How aggressive can initial therapy for rheumatoid arthritis be?

Multiple medications: It is documented that early, agrressive therapy is indicated in RA and results in much better outcome as opposed to delaying agrressive therapy(as was done in the past). Initial therapy would include plaquenil, (hydroxychloroquine) methotrexate, and biologic agents, i.e., enbrel, humira, etc. This approach is supported by long term clinical trials and radiographic evidence.

Immunosuppressive : Today's pharmacotherapy is highly aggressive for rheumatologic autoimmune diseases with products like embril immunosuppressive therapy.