Has anyone here ever switched from Enbrel to Rimacaid, and had to go through what they call a flushing out period. My RD's nurse said I have to go six weeks before starting Rimcaid. Tell me how in the Hell do you do that. Thats why I am switching I can't get any releif. I am off the Mtx. Enbel is not even touching this pain. I have to take a pain pill to even get out of bed. NutI did. My dr. upped my pred during the time period. You also have to remember, that Remicade can take up to 6months to really take effect. But, it was worth it in the end. I went through the same thing while switching to the Orencia. My Rd told me not to worry about the pred. use during this time period. I also did PT while waiting for the Orencia. The ultrasound treatments helped with pain and inflammation.