anyone here fail AP? | Arthritis Information

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I'm frustrated because my biologics are taking a long time to kick back in.  So, I'm growing more and more interested in AP therapy.  Has anyone tried it and failed?  If so, can you give me some specific information.  I'm not trying to be overly skeptical, but it seems that if it worked as well as they say, we'd all be on it?  My Rd didn't even suggest it.  I'm wondering if that is because it isn't mainstream?

What are your thoughts?

Phatgirl2

Anyone?

Hello.  Yes, I tried AP.  I was on it for almost a year.  It did nothing for me.  I'm still with the same Rhemy and now he is trying Vit D therapy.  He says Vit D will kill the bacteria associated with RA.  My first week on Vit D I had a horrible flare.  (He said that would happen).  Now I am back to how I was before starting Vit D with no improvements.  So I don't know....my next thing is drugs.  I don't want to have to take them but I don't know what else to do.  This RA is ruining my life!

I know of people that had great success with AP therapy.  Maybe you should give it a try.  Hopefully you will be one of the lucky ones!  I'm sure you already know of this website but it is all about AP.  www.roadback.org  

Good luck!

LynnAnn,

Thanks for the input.  I'm not going to try it yet, but I'm thinking about my options. All I know is that i'm absolutely miserable.  I'm only 36 years old and can't imagine spending the rest of my life like this!  So, I'm trying to do some research and make a plan.  Thanks again,

Phatgirl

If you're doing some research you might find this link interesting.  I'm not anti-AP, but I think it's good to look at both sides and this article discusses some of the risks and concerns with antibiotics, including long term low dose use for RA and other diseases.

http://www.discover.com/issues/nov-05/features/are-antibioti cs-killing/

Alan

If you try AP, you really got to stick with it. It took two years for mine to go into remission and I have heard that it can take 5 years. It is different for everyone.

I know that AP has been around along time and I don't know why it isn't the first line of attack. It really frustrates my AP doctor but he has had a patient, in a wheelchair, from RA, out of the wheelchair and in remission. He is a strong believer and has been prescribing it for 15 years.

Becky

My rd said my RA is too advanced for AP and won't prescribe it.  It is scary as my body is showing a lot of damage in a short period of time.  Scary to experiment in my situation

I have a sneaking suspicion that my RA is too advanced for AP. I've only been dx since Oct '06 and I already have changes on my MRI.  I don't think I could be off all my meds to try AP.  I'm pretty miserable now and I'm on a host of stuff.  Thanks for the input guys/gals

Lori

I just wanted to let you know that those of us on AP having erosions etc. stay on our regular RA meds until the AP has taken over working.  One does not have to drop all other meds in order to try AP.  In my case if AP worked after I was crippled by RA what good would that do so my Dr. has me on RA meds to try to slow the progression and AP.  I figure if AP works that's great and if it doesn't it won't have costed me precious time.

Just a thought.

Sorry all...I just noticed that the link I posted to the Discover article only shows the title and first little bit of the article...don't know what happened to the rest.  (...at least on my computer).  Too bad, it was very interesting.  It pointed out that one of the risks of long term antibiotic use is that it continuously disrupts the bodies natural symbiotic relationship with bacteria that are very important to the way our body functions.  It also talked about how bacteria colonies compete for space and antibiotics can kill off benign bacteria colonies leaving less competition for more agressive and harmful bacteria to flourish.  Definitely food for thought.  I still think that the long term risk of antibiotic therapy is not well understood.  I'm certainly not saying that it is riskier than other medications like the biologics...but I'm not sure it's any safer.

Alan

I tried it for four months and no help. I started having major flares in joints that originally never bothered me. My dr suggested humira .....I had already fail several other meds and I wasn't gonna mess around so I tried the Humira. It was working well. I had 4 shots...Last one Jan. 5 and then got a cyst and had to go off for surgery. Still off while healing. My Uncle Arthur has been in full swing all the while. (RA)

Good luck with whatever you decide.

CinDee

I don't think you can call CinDee's experience a "failure" since she was only on it for 4 months and it usually takes a lot longer than that to work. Also, if you do some reading on AP you will find that the antibiotics cause a thing called the Jarusch Herxheimer Reaction (herxes) caused by a die off of bacteria, that are almost indistinguishable from flares, so she may have been herxing rather than flaring. You just don't know.

Many people do AP while on other drugs such as enbrel and eventually find they can reduce or stop the other drugs. No, AP does not work for everybody but show me an RA drug that does. I know that after researching it extensively and talking to other people doing it I have decided it's worth the risk. Although the effects of long term low dose antibiotic use is unknown, many people have been on AP for decades with no ill effect. You have to use probiotics while on this therapy, which replenish the "good" gut bacteria that the antibiotics kill off. The long term effects of drugs like enbrel and humira and remicade are also unknown. The long term effects mtx use are well known, which is why even though I'm doing well on mtx I want to do this AP. I am still taking both and plan to taper off the mtx as I do better. Even though I am taking a catious approach it's still scary, but if I respond well to the therapy the payoff is huge.

I am new to AP and still have a lot to learn about it. My advice to those considering AP therapy would be to become well informed. Read The New Arthritis Breakthough by Henry Scammel and visit websites like www.roadback.org and www.rheumaticsupport.net.

AP therapy is shunned by many medical doctors, but so were many prcatices in the past which have now becaome standard treatment, such as treating ulcers with antibiotics. There is a lot of politics and economical pressure around the issue. Some doctors become AP doctors because they or someone they love fell ill with an AI disease. Here is a story of one of those doctors. Also, I often listen to old radio broadcasts by Dr. Gabe Mirkin and the other day I heard this broadcast where he talkes about why he became an AP doctor. When I waver in my resolve about what I'm doing I listen to stuff like this. It's emotional and not that scientific of a broadcast but it's really heartfelt and I think it encaspulates a lot of what AP is about. It's a call in show and it's the segment right after the first one, which is about cell phone use. It's at 4 minutes and 51 seconds into the mp3.
Gimpy-a-gogo39146.4929861111

Phatgirl!

I'm an AP'er and I LOVE it.  Within a month most of my pain was gone and I could open a jug of milk again.  Over the next 6 months I got better and better (still tired as heck but I'm in a middle of a move and my hubby thinks its that).  I'm the AP poster child of how well this can work - if you luck out - and I did.  Most people do NOT luck out and it is said that you have to be on the meds 2 years to see if it is working.

Most people take AP on faith and hope and pray that it works.  They hang around with other APer's so when things aren't working right they can get guidance from others that have been down that same road.  They adjust their doses and their diets and whatever to MAKE this work.  Because either they do not want to take the regular RA drugs (me) or the regular RA drugs quit working for them and they have very little other options. 

From hanging out at www.roadback.org I've noticed a pattern to the AP journey.  They'll start AP, do good for a couple of weeks and get knocked on their butts - that's the beasties fighting back IMHO.  There is almost always a herx reaction that's big around month 3 (sounds like Cindee to me - sorry).  They continue to improve until they usually say they 'turned the corner' around month 6.  At a year they will say they are 90 - 95% better.  Those who did not take enough probiotics or systemic antifungals start getting ill again around month 18.  They can get worse and worse if they do not address these issues HARD AND FAST.  Of the people that make it to year 6-7 a small percentage need to rotate their ABX so that the beasties do not become resistant to the ABX.  Those of us intending to do AP will rotate our ABX to be on the safe side. 

Bonny is right - while in theory you should be off all regular meds - that can be crazy and you may need to wean them to get some sort of relief until you know it's working.  If you are persistant and patient you can get there.

Alan, there is a ton of new research showing many long term benefits to Antibiotics - including a seriously decreased chance of heart disease.  The tetracycline family ABX has been shown to stop colon and liver cancer in it's tracks.  It works on the supposedly incurable periodontal disease.  And to make it even better - I have wonderful skin now - no acne!

Would you be so kind as to copy and paste the article you posted that the link does not work for and post it here?  Who cares that it's long.  I'd like to read that for myself - but from your explanation it sounds like they are referring to the beneficial gut flora that are also killed on AP.  Since research has shown again and again that AI diseases 'start in the gut' - those of us with AI diseases PROBABLY have hyperpermeable gut linings that allow partially digested food molecules and toxins to enter the bloodstream instead of being expelled from the body.  Any hope for long term AP remission/cure needs to address those issues for a chance for success.  That is why even tho many AP docs do not say to take probiotics - we do - at 3 - 4 times the recommended dosage. 

I hope this is coming off friendly and pro-AP!  I'm slammed for time and have to go back to boxing stuff up. 

Pip

Pip!

Thanks for the input.  It sounds like you really have to be committed to make this work and that it may take quite some time.  I'm not sure I'm willing to feel that bad for that long to see if something "might" work.  It sounds great in theory, or for those who are lucky.  I feel bad enough on all these cruddy meds...of course, which is worse, meds or the disease?  Sometimes I wonder.  Anyhoo, thanks for another perspective and I'm glad it is working for you!

Phatgirl

I'd say the answer to AP or not AP should be determined on whether or not you think an infection triggered your disease.  If you suspect that at all - delaying AP and suppressing your immune system is probably the worst thing you could be doing.  The regular meds suppress your body's response to an infection.  But the infection is still there and growing and making more colonies in different organs and systems.  I think this is why we get so many multiple diagnoses - RA, thyroid, CFS, etc.  The microbes are still there and still reproducing.  I've noticed that RA'ers and AI disease people hang out on multiple boards.  I suggest making a stop on some of the AP sites.  There you'll see others struggling with beating this disease - and winning.  Hope...floats!

Pip

I don't think an infection triggered my RA, I think it was stress.  I am looking at some of the AP sites, but am very concerned about the "purging" of the disease, or whatever it is called.   The time you spend feeling really, really, really badly.  I don't think I can handle that, at least not right now.
Thanks for the input
Phatgirl

Ahhhh - herxing.  The idea scared me to death, to be honest.  I just figured I knew what started this (abscessed tooth and stress) and that I had to ride it out to get better long term.  There have been a ton of posts on the RB lately about maintaining on the regular meds and weaning off as AP kicks in. 

No pressure - just listen and learn.  I really feel AP saved my life - and if I could ever get finished packing I could actually START that life!

Pip

Hi all - Pip I really want to thank you for your ost - I started AP last of October - first of November time frame and in early February had the mother of all flares - felt soooooooooooo bad - my doc had me stop the mino for about a week and then started me on a lower dose - before that I could really tell the difference and since then I am once again feeling very good - pretty sure my RA was triggered by an infection so maybe that's one reason I am responding so well.  What ever the reason -I am all for it!!!  Now though I will be on the look out for month 18 or so - thanks again for the info.  I do take a probiotic and will check about rotating meds in a year or so - thanks again for all the info.  Hugs and good vibes.  I got an Antibiotic Protocol from a roadback volunteer that is supposed to minimize herxes by building up the mino very slowly. I know I might do better without my other meds but I also would like to get my rheumatologist on board a bit more and I think I will have better luck with that by using the tapering off method. Also, it helps me psychologically to ease into it.
Thanks for sharing your story 2manyaches. I love hearing about people's successes!
Gimpy-a-gogo39147.4894212963Today I found this other short article by Dr Mirkin discussing the treatment
of AI diseases with antibiotics that is a short and interesting read. I actually
just found it from looking at articles linked to www.rheumaticsupport.net,
but I wanted to share so here it is:

http://
www.drmirkin.com/morehealth/G221.html

Thanks for sharing that article.  Very interesting.  My rheumy said I can start on AP therapy in April.  I am hoping that it will work for me as I don't want to go to the stronger drugs.  I am on plaquenil right now.  She wants to keep me on the plaquenil and add minocycline. 

I was on omnicef (an antibiotic) a few weeks ago and had about 5 pain free days.  I forgot what it felt like to have no pain! I am hoping that means the ap therapy will help me!  Time will tell...

Laura, good luck with your new treatment! Here is a clinical study which shows minocycline to be much more effective than plaquenil in controlling RA. This study always floors me because when I was diagnosed I was given plaquenil right away and no one even mentioned minocycline let alone offered it as a treatment option, and yet it's proven to be often more effective.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve &db=pubmed&dopt=Abstract&list_uids=11665963& query_hl=12

[QUOTE=Bonny]

I just wanted to let you know that those of us on AP having erosions etc. stay on our regular RA meds until the AP has taken over working.  One does not have to drop all other meds in order to try AP.  In my case if AP worked after I was crippled by RA what good would that do so my Dr. has me on RA meds to try to slow the progression and AP.  I figure if AP works that's great and if it doesn't it won't have costed me precious time.

Just a thought.

[/QUOTE]

I am wondering why more docs don't try AP along with RA dmard drugs for new patients. Why aren't the perscribing AP along with plaquinel for someone who has had symptoms less than a year. Especially if they had some kind of infection prior to the onset of RA. So many of us had a dental disaster just before RA reared its ugly head. 

marian39148.5868865741

Laura - If you felt better on the Omnicef you have a great chance for the AP to work quickly for you!

Marian - That is the ,000 question.  Minocin is listed as a DMARD by the Arthritis Foundation.  I wonder if it might have anything to do with the difference in price of Minocin vs Enbrel/ Humira etc. 

And that the same company that produces high end biologics also produce low end patent expired minocycline. There are all sorts of political and economic reasons why AP therapy is shunned by conventional medicine, also, while most doctors are well intentioned many of them don't know much about it and if they have no clinical experience perscribing AP they may be reluctant to recommend it to patients. The therapy can take a really long time to work and many doctors may feel there is a race against time. It is hard to get anyone to fund clinical studies about this therapy becuase the only people who could gain anything are the patients!  Some doctors get caught up as to WHY the therapy works, but from my POV I don't care as long as it does work. They don't know why plaquenil and gold work either, but that doesn't stop them from using them! There is a long history around the controversy of the AP approach. Reading The New Arthritis Breakthrough can answer some more of this question. 

I just ordered the book The New Arthritis Breakthrough.  I am anxious for it to arrive. 

Bonny~I sure hope you are right and the AP works quickly for me. 

I asked my RD about using minocycline at my Feb. appt.  I have been on plaquenil for 3 months.  She wants me to continue for 2 more months.  If I still have pain then I can add the minocycline to the plaquenil.  I was so nervous about asking her about AP therapy because of all the things I read how doctors are reluctant to use it.  She said I use it alot.  She has several patients with success on it.  I was flying high when I left there knowing that it is now an option for me!

Thanks for all the info.  I read everything I can get my hands on!

Hey all;

I've read in a couple of places that plaquenil is an anti-malarial (parasite) and gold is an anti-microbial.  Hmmmmm.

Laura - even if you have no pain - I'd still do AP.  That's the only treatment out there even hinting that it's trying to get to the cause.  And even if it's a bumpy ride back to health - just remember it's two steps forward and one step back.  I just got hit today (pneumonia) - oh well - I'll beat this thing yet!

Pip

The onset of my RA was stress so maybe that is why AP didn't work for me. I never even heard about herxing until I read about it on here. You would think my doc would have brought that up. hmmmmmm

I'm glad AP is working for some of you but like I said before, I didn't want to waste anymore time because my RA was really aggressive.

Good luck & good health!

CinDee

Pip~I am definitely going to give it a try!  I ache all over most days but have no visible swelling.  I don't want to go on mtx or the new biologics though, if I can avoid it. AP seems like a much better option as the side effects aren't nearly as bad. 
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