MEDICATIONS

We are often asked about medications...so here is a list of current meds:
As of 12-21-12
Diagnosis:  Systemic Onset JA with Overlap Syndrome (vasculitis, myositis, psoriatic features, allergies/asthma, hypogammaglubulinemia)

  1. Advair 250/50 – 2/day
  2. nasonex 1 spray each nostril – 2/day
  3. Saline 1 spray each nostril (for allergies& bloody noses) – 2/day
  4. zyrtec 10mg - PM
  5. acidophilus (to combat med side effects) - AM
  6. acetaminophen compound (corn-free) 500 mg (every 4 hrs as needed)
  7. Indomethacin 25 mg.AM and 50 mg PM
  8. tramadol 50 mg (every 4-6 hours as needed, works better when taken with acetaminophen)
  9. Albuteral inhailer (prior to sports/outdoor play and as needed)
  10. Albuteral vials in nebulizer (as needed)
  11. Colace 100mg 2/day
  12. Predinsone 12.5mg
  13. Omeprazole 20 mg – AM/PM
  14. Morphine SUL 10mg/5ml (2mg/ml) -1 tsp – as needed
  15. Morphine sulfate ER 15 mg - PM
  16. Fentenyl Patch (50 mg) – new patch every 72 hrs/with tegrederm over
  17. Fluoxetine 10 mg – AM (began on 7/27/11)
  18. Folic Acid (1mg) – PM
  19. Currafate as needed
  20. Epi-shot (on hand if needed for allergic reaction)
  21. methotrexate –six 2.5mg pills, began10-14-11 (Friday nights)
  22. Zofran (Friday night, Saturday morning, Saturday night, and sometimes Sunday morning)
  23. Leucovorin 10mg (Saturday night, 24 hrs after methotrexate)
  24. Calcium with Vitamin D
  25. Rilonacept (began RAPPORT study in 5/12) - 1.3ml weekly shot
  26. Hizentra (began 11/12)  7 grams, weekly infusion, sub-q
  27. With Hizentra infusions:  doxepin, zofran, acetaminophen compound (then benedryl and acetaminophen for 24 hours and zofran as needed)
As of 3-23-12
Diagnosis:  Systemic Onset JA with Overlap Syndrome (vasculitis, myositis, psoriatic features, allergies/asthma)

  1. Advair 100/50 – 2/day
  2. nasonex 1 spray each nostril – 2/day
  3. Saline 1 spray each nostril (for allergies& bloody noses) – 2/day
  4. zyrtec 10mg - PM
  5. acidophilus (to combat med side effects) - AM
  6. acetaminophen compound (corn-free) 500 mg (every 4 hrs as needed)
  7. Indomethacin 25 mg.AM and 50 mg PM
  8. tramadol 50 mg (every 4-6 hours as needed, works better when taken with acetaminophen)
  9. Albuteral inhailer (prior to sports/outdoor play and as needed)
  10. Albuteral vials in nebulizer (as needed)
  11. Colace 100mg 2/day
  12. Predinsone 40mg at 10 days, 30 mg 14 days – AM (3-18-12)
  13. Omeprazole 20 mg – AM/PM
  14. Morphine SUL 10mg/5ml (2mg/ml) -1 tsp – as needed
  15. Morphine sulfate ER 15 mg - PM
  16. Fentenyl Patch (50 mg) – new patch every 72 hrs/with tegrederm over
  17. Fluoxetine 10 mg – AM (began on 7/27/11)
  18. Folic Acid (1mg) – PM
  19. Epi-shot (on hand if needed for allergic reaction)
  20. methotrexate –six 2.5mg pills, began10-14-11 (Friday nights) (during infusion wks gets 1cc inj)
  21. Zofran (Friday night, Saturday morning, Saturday night, and sometimes Sunday morning)
  22. Leucovorin 10mg (Saturday night, 24 hrs after methotrexate)
  23. Enbrel 25 mg (Tuesday nights)
  24. Calcium with Vitamin D
  25. Actemra (began 3/25, increased 12/16/11, last dose 3/9), 600mg (12mg/kilogram)
  26. Kineret 100 mg twice daily infused in port with saline and heprine
  27. IVIG (began 12/11)  250 mg Over  15 hours
  28. With infusions:  Benadryl, Solumedral, zofran, cortisone or solumedral (500-1000mg), toradol, acetaminophen compound, methotrexate 1cc
Medication, as needed, for allergic reaction:  Benadryl, prednisone, epi-shot

As of 12/31/11
Diagnosis:  Systemic Onset JA with Overlap Syndrome (vasculitis, myositis, psoriatic features, allergies/asthma)

    1. Advair 100/50 – 2/day
    2. nasonex 1 spray each nostril – 2/day
    3. Saline 1 spray each nostril (for allergies& bloody noses) – 2/day
    4. zyrtec 10mg - PM
    5. acidophilus (to combat med side effects) - AM
    6. acetaminophen compound (corn-free) 500 mg (every 4-6 hrs as needed)
    7. Indomethacin 25 mg.AM and 50 mg PM
    8. tramadol 50 mg (every 4-6 hours as needed, works better when taken with acetaminophen)
    9. Albuteral inhailer (prior to sports/outdoor play and as needed)
    10. Albuteral vials in nebulizer (as needed)
    11. Colace 100mg 2/day
    12. Predinsone 8mg – AM (decreased 11-12-11)
    13. Omeprazole 20 mg – AM/PM
    14. Morphine SUL 10mg/5ml (2mg/ml) -1 tsp – as needed
    15. Morphine sulfate ER 15 mg - PM
    16. Fentenyl Patch (25mg) – new patch every 72 hrs/with tegrederm over
    17. Fluoxetine 10 mg – AM (began on 7/27/11)
    18. Folic Acid (1mg) – PM
    19. Epi-shot (on hand if needed for allergic reaction)
    20. methotrexate -.5mg pills, began10-14-11 (Friday nights) (was on 1cc inj)
    21. Zofran (Friday night, Saturday morning, Saturday night, and sometimes Sunday morning)
    22. Leucovorin 10mg (compounded corn-free) (Saturday night, 24 hrs after methotrexate)
    23. Enbrel 25 mg injection (Tuesday nights)
    24. Calcium with Vitamin D
    25. Actemra infusion (began 3/25, increased 12/16/11), 600mg (10mg/kilogram)
    26. IVIG infusion
    27. Mucinex as needed
    28. Often on an antibiotic
    29. With infusions (every 2 weeks):  Benadryl, Solumedral, zofran, solumedral (500-1000mg), toradol, acetaminophen compound, methotrexate 1cc
Medication, as needed, for allergic reaction:  Benadryl, prednisone, epi-shot

    As of 3/27/11
    Diagnosis:  Systemic Juvenile Arthritis with possible psoriatic JA and allergies/asthma
    1. Advair 100/50 – 2/day
    2. nasonex 1 spray each nostril – 2/day
    3. Saline 1 spray each nostril (for allergies& bloody noses) – 2/day
    4. zyrtec 10mg - PM
    5. acidophilus (to combat side effects…) - AM
    6. acetaminophen compound (corn-free) 500 mg (every 4 hrs)
    7. naproxen 500 mg. – 2/day
    8. tramadol 50 mg (every 6 hours as needed…needs big time right now)
    9. Albuteral inhailer (prior to sports/outdoor play and as needed)
    10. Albuteral vials in nebulizer (as needed)
    11. colace 2/day
    12. Predinsone (10 mg. daily) - AM
    13. Omniprozel 40 mg – PM
    14. Morphine 15mg - PM
    15. Epi-shot (on hand if needed for allergic reaction)
    16. methotrexate injection-1cc (Friday nights)
    17. Lidocaine cream (for numbing injection site) (Friday nights)
    18. Zofran (Friday night, Saturday morning, Saturday night, and sometimes Sunday morning)
    19. Leucovorin 10mg (Saturday night, 24 hrs after methotrexate)
    20. Actemra (began 3/25, to replace remicade)
    21. Solumedral Infusion (every 2-4 wks)
    22. With infusions:  Benadryl, cortisone or solumedral (500-1000mg), toradol, acetaminophen compound, methotrexate
    Medication, as needed, for acute allergic reaction:  Benadryl, prednisone, epi-shot