Type 2 Daibetes, Rheumatoid Arthritis

greeneyesmd33
By greeneyesmd33 Latest Reply 2012-01-22 09:46:36 -0600
Started 2012-01-22 07:08:28 -0600

I have a big problem. I have both Type 2 Diabetes and Rheumatoid Arthritis. I am constantly getting sick because of my compromised immune system. I was taking Methotrexate for my RA, but it was working agianst my Diabetes meds. Is there anything that anyone can suggest to me for these 2 problems?


4 replies

Lydickk
Lydickk 2012-01-22 07:37:34 -0600 Report

YES ! ! ! (As long as there is no issue with your other meds) Force you doctor to consider prescribing Enbrel which is for RA and also used for to treat moderate to severe psoriasis. I have type 2 and am currently taking Enbrel for severe psoriasis. While it does lower your immune system it isn't apparently as bad at Methotrexate since the constant monotoring isn't required with it. FYI - Methotrexate is counter-indicated for diabetics, the obese, and individuals with alcohol problems. Based on my current medical history (diabetic and obese) and past alcohol history (extremely heavy bing drinking for literally years over 20 years ago) it was a drug I should never have even been considered for when I developed severe psoriasis. I had to refuse to use Methotrexate and switched dermatologists when the first one with Kaiser Permanente was insisting that Methotrexate was fine for me to use based on my current liver function panel. Enbrel is extremely expensive since it is a biological medicine (live protein) and it has to be kept refrigerated. The good news is that Enbrel has an assistance program that picks up the remaining monthly copay for people with insurance for the 1st 6 months of treatment, then all but $10 of the monthly copay for the next 6 months. You can reapply for the future assistance as your first year runs out. The support program will pick up the entire cost up to a set dollar amount per month (I think it's around $7,000) for those without insurance. There are some restrictions, i.e. won't cover for those receiving government assistance. Check it out at Enbrel.com and then get with your doctor to see about a prescription.

greeneyesmd33
greeneyesmd33 2012-01-22 09:32:20 -0600 Report

Ok, thank you, I will look into that. I am already on insulin that I take a shot every night. I'm not really keen on needles and have to psych myself up to take it. I know someone that is on Enbrel and she said that she has to pay $1500 every 3 months and she has the same insurance (at work) as I do. But I will look into it.

Lydickk
Lydickk 2012-01-22 09:46:36 -0600 Report

Have your friend check into the Enbrel Support program also. Doctors and the pharmacy do not tell us that the program is available. I found out through the Enbrel website. My insurance picks up all but the copay and Enbrel picks up the copay entirely for the first 6 months and then I have a $10 copay for the next 6 months. You can call them now for details. They are very helpful. Their number is on their website - it is 1-888-436-2735 and they are there 24/7.

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