, then at 2 weeks, and again at 4 weeks before moving to a regular schedule
- It can be given as an IV infusion or as a self-injection — so there's some flexibility depending on your preference
- Side effects can include increased risk of infections, such as upper respiratory, skin, or urinary tract infections, since it works by calming the immune system

It's worth keeping an open line of communication with your rheumatologist during the transition. If something doesn't feel right or you're not seeing improvement, speak up — they can adjust the approach.

Hang in there! Switching medications can feel uncertain, but many people do find their footing with a new treatment. 💙

July 27

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