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@ksnak

My RA journey began in 1995. I have had fairly good success with treatments but have dealt with chronic pain and physical changes for nearly 30 years. I started treatment with Prednisone and Vioxx. I feel fortunate that I was newly diagnosed when Enbrel (one of the first biologica) was approved for RA treatment. Vioxx was great but it was discontinued and I have been taking Celebrex since then. Enbrel worked initially but became ineffective quickly. I was then prescribed Remicade (my wonder drug) and Methotrexate which I took for 7 years successfully. I only stopped to try to get pregnant. I was unable to conceive after 2 1/2 years of trying with fertility treatments so went back to Remicade but unfortunately it wasn’t as effective. I then tried Rituxan and was pretty well controlled with this medication and methotrexate for 15 years. In 2023 I was infected with Covid two weeks after my dosing and developed Covid pneumonia and had severe illness that required hospitalization and 24/7 oxygen therapy for months. I was treated with high doses of steroid which helped control my RA but not the pneumonia. A pulmonologist prescribed Cellcept which helped control the RA and treated the pneumonia. I now have interstitial lung disease. I have low IgG level possibly caused by Rituxan and maybe why my Covid was so severe . I opted not to go back on Rituxan because of this and the fact that the drug’s effect lasts for six months. I opted for a medication with shorter effects so I can stop it if I become ill in the future. I will be starting Simponi very soon. If anyone has experience with this medication I’d like to hear about it.

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Replies to "My RA journey began in 1995. I have had fairly good success with treatments but have..."

@ksnak Welcome to Mayo Clinic Connect! I tried a search of the discussions, looking for simponi, but this is the only one I found.
https://connect.mayoclinic.org/discussion/i-was-diagnosed-with-as-four-years-ago-have-suffered-pain-since-20s/
You can try looking for more by entering ‘simponi’ at the top of the page. But I’m sure that other members will see your question and answer you.
It’s too bad that you had to change drugs since rituxan was working so well. Let’s hope that simponi will do a great job for you!

What an ordeal!! I was diagnosed in 2012 and after Humira and then Enbrel and finally Remicade, I am very well controlled with only occasional flares. I do have repetitive issues with tethered tendons in both hands and migratory joint pain. But compared to many, I am very well controlled by Remicade.
My doc and I recently discussed trying a less dangerous drug. But I am familiar with what you describe - that if you stop an RA drug and then resume, it is very likely not to work as well. So I am making no changes.
I am not familiar personally with Simponi, but an acquaintance tried it and had to stop because it jacked up her blood pressure.

Hang in there and good luck!!!