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3 treatments combination ipi/nivo. Trying steroids now ? dmards?

October 9, 2024
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A MyMelanomaTeam Member

Hi Rita... thanks for your response. I will be taking my 4th Humira injection this week for the arthritis and am starting taper on Prednisone. I am also taking MTX. Since starting the Humira, I do feel better overall, have more energy and drive. Would like joint pain to decrease some... hoping the next injection will do that. Feeling much better overall, I might be able to resume novimulab alone in a month or so. Oncologist is going to do a PET scan soon to confirm NED!....It would be nice if I'd be in remission....

Thanks again

March 17, 2025
A MyMelanomaTeam Member

Prayers for maintaining a low level
Of inflammation. I had the same when I went through immunotherapy. And am just now coming off of plaquenil after 2 years. I was on Prednisone for a year before that to get the inflammation under control. My knees swelled so bad I couldn’t walk. I hope the inflammation stays at bay. But God - I have no evidence of disease (NED). For 3 years now. Hard to complain about anything when I had 7 tumors including 2 in the brain.

March 17, 2025
A MyMelanomaTeam Member

Update: Went on steroids (high dose) with some improvement in swelling/pain but not enough. I am now taking Methotrexate for Arthritis and reducing Steroid dosage. After only a few weeks, I am feeling much improved and starting on a single drug (nivolumab) next week.

November 11, 2024
MyMelanomaTeam

Inflammatory arthritis can indeed be a side effect of immunotherapy treatments for melanoma, such as the combination of ipilimumab (ipi) and nivolumab (nivo). These treatments can activate the immune system, sometimes leading to immune-related adverse effects, including inflammatory arthritis.

- Steroids: Often used to Show Full Answer

Inflammatory arthritis can indeed be a side effect of immunotherapy treatments for melanoma, such as the combination of ipilimumab (ipi) and nivolumab (nivo). These treatments can activate the immune system, sometimes leading to immune-related adverse effects, including inflammatory arthritis.

- Steroids: Often used to manage immune-related side effects by reducing inflammation.
- DMARDs (Disease-Modifying Antirheumatic Drugs): These may be considered if steroids are not sufficient or if long-term management is needed.

It's important to discuss these options with your cancer care team to tailor the treatment to your specific needs.

October 9, 2024

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