Hi Barbara
Rheumatoid is a dynamic disease that morphs...this is why what helps today msu not help tomorrow.
By observing a person's reaction to a drug, we can learn a lot about the rheumatoid in their body.
Sjogren's can be a primary immune disorder or a secondary immune disorder to a primary disorder such as rheumatoid.
Because both Sjogren's and rheumatoid are diseases where our body does nor recognize itself, both diseases respond to many of the same medications which reduce inflammation.
Eyes can become so dry that the cornea may dry which can produce blindness. In 1987 I underwent bilateral (both) occlusion of the lower tear ducts.
The tears in our eyes are comprised of three layers...oil, water, mucus...dry eyes manifest when we lose the water layer. To avois further surgery, I have successfully used Restatis for more than a decade. Other alternatives include temporary tear duct plugs and frequent eye drops.
Restatis reduces the inflammation that causes dry eyes...it is effective. Restatis is not a cure.
So, back to rheumatoid...Both Enbrel and Humira are TNF driven...Tumor Necrosis Factor. Individuals whose rheumatoid favorably responds to either Humira or Enbrel is said to have TNF driven rheumatoid.
Rituximab is a monoclonal antibody against the protein CD20. For those who respond favorably to Rituximab, we say their rheumatoid is CD20 driven
Rheumatoid may be successfully treated with an NSAID...Non Steroidal Anti Inflammatory...Orudis. Feldene, Naproxin, Naprosin, Indomethacin, Butazolidin to just name a few.
or
Steroids...prednisone, methylprednisolone, budesonide are just three
or
DMARD & Biologics..disease Modifying Anti Rheumatic Drug...this class of medications modify the way the disease behaves...methotrexate, hydroxychloroquine, sulfasalazine, Orencia, Remicade, with methotrexate being the gold standard and rituximab which is typically an infusion.
With the advent of Enbrel in the mid nineties, the face of rheumatoid radically improved. Those who face this disease today should never face the full fury of this disease.
Nevertheless, matching a sufferer with the best medication continues to take time. Work with your rheumatologist to fine tune your effective treatment....DMARDs and biologics mean your rheumatoid may one day be driven into remission.
After 54 years of juvenile rheumatoid that has ravaged my body and left me deformed, I enjoy relative quiet. And once things quieted down, I forgot about the times it raged.
May your quiet time come quickly
kind regards