Actemra

Posted by hoosierlarry @hoosierlarry, Jul 8 6:34am

The more I read about all the crap that can go wrong with this medication the more questions I have. it says you need constant blood tests. OK. What blood tests, how often.
It seems like since everyone reacts differently that we are all on our own identifying side effects and when you take action on them.
I start the med on 8/18 .
The other question is why infusion versus shot???

Interested in more discussions like this? Go to the Autoimmune Diseases Support Group.

I don't have any experience with Actemra but while you wait for others with experience this article might help answer some of your questions - Actemra dosage: Forms, strengths, how to use, and more: https://www.medicalnewstoday.com/articles/drugs-actemra-dosage.

You also might want to scan through the many other discussions and comments from members who have experience with Actemra. Here's a search of Connect with the links - https://connect.mayoclinic.org/search/?search=+Actemra

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I started my Actemra infusions in January 2024. I chose the infusions. If I would have gone the shot route, my Medicare Part D would come into play. I would have had to deal with co-pays. I'm not even sure if my prescription plan would have covered them. I know that Kevzara is not approved in my plan. My Medicare and supplemental pay for the infusions, since they are administered in a medical setting. As far as bloodwork and frequency, your doctor should know what the manufacturer recommends, and include that in an order for the bloodwork. I double checked my required bloodwork and frequency yesterday, when I got my infusion. My rheumatologist followed the recommendations that the manufacturer recommends. As far as side effects, I have not had any. I have kept a health journal since June 2024, when I was first diagnosed with PMR/GCA. That's when I started on 60 mg. of Prednisone. I listen to my body and if something that doesn't seem right persists, I contact my rheumatologist. (The practice has texting set up. When I have questions/concerns, I send a text that is forwarded to the PA. I usually get a response the same day.)

Actemra has been a game changer for me. I've been able to step down my Prednisone from 15 mg. to 5 mg., without any flares. I feel so much better. I'm not 100%, but I'm 100% better than last summer. Good luck to you.

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Profile picture for ropnrose @ropnrose

I started my Actemra infusions in January 2024. I chose the infusions. If I would have gone the shot route, my Medicare Part D would come into play. I would have had to deal with co-pays. I'm not even sure if my prescription plan would have covered them. I know that Kevzara is not approved in my plan. My Medicare and supplemental pay for the infusions, since they are administered in a medical setting. As far as bloodwork and frequency, your doctor should know what the manufacturer recommends, and include that in an order for the bloodwork. I double checked my required bloodwork and frequency yesterday, when I got my infusion. My rheumatologist followed the recommendations that the manufacturer recommends. As far as side effects, I have not had any. I have kept a health journal since June 2024, when I was first diagnosed with PMR/GCA. That's when I started on 60 mg. of Prednisone. I listen to my body and if something that doesn't seem right persists, I contact my rheumatologist. (The practice has texting set up. When I have questions/concerns, I send a text that is forwarded to the PA. I usually get a response the same day.)

Actemra has been a game changer for me. I've been able to step down my Prednisone from 15 mg. to 5 mg., without any flares. I feel so much better. I'm not 100%, but I'm 100% better than last summer. Good luck to you.

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Thank you for your post. It is extremely helpful. I was diagnosed with GCA in November 2024. I started on Actemra injections in March of this year. At that time I was down to 20mg of prednisone from 70 mg when it was first prescribed in early October of 2024 when it was suspected that I had CGA.

I am curious that you are still on 5mg of prednisone. My last taper was down to 2.5 mg three weeks ago and this past Sunday I stopped it all together as prescribed by my rheumatologist. I am feeling pretty lousy right now and I am suspecting that it is from the prednisone withdrawal. I am wondering if the plan is for you to stop prednisone altogether and if not, why you are continuing on the prednisone still.

I look forward to hearing back from you.

Thank you.

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Profile picture for yizzy55 @yizzy55

Thank you for your post. It is extremely helpful. I was diagnosed with GCA in November 2024. I started on Actemra injections in March of this year. At that time I was down to 20mg of prednisone from 70 mg when it was first prescribed in early October of 2024 when it was suspected that I had CGA.

I am curious that you are still on 5mg of prednisone. My last taper was down to 2.5 mg three weeks ago and this past Sunday I stopped it all together as prescribed by my rheumatologist. I am feeling pretty lousy right now and I am suspecting that it is from the prednisone withdrawal. I am wondering if the plan is for you to stop prednisone altogether and if not, why you are continuing on the prednisone still.

I look forward to hearing back from you.

Thank you.

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Sorry to hear you're feeling lousy. I was tapering 1mg every 2 weeks, until I got to 5 mg. I wanted to stay at 5 for a month. I want to make sure that my adrenals wake up. I don't think the actemra assists the adrenal glands. It's allowed me to taper, without a flare. I had a flare in December, when I got to 10 mg. I have an appt with my rheumatologist on Monday. I plan on starting 4 mg, on Tuesday. She let's me control my prednisone dosage, as I see fit. Good luck to you.

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And, yes, my intention is to get to zero mg.!

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Looks like I have a ways to go. Im tapered down to 12.5 from 40 in May. Go to 10 mg in a week. I tested my Cortisol and it is in normal range. Goal from RA doc is to get to 7.5mg when I am scheduled to start the Acterma in August.
Im actually going to appointment at Mayo Clinic end of month

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Profile picture for yizzy55 @yizzy55

Thank you for your post. It is extremely helpful. I was diagnosed with GCA in November 2024. I started on Actemra injections in March of this year. At that time I was down to 20mg of prednisone from 70 mg when it was first prescribed in early October of 2024 when it was suspected that I had CGA.

I am curious that you are still on 5mg of prednisone. My last taper was down to 2.5 mg three weeks ago and this past Sunday I stopped it all together as prescribed by my rheumatologist. I am feeling pretty lousy right now and I am suspecting that it is from the prednisone withdrawal. I am wondering if the plan is for you to stop prednisone altogether and if not, why you are continuing on the prednisone still.

I look forward to hearing back from you.

Thank you.

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Welcome to Mayo Clinic Connect @yizzy55! I’m glad you found us. Not to worry about prednisone dosages, they change all the time. And they are hard to get off! I just now tapered off after 7 years! Every time your disease gets a little bit out of control, you start pred again.
Are you having any side effects from the prednisone?

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Profile picture for ropnrose @ropnrose

I started my Actemra infusions in January 2024. I chose the infusions. If I would have gone the shot route, my Medicare Part D would come into play. I would have had to deal with co-pays. I'm not even sure if my prescription plan would have covered them. I know that Kevzara is not approved in my plan. My Medicare and supplemental pay for the infusions, since they are administered in a medical setting. As far as bloodwork and frequency, your doctor should know what the manufacturer recommends, and include that in an order for the bloodwork. I double checked my required bloodwork and frequency yesterday, when I got my infusion. My rheumatologist followed the recommendations that the manufacturer recommends. As far as side effects, I have not had any. I have kept a health journal since June 2024, when I was first diagnosed with PMR/GCA. That's when I started on 60 mg. of Prednisone. I listen to my body and if something that doesn't seem right persists, I contact my rheumatologist. (The practice has texting set up. When I have questions/concerns, I send a text that is forwarded to the PA. I usually get a response the same day.)

Actemra has been a game changer for me. I've been able to step down my Prednisone from 15 mg. to 5 mg., without any flares. I feel so much better. I'm not 100%, but I'm 100% better than last summer. Good luck to you.

Jump to this post

My experience is very similar to @nopnrose. I was diagnosed with PMR and GCA in late June 2024. I started with 60 mg prednisone, and about 6 weeks later I started taking weekly injections of Actemra. I have a Medicare Advantage plan that covers Actemra with prior approval.

I wouldn't say that taking Actemra requires constant blood tests. I have a rheumatology appointment every 3 months, and have a blood test before each one. The blood tests mainly monitor inflammation levels, but sometimes they check liver function and cholesterol levels. I haven't had any issues related to Actemra.

Actemra has allowed me to taper the prednisone to 2 mg per day. I'll drop down to 1 in 4 days. I hope to be through with prednisone in a month. Unlike @nopnrose, I would say I am at 100% now. I feel much better now than I have in several years. Getting below 3 mg per day of prednisone made a big difference in how I feel each day.

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My RA doctor is wanting to do infusions I believe monthly. Seems like oral doses is much easier. I have ways to go to get to real low pred dose. Currently at 12.5 going to 10 this week. Seems like until you get much lower that you really do not get clear indication as to how controlled disease is.

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Profile picture for jeff97 @jeff97

My experience is very similar to @nopnrose. I was diagnosed with PMR and GCA in late June 2024. I started with 60 mg prednisone, and about 6 weeks later I started taking weekly injections of Actemra. I have a Medicare Advantage plan that covers Actemra with prior approval.

I wouldn't say that taking Actemra requires constant blood tests. I have a rheumatology appointment every 3 months, and have a blood test before each one. The blood tests mainly monitor inflammation levels, but sometimes they check liver function and cholesterol levels. I haven't had any issues related to Actemra.

Actemra has allowed me to taper the prednisone to 2 mg per day. I'll drop down to 1 in 4 days. I hope to be through with prednisone in a month. Unlike @nopnrose, I would say I am at 100% now. I feel much better now than I have in several years. Getting below 3 mg per day of prednisone made a big difference in how I feel each day.

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Glad to hear your taper is going well @jeff97 ! Question. Do you still have any aches and pains? My inflammatory markers are normal, but I still get some hip, wrist, and shoulder pain. I just started 4 mg. Prednisone today. I was on 5 mg. for over a month, before I stepped down.

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