If you research there are meds that lower TNFa. I remember Buproprion and I think even fexofenadine. High dose fish oil and maybe high dose vitamin A. Research first though because I looked this stuff up years back. I do the EPA and vitamin A.
There are some folks who use reduced doses of biologics. I have heard of Enbrel being taken once every 3 or 4 weeks instead of weekly. I suspect this is going to be me with Cosentyx or Taltz. I am tantalized by the experience where I stopped Cosentyx and the side effects were gone before the pain came back
I have even had an increase in pain just in the past two weeks. Today I got desperate and took a shot of Cosentyx. I hate getting to that point where you are desperate and will grab at whatever gives you relief. I took pain medicine on the job Friday. I've gone gradually from twice per month to twice per week and now every other day(pain meds). It's usually just tramadol with apap but a few weeks ago I had to break into the Norco stash. This won't work. So I took the shot. I won't take another one anytime soon but I had to try. My mind was running through the things I had done. I forgot my chair cushion on Thursday or I got overheated yesterday but in the end the pain was too intense and nothing was working so I had to give it a shot-all puns intended.
25 years a pharmacist HLAB27+(thanks dad!)iritis at 17, plantar fasciitis at 22, sacroiliitis at 25,first image at 31,diagnosis of AS at 48(hello medical community!!) it's all been downhill since (Cosentyx(waiting on Taltz)Celebrex,Trazodone,Tramadol,benztropine(antispasmodic), high Omega3,A&D to tame immune system,quercetin,bromelain) previous meds were Enbrel Humira Simponi