Ok, just got back from the rheumy. She has spoken to my Gastro. Dr and they want to switch me to Humira every 8 weeks and MTX injections every week, folic acid daily except for MTX injecting day.
The logic behind it is that Infliximab stopped working for my joints, but was keeping me out of hospital for bowel obstructions (I may have crohns, never proven through biopsy). My arthritis is very similar to Ankylosing Spondilitis and Humira will help both the spine, peripheral joints and GI inflammation. The MTX will also help the peripheral joints and prevent anti bodies being created against humira. I actually requested MTX injections to have less side effects.
I wouldn't consider myself chronically dehydrated, I just drink a lot of water and i do wake up thirsty. The rheumy didn't think it would be an issue but told me to see how it goes and report back to her. Also, Gastro. Dr did suggest Imuran a while back but my rheumy said she doesn't like it, i'm not sure why.
I'm seeing my Gastro. Dr tomorrow as he is in charge of the biologics. Is there any questions I should be asking him?
I'm slightly overwhelmed but the logic does make sense to me assuming both drugs help without major side effects.
thanks team