Have you ever had "remission"? | Arthritis Information

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How long did it last? Were you completely symptom free? Were you able to stop taking meds?

 
My doctor wants me in remission for 4-6 months before I can get off the MTX in order to have another baby.
 
I am curious if remission is just a dream or if there is good success out there with it even if removing some meds.
[QUOTE=abbyrhoades] I've not been lucky enough to find remission, yet.  I'm working toward that goal!!
 
I'm curious as to why he said 4-6 months of remission before you can hve another child?
 
Most (not all) have greatly reduced or no symptoms during pregnancy.
 
That is something I would ask him about...   especially since you may not see medically induced remission... as not every one does..
 
good luck.

I had about 13 good years before my JRA showed it's ugly face again.  In 2001 I had a minor flare that only lasted a few months then settled down again.  I wasn't symptom free but felt pretty good from about July 2001 until last May when the mother of all flares hit.  Since then it's been a real rollercoaster ride.  Nothing seems to work except massive doses of prednisone which is not good.  I didn't really fail Humira so much as my PCP talked me into having the RD switch it back to Enbrel after ending up with shingles on humira.  He said it was just way to potent.  I don't know why I agreed with him but I did what he asked.  Now I'm afraid if I try Humira again it won't work because I've been exposed to it, however briefly, and may now have antibodies against it. 

I agree with suzanne and babs...different docs have their own criteria for remission.  And sometimes RA can even go into remission on it's own.  That certainly seemed to be what happened to me so many years ago.
 
Good luck
Bob
Well he wont MAKE me go into remission but he wants to see me in remission before he takes me off of the drugs. When I went to see him I was untreated for like 5-6 months because I cant take NSAIDs (I have a minor kidney disease) so I was a pretty pathetic case when I went in. He put me on meds (MTX) for the first time in Sept... but then they stopped working by end of Nov and so then I had to get authorized through my insurance company to get on Humira which I started in Feb (which seems to be working good) and ideally I wanted to try to get pregnant in March-June but since he was still trying to get my arthritis under control he wanted me to wait since we had JUST started treatment and I was finally seeing results.
 
I can not get pregnant on MTX because its a category X and its got to be out of my system at 6-8 weeks BARE minimum or I run a REALLY high risk of *major* birth defects or miscarriage. The doc said basically it would be a "mandatory abortion" (exact quote) if I got pregnant on MTX. He said it was like driving the wrong way on the freeway when it comes to pregnancy.
 
So anyways he wanted me to at least have a few months of it being in remission or under control before we started weaning off the MTX in preparation to try for another kid. Of course, even if/when that time comes, if I start to flare up again badly when I start weaning off the meds, it wont really matter because I want another kid and thats what I will have to deal with until I am done with this phase in my life. He just said my chances of getting my arthritis under control first are better the longer I can be in remission.

So thats kind of my story...

...and by remission he means symptom free...

Wow Abby, how frustrating this must be for you! My youngest child is 3, but I was lucky enough to be diagnosed after my hysterectomy, which of course means no chance for more pregnancies. I know how badly I wanted my babies and I also know how much RA sucks. I am so sorry that you have to deal with both.
I would also like to know what exactly remission means, so I am interested in what other people post. Does it mean no symptoms whatsoever, or just a reduction of symptoms?
I hope you reach remission quickly Abby. (you share a name with one of my daughters. Such a great name ) I thought if you have RA it means drugs for the rest of your life.
I had what my doctor called a medicine induced remission for just under a year. All my blood tests were in normal range. I did still have fatigue and was not completely pain free but he called it remission.
When I had to go off MTX for an infection I lost it and have not been able to get back since. This has been since December 2008.

OOPS- I did not see you were just trying to go off MTX temporarily- to get pregnant. Best of luck to you!
wanttobeRAfree2009-03-29 05:35:46I was diagnosed as a teen and never achieved remission.  I went off mtx. 3 months before trying to get pregnant.  Dr. never tried for remession for pregnancy.  I don't think a dr. should use that as criteria-for many, it just won't happen.  It depends on your definition of remission. Like a lot of people, I had a very sudden and severe onset to my RA. Within a couple of months after onset, I could barely function. My RD started me on plaquenil, and within 6 months, my symptoms were virtually gone, and all my blood tests (including SED rate and CRP) were normal. I stayed in "remission" for nearly 8 years, while continuing to take plaquenil. Then, suddenly, my symptoms returned full force virtually overnight. My RD put me on MTX for a year, but it barely worked at all. Then he put me on Humira, which relieved my symptoms almost immediately. However, the inflammation markers in my blood continued to test high. After about 18 months, my blood tests finally returned to normal, and I've been in "remission" ever since. I continue to take plaquenil and MTX (10mg), along with the Humira, and doubt if I'll ever be able to quit taking them. However, I'm just happy to be symtom free ... for now.
[QUOTE=abbyrhoades]How long did it last? Were you completely symptom free? Were you able to stop taking meds?
 
My doctor wants me in remission for 4-6 months before I can get off the MTX in order to have another baby.
 
I am curious if remission is just a dream or if there is good success out there with it even if removing some meds.
[/QUOTE]
 
In December 2007, I was on MTX, Plaquenil, and prednisone and in my worst flare ever.  I don't think there was any part of my body that didn't hurt.  My RD decided to an Enbrel.  It worked almost immediately. At my next appointment with my RD three months later, we decided to slowly drop the MTX.  I reduced by 1 pill every two weeks.
 
I was symptom free.  No stiffness, no minor achiness anywhere.  I had energy again.  I didn't feel flu-like.  It was like I never had RA.  That lasted until about a few months ago.  Now, sometimes (not every week) I'll get an ache in one joint or two the day of, or day before I'm supposed to get my shot.  It's very minor and nothing I can't deal with.  I think this is really more due to the fact that I've been forgetting my morning Plaquenil. 
 
So, I have had drug-induced remission and it is wonderful!  I consider myself very lucky that Enbrel has made such a huge difference for me.
a thought:
Even if you do have drug induced remissions, once you stop your meds to conceive.. you will find yourself feeling the issues and discomforts of RA again.. I would have to think, is it fair for you to wait til then?  I don't understand your RDs logic....
 
I'm in clinical remission and have been for over 14 months.  It took me over 4 years to reach CR.  Clinical remission means:  No visible swelling on examination, less than 15 minutes of stiffness in the morning on arising, no inflammation of the synovium - shown by xray or MRI and normal lab work.  This is the criteria used to identify clinical remission.  All of components of this criteria need to be met before clinical remission is diagnosed.  Usually you can't stop medications that were used to achieve CR; you might be able to reduce your medication, but once you completely stop, then RA slowly becomes active.  There is the odd case that remains in remission but that's not the usual. 
 
Regarding your pregnancy, I don't have any suggestions, that's between you and your doctor.  Talk with your doctor about stopping your meds if you do achieve clinical remission.  I stopped for 5 weeks due to an abcessed tooth and had inflammation, pain, and swelling return fairly quickly.  I was really surprised.  I'm now in my 3rd week of meds, and symptoms are quieting.  I expect to be back at the same level as before.  Lindy
 
 
LinB2009-03-29 10:12:34I'm in remission right now, and have been for about a year.  I have to go get some x-rays of hands and feet just to make sure everything is still A-OK, but bloodwork, pain/stiffness (or lack thereof!) and general well-being all say remission.

I did have a bit of a flare a couple months back, but it was short-lived (perhaps a week or so).  I was also suffering from almost back-to-back illnesses: stomach bug, upper respiratory infection, ear infection... I don't think there was a single cell in my body that wasn't waving the white flag!

I have never had a remission in the 7 years I've had RA. Some years were a whole lot worse than others so new meds were started, but even in the not so bad years, I've never been symptom free nor fit the CR criteria listed above.

I did finally achieve clinical remission for my awful ulcerative colitis... another autoimmune disease that plagued me for over 20yrs, but it sort of morphed into severe IBS-diarrhea which is a functional disorder but still life alterating. It never ends..parden the pun.

I am very lucky that RA didn't hit me until after my hysterectomy. I had enough troubles with becoming pregnant with that UC and bad endrometriosis.

Regarding having a baby, I hope only good decisions and results about that for you.
CathyMarie 
[QUOTE=abbyrhoades]How long did it last? Were you completely symptom free? Were you able to stop taking meds?
 
My doctor wants me in remission for 4-6 months before I can get off the MTX in order to have another baby.
 
I am curious if remission is just a dream or if there is good success out there with it even if removing some meds.
[/QUOTE]
 
I'm in remission right now and yes, I am completely symptom free
 
Once the Rituxan kicked in I was able to stop taking Prednisone and then MTX.  So far, my Rituxan infusions have been almost 16 months apart...I think that is evidence of how well Rituxan has worked for me.
Not yet, but it is certainly my current goal. First control, then remission, then cure.

Best wishes, Shug

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