I've heard of people being on stelara and entyvio at the same time. But not stelara and remicade or stelara and humira.They don’t combine two biologics for the same disease except on very very rare occasions after you have exhausted all other meds .
Most insurance companies will not cover two biologics especially for the same disease .
There are multiple warnings in not giving Stelara with humira .
It suppresses the immune system too much .
my child is on two biologics but for different diseases so different pathways
Even then it’s a fight to get insurance to cover it .
Has the Gi already suggested adding Stelara to humira ?
I thought he just upped the frequency of humira ?
What were his humira levels at the higher frequency?
Normally you add methotrexate to humira if higher frequency does not work
Most do bloodwork/imaging /scopes after increased frequency and adding immunosuppressants to prove the med failed .
Then and only then do they switch biologics
But they do not put them on two biologics at the same time .
It’s a long drawn out process of many months
Thank you @Pilgrim. I appreciate your response!That was our situation. Be patient. For us the Stelara took many months to kick in and it's still not perfect. We've had to add EEN for 6 weeks recently and last April we did strict CDED for 12 weeks and both things helped Stelara work (or maybe just helped in general). I've had more than one doctor say it's a safer drug than the anti-tnf's.
That makes much more sense! Yes, generally you can just schedule his infusion 7-10 days out from his last dose of Humira. Hopefully it will be approved soon.We’re waiting to get Stelara infusion set up. So in the meantime, she told us to finish the Humira.