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Psoriasis Club › HealthHealth Boards › Prescribed Treatments For Psoriasis v
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Stelara round two

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Stelara round two
jiml Offline
100 + Member I Just Cant Stop !

100 + Member I Just Cant Stop !
Posts: 47,972
Threads: 357
Joined: Oct 2013
Gender: Male
Location: Norwich England
Psoriasis Score: 3
Treatment: Skilarence 5x120mg a day
#391
Mon-13-06-2016, 15:27 PM
(Mon-13-06-2016, 14:59 PM)mataribot Wrote:
(Mon-13-06-2016, 11:07 AM)Fred Wrote:
(Mon-13-06-2016, 02:43 AM)mataribot Wrote: Yep, works well for everyone, but me  Sad

Yes I think you are the only one I know where it didn't suit.  Confused

It's cause I am too fat :(

Is weight a contributing factor to the efficacy of Stelara? and if you are a bit overweight couldn't they give you a dose and a half

It's difficult to shed weight when arthritis is making exercise difficult or impossible
Quote
D Foster Online
“You only live once, but if you do it right, once is enough.”

100 + Member I Just Cant Stop !
Posts: 25,289
Threads: 17
Joined: Dec 2014
Gender: Male
Location: East Yorkshire
Treatment: Stelara 90mg and G&T
#392
Mon-13-06-2016, 15:30 PM
(Mon-13-06-2016, 15:27 PM)jiml Wrote:
(Mon-13-06-2016, 14:59 PM)mataribot Wrote:
(Mon-13-06-2016, 11:07 AM)Fred Wrote:
(Mon-13-06-2016, 02:43 AM)mataribot Wrote: Yep, works well for everyone, but me  Sad

Yes I think you are the only one I know where it didn't suit.  Confused

It's cause I am too fat :(

Is weight a contributing factor to the efficacy of Stelara? and if you are a bit overweight couldn't they give you a dose and a half

It's difficult to shed weight when arthritis is making exercise difficult or impossible

If you are a big person like me Jim you get 90mg and if you are not so big you get 45mg so you do get a double dose to compensate for the extra weight of all the muscle that you carry.
Quote
jiml Offline
100 + Member I Just Cant Stop !

100 + Member I Just Cant Stop !
Posts: 47,972
Threads: 357
Joined: Oct 2013
Gender: Male
Location: Norwich England
Psoriasis Score: 3
Treatment: Skilarence 5x120mg a day
#393
Mon-13-06-2016, 15:46 PM
(Mon-13-06-2016, 15:30 PM)D Foster Wrote:
(Mon-13-06-2016, 15:27 PM)jiml Wrote:
(Mon-13-06-2016, 14:59 PM)mataribot Wrote:
(Mon-13-06-2016, 11:07 AM)Fred Wrote:
(Mon-13-06-2016, 02:43 AM)mataribot Wrote: Yep, works well for everyone, but me  :cry:

Yes I think you are the only one I know where it didn't suit.  :s

It's cause I am too fat :(

Is weight a contributing factor to the efficacy of Stelara? and if you are a bit overweight couldn't they give you a dose and a half

It's difficult to shed weight when arthritis is making exercise difficult or impossible

If you are a big  person like me Jim you get 90mg and if you are not so big you get 45mg so you do get a double dose to compensate for the extra weight of all the muscle that you carry.

But Dave if you are were larger and 90mg doesn't work can they increase on that dose ?
Quote
Fred Online Author
I Wanted To Change the World But Got Up Far Too Late.
Moderator
Posts: 67,207
Threads: 3,902
Joined: Aug 2011
Gender: Male
Location: France
Psoriatic Arthritis Score: 1
PQOLS: 1
Treatment: Bimzelx / Coconut Oil
#394
Mon-13-06-2016, 15:58 PM
(Mon-13-06-2016, 15:46 PM)jiml Wrote: But Dave if you are were larger and 90mg doesn't work can they increase on that dose ?

No it's 45mg up to 100Kg and 90mg over that weight. You can play with the time frame, but it's not recommended to go down much lower then 10 weeks between shots.

I'm 92Kg and after playing with 45mg down to 8 weeks, the 90mg on the recommended 12 weeks worked best, but I've been on it a long time now and I could really come down to 10 weeks. But I'm not keen to play to far with the 90mg as I'm below the step up anyway.

So it's 45mg or 90mg that you can play with, there is no other doses.
Quote
jiml Offline
100 + Member I Just Cant Stop !

100 + Member I Just Cant Stop !
Posts: 47,972
Threads: 357
Joined: Oct 2013
Gender: Male
Location: Norwich England
Psoriasis Score: 3
Treatment: Skilarence 5x120mg a day
#395
Mon-13-06-2016, 16:01 PM
(Mon-13-06-2016, 15:58 PM)Fred Wrote:
(Mon-13-06-2016, 15:46 PM)jiml Wrote: But Dave if you are were larger and 90mg doesn't work can they increase on that dose ?

No it's 45mg up to 100Kg and 90mg over that weight. You can play with the time frame, but it's not recommended to go down much lower then 10 weeks between shots.

I'm 92Kg and after playing with 45mg down to 8 weeks, the 90mg on the recommended 12 weeks worked best, but I've been on it a long time now and I could really come down to 10 weeks. But I'm not keen to play to far with the 90mg as I'm below the step up anyway.

So it's 45mg or 90mg that you can play with, there is no other doses.

Thanks Fred that's answered my question Thumb
Quote
Fred Online Author
I Wanted To Change the World But Got Up Far Too Late.
Moderator
Posts: 67,207
Threads: 3,902
Joined: Aug 2011
Gender: Male
Location: France
Psoriatic Arthritis Score: 1
PQOLS: 1
Treatment: Bimzelx / Coconut Oil
#396
Mon-13-06-2016, 16:03 PM
(Mon-13-06-2016, 16:01 PM)jiml Wrote:
(Mon-13-06-2016, 15:58 PM)Fred Wrote:
(Mon-13-06-2016, 15:46 PM)jiml Wrote: But Dave if you are were larger and 90mg doesn't work can they increase on that dose ?

No it's 45mg up to 100Kg and 90mg over that weight. You can play with the time frame, but it's not recommended to go down much lower then 10 weeks between shots.

I'm 92Kg and after playing with 45mg down to 8 weeks, the 90mg on the recommended 12 weeks worked best, but I've been on it a long time now and I could really come down to 10 weeks. But I'm not keen to play to far with the 90mg as I'm below the step up anyway.

So it's 45mg or 90mg that you can play with, there is no other doses.

Thanks Fred that's answered my question   Thumb

Your welcome, I think Dave has nodded off clutching a G&T. Wink
Quote
jiml Offline
100 + Member I Just Cant Stop !

100 + Member I Just Cant Stop !
Posts: 47,972
Threads: 357
Joined: Oct 2013
Gender: Male
Location: Norwich England
Psoriasis Score: 3
Treatment: Skilarence 5x120mg a day
#397
Mon-13-06-2016, 16:05 PM
(Mon-13-06-2016, 16:03 PM)Fred Wrote:
(Mon-13-06-2016, 16:01 PM)jiml Wrote:
(Mon-13-06-2016, 15:58 PM)Fred Wrote:
(Mon-13-06-2016, 15:46 PM)jiml Wrote: But Dave if you are were larger and 90mg doesn't work can they increase on that dose ?

No it's 45mg up to 100Kg and 90mg over that weight. You can play with the time frame, but it's not recommended to go down much lower then 10 weeks between shots.

I'm 92Kg and after playing with 45mg down to 8 weeks, the 90mg on the recommended 12 weeks worked best, but I've been on it a long time now and I could really come down to 10 weeks. But I'm not keen to play to far with the 90mg as I'm below the step up anyway.

So it's 45mg or 90mg that you can play with, there is no other doses.

Thanks Fred that's answered my question   Thumb

Your welcome, I think Dave has nodded off clutching a G&T.  Wink

He's lucky it's hissing down here ...rain stopped play Confused
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mataribot Offline
100 + Member I Just Cant Stop !

100 + Member I Just Cant Stop !
Posts: 1,340
Threads: 38
Joined: Jun 2013
Gender: Male
Location: USA
Treatment: >_<
#398
Mon-13-06-2016, 16:11 PM
(Mon-13-06-2016, 15:27 PM)jiml Wrote:
(Mon-13-06-2016, 14:59 PM)mataribot Wrote:
(Mon-13-06-2016, 11:07 AM)Fred Wrote:
(Mon-13-06-2016, 02:43 AM)mataribot Wrote: Yep, works well for everyone, but me  Sad

Yes I think you are the only one I know where it didn't suit.  Confused

It's cause I am too fat :(

Is weight a contributing factor to the efficacy of Stelara? and if you are a bit overweight couldn't they give you a dose and a half

It's difficult to shed weight when arthritis is making exercise difficult or impossible

Here in the states the pay per shot. So insurance companies do like more medication. Supposedly, cosentyx will have 150, 300, and 450 eventually.
Quote
Fred Online Author
I Wanted To Change the World But Got Up Far Too Late.
Moderator
Posts: 67,207
Threads: 3,902
Joined: Aug 2011
Gender: Male
Location: France
Psoriatic Arthritis Score: 1
PQOLS: 1
Treatment: Bimzelx / Coconut Oil
#399
Mon-13-06-2016, 16:17 PM
(Mon-13-06-2016, 16:11 PM)mataribot Wrote: Here in the states the pay per shot. So insurance companies do like more medication. Supposedly, cosentyx will have 150, 300, and 450 eventually.

My Stelara has been 1 shot 90mg for a long time now, it used to be two at 45mg.

Re Cosentyx I think there will be an upper limit like Stelara, but you may be able to try 3 weeks between shots. ?
Quote
mataribot Offline
100 + Member I Just Cant Stop !

100 + Member I Just Cant Stop !
Posts: 1,340
Threads: 38
Joined: Jun 2013
Gender: Male
Location: USA
Treatment: >_<
#400
Mon-13-06-2016, 16:29 PM (This post was last modified: Mon-13-06-2016, 16:31 PM by mataribot.)
In regards to Stelara, RA has been known to subscribe it every two months. I am guessing that is the limit. Consentyx just a wired dosing - after the loading it's 300 per month for psoriasis OR 150 per month for arthritis.
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