Well, it's official! I have failed Humira. After 3 months of treatment, I have seen a small improvement in my inflammation markers and have felt a small increase in energy, but my disease activity remains high and my pain levels are still uncontrolled. Rheumy says if it was going to help me, it would have already.
So what's next? Rheumy had two options for me: Remicade and Enbrel. At first, I pushed for Remicade because I like the idea of being able to use loading doses to build it up in my system faster. He explained that this didn't necessarily mean it would be a more aggressive form of treatment, however, and that the two were comparable in his mind. As I'm currently driving 2 hours one way to see him, he wants me to try Enbrel first in hopes that I will be able to manage this more conveniently. So I'll do what he asks and pray that Enbrel is the one for me.