Your body can build up drug antibodies so to speak that inhibits the biologics from working properly. Your best bet is to move to tnf variant or something completely different. Enbrel died after 6 months or so and Humira did nothing...
Stelara would be my first choice
Orencia would be my next choice for PsA (doesn't work for axial symptoms)
Xeljanz if nothing else works
Hopefully that will buy you a year until new drugs come out.
Stelara would be my first choice
Orencia would be my next choice for PsA (doesn't work for axial symptoms)
Xeljanz if nothing else works
Hopefully that will buy you a year until new drugs come out.