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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Alternative Medication For RA

Four weeks ago, I was started on Enbrel autoInjection (50 mg) for Rheumatoid Arthritis. Since my first injection, I have developed heartburn/pain in the middle of my chest (under my ribcage/sternum). It began as just a small ache but has now become a deep pain that radiates to my back. Sometimes the pain is like a deep spasm that only last a minute or two. The pain is always there and never completely goes away (it s a deep ache). It is worse at night, when I lay on my back to sleep. The pain eases off when I roll over on my right side. I have been taking Prilosec for the past year because of previous indigestion when I was on Plaquenil for RA. The heartburn/pain got so bad that I eventually went off of the Plaquenil and the heartburn/pain went away. Now it is back with the Enbrel. I am also on Methotrexate for RA and most of the meds like Nexium and Prilosec can counteract with the MTX. Any suggestions would be greatly appreciated. Thank you
Fri, 13 Feb 2015
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Orthopaedic Surgeon 's  Response

Hello,

I have studied your case with diligence.

NSAIDs, DMARDs (disease-modifying anti-rheumatic drugs) are prescribed in severe cases.
As you have RA test positive prognosis is not too good.
Newer biologics have role in RA but they have lot of side effects as you are experiencing.

I have lot of experience of patient of RA and long term results with allopathic medication are not satisfactory,so consult me directly for further assistence.
There is good role of diet and achieve correction through it,for details you can directly contact on my profile
http://doctor.healthcaremagic.com/doctors/dr-vaibhav-gandhi/63503

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.
I find this answer helpful

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Suggest Alternative Medication For RA

Hello, I have studied your case with diligence. NSAIDs, DMARDs (disease-modifying anti-rheumatic drugs) are prescribed in severe cases. As you have RA test positive prognosis is not too good. Newer biologics have role in RA but they have lot of side effects as you are experiencing. I have lot of experience of patient of RA and long term results with allopathic medication are not satisfactory,so consult me directly for further assistence. There is good role of diet and achieve correction through it,for details you can directly contact on my profile http://doctor.healthcaremagic.com/doctors/dr-vaibhav-gandhi/63503 Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.