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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On Humira For Psoriasis, Developed Elevated Liver Enzyme, Constant Coughing , Lost Control Of Bladder. Related To Humira?

I have been on Humira for 4 months about 6 weeks ago I developed a cough . I went to urgent care he said I have bronchitis and prescribed cefidinir 300 twice a day. and a inhaler . My liver enzymes were normal prior to starting humira but are now 3 times the normal limit. I am on humira for psoriasis . I talked to the dermatologist and he said it would not cause liver issues and to keep doing my injections . I skipped my last injection because I can t seem to fight the cough. I am extremely tired. The urgent care just repeated my levels and told me to stop both humira and lipitor for cholestrol. The internist I was seeing with these issues refered me back to the dermatologist. I am frustrated because I do not feel that either DR is seeing the entire pictures except for the urgent care DR. Should I continue the Humira ? Lipitor ? I am getting worried because it is difficult to talk, sleep and eat without coughing. I cough so hard I have lost control of my bladder. I am a 50 year old female.
Fri, 24 Aug 2012
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Ayurveda Specialist 's  Response
Thank you for your question Adalimumab (HUMIRA) is a fully human TNF-alpha monoclonal antibody approved for the treatment of rheumatoid arthritis and undergoing trials for use in treating other conditions, including psoriasis and psoriatic arthritis & listen prolonged use of inj.humira 0.8ml s.c. leads to infection increase in body, bronchitis leads because of that & with age relation,start tab.predinsolone 10mg 1-1-1-1- on 1st day 4 dose,1-1--1 on 2nd day 3 dose,1-1 on 3rd day 2 dose,from 4th day one dose of predinsolone use for next 7 days,this is for acute bronchitis & use only paracetamol for fever,mostly cause of bronchitis is viral so that do not use antibiotics hanse stop cefidinir,ELEVATION OF LIVER ENZYME IS DUE TO LIPITOR, SO THAT ADJUST DOSE or REDUSE DOSE.
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On Humira For Psoriasis, Developed Elevated Liver Enzyme, Constant Coughing , Lost Control Of Bladder. Related To Humira?

Thank you for your question Adalimumab (HUMIRA) is a fully human TNF-alpha monoclonal antibody approved for the treatment of rheumatoid arthritis and undergoing trials for use in treating other conditions, including psoriasis and psoriatic arthritis & listen prolonged use of inj.humira 0.8ml s.c. leads to infection increase in body, bronchitis leads because of that & with age relation,start tab.predinsolone 10mg 1-1-1-1- on 1st day 4 dose,1-1--1 on 2nd day 3 dose,1-1 on 3rd day 2 dose,from 4th day one dose of predinsolone use for next 7 days,this is for acute bronchitis & use only paracetamol for fever,mostly cause of bronchitis is viral so that do not use antibiotics hanse stop cefidinir,ELEVATION OF LIVER ENZYME IS DUE TO LIPITOR, SO THAT ADJUST DOSE or REDUSE DOSE.