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Kevzara (sarilumab) to treat PMR

Polymyalgia Rheumatica (PMR) | Last Active: Aug 24 6:34am | Replies (162)

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@dadcue

I'm sorry you weren't able to continue taking Kevzara.

If your preexisting condition was another autoimmune condition maybe a different biologic would work. I have another autoimmune condition called uveitis. The IL-6 inflammation pathway isn't implicated so much for uveitis. In my case, Kevzara isn't likely to work for uveitis but an IL-6 inhibitor worked extremely well for me to treat PMR.

Multiple autoimmune conditions create a dilemma. What works for one condition might not work for the other condition. Taking two biologics is not an option.

There are several preexisting medical conditions when Kevzara isn't recommended. The following are the conditions I'm aware of.

Liver:
Kevzara isn’t recommended if you have a liver problem, such as hepatitis. This is because using this drug may worsen your liver problem.

Diverticulitis:
During Kevzara treatment, it’s possible to develop a gastrointestinal (GI) perforation (hole or tear in an intestine or the stomach). If you have a condition called diverticulitis, you may have an increased risk of this tear. Your doctor can help you weigh the pros and cons of Kevzara treatment.

History of tuberculosis (TB) or recurring infections:
Be sure to talk with your doctor if you’ve had tuberculosis (TB) or have any infections that keep returning before starting Kevzara.

Use of corticosteroids or NSAIDs:
This one is debatable because most people are taking Kevzara to enable them to taper off prednisone.

If you already take a corticosteroid or nonsteroidal anti-inflammatory drug (NSAID), you may have an increased risk of developing a gastrointestinal perforation while you use Kevzara. I don't think this risk applies to Kevzara alone but I don't know for sure.

Many people taking long term prednisone are already at risk of having gastrointestinal (GI) problems.

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Replies to "I'm sorry you weren't able to continue taking Kevzara. If your preexisting condition was another autoimmune..."

@dadcue, thanks so much for your post. This info was provided to me by the Kevzara representative that helped to get me the discounted rate at the start of the medication consideration. Unfortunately, I did not know that I had benign hepatic liver cysts before I started Kevzara. I was informed that I had probably had them all my life without any issues. I started feeling some discomfort in my abdomen after the 2nd injection and my very in tune rheumatologist did not ignore the comment and halted the medication and referred me to a gastroenterologist for testing. Kevzara can actually grow the cysts and cause the need for surgery so it is not recommended for anyone with that history. I am very fortunate that it was caught early and appears to have resolved itself but I am still being closely monitored. Thanks so much for doing the dig that could save someone else from going through this kind of problem. Blessings!
Sandi