What was your experience on Kevzara?

Posted by healthy56 @healthy56, Sep 14, 2024

I am curious about other’s experience with KEVZARA. I am currently taking 11 mg of Prednisone, down from 60 mg in April 2024. I am continuing to experience pain and stiffness daily, especially in the late evening and the morning. I am also fatigued most days. I am on an anti-inflammatory diet, walk daily and do a little restorative yoga. My Rheumatologist suggests going back up to 12.5 mg but I do not think that will be helpful as it will only lengthen the time I am on a drug that appears to not be helpful. She has suggested KEVZARA and we are now waiting on approval from my insurance company. My questions are: should I wait a bit and stay at 11 mg to see if anything changes (I have been on this dose for 4 weeks) before I start KEVZARA? Is it too soon in my treatment to start a biologic? It seems as tho my autoimmune system is not responding to the Prednisone or maybe I need more patience? My doctor was vague on these questions. Thank you in advance, I really appreciate this forum!

Interested in more discussions like this? Go to the Polymyalgia Rheumatica (PMR) Support Group.

I found sparingly using Mupirocin ointment 2% on all cuts, infections, bruises and other skin irritations has really helped keep all these as non issues and promoted fairly quick healing. I have been on Kevzara and off predisone for 3 years.

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Profile picture for linnead @linnead

I think I did 1 mg every two weeks. So the first month I went down to 3 mg from 5. Second month same thing, 1 mg every two weeks. After two months on Kev, I was at 1 mg of prednisone. Another two weeks and I was done with prednisone. My rheumatologist said some people drop 1 mg per week but that just sounded too fast. I was lucky. I feel the Kevzara went right to work on my behalf. Best wishes to you as you continue the journey!

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@linnead
I’m on 5 mg of prednisone and I tried going to zero after a year but it didn’t work! So I will be trying Kevzarro soon. Is there anything I should expect with this medicine. I’m also waiting to see if insurance will cover it. cost is $5,000.00. If no coverage I will have to find something else!!! Way too expensive!!!
JudyJ

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Profile picture for eparnold0219 @eparnold0219

Is Kevzara a "must be on it for rest of life" drug"?

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@eparnold0219

Maybe you will need Kevzara "long term" --- but not always.

The general idea is to taper off Prednisone within the first year and then to wean off of Kevzara during the second year.

It didn't work that way for me. I have been on Actemra (tocilizumab) for 7 years. My last dose of Prednisone was more than 5 years ago. My rheumatologist has no current plan to stop Actemra although we have tried in the past.

At least my side effects from Actemra are minimal compared to the side effects I had during my 12 years on Prednisone. After my first year or two on Prednisone, my rheumatologist wanted me to taper off Prednisone except I couldn't.

The nice thing now is that my rheumatologist never tells me I need to taper off Actemra. I could stop Actemra but I'm not dependent on Actemra because it doesn't suppress my adrenal function.

I'm usually asked WHY do I want to discontinue Actemra because it is working well. I don't have any PMR flares anymore AND my adrenals are no longer suppressed.

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Profile picture for judy15 @judy15

@linnead
I’m on 5 mg of prednisone and I tried going to zero after a year but it didn’t work! So I will be trying Kevzarro soon. Is there anything I should expect with this medicine. I’m also waiting to see if insurance will cover it. cost is $5,000.00. If no coverage I will have to find something else!!! Way too expensive!!!
JudyJ

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@judy15
Check Kevzara site for financial help. Loved it.
Easy peasy for me, one shot bi weekly by myself in my belly. Got off prednisone within the 3 month initial period.

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Profile picture for Mike @dadcue

@eparnold0219

Maybe you will need Kevzara "long term" --- but not always.

The general idea is to taper off Prednisone within the first year and then to wean off of Kevzara during the second year.

It didn't work that way for me. I have been on Actemra (tocilizumab) for 7 years. My last dose of Prednisone was more than 5 years ago. My rheumatologist has no current plan to stop Actemra although we have tried in the past.

At least my side effects from Actemra are minimal compared to the side effects I had during my 12 years on Prednisone. After my first year or two on Prednisone, my rheumatologist wanted me to taper off Prednisone except I couldn't.

The nice thing now is that my rheumatologist never tells me I need to taper off Actemra. I could stop Actemra but I'm not dependent on Actemra because it doesn't suppress my adrenal function.

I'm usually asked WHY do I want to discontinue Actemra because it is working well. I don't have any PMR flares anymore AND my adrenals are no longer suppressed.

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@dadcue
We are all different, but good to know what others are going through and the length of time this might take@! So helpful! Actemra is a potential drug in my future but you are the first one I read to mention it. So helpful annd best wishes to you!

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Profile picture for judy15 @judy15

@linnead
I’m on 5 mg of prednisone and I tried going to zero after a year but it didn’t work! So I will be trying Kevzarro soon. Is there anything I should expect with this medicine. I’m also waiting to see if insurance will cover it. cost is $5,000.00. If no coverage I will have to find something else!!! Way too expensive!!!
JudyJ

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@judy15 I’ve been on Kevzara for 2 years & was able to get off of prednisone after a few months. I’m on Medicare now but was on private insurance when I started. First you need to get your doctor to send a letter of medical necessity to the insurance company (with Medicare too) then with private insurance the manufacturer has an excellent program to assist with the cost of the drug. Go on their website. Also ask your doctors office for help, mine did everything for me. Good luck, it’s worth it!

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Don't have knowledge of all the pitfalls of kevzara..for me , it let me return to a normal life..after 20 years finally able to excercise, finally no anemia and perfect blood work. Warning:the shots are painful,

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Profile picture for jsue @jsue

Don't have knowledge of all the pitfalls of kevzara..for me , it let me return to a normal life..after 20 years finally able to excercise, finally no anemia and perfect blood work. Warning:the shots are painful,

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@jsue
Are you using the pen or prefilled syringes? The reason I'm asking is because most people don't mention or consider their shots being painful and I'll be starting kevzara soon. Some do mention pain of course, and some mention reactions to the shot either from their choice of shot location or intolerance.

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Profile picture for kjoed53 @kjoed53

@jsue
Are you using the pen or prefilled syringes? The reason I'm asking is because most people don't mention or consider their shots being painful and I'll be starting kevzara soon. Some do mention pain of course, and some mention reactions to the shot either from their choice of shot location or intolerance.

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@kjoed53 i too have nit read much here abt pain.
I have no pain with shots. I do the stomach around belly button. I’m sitting with stomach protruding, pinch skin and inject. My Dr warned me not to tense up…..good luck.

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Profile picture for tweetypie13 @tweetypie13

@kjoed53 i too have nit read much here abt pain.
I have no pain with shots. I do the stomach around belly button. I’m sitting with stomach protruding, pinch skin and inject. My Dr warned me not to tense up…..good luck.

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@tweetypie13
I'll need the luck. My rheumatologist still has not sent in the script for my kevzara, which he was supposed to do last Thursday. I'm thinking of finding a new one.

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