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A member asked:
Child has only occasional swelling but stiffness and pain almost daily from jra she still plays but it hurts her already on metho what shoukd i do?
4 doctors weighed in across 3 answers
See below: Her rheumatologist may need to change her regimen by increasing the Methotrexate or add another medication to regimen. Let rheumatologist know of your child's symptoms.
Answered 6/28/2014
5k views
JIA!: Young children really do not have "rheumatoid arthritis." we now call it "juvenile idiopathic arthritis! we have many other drugs to treat this arthritis. Your child is hopefully under the care of a rheumatologist! is he taking an NSAID for pain? Is the CRP ( a measure of inflammation) still high. If so, other medications can be used. Both Humira and Enbrel (etanercept) are avaiable options, too. Good luck!
Answered 6/25/2014
5k views
Add a TNF-inhibitor: Kids tolerate the combination of weekly Methotrexate and a tnf-inhibitor (enbrel, humira, remicade)so well, there is no reason to not start both medications.The goal in children should be no active arthritis.There is not the same risk of infections that adults have.Kids are growing and anything less than total remission of their disease can inhibit normal growth.Make sure Enbrel (etanercept) or Humira is added.
Answered 9/28/2016
5k views
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