Is Humira safe for treating my rheumatoid arthritis?

Question

Hi doctor,

One year ago, I was diagnosed with RA. I believe that there is more going on. I am currently taking Methotrexate 20 mg once a week, Folic acid 1 mg daily, Hydrochlorothiazide 25 mg daily, and Cyclobenzaprine 10 mg twice a day. Also, I just began taking Celecoxib 200 mg for pain. I saw the RA physician yesterday, and they want me to start taking Humira. Additionally, I was given a Cortisone injection yesterday. My symptoms are as follows: I am having circulation difficulties. All ten toes feel partly numb. I am losing muscle mass and becoming weak. I also feel an icy cold sensation in my ankles and the front of my legs. This morning, I had that same sensation in my chest. Over the past six months, I have developed lumps of various sizes on all my muscles, which appear to run along meridians. When I push on them, it feels as if I am pushing on a bruise. I include my blood panel, which was taken a week ago. I feel like something is going on in my lymphatic system. I need a second opinion.

Answer 1

Hi,

Welcome to icliniq.com.

Based on your query and the attached report (attachment removed to protect patient identity), my opinion is as follows:

The C-reactive protein level is highly elevated, indicating an ongoing high level of damage in the tissues of the body.
Now, the immediate need is to reduce inflammation and thereby any further harm. Immunomodulators like Humira (Adalimumab) and immunosuppressants like Cortisone are essential. Your doctor is right in trying to control the inflammation, and hence, the treatment is necessary.
The lumps you might be feeling are called rheumatoid nodules. They usually form around joints. They are secondary to inflammation, and the more the inflammation, the more nodules.
Do start the treatment as advised.

Answer 2

Hi,

Welcome back to icliniq.com.

Thank you for your appreciation.

I am happy to help you anytime and will try to reply as soon as possible.