my question to you is: Which medication has worked for you--Remicade or Humira?
I understand that individual results vary. Because the Remicade is administered as an infusion in the office it is much more expensive than the Humira that qualifies under our prescription plan and is self administered which makes Humira much cheaper. But I don't want to go on cost alone in making the decision...any input would be great to have. Thanks in advance.
You're right, individual results vary and unfortunately there are no individual traits that can be measured at this time that can help indicate that Remicade or Humira would work better. Both help about 60% of AS patients who use them. You are right, you have nailed down the major differences - method, frequency, and location of administration; and cost.
You should just think about which fits better into your lifestyle, and if your doc has a preference, factor that in, too. Right now in my household we have one on Remicade (my daughter for her Crohn's) and one on Humira (I just started in September, will do my 4th injection this week.) I personally would not want the hassle of Remicade myself. Lucy's infusions take a total of 5 hours or longer (including 1/2 hr travel each way) - even though it is now only every 8 weeks I much prefer the self-injection at home which takes only half an hour (when you factor in the time the med is out of the fridge and you have to watch the clock.) In the face of lack of evidence for superiority of one drug over the other I choose convenience every time!! (When I factor in the insurance and the manufacturer payment assistance they both cost the same for me.)
Good luck with the decision and I hope that whatever you choose helps you quickly!
Jen, 42, happy partner of James and Moma to Evan, 14, & Lucy, 12.5 (Crohn's dx @ age 3; on Remicade since April 2010.) I take piroxicam, Flexeril, & Nucynta ER nightly. 3 anti-TNFs didn't pan out for me.
"Science is the father of knowledge, but opinion breeds ignorance." -- Hippocrates