Thursday, October 22, 2009 Naomi asks

Q: Has anyone tried Simponi or Cimzia?

I have tried all of the following meds: Enbrel, Humira, Remicade, MTX, Arava, NSAIDS--prescribed and OTC--and Narcotics. I follow an anti-inflammation type diet, and take acai, high dose fish oil and other supplements. I have been on the following combo for the 22 months: Arava, Meloxicam, prednisone, HCTZ, and Orencia with good results until lately. For the past several months I've been getting progressively worse in pain, swelling, fatigue, fevers again. Now I'm on a medical LOA from work (again) and hurt HORRIBLY from neck to toes!! My rheumy wants me to consider changing to either Simponi or Cimzia.  has anyone tried either of them?  I'm glad there are new meds to try, but I don't know anyone on them.  I've read the pamphlets but would like some "real-life" info.

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Answers (4)
Lene Andersen, Health Guide
10/23/09 12:58pm

I believe there are some users on this site who have tried the meds you're asking about.  Try asking the question again in a SharePost - they tend to get more traffic, so it may increase your chances of getting a reply.

 

Good luck!

 

 

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12/18/09 12:30am

I have just started Simponi ( 3days) so really too early to tell. After 11+ yrs on same meds (Enbrel, MTX, NSAIDS,Celebrex) simply stopped working I too am hurting from neck to toes and am hoping this one will give another 10+ years B4 giong to the next. Sorry I could'nt offer more info, just not at this time. Good luck.

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12/18/09 5:04pm

thanks for writing!  I wish you the best of luck on the meds!  Please let me know if you notice any improvements.  I haven't changed meds yet--ruling out avascular necrosis of both hips before deciding on a new med regimen.  I guess I'll know by the 1st of the year whether it's time to change or i've developed yet another problem--having an MRI just before Christmas.  Ahh...the joys of RA....one things for sure, there's never a dull moment!!

 

Anyway,  have a very merry Christmas and good luck with the med. Please let me know how you're doing on it.

Thanks,

Naomi

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1/17/10 6:34am
48yr old male / Yes, tried Cimzia and about to try Simponi. I was on Enbrel for 7 yrs (along with other accompanying meds) and my RA was aggressive so the dosage was one inection (25mg) ever other day instead of standard shot every third then fourth day, recurring as such. then the spring of 09 , the Enbrel seemed to stop working for me (just as Remicade had done back in 2004 after 9 months of use) (remicade costly too!). I next tried 1 month of Humira and developed a upper respiratory infection I then went to cimzia which has a heavy initial dosing the first 6 wks of 2 injections every 2 wks to saturated your body then a maintenance dosage of one shot every month thereafter. It is a syrupy, sticky clear fluid that really stung going in. As of at least now, there are not overdosing symptoms listed for Cimzia but I can tell you what they may be = My response was a very flush red face like a sunburn (especially after warm shower) with rest of body being warm, Then after my 3rd and final intial dosage of 2 shots I received a very powerful throbbing neuropathy throughout my whole body which took me out for the next 3 wks and there was nothing I could do about it except pray. This was also during the time my wife was in the hospital donating half her liver to save a friend (which turned out ok) so I had to still be strong to help her through. This chronic throbbing was a end result of using Cimzia and caused complete nerve damage by stripping the nerves protective coating away thus short circuiting and misfiring my body’s nerves signals. All of the RA injection meds (and even RA itself) can cause nerve damage along with other problems, but I was ok until the Cimzia as far as the nerves go, the Cimzia really did it. I stopped using Cimzia Sep 10/09 after that last initial dosing and returned to enbrel doing one shot every 5-7 days just to kept me from getting too bad. The Enbrel didn't seem to affect the pounding neuropathy (that I still have as of 1/17/10 and will for life). An analogy of the nerve feeling now is like if you ever cut your finger tip deep enough and got a throbbing sensation afterwards that really hurt??. So every heartbeat I have I can feel the pulse of the blood traveling through my veins outward towards all my extremities except it's the nerves that I feel. This is a 24/7 pain for me and no amount of pain killers stops the pain; it just takes the edge off. I am about to try Simponi this day Sunday 1/17/10 and am praying that this won’t create more problems for the next 30 days. I also have 2 herniated discs and one bulging disc in my lower lumbar, 1 cervical degenerated disc which causes migraine headaches that last for 1.5 days and here again, no amount of pain killers helps (but the chiropractic care I receive really does help), also have carpal tunnel both wrists and developed moderate asthma recently. I'm 48, well built 6' tall male in metro Detroit area that did commercial and industrial roofing for the last 30 yrs and worked through all seasons, heat, rain, snow (rarely collecting unemployment until now). I did all types of repairs, installations and estimates of all roofing types including residential shingles and flat or metal roofs. I could solve leak issues that no one else could for 14-20 yrs (several occasions). I was diagnosed with RA in 1988 and started treatment in 2002 (late due to not realizing what RA really was, I just thought it was regular arthritis due to hard work, I never really realized the significance of it). This is to give you an idea of how strong my mind, soul and spirit is, and body was..... but my body can no longer take it. I had to stop working in june and applied for SSI (still waiting of course) and currently in physical therapy. If you want, I'll let you know how the Simponi goes. Reply
1/18/10 10:56pm

I would love to hear how you are doing...I am so sorry that it's been so bad, especially after the Cimzia!  I hope the Simponi works for you and I pray the neuropathy will eventually resolve on its own (or with the help of Simponi).  I wish I had other answers for you....I know someone who went into adjusting after years of roofing/construction caused many physical ailments too.  It doesn't require the physical demands, anyway. In the meantime, I hope SSI comes through and quickly!!  This disease is just awful!!   Obviously, you are of strong mind and heart and I pray that that continues.  You really have to be strong on the inside with RA....and it's hard!.  I wish you the best on Simponi....please let me know how it goes.  Thanks for the info on side effects on Cimzia too---the docs talk like these are the latest and greatest, but it doesn't sound so great to me....obviously it's been H*@! for you...God bless and I wish you all the best!

 

God bless 

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3/19/10 11:34am

Hi, I came across my own original reply while searching for cimzia issues...funny..LOL.... thank you for thinking and reply to my reply. You sound like a very caring person. I'm really not doing any better. The Simponi did not work; it only caused another month of serious nerve pain. With the exception of the pain and throubbing was half as bad with the same effects that Cimzia did. As of this day, I do not and can not take any type of TNF blocker or infusion. I finally found pretty good relief from, muscle relaxers (Norflex for daytime and Flexeril for night time), norco (hydrocoden), Methotrexate, and especially from Lyrica. I always have a pain level of 4 out of 10 though. There are various other meds that take for other small issues. I have been sleeping on the couch downstairs for the last 3 months because my bed was bad for my back and neck thus again causing serious headaches. I also learned that my cervical (neck) it the main culprit for my headaches and I learned how to control my headaches for the most part. I get nerve blocks for both cervical and lumbar which help tremendously, but the only way I'll do the nerve block procedure is through a physician whom uses x-ray guidance to direct a needle to the sympathetic plexus of nerves, that way you get precise nerves that are causing pain and this is a pain clinic that I attend. (they try to find a way to control your pain through meds and surgical (blocks and related, not surgery) which takes a little bit of time but if you stick with it, you'll find something that works. My Neurologist is the one that got me going on Lyrica though. Hope is going well for you and I pray that you'll find a way to have no pain.

   

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9/26/10 10:48am

It is now sept 25th, 2010.  I am now trying the newest (I guess) med for RA. it's called Actemra. it's an infusion. after my third infusion (3.5months now), I'm not getting any relief what so ever. My doc says that we need to let it try till 6 months. Actemra is a once a month treatment.  My nerves still pound or pulse or feels like electricity flowing through them with about 1/3 the 120volt punch, and it's with every heartbeat, every second of the day. Every heartbeat is a hit of pain through my whole body and it's been about a year now since this first started while first taking Cimzia (I would have to say the Cimzia did it). I'm scared to go on trying any meds anymore, but I've applied for social security disability a year about now and I cannot refuse any treatments or else!  So between the RA really taking over now and that nerve pounding/pulsing/electrifying torture treatment from hell, I have lost all control of my life. My marriage has suffered tremendously and of course the financial part of this is even rougher. I cannot figure out why I'm going through all of this. Did I kill someone or something??  I'm I being tortured to see how much and how long I can take it before I explode??, I give I give< but you know how us Americans are....C'mon, give me some more, what are you trying to do?? tickle me??, is that all you got??, lay it on me brother, let's dance!.......funny, but really I give, I give........I still have faith in Jesus and I figure I'm taking the load for some others that would ordinarily not be able to take it. I wish I could get paid for it though. I would really, really appreciate even just one prayer from one person out there, even just one prayer could make the difference. I'm a good person, hard working (30 yrs), family with 4 kids with the last one leaving the house for college next yr. beautiful wife who deserves better than this. Just one prayer please

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6/ 4/10 7:21pm

I have been on Cimzia for about 6 months now and I love it!  I also take, Meloxicam, Plaquenil, Minocycline, and Ultram. I also take 2000mg of L Lysine and 2000mg of Vitamin C.  Cimzia is the first thing that has worked to this degree.  I wake up ready to do things.  I have started working out again and hope to be able to get rid of some of the excess weight caused by the Cimzia.  After 14 years of pain this medicine is a welcome relief.

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10/ 8/10 11:35am

I glad it works for you, but be careful, I think the previous 8 years of taking enbrel started the process of damaging the linings of my nerves and then the heavy starting doses of cimzia finished it and set everything into motion.  I'm currently on my 4th month of Actemra and it does nothing for my RA but increases my nerve throbbing (whole body) and heavy buzzing/ringing in my ears. I saw my rheumatologist yesterday and she told me to start back on enbrel, so I did 50mg shot yesterday and then she called and said to not do enbrel that she want to increase my actemra dose to double and try that one more time, it won't.  The enbrel works but the nerve issue is not worth it.  I think my time with RA meds is done.  I started back on trexall and I'll have to see how that goes too, I'm pretty sure there were issues with that too in making my face look and feel like I had acne again. so, just watch for warning signs

 

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By Naomi— Last Modified: 12/22/10, First Published: 10/22/09