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Treatment of RA with stage 3 renal disease

Posted by kaleigh95 @kaleigh95, Feb 26 8:31am

I currently have stage 3 renal disease along with RA. What treatments have been successful for anyone with this combination? My rheumatologist will not permit long term Prednisone use but taking Methotrexate appears to be damaging to my kidneys. Thank you in advance for your input.

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Mentor
Ginger, Volunteer Mentor | @gingerw | Feb 26 4:02pm

@kaleigh95 Welcome to Mayo clinic Connect! Many of us who live with chronic kidney Disease, have additional health concerns to deal with, so please know you are not alone.

What I have found in my experience, is having a good medical team around you, is of utmost importance. If you do not have a nephrologist yet, I strongly recommend you get one on your team. Ask that your rheumatologist and nephrologist work together to develop a treatment plan that will be beneficial to you, and minimize any harmful side effects to your kidneys. You are smart to be looking at all of this! For example, my oncologist and nephrologist work together to get me the best treatment plans given my kidney disease. My cancer treatment could be more aggressive, but it would really take a toll on me for my kidney issues, so we don't do that.

Sometimes, even when we try the hardest we can, a treatment for one condition can have side effects on another condition. I hope your doctors will get together and plan a good course of treatment for you. How are you feeling today?
Ginger

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1 reply
kaleigh95 | @kaleigh95 | Feb 27 10:23am
In reply to @gingerw "@kaleigh95 Welcome to Mayo clinic Connect! Many of us who live with chronic kidney Disease, have..." + (show)
@gingerw

@kaleigh95 Welcome to Mayo clinic Connect! Many of us who live with chronic kidney Disease, have additional health concerns to deal with, so please know you are not alone.

What I have found in my experience, is having a good medical team around you, is of utmost importance. If you do not have a nephrologist yet, I strongly recommend you get one on your team. Ask that your rheumatologist and nephrologist work together to develop a treatment plan that will be beneficial to you, and minimize any harmful side effects to your kidneys. You are smart to be looking at all of this! For example, my oncologist and nephrologist work together to get me the best treatment plans given my kidney disease. My cancer treatment could be more aggressive, but it would really take a toll on me for my kidney issues, so we don't do that.

Sometimes, even when we try the hardest we can, a treatment for one condition can have side effects on another condition. I hope your doctors will get together and plan a good course of treatment for you. How are you feeling today?
Ginger

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Thank you so much, this is extremely helpful information. I will discuss this with my rheumatologist.
My days are up and down, primarily due to edema. The only thing that helps is Prednisone, but my rheumatologist has told me I cannot have any sort of long term usage.
Thank you again for the response. I truly appreciate it.

REPLY
lemi1952 | @lemi1952 | Mar 2 10:28am

My rheumatologist gives me an infusion of Simponi Aria every 8 weeks for RA and Psoriatic Arhitis. Methotrexate was dashing my kidneys also and I cannot take Prednisone nor any cortisone. The infusion works for me. I am 73 years old.

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