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Will Humira Or Orencia Help Better To Treat Rheumatoid Arthritis?

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Posted on Thu, 2 Apr 2015
Twitter Thu, 2 Apr 2015 Answered on
Twitter Thu, 23 Apr 2015 Last reviewed on
Question : I have severe RA for 24 years and I was wondering which drug is more natural and safer to take Humira or orencia?

I had a wrist replacement due to the Ra in October and when I turn my arm or bend my wrist it clicks like it is out of joint, I feel in more pain now then before the surgery and I have a lump in my hand which looks like a protruding vain that was sewed up by the incision. It is painful sometimes. What questions should I ask my surgeon?
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Answered by Dr. Naval Mendiratta (45 minutes later)
Brief Answer:
Rheumatoid Arthritis Management

Detailed Answer:
Good evening

Thank you for writing on health care magic

You have a long standing disease. Pertaining to your queries:

1. Humira is a better drug than Orencia as proven by the drug trials. There are no head on trials for the drugs, but both are equally good. Humira being Anti TNF is the preferred drug for management of Rheumatoid Arthritis. As for side effect profile, both have more or less the same.

2. As for the wrist pain, after surgery there is a very less chance of pain as most of the synovial tissue is removed. You need to consult your surgeon and ask him the reason for it. Also he needs to examine it for any form of infection and if the prosthesis has gone loose. Get a repeat X ray and if possible ultrasound as well. That would give us a fair clue

Hope the information was useful

Do let me know for more queries

Regards
Dr Naval
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Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Naval Mendiratta

Rheumatologist

Practicing since :2007

Answered : 754 Questions

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Will Humira Or Orencia Help Better To Treat Rheumatoid Arthritis?

Brief Answer: Rheumatoid Arthritis Management Detailed Answer: Good evening Thank you for writing on health care magic You have a long standing disease. Pertaining to your queries: 1. Humira is a better drug than Orencia as proven by the drug trials. There are no head on trials for the drugs, but both are equally good. Humira being Anti TNF is the preferred drug for management of Rheumatoid Arthritis. As for side effect profile, both have more or less the same. 2. As for the wrist pain, after surgery there is a very less chance of pain as most of the synovial tissue is removed. You need to consult your surgeon and ask him the reason for it. Also he needs to examine it for any form of infection and if the prosthesis has gone loose. Get a repeat X ray and if possible ultrasound as well. That would give us a fair clue Hope the information was useful Do let me know for more queries Regards Dr Naval