Posted 8/1/2016 5:10 PM (GMT 0)
I have a friend who was on Minocycline for several years, in combo with mthx and a biologic (I forget which one.) She was in total remission, and got her life back.
Then her rheumatologist thought she had been on the Minocycline too long, and had her go off. She went into total failure, and was a mess. So her rheumatologist had her go back on it, but it never worked again. She had to totally switch up her regime.
I was on Sulfasalazine with Kineret for 8 months. It was not as good as Kineret with mthx, but my liver could no longer handle the mthx. At about 6 months, I started having an allergic reaction mid morning, if I didn't take Benadryl. It took several months to figure out that it was the enteric coated, 2 hour delayed onset Sulfasalazine that I had become allergic to - along with all the aspirin based DMARDS. And aspirin. Six years later I can take aspirin based drugs. So last year during a med failure, I got out the Sulfasalazine to see if it didn't bother me any more. After 3 doses, I had the worst case of hives and allergic reaction you could imagine. Much worse than when I went off of it, 5 years earlier. I don't know if it was aspirin or the antibiotic - Sulfa - drug part that I was allergic to - or both!
I agree that if these drugs work for you, that is great. I did try minocycline with mthx at a very bad time in my RA, and after 6 months, there was no change at all in the severity of the disease.
As for whoever said the biologics just cover up symptoms, that is totally wrong. The DMARDS and biologics actually target the disease, by killing off various parts of the immune system. Mthx is a TNF blocker, Rituxan kills B cells, Orencia kills T cells, Actemra- Interleukin6, Kineret - Interleukin1, etc, etc.
What covers up symptoms are pain killers and prednisone. Those are the drugs to avoid. Except if nothing else is working, I will take them. I went from being totally bedridden, unable to walk, dress of feed myself, to being able to at least hobble around and perform a few household tasks. That was on 15 mg of prednisone daily. I don't like prednisone, but I like RA flares even worse. So sometimes, we have to bite the bullet and take prednisone.
I am still on it on Arava/Orencia/prednisone. I am switching back to mthx from Arava and hopefully it won't affect my liver.
Of course, all these drugs, including the antibiotic ones, which can put you in remission, are not "cures." I have heard that there is some kind of blood therapy trials in Australia, which actually "cure" you. That is what I am waiting for! A cure would be the best option of all!