Uncertain about medication path.

Posted by betsyhase @betsyhase, 2 hours ago

First diagnosed PMR but once I finally got to a Rheumatologist he said RA. I didn't tolerate Methotrexate so he suggested Orencia infusions. I seem to be tolerating it but my concern is how long can I expect to need this? Also, the cost is pretty high even with some coverage. I tried to ask about it and he got kind of defensive and said I could go back on Prednisone. which I am still taking 9mg and tapering 1mg per month.
Question, is there someone out here who is on Orencia? How long are you excepted to take this? Is Orencia really better than Prednisone. I guess I dislike the idea of infusions long term. Now I am alittle confused of the right path .

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tweetypie13 | @tweetypie13 | 2 hours ago

Look into Kevzara another biologic that treats RA.
I’m on Medicare and my RX plan covers after deductible.
Also Kevzara has some $$$ help, don’t know details
Kevzara takes upto 3 months to kick in.

Worth it to me 👍

seniormed | @seniormed | 1 hour ago

There is an at home self injection pen that is used once you have responded
to IVs of abatacept. There are other treatments available. Therapy is usually long term but depending on your age remission is possible. Insurance dictates
cost and sometimes for Medicare beneficiaries in clinic infusions may be less
costly than at home route!