What are my options?
There are different biologics that could be offered to you to treat your inflammatory arthritis. One could be more appropriate for you or your type of arthritis. Make sure you discuss with your doctor the pros and cons of the different treatments available.
How is the drug given?
Generally biologics need to be either injected or given by infusion (intravenous or IV). You can inject the biologic yourself, but infusions must be done in a clinic, a process that may take several hours to complete. You should inquire as to the dosing schedule – how often do you need to take the medication? A comparison between medication types might be an important consideration for you.
Will biologics work for me?
As with all treatments, people can react differently to the same medication. Some people find that biologics act very quickly (within days) to reduce their symptoms while others find that it takes longer (weeks or even months). Some people find that biologics help to reduce their symptoms while others find that they become nearly symptom-free. For others, biologics may not work at all.
When on biologics, you should reach out to your doctor:
- if you have a fever;
- if you have an infection;
- if you need to take an antibiotic;
- if you are considering surgery; or
- if you want to get pregnant.
How much do they cost?
Biologics are expensive drugs—whether you are paying for them yourself, or through a provincial or private drug plan. Biosimilars are usually less expensive than the original biologic.
What about fighting infections?
Biologics are designed to calm the immune system, so when taking them, they can make it harder for your body to fight infections. You will need to be very careful to prevent infections when you are on a biologic. Also, before you start taking a biologic, you should make sure that your vaccinations are up to date and that you have seen your dentist to be sure you have no cavities or gum disease.
If you have to take antibiotics for an infection, you must temporarily stop taking your biologic until the infection is resolved. Your doctor will let you know when to resume your biologic treatment.
