Switching to Hadlima
My Rheumatologist is switching me from Simponi Aria infusions to Hadlima(adalimumab) injections and I'm hesitant.
I was d/x'd with JRA at age 14 and have had several different diagnoses over the years, eventually landing on seroneg RA. I'm 34F. I am lucky enough to have minimal symptoms, but one big one was chronic uveitis that I developed about ten years ago. I actually had a cataract removed before age 30 due to excessive use of steroid eye drops before I FINALLY got it under control with Humira. When Humira became too expensive, I was switched to Simponi Aria infusions. They've worked wonderfully. No side effects and I haven't had an eye flare up since I started.
Today my doctor says let's switch back to injections because there are cheaper generic options now. "It costs insurance less" she says. But I'm wondering why she cares? It's working and I have no side effects. Yes, it's extremely expensive, but I pay only a small copay so why does she care what the insurance company pays? She also conveniently had samples to give me. Is this kickbacks for her? Why stop something that is working so well?
My main concern is of course the return of the uveitis, but secondly I am afraid of potential side effects. I agreed to try them but have spent some time thinking about it. Do I have to switch? Can she make me? Has anyone switched and had positive experiences? Don't really want to fix what isn't broken here.