# What Can I Do? I feel like I am circling the drain. I could use a pep talk! **URL:** \ **Category:** General\ **Created:** [August 21, 2013, 11:20pm UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222 "2013-08-21T23:20:11Z")\ **Posts on this page:** 20\ **Page:** 2
**Author:** ![debbie](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/debbie/32/668_2.png) [@debbie](https://discussion.livingwithpsoriaticarthritis.org/u/debbie)\ **Post date:** [August 24, 2013, 6:26am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/21 "2013-08-24T06:26:31Z")
Hi, I was going to try Arava and methotrexate and then the price of MTX went through the roof. I am uninsured so I couldn't swing the cost. Do a little research as the combo really needs a close look at blood tests. But I was told that it can be very effective for some. I am on Orencia off label as well (I get it for free from their patient assistance program). I do the SubQ injections and it is finally starting to get me some relief. My psoriasis is back so it isn't helping with that at all, it seems to have returned once I stopped the MTX. Since I can't afford MTX I am on Imuran. I will be back on MTX once I get insurance coverage again. If MTX alone isn't cutting it I will try the Arava and MTX combo along with the Orencia. I hope you find that sweet spot where the meds give you some quality of life. Enjoy your art, it brightens the soul. mimiB said: > "Hi Debbie, do you take Arava ? I noticed this paper was for RA, but hey, I am willing to try anything to get relief. The Orencia is being used on me off-label. That is so cool that you used to own a bead shop ! Thanks for the compliments on my work. I love tie-dye and birkenstocks too :)" ---
**Author:** ![tntlamb](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/tntlamb/32/155_2.png) [@tntlamb](https://discussion.livingwithpsoriaticarthritis.org/u/tntlamb)\ **Post date:** [August 24, 2013, 1:03pm UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/22 "2013-08-24T13:03:23Z")
Just an FYI I wear Birks. ---
**Author:** ![michael\_in\_vermont](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/michael_in_vermont/32/640_2.png) [@michael\_in\_vermont](https://discussion.livingwithpsoriaticarthritis.org/u/michael_in_vermont)\ **Post date:** [August 24, 2013, 1:37pm UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/23 "2013-08-24T13:37:31Z")
With socks while sipping a wheat grass smoothie, I have no doubt Lamb! I just knew it! ---
**Author:** ![GrumpyCat](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/grumpycat/32/969_2.png) [@GrumpyCat](https://discussion.livingwithpsoriaticarthritis.org/u/GrumpyCat)\ **Post date:** [August 25, 2013, 3:57am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/24 "2013-08-25T03:57:56Z")
Lol, Michael!!! We all knew he was a hippie! _Snicker, snort, cackle_ ---
**Author:** ![GrumpyCat](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/grumpycat/32/969_2.png) [@GrumpyCat](https://discussion.livingwithpsoriaticarthritis.org/u/GrumpyCat)\ **Post date:** [August 25, 2013, 4:01am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/25 "2013-08-25T04:01:35Z")
Am I loosing it? I swear I have seen several people say that they can’t afford MTX. My insurance won’t cover the injectable, so I pay out of pocket, but I swear its not more than 40 a month. Maybe my pharmacist cuts me a deal (I wouldn’t put it past him). ---
**Author:** ![michael\_in\_vermont](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/michael_in_vermont/32/640_2.png) [@michael\_in\_vermont](https://discussion.livingwithpsoriaticarthritis.org/u/michael_in_vermont)\ **Post date:** [August 25, 2013, 4:17am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/26 "2013-08-25T04:17:16Z")
I do not know what that is about. I pay $10 and my insurance paid 17.50. I get four vials with 2ml/50 mg. I don't get it. ---
**Author:** ![michael\_in\_vermont](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/michael_in_vermont/32/640_2.png) [@michael\_in\_vermont](https://discussion.livingwithpsoriaticarthritis.org/u/michael_in_vermont)\ **Post date:** [August 25, 2013, 4:18am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/27 "2013-08-25T04:18:54Z")
I think it is true, Lamb is a closet hippie! Wearing tie die with his birkies and socks when no one is looking! Heehee. ---
**Author:** ![debbie](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/debbie/32/668_2.png) [@debbie](https://discussion.livingwithpsoriaticarthritis.org/u/debbie)\ **Post date:** [August 25, 2013, 4:22am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/28 "2013-08-25T04:22:15Z")
The pills are what I was getting for MTX and my last refill for 350 pills (tree month supply) was about $475.00. I checked every pharmacy in town. The price keeps going up. [http://www2.costco.com/Pharmacy/DrugInfo.aspx?p=1&SearchTerm=m&...](http://www2.costco.com/Pharmacy/DrugInfo.aspx?p=1&SearchTerm=m&Drug=METHOTREXATE) You can see the injectable is still cheap, the pills are through the roof. ---
**Author:** ![tntlamb](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/tntlamb/32/155_2.png) [@tntlamb](https://discussion.livingwithpsoriaticarthritis.org/u/tntlamb)\ **Post date:** [August 25, 2013, 4:38am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/29 "2013-08-25T04:38:41Z")
Why not inject? Not only is it cheaper, but fewer side effects AND more bang per mg. I switched ti IM from sub Q and can not belive the difference it msde. BTW i not is in my head they did a study during the recent shortage. If anyone ise is intrested I'll find it. I wear the dundee style its cold up here: [http://www.birkenstockusa.com/products/men/shoes/dundee/black-suede...](http://www.birkenstockusa.com/products/men/shoes/dundee/black-suede/69207) t ---
**Author:** ![michael\_in\_vermont](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/michael_in_vermont/32/640_2.png) [@michael\_in\_vermont](https://discussion.livingwithpsoriaticarthritis.org/u/michael_in_vermont)\ **Post date:** [August 25, 2013, 4:47am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/30 "2013-08-25T04:47:14Z")
I love your Dundees Lamb! Now your styling in the footwear with the rest of us! You go! ---
**Author:** ![debbie](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/debbie/32/668_2.png) [@debbie](https://discussion.livingwithpsoriaticarthritis.org/u/debbie)\ **Post date:** [August 25, 2013, 4:57am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/31 "2013-08-25T04:57:34Z")
Well..... The injectable had a shortage, then the price went back to normal. Then the pills had a shortage and the price is through the roof. PriceFixing? I am tired these days.I'll deal with it when I have insurance again (Please Obamacare - get me insured in January). I lost my Birkenstocks in the Great Divorce of 2010. It really rains too much here to replace them, but in spirit I am wearing them with the rest of you. ---
**Author:** ![michael\_in\_vermont](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/michael_in_vermont/32/640_2.png) [@michael\_in\_vermont](https://discussion.livingwithpsoriaticarthritis.org/u/michael_in_vermont)\ **Post date:** [August 25, 2013, 5:06am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/32 "2013-08-25T05:06:21Z")
I ma wearing Naot at the moment but I get your drift! ---
**Author:** ![GrumpyCat](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/grumpycat/32/969_2.png) [@GrumpyCat](https://discussion.livingwithpsoriaticarthritis.org/u/GrumpyCat)\ **Post date:** [August 25, 2013, 5:21am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/33 "2013-08-25T05:21:53Z")
I see now. Deb, your doc seems to work with you. Would she switch you to injections instead. They don’t hurt for sub cutaneous a bit. The drug and the needles should run about 40 a month. Thanks for responding. I thought I was loosing it! ---
**Author:** ![debbie](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/debbie/32/668_2.png) [@debbie](https://discussion.livingwithpsoriaticarthritis.org/u/debbie)\ **Post date:** [August 25, 2013, 5:44am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/34 "2013-08-25T05:44:55Z")
Yes Grumpy, I see her tomorrow and could switch. I still have a lot of imuran I would want to use up first. I already do SubQ for the Orencia and IM for the Toradol. I am an injection queen! ---
**Author:** ![GrumpyCat](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/grumpycat/32/969_2.png) [@GrumpyCat](https://discussion.livingwithpsoriaticarthritis.org/u/GrumpyCat)\ **Post date:** [August 25, 2013, 6:25am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/35 "2013-08-25T06:25:38Z")
Glad to hear it. I thought you already injected, but couldn’t remember for sure. It is so great that you have such a good rapport with your doc. That’s hard to find. debbie said: > Yes Grumpy, I see her tomorrow and could switch. I still have a lot of imuran I would want to use up first. I already do SubQ for the Orencia and IM for the Toradol. I am an injection queen! ---
**Author:** ![debbie](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/debbie/32/668_2.png) [@debbie](https://discussion.livingwithpsoriaticarthritis.org/u/debbie)\ **Post date:** [August 25, 2013, 6:40am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/36 "2013-08-25T06:40:55Z")
I have had a terrible rapport with a few docs, I guess I had to get lucky sooner or later. I fired my rheum. My current doc is actually a FNP and she rocks. She'll spend half an hour at an appointment if I need it. She double checks everything on her computer or in a diagnostic book. She treats everything for me, not just my PsA and AS. One stop shopping. I consider her a friend. I see her at a social fellowship we both belong to - every week. I have her number and can text her anytime with questions. I really don't see how the situation can be any better. She says that once my disease gets to be too much for her to manage she will refer me out to another rheum. So far she is doing a great job! I am blessed. ---
**Author:** ![GrumpyCat](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/grumpycat/32/969_2.png) [@GrumpyCat](https://discussion.livingwithpsoriaticarthritis.org/u/GrumpyCat)\ **Post date:** [August 25, 2013, 6:43am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/37 "2013-08-25T06:43:12Z")
That is really cool. NPs are pretty awesome. They give a different kind of care. I am biased though! We should probably stop hijacking Mimi’s post now! ---
**Author:** ![Marietta](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/marietta/32/761_2.png) [@Marietta](https://discussion.livingwithpsoriaticarthritis.org/u/Marietta)\ **Post date:** [August 25, 2013, 6:48am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/38 "2013-08-25T06:48:21Z")
That is fantastic Debbie! My primary is a PA (Physician's Assistant) and she's caught several important things related to my health that other docs shrugged off (like Vitamin D deficiency, GERD which other docs thought was a heart problem, etc). I love it when someone gets lucky with a great medical practitioner of any kind. ---
**Author:** ![Pookie](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/pookie/32/662_2.png) [@Pookie](https://discussion.livingwithpsoriaticarthritis.org/u/Pookie)\ **Post date:** [August 25, 2013, 8:57am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/39 "2013-08-25T08:57:30Z")
So sorry you’re hurting so badly, definitely call the doc. There’s not anything I can add to the advice you already have here. But wow girl, you have achieved so much in such a short time, that’s fantastic! Keeping my fingers crossed for you to get some relief soon. Sending my love and hugs to you \<3 \<3 ---
**Author:** ![Pookie](https://sea1.discourse-cdn.com/flex019/user_avatar/discussion.livingwithpsoriaticarthritis.org/pookie/32/662_2.png) [@Pookie](https://discussion.livingwithpsoriaticarthritis.org/u/Pookie)\ **Post date:** [August 25, 2013, 10:11am UTC](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222/40 "2013-08-25T10:11:04Z")
Good call Marietta, I’ve never even thought if using that type of product my spica splints have caused my more pain sometimes as they are too restrictive, thanks x Marietta said: > Mimi, > > I hear you on the splinting and braces. They make me feel worse (except for my IMAK compression gloves). What I’ve found works for me is K-T Tape [http://www.kttape.com/](http://www.kttape.com/) The tape is cloth-like, but VERY stretchy. > > It is used by athletes, who need support, but still need full flexibility. There are videos on the site of how to apply for all different body parts. I use the “Pro” tape, it holds for 2 whole days. I was able to purchase mine at a large sporting goods store. I think it is 50 strips for $20. I also like that it doesn’t inhibit clothes in any way, as it is SUPER thin, and doesn’t make weird crunching or squeaking noises like a knee or elbow brace can 🙂 [Previous page](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222.md?page=1) [Next page](https://discussion.livingwithpsoriaticarthritis.org/t/what-can-i-do-i-feel-like-i-am-circling-the-drain-i-could-use-a-pep-talk/2222.md?page=3)