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- February 28, 2019 at 8:17 pm
Jenn, I have a similar diagnosis–unspecified arthritis from nivo–since early 2017 when I began to taper off of nivo. I've been on some level of prednisone the entire time since. I started with sulfasalizine and it had no effect for me. I then moved to methotrexate. After the onset period, I had some success with it. At its best, it takes the edge off and more–but not 100% relief. I did not need any steroid injections for arthritis while on methotrexate and off nivo. I recently restarted Opdivo. I now find the methotrexate to be less effective and will likely need to supplement with steroid injections. I may also look to add plaquenil. If you find the magic bullet, please let me know. (Up to this point, I've sought to avoid Remicade.)
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- December 20, 2018 at 1:25 am
Vince, when I was on ipi/nivo for 1.5 years (~20 nivo maintenance infusions)–I was never NOT in prednisone–for the most part ~20mg/day. That said, steroids gave me little relief for my recent spinal tumor. Hopefully they did an MRI of your spine and not just a CT to see if surgery or radiation is warranted. As for me (you asked in a prior post), BRAF-MEK is presently doing its job with some additional work ahead.
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- November 1, 2018 at 7:18 pm
Vince, sorry to hear. I was also knocked out of TIL after initial approval due to a brain met. I would go for ipi-nivo. If you look at my many historical posts, you’ll see that I failed all prior treatments (they failed me, whatever) before ipi-nivo and remained stable on ipi nivo for almost 3 years.
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- October 27, 2018 at 1:05 pm
A quick update—CT scans show no other progression. So, in theory, Braf-Mek can focus on cleaning up CSF and surgical site (aka low tumor burden). Folks here know that I push for regular scans, including a Battle Royale to include brain MRI. I do that in an attempt to mitigate the possibility of an uncaught and dangerous progression. Yet, here I am. Not much we can control in this world despite best efforts. That said, I’m in a good spot mentally and up for this latest challenge. Thank G-d for strength of mind and direction and for the assistance of a top quality and open minded medical team.
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- October 26, 2018 at 3:56 pm
Thanks Caitlin. Sounds like you have a good plan too. We’ve started talking about next steps—similar to your next steps—once we see results from braf-mek. Like you, we eere originally considering the newer combo, but decided to go with the original since I already had some success with it and I haven’t used it for almost 3 years.
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- October 25, 2018 at 12:45 pm
Celeste, Brian, all, thank you. Surgery was successful. Today is my first PT day. Need to recover strength in hips and legs. We’re skipping radiation to clean up surgery site. Going straight to original (not newer) Braf-Mek since I personally saw the benefits of that combo, including in brain, and was able to nicely tolerate. It has been almost 3 years since my last Braf-Mek, so we’re optimistic that it will work. At this point, I can’t comfortably travel, so MDA is out.